ABSTRACT
OBJECTIVE: To compare changes in the maxillary posterior structure as seen in cone-beam computed tomography (CBCT) images resulting from facemask therapy using skeletal (miniplate/FM) anchorage versus tooth-borne anchorage (RME/FM). MATERIALS AND METHODS: A retrospective study was conducted on 20 patients divided into the miniplate/FM group (nine patients aged 9.5 ± 1.4 years) and the RME/FM group (11 patients aged 9.2 ± 1.4 years). CBCT images before and after facemask therapy were evaluated to assess changes in the maxillary posterior structure. RESULTS: The miniplate/FM group had greater advancement of the maxilla and midface compared to the RME/FM group (p < .05). Specifically, there was about three times more advancement of the pterygomaxillary suture in the miniplate/FM group than in the RME/FM group (p < .05). Moreover, the advancement of the pterygomaxillary suture was about half the advancement of A point in the miniplate/FM group, while only about 25% in the RME/FM group. Finally, the miniplate/FM group showed an increase in the transverse dimension of the posterior and superior parts of the maxilla (p < .05). CONCLUSION: There was greater forward movement of the pterygomaxillary suture with facemask therapy using the skeletal anchorage compared to tooth-borne anchorage, leading to a more significant advancement of the maxilla and midface.
Subject(s)
Malocclusion, Angle Class III , Humans , Malocclusion, Angle Class III/therapy , Retrospective Studies , Maxilla/diagnostic imaging , Maxilla/surgery , Masks , Palatal Expansion Technique , Extraoral Traction Appliances , Cephalometry/methodsABSTRACT
OBJECTIVES: To investigate long-term outcomes of dentoskeletal changes induced by facemask therapy using skeletal anchorage in Class III patients and compare them to those of conventional tooth-borne anchorage. MATERIALS AND METHODS: This retrospective study included 20 patients who received facemask (FM) therapy with miniplates as anchorage for maxillary protraction (Miniplate/FM group, 10.6 ± 1.1 years old [mean ± SD]) and 23 patients who were treated with facemask with rapid maxillary expander (RME/FM group, 10.0 ± 1.5 years old [mean ± SD]). Dentoskeletal changes were evaluated using lateral cephalograms at pretreatment (T1), after facemask therapy (T2), and at the post-pubertal stage (T3). Cephalometric changes were compared between groups and clinical success rates at T3 were evaluated. RESULTS: SNA and A to N perpendicular to FH increased significantly more in the Miniplate/FM group than in the RME/FM group when comparing short-term effects of facemask therapy (T1-T2). ANB, Wits appraisal, Angle of convexity, mandibular plane angle, and overjet decreased significantly more in the RME/FM group than in the Miniplate/FM group after facemask therapy (T2-T3). A more favorable intermaxillary relationship was observed in the Miniplate/FM group than in the RME/FM group in long-term observations (T1-T3). Clinical success rate at T3 was 95% in the Miniplate/FM group and 85% in the RME/FM group. CONCLUSIONS: Facemask therapy with skeletal anchorage showed a greater advancement of the maxilla and more favorable stability for correction of Class III malocclusion in the long-term than conventional facemask therapy with tooth-borne anchorage.
Subject(s)
Malocclusion, Angle Class III , Palatal Expansion Technique , Cephalometry , Child , Extraoral Traction Appliances , Humans , Malocclusion, Angle Class III/therapy , Maxilla , Retrospective StudiesABSTRACT
Embedding conductive nanomaterials into elastomeric polymer matrices is one of the most promising approaches for fabricating stretchable strain sensors capable of monitoring large mechanical movements or deformation through the detection of resistance changes. Here, hybrid fillers comprising graphene and silver nanowires (AgNWs) are incorporated into extremely stretchable spandex to fabricate strain sensors. Composites containing only graphene and those containing the graphene/AgNW hybrid fillers are systematically investigated by evaluating their electrical and mechanical properties. The synergistic effect between graphene and AgNWs enable the strain sensors based on the composites to experience a large strain range of up to 120%, and low hysteresis with a high gauge factor of 150.3 at a strain of 120%. These reliable strain sensors are utilized for monitoring human motions such as heartbeats and body movements. The findings of this study indicate the significant applicability of graphene/AgNW/spandex composites in future applications that demand high-performance stretchable strain sensors.
