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Academic literature on the topic 'Mandibular incisor proclination'
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Journal articles on the topic "Mandibular incisor proclination"
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El-Fateh, Tarek, and Sabine Ruf. "Herbst treatment with mandibular cast splints—revisited." Angle Orthodontist 81, no. 5 (March 28, 2011): 820–27. http://dx.doi.org/10.2319/101010-591.1.
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Abstract Objective: The objective of this study was to reassess the dento-skeletal treatment effects and the amount of anchorage loss during reduced mandibular splint (RMS) Herbst treatment. Materials and Methods: One hundred consecutive Class II patients treated with a RMS-Herbst appliance were analyzed. The mean pretreatment age of the patients was 14.5 years, and the mean treatment time with the Herbst appliance was 8.1 months. Both before (T1) and after (T2) Herbst treatment a cephalometric measurement of lower incisor inclination, a sagittal occlusion analysis, and a dental cast analysis were performed. A comparison was performed with a historic Herbst control group treated with total mandibular cast splints (TMS). Results: During treatment the lower incisors proclined markedly (12.9° ± 4.6°). The amount of incisor proclination in the RMS group was, on average, 3.6° larger (P < .001) than in the TMS group. The lower incisor proclination increased from 11.9° (prepeak) to 14.3° (young adult). The level of professional experience of the practitioners performing the treatment did not influence the amount of incisor proclination significantly. The total available space in the lower arch increased by an average of 1.8 mm, and a space opened between the lower second premolars and lower permanent first molars in 62% of the present RMS-Herbst (average of 0.4 mm per side). Conclusions: Treatment with RMS-Herbst appliances leads to higher proclination of the lower incisors than does treatment with TMS-Herbst appliances; it also leads to an overall larger amount of anchorage loss.
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Oliveira, Márlio Vinícius de, Matheus Melo Pithon, Márcia Luzia Lacerda Xavier, Rodrigo Villamarim Soares, Martinho Campolina Rebello Horta, and Dauro Douglas Oliveira. "Incisor proclination and gingival recessions: is there a relationship?" Brazilian Journal of Oral Sciences 15, no. 2 (April 20, 2017): 180. http://dx.doi.org/10.20396/bjos.v15i2.8648780.
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Aim: To test the hypothesis that there is no relationship between the amount of vestibular inclination of mandibular incisors and the appearance of gingival recession in this region. Methods: This study included 20 patients selected in accordance with the following inclusion criteria: 1. adult patients without gingival recession in the mandibular incisors before treatment (T0), 2. no previous orthodontic treatment, 3. treated without tooth extraction in the mandibular arch, 4. bonded mandibular splinting from one canine to another after the active stage of orthodontic treatment (T1), 5. no visible wear of the incisal edge of the mandibular incisors, 6. Pre- and post-treatment teleradiography and plaster casts, and plaster casts 3 years post-treatment (T2). Depending on the amount of inclination of the mandibular incisors after treatment, the sample was divided into two groups: Group 1- 10 individuals (IMPA T1-T0 ≤ 5˚) and Group 2- 10 individuals (IMPA T1-T0 > 5˚). The measurement of length of the clinical crown (LCC) of the four mandibular incisors, distance between the incisal edge and vestibular marginal gingiva were made in plaster casts at T0, T1 and T2. Results: In spite of Group 1 presenting a reduction in LCC at T2, there was no statistically significant difference in LCC in the 3 time intervals evaluated in the two groups. Conclusions: The null hypothesis was accepted. The variation in the amount of vestibular inclination of the mandibular incisors during orthodontic treatment and 3 years after conclusion of treatment did not promote the appearance of gingival recessions in this group of patients.
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Yitschaky, Oded, Meital Segev Neuhof, Michael Yitschaky, and Avraham Zini. "Relationship between dental crowding and mandibular incisor proclination during orthodontic treatment without extraction of permanent mandibular teeth." Angle Orthodontist 86, no. 5 (March 18, 2015): 727–33. http://dx.doi.org/10.2319/080815-536.1.
