Therapeutic Effects of Class II Elastics on Aligners in Different Vertical Skeletal Patterns
Therapeutic Effects of Class II Elastics on Aligners in Different Vertical Skeletal Patterns in Adult Patients: Retrospective Study.
Study Overview
Status
Status
Conditions
Conditions
Intervention / Treatment
Intervention / Treatment
Detailed Description
Study Type
Study Type
Enrollment (Estimated)
Enrollment
Contacts and Locations
Study Contact
Study Contact
- Name: Bart VANDE VANNET, PhD
- Phone Number: +32496284339
- Email: bart.vande-vannet@univ-lorraine.fr
Study Contact Backup
- Name: Lou DEON
- Phone Number: +33685327891
- Email: loudeon@yahoo.fr
Study Locations
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-
Lorraine
-
Nancy, Lorraine, France, 54000
- DEON
-
Contact:
- Lou DEON, Student
- Phone Number: +33685327891
- Email: loudeon@yahoo.fr
-
-
Participation Criteria
Eligibility Criteria
Eligibility Criteria
Ages Eligible for Study
- Child
- Adult
- Older Adult
Accepts Healthy Volunteers
Sampling Method
Study Population
Description
Inclusion Criteria:
- CVM stage 5 on lateral teleradiography (end of growth)
- Angle Class II
- Treatments with rubber bands for inter-arch traction
- End of treatment in class I
Exclusion Criteria:
- Incomplete data
- Treatment with extractions, mini-screws, mini-plate or ortho-surgical treatment
- Dental agenesis (excluding wisdom teeth)
- Cranial-facial syndromes
Study Plan
How is the study designed?
Design Details
Number of groups / cohorts
Cohorts and Interventions
Group / CohortGroup / Cohort |
Intervention / TreatmentIntervention / Treatment |
|---|---|
|
Clear aligner
Patient with class II malocclusion, treated with class II elastics on aligners
|
Correction of class II malocclusion by class II elastics on clear aligners
|
|
Fixed appliance
Patient with class II malocclusion, treated with class II elastics on fixed appliance
|
What is the study measuring?
Primary Outcome Measures
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Change in IMPA Mandibular incisor angle (degrees)
Time Frame: First : just before the beginning of treatment; Second : just after the end of orthodontic treatment. An average of 18 months.
|
Angle between the mandibular plane and the lower incisor axis: position of the lower incisor in relation to the mandible
|
First : just before the beginning of treatment; Second : just after the end of orthodontic treatment. An average of 18 months.
|
Secondary Outcome Measures
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
|
Sex
Time Frame: 1 month
|
Sex
|
1 month
|
|
Duration of treatment
Time Frame: 24 months
|
Treatment time duration in month
|
24 months
|
|
Change in interproximal dental size
Time Frame: First : just before the beginning of treatment; Second : just after the end of orthodontic treatment. An average of 18 months
|
Interproximal size in mm
|
First : just before the beginning of treatment; Second : just after the end of orthodontic treatment. An average of 18 months
|
|
Change in skeletal sagittal pattern ANB angle
Time Frame: First : just before the beginning of treatment; Second : just after the end of orthodontic treatment. An average of 18 months
|
Cephalometric measurements : angle between A, Na (nasion) and B in degrees
|
First : just before the beginning of treatment; Second : just after the end of orthodontic treatment. An average of 18 months
|
|
Change in skeletal sagittal pattern Ao-Bo
Time Frame: First : just before the beginning of treatment; Second : just after the end of orthodontic treatment. An average of 18 months
|
Cephalometric measurements : mesure in mm between Ao and Bo
|
First : just before the beginning of treatment; Second : just after the end of orthodontic treatment. An average of 18 months
|
|
Change in skeletal vertical pattern : FMA
Time Frame: First : just before the beginning of treatment; Second : just after the end of orthodontic treatment. An average of 18 months
|
Cephalometric measurements : angle in degrees between franckfort plan and mandibular plan.
|
First : just before the beginning of treatment; Second : just after the end of orthodontic treatment. An average of 18 months
|
|
Change in skeletal vertical pattern : Sn Gogn
Time Frame: First : just before the beginning of treatment; Second : just after the end of orthodontic treatment. An average of 18 months
|
Cephalometric measurements : angle in degrees between SN and GoGn
|
First : just before the beginning of treatment; Second : just after the end of orthodontic treatment. An average of 18 months
|
|
Change in faciale anterior height
Time Frame: First : just before the beginning of treatment; Second : just after the end of orthodontic treatment. An average of 18 months
|
Cephalometric measurements of faciale anterior height
|
First : just before the beginning of treatment; Second : just after the end of orthodontic treatment. An average of 18 months
|
|
Change in faciale posterior height
Time Frame: First : just before the beginning of treatment; Second : just after the end of orthodontic treatment. An average of 18 months
|
Cephalometric measurements of faciale posterior height
|
First : just before the beginning of treatment; Second : just after the end of orthodontic treatment. An average of 18 months
|
|
Change in index Faciale height
Time Frame: First : just before the beginning of treatment; Second : just after the end of orthodontic treatment. An average of 18 months
|
Cephalometric measurements, index HFP (faciale posterior heigth)/ HFA (faciale anterior height)
|
First : just before the beginning of treatment; Second : just after the end of orthodontic treatment. An average of 18 months
|
|
Change in nterincisal angle
Time Frame: First : just before the beginning of treatment; Second : just after the end of orthodontic treatment. An average of 18 months
|
Cephalometric measurements : measurement between manxillary and mandibular incisors.
