A long-term follow-up study of Class II malocclusion correction after treatment with Class II elastics or fixed functional appliances

Am J Orthod Dentofacial Orthop. 2007 Oct;132(4):499-503. doi: 10.1016/j.ajodo.2005.10.027.

Abstract

Introduction: The aim of this study was to compare dentofacial morphology and long-term follow-up changes in growing males with skeletal Class II malocclusions treated without extractions and with either Begg or Herbst appliances.

Methods: Lateral cephalograms were obtained at the start of treatment, after active treatment, and after long-term follow-up.

Results: Treatment effects differed between the groups, with usually more favorable effects in the Herbst group. However, during the follow-up period, many of the changes were reversed. During the total observation period, maxillary prognathism and lower anterior facial height increased more in the Begg group than in the Herbst group.

Conclusions: Although there were initial marked differences in the treatment outcomes, most of these differences were not sustained over the longer term.

Publication types

  • Comparative Study
  • Controlled Clinical Trial

MeSH terms

  • Adult
  • Cephalometry
  • Elastomers
  • Follow-Up Studies
  • Humans
  • Male
  • Malocclusion, Angle Class II / therapy*
  • Maxilla / pathology
  • Maxillofacial Development
  • Orthodontic Appliances*
  • Orthodontic Appliances, Functional
  • Orthodontics, Corrective / instrumentation*
  • Prognathism / physiopathology
  • Recurrence
  • Treatment Outcome
  • Vertical Dimension

Substances

  • Elastomers