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ABSTRACT Objective: To examine changes in mandibular incisor proclination and protrusion resulting from alleviation of crowding. Materials and Methods: Records of 96 patients from a private practice treated without extractions or interproximal enamel reduction in the mandibular arch were included. Pre- and post-treatment cephalograms and models were examined to determine changes in incisor proclination, protrusion and crowding. Results: For every millimeter of crowding alleviation, increases in incisor proclination (ΔIMPA) and protrusion (ΔL1 to A-Pog) of 0.5° and 0.2 mm, respectively, were found, on average. High variability was calculated for both linear variables (that can be reduced by incorporating other variables by multilinear regression). Conclusions: For every millimeter of crowding alleviated, 0.5° of proclination and 0.2 mm of protrusion are expected. Our results indicate that proclination is mulifactorial and cannot be explained solely by the amount of crowding alleviated during orthodontic treatment. These results may be a useful guiding principle rather than a prognostic tool.
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Choi, Yoon Jeong, Chooryung J. Chung, and Kyung-Ho Kim. "Periodontal consequences of mandibular incisor proclination during presurgical orthodontic treatment in Class III malocclusion patients." Angle Orthodontist 85, no. 3 (August 4, 2014): 427–33. http://dx.doi.org/10.2319/021414-110.1.
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ABSTRACT Objective: To test the hypothesis that periodontal changes are similar between proclined and minimal-changed mandibular incisor position groups during presurgical orthodontic treatment for Class III orthognathic surgery. Materials and Methods: The following measurements were performed before and after presurgical orthodontic treatment of 75 patients (proclination group, 39 subjects; minimal-change group, 36 subjects): clinical crown length, sulcus and bone probing depths, and width of attached gingiva from clinical examination; infradentale-to-MP (perpendicular distance of infradentale to mandibular plane) from examination of lateral cephalograms; and the distance between the cementoenamel junction and alveolar crest from examination of periapical radiographs. Data were compared between the two groups, and a regression analysis was performed to investigate factors affecting the periodontal changes. Results: In both groups, clinical crown length and bone probing depth increased during presurgical orthodontics (P < .05). Infradentale-to-MP and the width of attached gingiva decreased more in the proclination group than in the minimal-change group (P < .05). Proclination and protrusion of the mandibular incisors, and treatment duration affected the periodontal changes. Conclusions: The null hypothesis was rejected. Proclination of the mandibular incisors for decompensation in Class III surgery patients seems to result in labial alveolar bone recession and a decrease in width of attached gingiva. However, the amount of the periodontal recession appeared to be clinically insignificant.
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Elkordy, Sherif A., Amr M. Abouelezz, Mona M. S. Fayed, Mai H. Aboulfotouh, and Yehya A. Mostafa. "Evaluation of the miniplate-anchored Forsus Fatigue Resistant Device in skeletal Class II growing subjects: A randomized controlled trial." Angle Orthodontist 89, no. 3 (December 28, 2018): 391–403. http://dx.doi.org/10.2319/062018-468.1.
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ABSTRACT Objectives: To evaluate the use of direct miniplate anchorage in conjunction with the Forsus Fatigue Resistant Device (FFRD) in treatment of skeletal Class II malocclusion. Materials and Methods: Forty-eight females with skeletal Class II were randomly allocated to the Forsus plus miniplates (FMP) group (16 patients, age 12.5 ± 0.9 years), Forsus alone (FFRD; 16 patients, age 12.1 ± 0.9 years), or the untreated control group (16 subjects, age 12.1 ± 0.9 years). After leveling and alignment, miniplates were inserted in the mandibular symphysis in the FMP group. The FFRD was inserted directly on the miniplates in the FMP group and onto the mandibular archwires in the FFRD group. The appliances were removed after reaching an edge-to-edge incisor relationship. Results: Data from 46 subjects were analyzed. The effective mandibular length significantly increased in the FMP group only (4.05 ± 0.78). The mandibular incisors showed a significant proclination in the FFRD group (9.17 ± 2.42) and a nonsignificant retroclination in the FMP group (−1.49 ± 4.70). The failure rate of the miniplates was reported to be 13.3%. Conclusions: The use of miniplates with the FFRD was successful in increasing the effective mandibular length in Class II malocclusion subjects in the short term. The miniplate-anchored FFRD eliminated the unfavorable mandibular incisor proclination in contrast to the conventional FFRD.
