Anterior Mandibular Displacement in Growing Rats Enhances Growth-A 3D Analysis.

One of the most common malocclusions encountered in everyday practice by orthodontists is skeletal Class II malocclusion, namely a protrusion of the maxilla, a retrusion of the mandible or a combination of both. To correct it, many clinicians use functional devices that guide the mandible into a more forward position. This stimulates bone growth, correcting the skeletal discrepancy. Controversy exists as to whether these appliances accelerate the growth rate, helping the mandible reach its final size earlier, or whether the growth of the mandible is observed as a positive response to the stimuli. This study examined whether the protrusion of the mandible in rats accelerates the growth rate or increases the overall growth of the mandible in the long run. Relapse was also assessed by removing the appliance prior to the end of the experiment. Seventy-two four-week-old Wistar rats were used. The treatment group, which consisted of 36 rats, had a device fitted on their upper incisors that led to a protrusion of their mandible. The device, a bite-jumping appliance, consisted of an iron-cast inclined plane and was fitted for 24 h a day, inducing a 3.5 mm anterior protrusion and 3 mm inferior displacement of the mandible. The control group consisted of 36 rats that were fed the same soft diet as the treatment group. Both groups were divided into three subgroups. The first was sacrificed 30 days after the onset of the experiment, the second at 60 days, and the last subgroup had the appliance removed for 30 days and was sacrificed 90 days after the onset of the experiment. At the beginning of the experiment, as well as at each time interval prior to the sacrifice of the animals, the appliances were removed, and cone beam-computed tomography was performed on every animal. Linear measurements were made on each 3D scan, measuring the growth of the mandible. Measurements of mandibular growth were higher compared to the control group. For instance, Gonion-Menton was 1.18 mm higher on month 2 compared to month 1 in the control group, whereas the same measurement marked a 1.82 mm difference in the experimental group. Condylion-Menton on the same intervals marked a 0.84 mm difference in the control, whereas a 1.35 mm difference was noted in the experimental group. Given the results, true mandibular growth is achieved using functional appliances for Class II malocclusion correction in rats.