|
First : just before the beginning of treatment; Second : just after the end of orthodontic treatment. An average of 18 months
|
|
Change in plan of occlusion
Time Frame: First : just before the beginning of treatment; Second : just after the end of orthodontic treatment. An average of 18 months
|
Cephalometric measurements : angle between SN and Op
|
First : just before the beginning of treatment; Second : just after the end of orthodontic treatment. An average of 18 months
|
|
Age at the beginning of treatment
Time Frame: 1 month
|
Age
|
1 month
|
|
Age at the end of treatment
Time Frame: 24 months
|
Age
|
24 months
|
|
Change in von Spee curve
Time Frame: First : just before the beginning of treatment; Second : just after the end of orthodontic treatment. An average of 18 months
|
Measurements on impressions : it is the average of the distance between the highest point of the deepest cusp and the occlusal plane.
|
First : just before the beginning of treatment; Second : just after the end of orthodontic treatment. An average of 18 months
|
|
Change in overall crowding
Time Frame: First : just before the beginning of treatment; Second : just after the end of orthodontic treatment. An average of 18 months
|
Measurements on impressions : comparison of the sum of the mesiodistal diameters of 35 to 45 and the arch perimeter from the mesial face of 36 to the mesial face of 46.
|
First : just before the beginning of treatment; Second : just after the end of orthodontic treatment. An average of 18 months
|
|
Change in overjet
Time Frame: First : just before the beginning of treatment; Second : just after the end of orthodontic treatment. An average of 18 months
|
Measurements on impressions : in mm
|
First : just before the beginning of treatment; Second : just after the end of orthodontic treatment. An average of 18 months
|
|
Change in overbite
Time Frame: First : just before the beginning of treatment; Second : just after the end of orthodontic treatment. An average of 18 months
|
Measurements on impressions : in mm
|
First : just before the beginning of treatment; Second : just after the end of orthodontic treatment. An average of 18 months
|
|
Change in arch length
Time Frame: First : just before the beginning of treatment; Second : just after the end of orthodontic treatment. An average of 18 months
|
Measurements on impressions : distance between inter incisal point and mesiale face of 6.
|
First : just before the beginning of treatment; Second : just after the end of orthodontic treatment. An average of 18 months
|
|
CHange in class II quantity
Time Frame: First : just before the beginning of treatment; Second : just after the end of orthodontic treatment. An average of 18 months
|
Measurements on impressions : inter canine and inter molar relations
|
First : just before the beginning of treatment; Second : just after the end of orthodontic treatment. An average of 18 months
|
|
Change in space required
Time Frame: First : just before the beginning of treatment; Second : just after the end of orthodontic treatment. An average of 18 months
|
Measurements on impressions : sum of all mesiodistal diameter.
|
First : just before the beginning of treatment; Second : just after the end of orthodontic treatment. An average of 18 months
|
|
Change in inter canine distance
Time Frame: First : just before the beginning of treatment; Second : just after the end of orthodontic treatment. An average of 18 months
|
Measurements on impressions : distance between the canine in mm
|
First : just before the beginning of treatment; Second : just after the end of orthodontic treatment. An average of 18 months
|
|
Change in inter premolar distance
Time Frame: First : just before the beginning of treatment; Second : just after the end of orthodontic treatment. An average of 18 months
|
Measurements on impressions : distance between the premolars
|
First : just before the beginning of treatment; Second : just after the end of orthodontic treatment. An average of 18 months
|
|
Change in inter molar distance
Time Frame: First : just before the beginning of treatment; Second : just after the end of orthodontic treatment. An average of 18 months
|
Measurements on impressions : distance between the molars
|
First : just before the beginning of treatment; Second : just after the end of orthodontic treatment. An average of 18 months
|
Collaborators and Investigators
Sponsor
Sponsor
Investigators
Investigators
- Study Director: Bart Vande Vannet, Central Hospital, Nancy, France
Publications and helpful links
General Publications
- Baccetti T, Franchi L, McNamara JA Jr. An improved version of the cervical vertebral maturation (CVM) method for the assessment of mandibular growth. Angle Orthod. 2002 Aug;72(4):316-23. doi: 10.1043/0003-3219(2002)0722.0.CO;2.
