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Related Experiment Videos

Cephalometric A point changes during and after maxillary protraction and expansion

S Shanker1, P Ngan, D Wade

  • 1Section of Orthodontics, College of Dentistry, Ohio State University, USA.

American Journal of Orthodontics and Dentofacial Orthopedics : Official Publication of the American Association of Orthodontists, Its Constituent Societies, and the American Board of Orthodontics
|October 1, 1996
PubMed
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Maxillary protraction therapy significantly advances the A point in children with Class III malocclusions, primarily through skeletal changes. This early treatment shows stable results 12 months post-therapy.

Area of Science:

  • Orthodontics
  • Craniofacial Development
  • Pediatric Dentistry

Background:

  • Class III malocclusion is characterized by maxillary deficiency.
  • Maxillary protraction therapy aims to correct this by advancing the maxilla.
  • Understanding treatment-induced changes is crucial for effective intervention.

Purpose of the Study:

  • To analyze skeletal and local maxillary changes following maxillary protraction therapy in Class III malocclusions.
  • To compare treatment effects with an untreated control group.
  • To assess the stability of these changes post-treatment.

Main Methods:

  • Cephalometric analysis of 25 Chinese children with Class III malocclusions treated with maxillary protraction.
  • Comparison with an age and sex-matched untreated control sample.

Related Experiment Videos

  • Maxillary superimposition technique to differentiate skeletal and local contributions to A point changes.
  • Main Results:

    • Maxillary protraction resulted in a mean A point advancement of 2.4 mm versus 0.2 mm in controls.
    • Skeletal maxillary advancement accounted for 75% of the A point change.
    • Less downward A point movement was observed with treatment; no significant horizontal or vertical differences post-treatment.

    Conclusions:

    • Maxillary protraction therapy effectively advances the maxilla in Class III malocclusions, with a significant skeletal component.
    • The observed changes are stable 12 months after early treatment.
    • Force direction may influence vertical changes at the A point.