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Kumar, G. Anil, and Amit Maheshwari. "A Retrospective Cephalometric Evaluation of Dental Changes with Activator and Activator Headgear Combination in the Treatment of Skeletal Class II Malocclusion." Journal of Contemporary Dental Practice 12, no. 1 (2011): 14–18. http://dx.doi.org/10.5005/jp-journals-10024-1003.
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ABSTRACT Aim The aims of this study were to evaluate the dental changes brought about by activator and activator headgear combination (ACHG) and to determine whether we can achieve control over the lower incisor proclination which is a side effect of using functional appliances; or not, while treating cases of skeletal class II malocclusions. Methods Lateral cephalograms of 45 skeletal class II division 1 patients were selected for the study. Fifteen of them were successfully treated with an Andresen activator and the other 15 with an activator headgear combination. Fifteen class II subjects who had declined treatment served as the control group. Cephalometric landmarks were marked by one author to avoid interobserver variability. Results The results revealed that both the activator and the activator headgear combination significantly (p < 0.001) affected dental variables measured. The mandibular incisor proclination was effectively controlled in the activator headgear combination group. Conclusion An activator headgear combination would offer itself as a better option compared with activator alone in the treatment of skeletal class II malocclusions especially in cases with proclined mandibular incisors. Clinical significance When one of the treatment goals is to achieve a greater control over mandibular incisor proclination in the treatment of Skeletal Class II malocclusions, employing a combination of activator and headgear may substantially improve clinical outcomes. How to cite this article Lall R, Kumar GA, Maheshwari A Kumar M. A Retrospective Cephalometric Evaluation of Dental Changes with Activator and Activator Headgear Combination in the Treatment of Skeletal Class II Malocclusion. J Contemp Dent Pract 2011;12(1):14-18.
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Ferguson, Donald J., Urmi Mazumder, Laith Makki, M. Thomas Wilcko, and William M. Wilcko. "Mandibular Incisor Position Changes do not Explain Increase in Keratinized Gingiva Height after Periodontally Accelerated Osteogenic Orthodontics." APOS Trends in Orthodontics 7 (August 1, 2017): 168–74. http://dx.doi.org/10.4103/apos.apos_78_17.
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Purpose This study aimed to reexamine the relationship between mandibular incisor inclination, prominence and vertical changes in position, and keratinized gingival tissue (KT) height changes labial to the mandibular incisors after orthodontic treatment with and without augmented corticotomy (Cort). Materials and Methods Two orthodontically treated groups of 35 individuals each, with (Cort) and without (conventional [Conv]) alveolar decortication and augmentation bone grafting (periodontally accelerated osteogenic orthodontics [PAOO]), were matched for sample size, gender, mandibular premolar extractions, pretreatment age, posttreatment observation period, and pretreatment KT height in this case–controlled retrospective study. Pre- and post-treatment lateral cephalometric radiographs were evaluated for mandibular incisor vertical, inclination, and prominence changes. Results As reported previously (Wilcko 2015), KT height had significantly increased by 0.78 mm (P = 0.001) in the Cort group and decreased by 0.38 mm (P = 0.002) in Conv on an average of 1.5 years after completion of active orthodontic therapy. In this study, Cort mandibular incisors proclined and protruded significantly during therapy while Conv incisors did not. Changes in mandibular incisor inclination and prominence explained neither the decrease in keratinized gingiva height in Conv nor the KT height gain in Cort. Conclusions In spite of mandibular incisor proclination and protrusion, orthodontic therapy combined with alveolar decortication and augmentation bone grafting resulted in a clinically significant increase in keratinized gingiva height 1.5 years’ posttreatment.
