Journal Article

An orthopaedic approach to the treatment of Class III malocclusions in the early mixed dentition

Paola Cozza, Alessandra Marino and Manuela Mucedero

in The European Journal of Orthodontics

Published on behalf of European Orthodontics Society

Volume 26, issue 2, pages 191-199
Published in print April 2004 | ISSN: 0141-5387
Published online April 2004 | e-ISSN: 1460-2210 | DOI:
An orthopaedic approach to the treatment of Class III malocclusions in the early mixed dentition

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The aim of this investigation was to study cephalometrically the skeletal, dental and soft tissue modifications induced by a Delaire facemask and Bionator III appliance in a sample of 30 patients (17 boys and 13 girls), aged 4.1–9 years [mean 5.85 years, confidence interval (CI) 5.41–6.29], in the early mixed dentition with a skeletal Class III malocclusion caused by maxillary retrognathism (group 1) and compared with a control sample of 24 subjects (14 boys and 10 girls), aged 4–9 years (mean 5.97 years, CI 5.35–6.58) with untreated Class III malocclusions (group 2). For each patient a lateral cephalogram was taken before treatment (T0), after facemask removal (T1), and at the end of the retention period with a Bionator III (T2). Cephalometric analysis was carried out.

The post-treatment cephalometric values in the treated group showed a forward displacement of the maxilla resulting in a statistically significant increase (P < 0.001) in the SNA angle, A–NPg (mm) and PNS–A (mm) linear values. There was a clockwise rotation of the mandible, with a decrease in the SNB angle and a satisfactory correction of the Class III relationship. The beneficial effects on the facial profile were confirmed by an increase in UL–EL distance and in NB̂HL and NsPgŝHL angles, and by a decrease in the facial convexity angle.

These findings indicate that the Delaire facemask and Bionator III treatment is effective for correcting skeletal Class III malocclusions caused by maxillary retrognathism in the early mixed dentition.

Journal Article.  0 words. 

Subjects: Restorative Dentistry and Orthodontics

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