Related Experiment Video
Updated: Nov 29, 2025

07:32
Author Spotlight: 3D Movement Assessment of Maxillary Posterior Teeth in Clear Aligner Treatment
Published on: February 23, 2024
1.6K
Soft tissue profile changes in Angle class II patients treated with Twin Force or intermaxillary
Izabel Cristina de Mendonça Campos Freitas Falcão1, Fabricio Pinelli Valarelli1, Luiz Filiphe Gonçalves Canuto2
1Department of Orthodontics, Ingá University Center Uningá, Rod. PR 317, 6114, 87035-510, Maringá, PR, Brazil.
Summary
The Twin Force appliance significantly reduced facial convexity in Angle Class II malocclusion patients more than class II elastics. Both treatments improved soft tissue profiles similarly otherwise.
Area of Science:
- Orthodontics
- Craniofacial development
- Dental occlusion
Background:
- Angle Class II malocclusion presents challenges in orthodontic treatment.
- Soft tissue profile changes are crucial indicators of orthodontic treatment success.
- Comparing treatment modalities for Class II malocclusion is essential for optimizing outcomes.
Purpose of the Study:
- To compare soft tissue profile changes in Angle Class II malocclusion patients treated with the Twin Force appliance versus class II elastics.
- To evaluate the efficacy of the Twin Force appliance in reducing facial convexity.
- To assess other soft tissue profile alterations associated with each treatment.
Main Methods:
- A sample of 47 non-extraction Angle Class II malocclusion patients was divided into two groups.
- Group 1 (n=25) received Twin Force appliance treatment; Group 2 (n=22) received class II elastics.
- Lateral cephalograms were analyzed pre- and post-treatment using dependent and independent t-tests.
Main Results:
- Both Twin Force and elastics groups showed improvements in facial profiles, including upper lip retrusion and changes in H-Nose and Sn-H distances.
- The Twin Force group demonstrated a significantly greater reduction in facial convexity compared to the elastics group.
- Nasolabial angle increased in the elastics group, while this was not explicitly stated for the Twin Force group.
Conclusions:
- The Twin Force appliance is more effective than class II elastics in reducing facial convexity in Angle Class II malocclusion.
- Both treatment modalities yield comparable improvements in other soft tissue profile parameters.
- Orthodontic treatment with these appliances can positively influence facial aesthetics in Class II patients.

