ORIGINAL ARTICLE |
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Year : 2014 | Volume
: 2
| Issue : 3 | Page : 142-148 |
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Class II division 1 malocclusions treated with fixed lingual mandibular growth modificator (FLMGM): The mechanism of sagittal occlusal correction
Osama Alali
Department of Orthodontics, School of Dentistry, University of Aleppo, Aleppo, Syria
Correspondence Address:
Osama Alali Department of Orthodontics, School of Dentistry, University of Aleppo, Al-Shahbaa, P.O. Box: 10256, Aleppo Syria
![Login to access the Email id](http://www.medknow.com/images/email.gif) Source of Support: This work was supported by University of Damascus and University of Aleppo, Conflict of Interest: None ![Crossref citations](http://www.medknow.com/journals/images/crossref.png) | Check |
DOI: 10.4103/2321-3825.140685
Clinical trial registration NCT01853995
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Objectives: The objective of this study is to assess skeletal and dental changes contributing to sagittal correction of Class II malocclusion with fixed lingual mandibular growth modificator (FLMGM). Materials and Methods: A total of 38 patients with dental Class II division 1 malocclusion and retrognathic mandible comprised the study sample. All were in the pubertal growth spurt. While FLMGM was applied to the treatment group (n = 21, 13.2 years), no treatment was performed on the control group (n = 17, 12.5 years). Digital lateral cephalograms obtained at the beginning and end of treatment/observation period of 8 months were evaluated using sagittal occlusal analysis. Paired and independent t-tests were used to assess the differences within and between groups. Results: Fixed lingual mandibular growth modificator treatment resulted in the following significant changes: (1) Total mandibular length increased; (2) sagittal jaw relation enhanced due to chin advancement; (3) overjet reduced (4.06 mm) mainly as a result of skeletal mandibular advancement (83%) in combination with maxillary incisor retraction (17%); (4) Class II molar relation improved (5.56 mm) by a contribution of mandibular advancement (61%) and maxillary molar distalization (39%). Conclusions: Sagittal occlusal relationships efficiently improved by greater skeletal than dental changes. Stable horizontal position of lower molars and incisors was a benefit of FLMGM treatment. |
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