- Janson G, Sathler R, Fernandes TM, Branco NC, Freitas MR. Correction of Class II malocclusion with Class II elastics: a systematic review. Am J Orthod Dentofacial Orthop. 2013 Mar;143(3):383-92. doi: 10.1016/j.ajodo.2012.10.015.
- Robertson L, Kaur H, Fagundes NCF, Romanyk D, Major P, Flores Mir C. Effectiveness of clear aligner therapy for orthodontic treatment: A systematic review. Orthod Craniofac Res. 2020 May;23(2):133-142. doi: 10.1111/ocr.12353. Epub 2019 Nov 13.
- Zheng M, Liu R, Ni Z, Yu Z. Efficiency, effectiveness and treatment stability of clear aligners: A systematic review and meta-analysis. Orthod Craniofac Res. 2017 Aug;20(3):127-133. doi: 10.1111/ocr.12177. Epub 2017 May 26.
- Lombardo L, Colonna A, Carlucci A, Oliverio T, Siciliani G. Class II subdivision correction with clear aligners using intermaxilary elastics. Prog Orthod. 2018 Sep 1;19(1):32. doi: 10.1186/s40510-018-0221-5.
- Dianiskova S, Rongo R, Buono R, Franchi L, Michelotti A, D'Anto V. Treatment of mild Class II malocclusion in growing patients with clear aligners versus fixed multibracket therapy: A retrospective study. Orthod Craniofac Res. 2022 Feb;25(1):96-102. doi: 10.1111/ocr.12500. Epub 2021 May 31.
- Duncan LO, Piedade L, Lekic M, Cunha RS, Wiltshire WA. Changes in mandibular incisor position and arch form resulting from Invisalign correction of the crowded dentition treated nonextraction. Angle Orthod. 2016 Jul;86(4):577-83. doi: 10.2319/042415-280.1. Epub 2015 Dec 4.
- Amm E, El Amm C, Vaden J. Effect of Class II elastics on different mandibular arch preparation stabilized with aligners and stainless-steel wires: A FEM study. Orthod Craniofac Res. 2022 Nov;25(4):520-529. doi: 10.1111/ocr.12564. Epub 2022 Jan 27.
- Rongo R, Dianiskova S, Spiezia A, Bucci R, Michelotti A, D'Anto V. Class II Malocclusion in Adult Patients: What Are the Effects of the Intermaxillary Elastics with Clear Aligners? A Retrospective Single Center One-Group Longitudinal Study. J Clin Med. 2022 Dec 9;11(24):7333. doi: 10.3390/jcm11247333.
- Liu X, Cheng Y, Qin W, Fang S, Wang W, Ma Y, Jin Z. Effects of upper-molar distalization using clear aligners in combination with Class II elastics: a three-dimensional finite element analysis. BMC Oral Health. 2022 Dec 1;22(1):546. doi: 10.1186/s12903-022-02526-2.
- Marshall SD, Caspersen M, Hardinger RR, Franciscus RG, Aquilino SA, Southard TE. Development of the curve of Spee. Am J Orthod Dentofacial Orthop. 2008 Sep;134(3):344-52. doi: 10.1016/j.ajodo.2006.10.037.
- Fawaz P, Amm E, Khoury E. The curve of Spee and its levelling in different vertical skeletal patterns: A 3D set-up study. Int Orthod. 2021 Dec;19(4):659-668. doi: 10.1016/j.ortho.2021.08.003. Epub 2021 Aug 31.
- Adel SM, Vaid NR, El-Harouni N, Kassem H, Zaher AR. Digital model superimpositions: are different software algorithms equally accurate in quantifying linear tooth movements? BMC Oral Health. 2022 Mar 31;22(1):103. doi: 10.1186/s12903-022-02129-x.
- Deregibus A, Tallone L, Rossini G, Parrini S, Piancino M, Castroflorio T. Morphometric analysis of dental arch form changes in class II patients treated with clear aligners. J Orofac Orthop. 2020 Jul;81(4):229-238. doi: 10.1007/s00056-020-00224-8. Epub 2020 Apr 14. Erratum In: J Orofac Orthop. 2020 Nov;81(6):447. doi: 10.1007/s00056-020-00258-y.
Study record dates
Study Major Dates
Study Start (Estimated)
Study Start
Primary Completion (Estimated)
Primary Completion
Study Completion (Estimated)
Study Completion
Study Registration Dates
First Submitted
First Submitted
First Submitted That Met QC Criteria
First Submitted That Met QC Criteria
First Posted (Actual)
First Posted
Study Record Updates
Last Update Posted (Actual)
Last Update Posted
Last Update Submitted That Met QC Criteria
Last Update Submitted That Met QC Criteria
Last Verified
Last Verified
More Information
Terms related to this study
Keywords
Additional Relevant MeSH Terms
Other Study ID Numbers
Other Study ID Numbers
- 2023PI022
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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