Distalizimi me penudulum në denticionin mix. Efektiviteti i tij
DOI:
https://doi.org/10.55312/op.vi2.6090Abstract
Objective
To evaluate the purpose of the pendulum device used in mixed dentition. The help it gives us for the normal eruption of the permanent fifth teeth as well as the treatment of the second molar class.
Materials and methods
The sample included 24 patients with class II malocclusion (10 boys, 14 girls), their average age was 12.1 years. All patients underwent molar distalization and 2 cephalomeric graphs were taken before distalization (T1) and after distalization (T2). The changes that occurred were calculated taking as reference the sela-nasion line (SN), the palatal plane (PP) and the vertical pterygoid plane. The inclination of OP (occlusion plane) was compared with SN, PP and mandibular plane. The collected data were calculated for all tested variables and the t-test was used to assess the significance of differences between time intervals.
Result
The average total time was 8±2 months to obtain a first class. In the T1-T2 interval, the buccal tip of the incisor was 5°±3.6° (p<0.05), the distal tip on the molar was 8.9°±8.3° (p<0.001) and the tip on the molar the second was 8.2°±8.1° (p<0.001). The maxillary first and second molars were displaced posteriorly with attachment 2.8±3.2 mm (p<0.05) and 3.7±2.7 mm (p<0.001). Only the premolars showed a statistically significant analysis of 2.7±3.3 mm (p<0.05); overjet increased to 1.3±1.2 mm (p<0.05). Regarding OP, none of the tested variables showed such statistical change between T1-T2. After treatment in these patients it was observed that 63.5% of the space was recovered by molar distalization and 36.5% of the space by mesialization of the maxillary first premolars. The pendulum gave us a bilaterally symmetrical dental expansion of approximately 1.1 mm per month.
Conclusion
This distalization device is effective for the distal displacement of the maxillary molars, especially when the permanent teeth have not yet erupted. It brings us an improvement of the molar class in a short time. The OP did not show statistically significant changes after molar distalization.
Keywords:
Second class, distalization, pendulum, mixed dentition, interceptive orthodonticsDownloads
References
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Alhammadi MS, Halboub E, Fayed MS, Labib A, El-Saaidi C. Global distribution of malocclusion traits: A systematic review. Dental Press Journal Orthododontics 2018; 23:40.
-
Fontana M, Cozzani M, Caprioglio A. Non-compliance maxillary molar distalizing appliances: an overview of the last decade. Prog Orthod. 2012; 13:173–84.
-
Ghosh J, Nanda RS. Evaluation of an intraoral maxillary molar distalization technique. Am J Orthod Dentofacial Orthop. 1996; 110:639–46.
-
Hilgers JJ. The pendulum appliance for Class II non-compliance therapy. J Clin Orthod. 1992; 26:706–14.
-
Downs WB. Variations in facial relationships; their significance in treatment and prognosis. Am J Orthod. 1948; 34:812–40.
-
Vukusić N, Lapter M, Muretić Z. Change in the inclination of the occlusal plane during craniofacial growth and development. Coll Antropol. 2000; 24:145–50.
-
Braun S, Legan HL, Braun S, Legan HL. Changes in occlusion related to the cant of the occlusal plane. Am J Orthod Dentofacial Orthop. 1997; 111:184–8.
-
Antonarakis GS, Kiliaridis S. Maxillary molar distalization with noncompliance intramaxillaryappliances in Class II malocclusion. A systematic review. Angle Orthod. 2008; 78:1133–40.
-
Kinzinger G, Syree C, Fritz U, Diedrich P. Molar distalization with different pendulum appliances: In vitro registration of orthodontic forces and moments in the initial phase. J Orofac Orthop. 2004; 65:389–409.
-
Kinzinger GSM, Wehrbein H, Diedrich PR. Molar distalization with a modified pendulum appliance - in vitro analysis of the force systems and in vivo study in children and adolescents. Angle Orthod. 2005; 75:484–93.
-
Al-Thomali Y, Basha S, Mohamed RN. Pendulum and modified pendulum appliances for maxillary molar distalization in Class II malocclusion - a systematic review. Acta Odontol Scand. 2017;7 5:394–401.
-
Taylor KL, Evangelista K, Muniz L, Ruellas ACO, Vallarades-Neto J, McNamara J, Jr, et al. Three-dimensional comparison of the skeletal and dentoalveolar effects of the Herbst and Pendulum appliances followed by fixed appliances: A CBCT study. Orthod Craniofac Res. 2020;23:72–81.
