Journal Article

Is bodily advancement of the lower incisors possible?

Catherine Strahm, Ana Paula De Sousa, Dominique Grobéty, Anestis Mavropoulos and Stavros Kiliaridis

in The European Journal of Orthodontics

Published on behalf of European Orthodontics Society

Volume 31, issue 4, pages 425-431
Published in print August 2009 | ISSN: 0141-5387
Published online April 2009 | e-ISSN: 1460-2210 | DOI:
Is bodily advancement of the lower incisors possible?

More Like This

Show all results sharing this subject:

  • Restorative Dentistry and Orthodontics


Show Summary Details


Some Class II malocclusions are due, at least in part, to a retruded lower dental arch relative to the mandibular body. The purpose of this study was to determine if a direct anterior force on the lower incisors could lead to bodily movement of these teeth. Twenty-seven patients (9 males, 18 females; mean age: 9.8 years) were treated with a reverse headgear (RHG) in the lower dental arch combined with labial root torque of the lower incisors. An activator was added to disclude the arches. This group was compared with 26 patients (10 males, 16 females; mean age: 9.7 years) treated with an activator combined with conventional posterior extraoral traction on the upper molars. All patients had a second stage of treatment with fixed appliances and Class II elastic wear. At the end of treatment, all patients had a Class I relationship and a normal overjet. Lateral cephalograms were taken before (T1), after the first stage (T2), and at the end of active (T3) treatment. Independent sample t-tests were used to assess the differences between the two groups of patients.

In the RHG group, despite the applied root torque, the lower incisors showed anterior crown tipping. Labial root displacement was not observed. At T2, this labial tipping partially relapsed. Furthermore, the use of RHG appeared to decrease bone apposition in the anterior part of the symphysis, leading to a reduction in width. Bodily advancement of the lower incisors was not achieved with the application of labial root torque and anteriorly directed force on the mandibular arch. The width limit of the lower anterior apical base should be respected during orthodontic treatment planning.

Journal Article.  4083 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.