In recent years, the early orthodontic treatment of malocclusion has become a hot issue in the field of orthodontics. Some new phenomena and new problems that have emerged require in-depth analysis and discussion, and need to be given correct guidance and norms. Malocclusion refers to the deformities of teeth, jaws, and craniofacial bones caused by genetic and environmental factors during growth and development. Based on the accurate judgment of the etiology and diagnosis, choosing the right time and suitable indications, with the advantage of growth and development, the most suitable appliance can be selected in the early stage of malocclusion to fix malocclusion, and to effectively prevent and block the formation and development of malocclusion. This article will discuss how to timely and appropriately carry out the early prevention and treatment of malocclusion with six aspects, including methods of performing early orthodontic treatment, the basis and guarantee of early orthodontic treatment, correctly understanding early orthodontic treatment, the issues that should be paid attention to in carrying out early orthodontic treatment, actively advocating multidisciplinary cooperation during early orthodontic treatment and understanding face management in a serious way.
Dental Care ; Humans ; Malocclusion/therapy* ; Malocclusion, Angle Class II/therapy* ; Orthodontic Appliances, Functional ; Orthodontics, Corrective/methods*

The early orthodontic treatment of malocclusion includes the growth modification of skeletal discrepancy, preventive and interceptive orthodontic treatment of the dental malocclusion or oral habit. Therefore, early orthodontic treatment is to guide the normal dento-maxillafacial growth and development, eliminate the adverse effect on function of masticatory system and the health of dental and periodontal tissues. Most of the patients in the early permanent dentition are still in their pubertal growth period. Although all kind of comprehensive orthodontic treatment could be started from early permanent dentition, early orthodontic treatment can still be used in the cases such as class Ⅱ malocclusion caused by underdevelopment of mandible and crossbite caused by underdevelopment of maxilla in the early permanent dentition. The article will discuss class Ⅱ malocclusion caused by underdevelopment of mandible and anterior and posterior crossbite caused by underdevelopment of maxilla which are feasible for early orthodontic treatment.
Dentition, Mixed ; Dentition, Permanent ; Humans ; Malocclusion/therapy* ; Malocclusion, Angle Class II/therapy* ; Maxilla

OBJECTIVETo determine the positional changes of condyle and mandible in children treated successfully with Fränkel function regulator.

METHODS30 Angle's class II patients including 15 boys and 15 girls treated with Fränkel function regulator were selected. Superimposition of the pretreatment and posttreatment lateral cephalograms of all the patients was done on the stable bone structure of the anterior cranial base and mandible. Cartesian coordinate system was used to measure the positional changes of condyle and mandible over time by computer.

RESULTSThere was significant inferior displacement of condyle, gonion and pogonion after treatment with reference to stable bone structure of anterior cranial base. Anterior displacement of pogonion in boys was also significant. There was significantly superior and posterior displacement of condyle and posterior displacement of gonion after treatment with reference to stable bone structure of mandible.

CONCLUSIONFränkel function regulator can stimulate condylar growth and do favor to mandibular remolding.

Activator Appliances ; Cephalometry ; Child ; Female ; Humans ; Male ; Malocclusion, Angle Class II ; therapy ; Orthodontic Appliances, Functional

OBJECTIVETo investigate the changes of occlusal relationship in posterior teeth among the pre-treatment, post-treatment, and to analyze some possible factors which may relate to the relapse of posterior occlusal relationship.

METHODS29 finishing Class II division 1 cases treated by extraction with full records selected were included. The sample consists of 12 males, 17 females. The follow-up lateral head films and study casts were taken at least 2 years after orthodontic treatment. The cephalograms were measured by computerized program and the study casts measured by caliper.

RESULTSImprovements of molar relationship were shown during treatment and a little bit changes during follow-up. During the treatment, the amount of mesial movement of the lower molars was more than the upper molars in dental Class II malocclusion and the amount was similar between upper and lower molars in skeletal Class II malocclusion although the ANB angle decreased significantly. During the follow-up stage, the movement tendency between upper and lower molars was reversed. The sagittal growth pattern of mandible and irregularity of upper incisors were nearly correlated with the relapse of molar relationship.