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Pamukçu, Hande, and Ömür Polat Özsoy. "A comparison of treatment results of adult deep-bite cases treated with lingual and labial fixed appliances." Angle Orthodontist 91, no. 5 (April 22, 2021): 590–96. http://dx.doi.org/10.2319/011021-29.1.
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ABSTRACT Objectives To compare the cephalometric treatment results of adult deep-bite cases after labial and lingual fixed orthodontic treatment. Materials and Methods A total of 102 patients underwent lingual orthodontic treatment and complete records were evaluated. The following inclusion criteria were used: patients who had Angle Class I or mild Class II malocclusion; comprehensive orthodontic treatment that did not include intrusion mechanics or any extractions; patients with an initial overbite of more than 3.7 mm. Thirteen patients met the inclusion criteria. These cases were matched with the same number of patients according to age with a labial orthodontic treatment group. Pre- and post-treatment cephalometric radiographs were evaluated. Independent t test or Fisher exact tests were performed to assess the differences between the groups. Results Proclination of the upper incisors was higher in the labial group. Incisor mandibular plane angle (IMPA) showed an increase of 1.2° in the lingual group and 9.7° in the labial group. Lower incisor edge was approximately in a stable sagittal position in the lingual group but significant lower incisor proclination was seen in the labial group. The lower incisors were intruded (-1 mm) in the lingual group but lower incisors were minimally extruded (0.3 mm) in the labial group. No significant difference was found in the movements of upper and lower molars for both groups. Conclusions The nature of lower incisor movement involved less protrusion in lingual orthodontics than the labial treatment. Lingual orthodontic treatment is a better option in adult cases where intrusion of lower incisors without labial tipping is desired.
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Duncan, Laura O., Luis Piedade, Milos Lekic, Rodrigo S. Cunha, and William A. Wiltshire. "Changes in mandibular incisor position and arch form resulting from Invisalign correction of the crowded dentition treated nonextraction." Angle Orthodontist 86, no. 4 (December 4, 2015): 577–83. http://dx.doi.org/10.2319/042415-280.1.
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ABSTRACT Objective: To investigate changes in mandibular incisor position resulting from Invisalign correction of the crowded dentition without extraction. Materials and Methods: A retrospective chart review was completed on 61 adult White patients. Patients were categorized into three groups based on the value of pretreatment crowding of the lower dentition: 20 mild (2.0–3.9 mm), 22 moderate (4.0–5.9 mm), and 19 severe (>6.0 mm). Cephalometric radiographs were measured to determine lower incisor changes. Interproximal reduction and changes in arch width were also measured. Statistical evaluation of T0 and T1 values using paired t-tests and analysis of covariance were applied to evaluate mean value changes. Results: Lower incisor position and angulation changes were statistically significant in the severe crowding group. There were no statistically significant differences in lower incisor position between the mild and moderate crowding groups. There was a statistically significant increase in buccal expansion in each of the three groups. Conclusions: Invisalign® treatment can successfully resolve mandibular arch crowding using a combination of buccal arch expansion, interproximal reduction, and lower incisor proclination. When there is <6 mm of crowding, lower incisor position remained relatively stable. The lower incisors proclined and protruded in the more severely crowded dentitions (>6 mm).
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Kamak, Gulen, Hasan Kamak, Hakan Keklik, and Hakan Gurcan Gurel. "The Effect of Changes in Lower Incisor Inclination on Gingival Recession." Scientific World Journal 2015 (2015): 1–5. http://dx.doi.org/10.1155/2015/193206.