-
Moyers, R.E. ∙ Riolo, M.L. ∙ Guire, K.E. - Differential diagnosis of Class II malocclusions. Part 1. Facial types associated with Class II malocclusion Am J Orthod. 1980; 78:477-494.
-
Clemmer, E.J. ∙ Hayes, E.W. - Patient cooperation in wearing orthodontic headgear, Am J Orthod. 1979; 75:517-524.
-
Dorsey, J. ∙ Korabik, K. - Social and psychological motivations for orthodontic treatment, Am J Orthod. 1977; 72:460-465.
-
Jones, R.D. ∙ White, J.M. - Rapid Class II molar correction with an open-coil jig, J Clin Orthod. 1992; 26:661-664.
-
Ngantung, V. ∙ Nanda, R.S. ∙ Bowman, S.J. - Posttreatment evaluation of the distal jet appliance, Am J Orthod Dentofacial Orthop. 2001; 120:178-185.
References
Alhammadi MS, Halboub E, Fayed MS, Labib A, El-Saaidi C. Global distribution of malocclusion traits: A systematic review. Dental Press Journal Orthododontics 2018; 23:40.
Fontana M, Cozzani M, Caprioglio A. Non-compliance maxillary molar distalizing appliances: an overview of the last decade. Prog Orthod. 2012; 13:173–84.
Ghosh J, Nanda RS. Evaluation of an intraoral maxillary molar distalization technique. Am J Orthod Dentofacial Orthop. 1996; 110:639–46.
Hilgers JJ. The pendulum appliance for Class II non-compliance therapy. J Clin Orthod. 1992; 26:706–14.
Downs WB. Variations in facial relationships; their significance in treatment and prognosis. Am J Orthod. 1948; 34:812–40.
Vukusić N, Lapter M, Muretić Z. Change in the inclination of the occlusal plane during craniofacial growth and development. Coll Antropol. 2000; 24:145–50.
Braun S, Legan HL, Braun S, Legan HL. Changes in occlusion related to the cant of the occlusal plane. Am J Orthod Dentofacial Orthop. 1997; 111:184–8.
Antonarakis GS, Kiliaridis S. Maxillary molar distalization with noncompliance intramaxillaryappliances in Class II malocclusion. A systematic review. Angle Orthod. 2008; 78:1133–40.
Kinzinger G, Syree C, Fritz U, Diedrich P. Molar distalization with different pendulum appliances: In vitro registration of orthodontic forces and moments in the initial phase. J Orofac Orthop. 2004; 65:389–409.
Kinzinger GSM, Wehrbein H, Diedrich PR. Molar distalization with a modified pendulum appliance - in vitro analysis of the force systems and in vivo study in children and adolescents. Angle Orthod. 2005; 75:484–93.
Al-Thomali Y, Basha S, Mohamed RN. Pendulum and modified pendulum appliances for maxillary molar distalization in Class II malocclusion - a systematic review. Acta Odontol Scand. 2017;7 5:394–401.
Taylor KL, Evangelista K, Muniz L, Ruellas ACO, Vallarades-Neto J, McNamara J, Jr, et al. Three-dimensional comparison of the skeletal and dentoalveolar effects of the Herbst and Pendulum appliances followed by fixed appliances: A CBCT study. Orthod Craniofac Res. 2020;23:72–81.
Moyers, R.E. ∙ Riolo, M.L. ∙ Guire, K.E. - Differential diagnosis of Class II malocclusions. Part 1. Facial types associated with Class II malocclusion Am J Orthod. 1980; 78:477-494.
Clemmer, E.J. ∙ Hayes, E.W. - Patient cooperation in wearing orthodontic headgear, Am J Orthod. 1979; 75:517-524.
Dorsey, J. ∙ Korabik, K. - Social and psychological motivations for orthodontic treatment, Am J Orthod. 1977; 72:460-465.
Jones, R.D. ∙ White, J.M. - Rapid Class II molar correction with an open-coil jig, J Clin Orthod. 1992; 26:661-664.
Ngantung, V. ∙ Nanda, R.S. ∙ Bowman, S.J. - Posttreatment evaluation of the distal jet appliance, Am J Orthod Dentofacial Orthop. 2001; 120:178-185.



