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Dentoskeletal effects of molar distalization with miniscrew-anchored cantilever and pendulum appliance for Class II
Cassio Bernard Alves Campos1, Lorena Vilanova1, Luiz Eduardo Alessio Junior1
1Department of Orthodontics, Bauru Dental School, University of São Paulo, Bauru, Brazil.
Introduction:
The objective of this study was to compare the dental and skeletal changes promoted by the miniscrew-anchored cantilever and pendulum appliance for Class II correction.
Methods:
This retrospective study involved 52 patients with Class II malocclusion divided into 2 groups according to the treatment received: the miniscrew group (MG) with 23 patients (14 females and 9 males; mean initial age of 12.42 years) treated using the miniscrew-anchored cantilever, and the pendulum group (PG) with 29 patients (21 females and 8 males; mean initial age of 13.60 years) treated using the pendulum appliance. Lateral cephalograms and digital dental models were obtained and analyzed in 2 phases: pretreatment and postdistalization. Intergroup comparisons were performed using t test, Mann-Whitney test, and multivariate analysis of covariance test for covariates (P <0.05).
Results:
Both groups exhibited similar molar distalization (3.25 ± 1.68 mm for MG and 2.90 ± 2.17 mm for PG). The MG showed distalization of premolars (2.03 ± 2.09 mm) and incisors (1.70 ± 2.27 mm), whereas the PG exhibited mesialization of premolars (3.24 ± 2.01 mm) and incisors (2.30 ± 2.60 mm). A greater distal rotation (20.20° ± 5.73° for MG and 4.26° ± 6.41° for PG; P <0.001) and smaller distal angulation (8.55° ± 3.75° for MG and 14.36° ± 5.67° for PG; P <0.001) of the maxillary first molar was observed in the MG when compared with the PG.
Conclusions:
Both devices were effective for Class II molar distalization. The miniscrew-anchored cantilever was able to control the side effects of mesialization in the incisors and premolars during distalization when compared with distalization with a pendulum appliance.
