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Original Research

Open Access

Comparison of Treatment Effects with Modified C-Palatal Plates vs Greenfield Molar Distalizer Appliances in Adolescents

  • Mohammed Alfaifi1
  • Jae Hyun Park2,3
  • Kiyoshi Tai3,4
  • Ja Hyeong Ku5
  • Nikhilesh R Vaid6
  • Yoon-Ah Kook7,*,
  • Ahmed M Shoaib7
  • Mohamed Bayome8,9

1The Catholic University of Korea, Seoul, Korea

2Postgraduate Orthodontic Program, Arizona School of Dentistry & Oral Health, A.T. Still University, Mesa, USA

3Graduate School of Dentistry, Kyung Hee University, Seoul, Korea

4Postgraduate Orthodontic Program, Arizona School of Dentistry and Oral Health, Mesa, AZ USA

5Department of Orthodontics, Seoul St. Mary’s Hospital, Catholic University of Korea, Seoul, Korea

6European University College, Dubai, United Arab Emirates

7Department of Orthodontics, Seoul St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea

8Department of Preventive Dentistry, College of Dentistry, King Faisal University, Alhufuf, Saudi Arabia

9Department of Postgraduate Studies, Universidad Autonóma del Paraguay, Asunción, Paraguay

DOI: 10.17796/1053-4625-44.3.12 Vol.44,Issue 3,May 2020 pp.202-208

Published: 01 May 2020

*Corresponding Author(s): Yoon-Ah Kook E-mail: kook2002@catholic.ac.kr

Abstract

Objectives: The aim of study was to evaluate skeletodental and soft tissue treatment effects and the amount of maxillary molar distalization with modified C-palatal plates vs. Greenfield molar distalizer appliances in adolescents. Study design: The samples consisted of pre- and posttreatment lateral cephalograms collected from 39 patients with Class II malocclusion. The MCPP group was comprised of 21 patients (mean age: 11.7 ± 1.3 years) treated with MCPP appliances while the GMD group included 18 patients (mean age: 11.2 ± 0.9 years) treated with GMD. Fixed orthodontic treatment started with the distalization process in both groups. From each cephalograpm, twenty-nine variables were measured for analysis and then the two groups were compared. Descriptive statistics, a paired t-test, and multivariate analysis of variance were performed to compare the treatment effects within and between the groups. Results: There was significant treatmentrelated change in the sagittal position of the maxilla and the mandible within each group. However, there were no statistically significant inter-group differences. The mean maxillary first molar distalization was 3.96 mm in the MCPP group vs. 2.85 mm in the GMD group. Both groups showed minimal distal tipping, but the maxillary incisors were significantly extruded by 3.04 ± 0.89 mm (P < .001) in GMD group. There was no significant difference in treatment duration between the groups. Conclusions: The maxillary first molars of both the MCPP and GMD groups were effectively distalized and there were significant skeletal changes in the maxilla. However, the maxillary incisors were significantly extruded in the GMD group.


Keywords

Modified C-palatal plate; Maxillary molar distalization; Greenfield molar distalizer; Skeletal effect

Cite and Share

Mohammed Alfaifi,Jae Hyun Park,Kiyoshi Tai,Ja Hyeong Ku,Nikhilesh R Vaid,Yoon-Ah Kook,Ahmed M Shoaib,Mohamed Bayome. Comparison of Treatment Effects with Modified C-Palatal Plates vs Greenfield Molar Distalizer Appliances in Adolescents. Journal of Clinical Pediatric Dentistry. 2020. 44(3);202-208.

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