L' Orthodontie francaise · 2017
[A change of paradigm in the treatment of Class II malocclusions in children and adolescents: the benefits of the Class II Corrector].
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Amat Philippe
Аннотация
INTRODUCTION: The treatment of class II malocclusions is the core of our clinical activity. What elements can clinician rely on to offer their patients, whether children or adolescents, a treatment of their class II malocclusion that is not only effective but also the most appropriate for each individual case? Which schedule and what therapeutic device should be used?
MATERIALS AND METHODS: Evidence-based orthodontics, along with a search for the best data on two-phase treatments, were used to judge the validity of the main objectives sought when correcting a Class II malocclusion in children or adolescents, including treatment of mandibular retrognathy.
RESULTS: Published data show that the long-term effects of a first phase of treatment on the amount of mandibular growth are at best weak and clinically insignificant. This observation triggers a paradigm shift by refocusing patient treatment on the achievement of other therapeutic objectives. A new orthodontic appliance, the Clas II Corrector, is presented. Its advantages and its use are described and illustrated by means of clinical cases.
CONCLUSIONS: Class II Corrector allows distalization of maxillary lateral areas, effectively limits undesirable dentoalveolar compensations and facilitates the rehabilitation of orofacial functions. In addition to its clinical efficacy, patients appreciate its small footprint, ease of wearing, and lack of impact on phonation.
MATERIALS AND METHODS: Evidence-based orthodontics, along with a search for the best data on two-phase treatments, were used to judge the validity of the main objectives sought when correcting a Class II malocclusion in children or adolescents, including treatment of mandibular retrognathy.
RESULTS: Published data show that the long-term effects of a first phase of treatment on the amount of mandibular growth are at best weak and clinically insignificant. This observation triggers a paradigm shift by refocusing patient treatment on the achievement of other therapeutic objectives. A new orthodontic appliance, the Clas II Corrector, is presented. Its advantages and its use are described and illustrated by means of clinical cases.
CONCLUSIONS: Class II Corrector allows distalization of maxillary lateral areas, effectively limits undesirable dentoalveolar compensations and facilitates the rehabilitation of orofacial functions. In addition to its clinical efficacy, patients appreciate its small footprint, ease of wearing, and lack of impact on phonation.