CONCLUSIONThe stability of molar relationship is acceptable during the follow-up stage in Class II malocclusion. The improvement of molar relationship depends on the difference of mesial movements between upper and lower molars in dental Class II malocclusion. However, in skeletal Class II malocclusion the improvement of jaw relationship does the effect. The positive growth of mandible and crowding of upper incisors may affect the relapse of molar relationship.

Cephalometry ; Female ; Humans ; Male ; Malocclusion, Angle Class II ; therapy ; Molar ; Tooth Extraction ; Tooth Movement Techniques

The effects of Tip-Edge plus appliance in the treatment of Angle II(1) malocclusion and the mechanism were investigated. Fifty-two Angle II(1) children, aged from 12.3-14.2 years, with mandibular retrusion in permanent dentition were selected and treated with Tip-Edge plus appliance. Lateral cephalometric films taken before and after treatment were analyzed. The arithmetic mean and standard deviation were calculated for each variable. Paired t-test was performed to evaluate the significant treatment change. Results showed that the average treatment time was 16 months. Normal overjet and overbite were established with retroclination of upper incisors and proclination of lower incisors. U1-NA was decreased by 15.4° (P<0.01). ANB and Y axial angle were decreased significantly (P<0.05). Soft tissue measurements showed that FCA and UL-E were decreased dramatically (P<0.05), and LL-E was increased significantly (P<0.05). Remarkable soft tissue change was noted after the treatment and convex facial profile changed to the straight profile. In conclusion, Tip-Edge plus technique can quickly and efficiently correct anterior bite and lateral outlook.
Adolescent ; Child ; Female ; Humans ; Male ; Malocclusion, Angle Class II ; therapy ; Orthodontic Appliances

OBJECTIVETo record and analyze the characteristics of condyle movement before and after functional treatment in Angle class II division 1 malocclusion (II(1)) patients.

METHODSTwenty Angle II(1) patients were included in the study and 20 Angle I patients without temporomandibular disorders symptoms served as controls. Computer aided diagnosis axiograph (CADIAX) was used to record the condyle movement in Angle II(1) patients and that caused by functional appliance treatment during mouth opening and closing.

RESULTSThe tracing were vertically displayed. Value Z [L: 2.21 (1.01) mm, R: 1.12 (1.02) mm] and sagittal condylar inclination [L: 12.89 (9.12) degrees, R: 12.12 (8.89) degrees] were increased significantly in Angle II(1) patients compared with those in control group (P < 0.05). After functional treatment, the condyle movement in Angle II(1) patients was close to normal (P > 0.05).

CONCLUSIONSTypical characteristics of condyle movement were found in Angle II(1) patients and it was stable and repeatable. Functional therapy had a positive effect on temporomandibular joint function in Angle II(1) patients.

Female ; Humans ; Male ; Malocclusion, Angle Class II ; physiopathology ; therapy ; Mandibular Condyle ; physiopathology ; Temporomandibular Joint ; physiopathology

This case report describes the treatment of a 25-year-old woman with a severe open bite. This patient presented a grade Ⅲ open bite, considerably thin alveolar bone, and evident labial buccal and lingual root form. The open bite was corrected by fixed orthodontic treatment and masticatory exercises. However, the increased pressure in the labial muscle caused by lip muscle exercise suppressed the canines, which resulted in the protrusion of the apices of canine roots out of the alveolar bone. Afterward, HX brackets, instead of self-locking, were used and bonded reversely in the occlusal-gingival direction on the upper canines. The lip muscle exercises were decreased. After adjustment, the roots penetrated back into the cancellous bone, the severe open bite was corrected, and a normal overbite and overjet were achieved. ClassⅠcanine and molar relationships were established. The masticatory function and profile were both considerably improved. This case report showed that a severe nonskeletal open bite can be corrected using orthodontic treatments combined with masticatory exercises.
Adult ; Cephalometry ; Female ; Humans ; Malocclusion, Angle Class II ; Open Bite ; therapy ; Overbite ; Tooth Movement Techniques

