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Objective @#To compare the depth of the curve of Spee in Angle classⅡ malocclusion patients with different vertical skeletal patterns and to investigate the relationship between the depth of the curve of Spee and dentofacial morphology. @*Methods @#101 Angle classⅡ malocclusion patients were selected and randomly divided into 3 groups based on their GoGn-SN angles-high angle, average angle and low angle. Lateral cephalograms and dental models of all patients were evaluated to analyze Spee curve depth difference among different groups, Correlation analysis and a multiple linear regression analysis were performed to determine the relationship between the depth of the curve of Spee and all selected cephalometric variables.@*Results@# There was statistical difference in depth of the curve of Spee among different groups P < 0.05. The depth of the curve of Spee was least in the high angle group and greatest in the low angle group. GoGn-SN angle had statistically significant negative correlation with the depth of the curve of Spee, r = 0.428, P = 0.000, ODI, S-Go/N-Me、L7-GoGn angle had statistically significant positive correlation with the depth of the curve of Spee, r = 0.381, 0.357, 0.333, P = 0.000, 0.000, 0.001. The multiple linear regression analysis with stepwise method showed GoGn-SN angle had significant contribution to the depth of the curve of Spee. In Angle classⅡ malocclusion patients, there was statistical difference in depth of the curve of Spee among different vertical skeletal patterns@*Conclusion @#The depth of the curve of Spee is correlated with dentofacial morphology, GoGn-SN angle had significant contribution to the depth of the curve of Spee, which should be taken into consideration during orthodontic diagnosis and treatment.
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<p><b>OBJECTIVE</b>This study aimed to analyze the condylar position changes produced by functional appliances in class Ⅱ malocclusion by systematic review.</p><p><b>METHODS</b>Electronic search was conducted using Chinese Biomedical Literature Database, China National Knowledge Infrastructure, VIP Database for Chinese Technical Periodicals, Medline, Embase, Pubmed, and Cochrane Central Register of Controlled Trials. Studies on condylar position changes produced by functional appliances in class Ⅱ malocclusion were included. Risk of bias assessment and data extraction of included studies were conducted by two reviewers independently. The meta-analysis was carried out using Revman 5.1.</p><p><b>RESULTS</b>Six studies were included (five high quality and one low quality). The condylar position showed no changes after Herbst treatment. The condylar posterior space after Twin-block treatment averagely increased by 0.31 mm (P<0.000 01), whereas the condylar anterior space averagely reduced by 0.32 mm (P<0.000 01).</p><p><b>CONCLUSIONS</b>Twin-block appliance enables forward movement of the condylar position. This result contributes to the correction of class Ⅱ malocclusion.</p>
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Humanos , Bases de Datos Factuales , Maloclusión Clase II de AngleRESUMEN
ObjectiveTo investigate the clinical effect of pendulum and straight wire technology in patients with fully erupted second molar.MethodsPatients with Angle class Ⅱ malocclusion were chosen.Control group included patients without erupted second molar.Experimental group included patients with completely erupted second molar.Pendulums were used in two groups to distalize maxillary molars.Then straight wire orthodontic treatment had been performed until treatment was over.Cephalograms of each stage were analyzed.ResultsIn the experimental group,mesiobuccal cusp of first molar was distalized for 4.62 mm,geometric center was distalized for 3.75 mm,about 81 percent of the movement of mesiobuccal cusp.In control group,mesiobuccal cusp of first molar was dis talized for 5.78 mm,geometric center was distalized for 3.20 mm,about 55 percent of the movement of mesiobuccal cusp.It turned out first molar was distalized in both groups,but more rotation took place in control group than that in the experimental group.ConclusionsPendulum can distalize maxillary first and second molars in patients with completely erupted second molar.The pendulum and straight wire technology can treat these patients successfully.
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砄bjective: To evaluate the effect on a transpalatal arch on reinforcing anchorage. Methods: 12 cases with ClassⅡ Division 1 malocclusion were selected and treated with a transpalatal arch for reinforcing anchorage. Results: ①The forward displacement of the first maxillary molar (6 Ptmo, 6 So, 6CR So and 6AP So) , the backward displacement(1 Ptmo and 1 So ) and the reduction of the axial inclination (1 NA and 1 SN) of the upper incisors were increased( P 0.05);③The forward displacement of the first maxillary molar was less than one third of the extraction space ( P
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Objective: To examine the skeletal factors of Angle's classⅡdivision 1 malocclusion in order to find a reasonable treatment protocol. Methods: The skeletal factors were measured and compared between 86 cases aged 12～25 years with AngleⅡ 1 malocclusion and 86 cases at the same age with normal occlusion. Thirteen measurements were chosen on lateral cephalometric radiograph for the comparison. Results: In the group of maloculsion, some measurements standing for sagittal skeletal pattern were statistically defferent from those in the group of normal occlusion, such as decreased SNB angle and SL linear and increased ANB angle, whereas some were not significently different, such as the SNA angle and PNS-ANS linear; some measurements standing for the vertical skeletal pattern were statistically defferent, such as decreased UM-PP linear and LM-MP linear and increased UI-PP linear, whereas some were not significently different, such as LI-PP linear;some measurements standing for growth pattern of mandibular were statistically defferent, such as decreased SN-MP angle. Conclusion: There are posterior alveolar defficency and mandibular retroposition as well as counterclockwise rotation of mandile in the patients with Angle class Ⅱ 1 malocclusion. The treatment for Angle Ⅱ 1 malocclusion should be to make mandibular move forward and downward in accordance with the characteristic skeletal pattern.
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0.05). At stage 2 to 3, the changes of point A was the greatest. Conclusion: Timing of headgear treatment based on the morphological variation of cervical vertebra can obtain the maximum desirable orthopedic effect.