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Aim. Orthodontic treatment may promote development of recessions. The mechanism by which orthodontic treatment influences occurrence of recessions remains unclear. The aim of this study was to test the hypothesis that a change of mandibular incisor inclination promotes development of labial gingival recessions.Materials and Methods. The study sample comprised dental casts and lateral cephalograms obtained from 109 subjects before orthodontic treatment (Tb) and after orthodontic treatment (Ta). Depending on the change of lower incisor inclination during treatment, the subjects were divided into three groups: Retroclination (R), Stable Position (S), and Proclination (P). The presence of gingival recessions of mandibular incisors and clinical crown heights were assessed on plaster models.Results and Conclusions. From Tb to Ta, Inc_Incl showed a statistically significant change in the R, P, and S groups (p<0.05). Increase of clinical crown heights of the lower incisors (42, 4, and 31) was not statistically significant in any group. The only statistically significant intergroup difference was the greater increase of the clinical crown height of tooth number 32 in the P group in comparison with the R group (p=0.049). The change of lower incisor inclination during treatment did not lead to development of labial gingival recessions in the study sample.
Dissertations / Theses on the topic "Mandibular incisor proclination"
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Redford, James. "Mandibular Incisor Proclination Variability During Class II Correction." VCU Scholars Compass, 2014. http://scholarscompass.vcu.edu/etd/3424.
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Background: Lower incisor proclination has been shown to increase during Class II correction with appliances such as the Forsus. This lower incisor flaring shows great variability among patients. The purpose of this study was to evaluate the effects of Class II severity, mandibular growth, and occlusal plane rotation on lower incisor flaring in patients treated with the Forsus appliance. Materials and Methods: 121 records of Class II patients treated with the Forsus appliance were analyzed retrospectively. Cephalograms were traced at three time points. ANOVA was used to compare changes in cephalometric measurements over time. Pearson’s correlation was used to test for relationships between variables. Multiple regression tested for correlation between multiple variables. Results/Conclusions: Lower incisor flaring during Class II correction with the Forsus appliance was only weakly associated with sex, molar relationship change, and occlusal plane steepening. There was no correlation between the change in lower incisor proclination and mandibular growth.
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Shukla, Rajiv. "The effect of orthodontic incisor proclination on the clinical crown height of mandibular incisors." Thesis, National Library of Canada = Bibliothèque nationale du Canada, 2000. http://www.collectionscanada.ca/obj/s4/f2/dsk1/tape4/PQDD_0016/MQ58083.pdf.
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Duncan, Laura. "The proclination of mandibular incisors in non-extraction crowded Invisalign cases." 2015. http://hdl.handle.net/1993/30613.
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OBJECTIVES: Investigate changes in mandibular incisor position resulting from Invisalign correction of the crowded dentition.
MATERIALS AND METHODS: A retrospective chart review was undertaken on 61 adult Caucasian patients. Subjects were categorized into 3 groups based on the value of pre-treatment crowding of the lower dentition; 20 mild (2.0-3.9mm), 22 moderate (4.0-5.9mm) and 19 severe (>6.0mm). Cephalometric radiographs were measured to determine lower incisor changes. Interproximal reduction (IPR) and changes in arch width were also measured. Statistical evaluation of T0 and T1 values using paired t-tests and ANCOVA were applied to evaluate mean value changes.
RESULTS: Lower incisor position and angulation changes were statistically significant in the severe crowding group. There were no statistically significant differences in lower incisor position between the mild and moderate crowding groups. There was a statistically significant increase in buccal expansion in each of the 3 groups.
CONCLUSIONS: Invisalign® treatment can successfully resolve mandibular arch crowding using a combination of buccal arch expansion, interproximal reduction and lower incisor proclination. When there is <6mm of crowding, lower incisor position remained relatively stable. In more severely crowded dentitions (>6mm), the lower incisors proclined and protruded to allow for arch alignment.