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Splinted mandibular protraction appliance.

Ashok Kumar Jena1, Satinder Pal Singh2

  • 1Department of Dental Surgery, All India Institute of Medical Sciences, Sijua, Dumduma, Bhubaneswar, Odisha, India.

Contemporary Clinical Dentistry
|March 31, 2015
PubMed
Summary
This summary is machine-generated.

Forward repositioning of the mandible using modified mandibular repositioning appliances (MPAs) offers superior skeletal correction for Class II malocclusion compared to conventional designs. This approach enhances mandibular growth for improved treatment outcomes.

Keywords:
Class II malocclusionfixed functional appliancesplinted mandibular protraction appliance

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Area of Science:

  • Orthodontics and Dentofacial Orthopedics
  • Craniofacial Growth Modification

Background:

  • Class II malocclusion due to mandibular retrusion ideally requires mandibular advancement over tooth movement.
  • Mandibular repositioning appliances (MPAs) are a treatment of choice for growing patients with mandibular retrusion.
  • Conventional MPAs primarily cause dento-alveolar changes, limiting skeletal correction.

Observation:

  • Altering the design of conventional MPAs can minimize limitations associated with dento-alveolar changes.
  • Modified MPAs demonstrate enhanced mandibular growth potential.
  • A splinted MPA design is highlighted for its fabrication and application.

Findings:

  • The modified MPA design resulted in improved skeletal correction of Class II malocclusion.
  • Enhanced mandibular growth was observed with the modified appliance.
  • The splinted MPA proved effective in managing a patient with mandibular retrusion.

Implications:

  • Modified MPAs offer a more effective approach to skeletal Class II correction than conventional designs.
  • This appliance design may lead to more stable and predictable long-term outcomes.
  • Further research into modified MPA designs can optimize treatment for mandibular retrusion.