To evaluate the therapeutic effect of using micro-implant anchorage (MIA) to rotate the functional occlusal plane (FOP) counterclockwise. Forty skeletal class Ⅱ high-angle patients who had completed orthodontic treatment were enrolled, including 20 patients treated with MIA orthodontic system (MIA group) and the other 20 patients treated with traditional sliding straight wire appliance (control group). Cephalometric measurements on the lateral cranial radiographs before and after treatment were performed, all acquired data were statistically analyzed with SPSS 26.0. At the end of treatment, MIA group obtained better effect of FOP and mandibular plane counter-clockwise rotation than the control group. In the MIA group, the average change of FOP-frankfort horizontal plane (FH), FOP-SN and mandibular plane angle (MP-FH) angle was -4.5(-7.3, -3.7)°, (3.3)° and -1.7(-3.0, -0.9)°, respectively. In the control group, the average change of FOP-FH, FOP-SN and MP-FH angle was -0.1(-4.1, 3.0)°, (-0.1±5.1)° and -0.4(-2.4, 0.7)°, respectively. There was significant difference between the change of the two groups (all <0.05). Compared with the traditional sliding straight wire appliance, counterclockwise rotation of FOP can be more effectively reversed by using MIA orthodontic system, and the MP-FH can be reduced as well.
Cephalometry ; Dental Occlusion ; Humans ; Malocclusion, Angle Class II/therapy* ; Mandible ; Maxilla ; Treatment Outcome

OBJECTIVES: To evaluate the effects of a Twin-block appliance on the condyles of patients with ClassⅡmalocclusion by conducting a systematic review and a Meta-analysis. METHODS: Pubmed, Embase, Cochrane Library, Chinese BioMedical Literature Database, China National Knowledge Infrastructure, and VIP Database were electronically searched. Randomized controlled trials, controlled clinical trials, and single-arm trials on condylar changes produced by a Twin-block appliance in patients with ClassⅡmalocclusion were included. Two reviewers independently extracted and assessed the risk of bias. Meta-analyses were conducted with Review Manager 5.3. RESULTS: Eight studies were included; among which, seven were of high quality. After treatment with a twin block appliance, condyles moved anteriorly. The anterior joint spaces decreased (P<0.000 01), whereas the posterior spaces increased (P<0.000 01). The superior spaces were not changed (P=0.11). Moreover, a significant difference was observed in the increase of the condylar space index (P<0.000 01). After treatment, the anteroposterior diameters of the condyles and condylar height increased (P=0.000 2 and P<0.000 01, respectively). By contrast, no significant changes were discovered in the medial external diameters of the condyles (P=0.42). CONCLUSIONS A Twin-block appliance can promote the growth of a condyle in the posterior and upper direction and move it forward in favor of the correction of Class Ⅱ malocclusion.
Humans ; Malocclusion, Angle Class II/therapy* ; Temporomandibular Joint ; Bone and Bones ; China ; Orthodontic Appliances, Functional ; Cephalometry

OBJECTIVETo investigate morphologic changes of Angle class II and skeletal class I patients during pendulum and straight wire appliances treatment and to analyze the mechanism of this treatment protocol.

METHODS10 patients with Angle class II and skeletal class I malocclusion were recruited. The lateral cephalometric radiographs were evaluated to determine if there were significant differences among pre-treatment (T1), after molar distalization (T2), and post-treatment (T3) variables including skeletal, dental and soft tissue relationships.

RESULTSDifferences between the T1 and T2 means were significant for distal movement and distal angulation of the maxillary molars (P < 0.01), mesial angulation of the maxillary incisors (P < 0.05), mesial movement of the maxilla (P < 0.01) . There were no significant changes between T1 and T3 in respect saggital position and angulation of the maxillary molars (P > 0.05) . Only the mesial movement of lower first molars and upper and lower jaws were significant (P < 0.01) during the whole treatment. No upper second molar impaction was detected after treatment.

CONCLUSIONThe upper molars distalization could be achieved by pendulum appliance. The class I molar relationship could be obtained by the differential growth of jaws and the differential movement of upper and lower molars.

Cephalometry ; Humans ; Incisor ; Malocclusion, Angle Class I ; therapy ; Malocclusion, Angle Class II ; therapy ; Mandible ; Maxilla ; Molar ; Orthodontic Appliances ; Tooth Movement Techniques