Journal Article

Comparison of the effects produced by headgear and pendulum appliances followed by fixed orthodontic treatment

Fernanda Angelieri, Renato Rodrigues de Almeida, Guilherme Janson, José Fernando Castanha Henriques and Arnaldo Pinzan

in The European Journal of Orthodontics

Published on behalf of European Orthodontics Society

Volume 30, issue 6, pages 572-579
Published in print December 2008 | ISSN: 0141-5387
Published online December 2008 | e-ISSN: 1460-2210 | DOI: http://dx.doi.org/10.1093/ejo/cjn060
Comparison of the effects produced by headgear and pendulum appliances followed by fixed orthodontic treatment

Show Summary Details

Preview

This study compared the effects produced by two different molar distalizers, namely cervical headgear (CHG) and the intraoral pendulum appliance, associated with fixed orthodontic appliances. The headgear group comprised 30 patients (19 females, 11 males), with an initial age of 13.07 years [standard deviation (SD) = 1.3], treated with CHG and fixed orthodontic appliances for a mean period of 3.28 years, and the pendulum group 22 patients (15 females, 7 males), with initial age of 13.75 years (SD = 1.86), treated with the pendulum appliance followed by fixed orthodontic appliances for a mean period of 4.12 years. Lateral cephalograms were taken at the start (T1) and on completion (T2) of orthodontic treatment. The pendulum and CHG groups were similar as to initial age, severity of the Class II malocclusion, gender distribution, initial cephalometric characteristics, and initial and final treatment priority index (TPI). Only treatment time was not similar between the groups, with a need for annualization for data for the pendulum group. The data were compared with independent t-tests.

There was significantly greater restriction of maxillary forward growth and improvement of the skeletal maxillomandibular relationship in the CHG group (P < 0.05). The maxillary molars were more mesially tipped and extruded and the mandibular molars more uprighted in the CHG group compared with the pendulum group (P < 0.05). There was more labial tipping of the mandibular incisors and greater overbite reduction in the pendulum group. The pendulum appliance produced only dentoalveolar effects, different from the CHG appliance, which restricted maxillary forward displacement, thus improving the skeletal maxillomandibular relationship.

Journal Article.  3645 words.  Illustrated.

Subjects: Restorative Dentistry and Orthodontics

Full text: subscription required

How to subscribe Recommend to my Librarian

Users without a subscription are not able to see the full content. Please, subscribe or login to access all content.