Journalartikel

Long-term (≥ 15 years) outcome quality after Class II:1 bionator or Herbst multibracket appliance treatment A comparison


AutorenlisteBock, Niko Christian; Jungbauer, Rebecca; Rudzki, Ingrid; Proff, Peter; Ruf, Sabine

Jahr der Veröffentlichung2024

Seiten260-269

ZeitschriftJournal of Orofacial Orthopedics

Bandnummer85

Heftnummer4

ISSN1434-5293

eISSN1615-6714

Open Access StatusHybrid

DOI Linkhttps://doi.org/10.1007/s00056-023-00457-3

VerlagSpringer


Abstract
PurposeTo compare the long-term outcome quality (>= 15 years) of Class II:1 treatment using either a bionator (BIO) or a Herbst-multibracket appliance (HMB).MethodsPatients who underwent functional treatment during the ideal treatment period for the respective approach (prepuberty vs. peak/postpeak) were assessed. Inclusion criteria were overjet >= 4 mm, skeletal Class II and availability of study casts from before, after and >= 15 years after treatment. The study casts were assessed using the Peer Assessment Rating (PAR) index and standard orthodontic cast measurements.ResultsDuring treatment, PAR score, overjet and sagittal occlusal relationship improved significantly in all groups. Long-term, there was a significant increase of incisor irregularity in the upper (HMB) and lower (BIO) arch and a significant decrease of lower arch width 3 - 3 (BIO). PAR score, overjet, and sagittal occlusal relationship remained stable long-term. Intergroup comparisons revealed significant differences between the BIO and HMB groups in terms of lower arch width (6 - 6), upper and lower arch width (3 + 3/3 - 3) as well as sagittal molar relationship.ConclusionsThe achieved improvement in PAR score, overjet, and sagittal occlusion remained comparably stable long-term in all groups. The long-term changes are probably a consequence of natural aging.



Zitierstile

Harvard-ZitierstilBock, N., Jungbauer, R., Rudzki, I., Proff, P. and Ruf, S. (2024) Long-term (≥ 15 years) outcome quality after Class II:1 bionator or Herbst multibracket appliance treatment A comparison, Journal of Orofacial Orthopedics, 85(4), pp. 260-269. https://doi.org/10.1007/s00056-023-00457-3

APA-ZitierstilBock, N., Jungbauer, R., Rudzki, I., Proff, P., & Ruf, S. (2024). Long-term (≥ 15 years) outcome quality after Class II:1 bionator or Herbst multibracket appliance treatment A comparison. Journal of Orofacial Orthopedics. 85(4), 260-269. https://doi.org/10.1007/s00056-023-00457-3



Schlagwörter


FUNCTIONAL APPLIANCESFunctional treatmentIRREGULARITYLong-term stabilityMALOCCLUSIONSMORPHOMETRIC-ANALYSISNORMAL OCCLUSIONOcclusal relationshipORTHODONTIC TREATMENTORTHOPEDICSOverjetPeer Assessment Rating index


Nachhaltigkeitsbezüge


Zuletzt aktualisiert 2025-10-06 um 11:50