Orthodontic Management of Class II Malocclusion with Clear Aligners: Mandibular Advancement vs. Class II Elastics
<b>Background</b>: This cephalometric study aimed to evaluate the effects of clear aligner therapy in growing individuals with Class II malocclusion, comparing two functional approaches: the use of Class II elastics or the Mandibular Advancement (MA). <b>Methods</b>: Cephalom...
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MDPI AG
2025-04-01
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| Online Access: | https://www.mdpi.com/2227-9067/12/5/562 |
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| author | Elisabetta Cretella Lombardo Letizia Lugli Roberta Lione Patrizio Bollero Paola Cozza Chiara Pavoni |
| author_facet | Elisabetta Cretella Lombardo Letizia Lugli Roberta Lione Patrizio Bollero Paola Cozza Chiara Pavoni |
| author_sort | Elisabetta Cretella Lombardo |
| collection | DOAJ |
| description | <b>Background</b>: This cephalometric study aimed to evaluate the effects of clear aligner therapy in growing individuals with Class II malocclusion, comparing two functional approaches: the use of Class II elastics or the Mandibular Advancement (MA). <b>Methods</b>: Cephalometric data from 39 patients with Class II malocclusion treated using clear aligners either combined with Class II elastics (EL group; n = 18) or Mandibular Advancement (MA group; n = 21) were analyzed and compared with an untreated control group (UC2; n = 15). <b>Results</b>: Both treatment groups (EL and MA) showed a significant reduction in the ANB angle compared to the control (MA: −1.5°; EL: −2.2°; UC2: +0.2°). An increase in mandibular length, as measured by Co–Gn, was observed in both the EL and MA groups (+5.5 mm and +8.3 mm, respectively) relative to the control group. Soft tissue analysis of the Pg–TVL distance from T1 to T2 revealed the most substantial forward displacement of the chin in the MA group (MA: +2.0 ± 3.7 mm; EL: +0.5 ± 0.7 mm; UC2: −1.6 ± 3.3 mm). Vertically, the MA group exhibited a more marked decrease in the palatal-mandibular plane angle than the other groups. Both treatment modalities significantly reduced overjet and overbite from T1 to T2. <b>Conclusions</b>: The EL and MA appliances effectively advanced the mandible, leading to significant improvements in the sagittal relationship, overjet, and overbite while maintaining stable vertical control. Additionally, the MA group exhibited a more pronounced forward movement of the soft tissue chin. |
| format | Article |
| id | doaj-art-2353d7b1c5334837aed2a7892ecb05bc |
| institution | Kabale University |
| issn | 2227-9067 |
| language | English |
| publishDate | 2025-04-01 |
| publisher | MDPI AG |
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| series | Children |
| spelling | doaj-art-2353d7b1c5334837aed2a7892ecb05bc2025-08-20T03:47:49ZengMDPI AGChildren2227-90672025-04-0112556210.3390/children12050562Orthodontic Management of Class II Malocclusion with Clear Aligners: Mandibular Advancement vs. Class II ElasticsElisabetta Cretella Lombardo0Letizia Lugli1Roberta Lione2Patrizio Bollero3Paola Cozza4Chiara Pavoni5Department of Health Science, UniCamillus-Saint Camillus International Medical University, 00131 Rome, ItalyDepartment of Health Science, UniCamillus-Saint Camillus International Medical University, 00131 Rome, ItalyDepartment of Health Science, UniCamillus-Saint Camillus International Medical University, 00131 Rome, ItalyDepartment of Systems Medicine, University of Rome “Tor Vergata”, 00133 Rome, ItalyDepartment of Health Science, UniCamillus-Saint Camillus International Medical University, 00131 Rome, ItalyDepartment of Health Science, UniCamillus-Saint Camillus International Medical University, 00131 Rome, Italy<b>Background</b>: This cephalometric study aimed to evaluate the effects of clear aligner therapy in growing individuals with Class II malocclusion, comparing two functional approaches: the use of Class II elastics or the Mandibular Advancement (MA). <b>Methods</b>: Cephalometric data from 39 patients with Class II malocclusion treated using clear aligners either combined with Class II elastics (EL group; n = 18) or Mandibular Advancement (MA group; n = 21) were analyzed and compared with an untreated control group (UC2; n = 15). <b>Results</b>: Both treatment groups (EL and MA) showed a significant reduction in the ANB angle compared to the control (MA: −1.5°; EL: −2.2°; UC2: +0.2°). An increase in mandibular length, as measured by Co–Gn, was observed in both the EL and MA groups (+5.5 mm and +8.3 mm, respectively) relative to the control group. Soft tissue analysis of the Pg–TVL distance from T1 to T2 revealed the most substantial forward displacement of the chin in the MA group (MA: +2.0 ± 3.7 mm; EL: +0.5 ± 0.7 mm; UC2: −1.6 ± 3.3 mm). Vertically, the MA group exhibited a more marked decrease in the palatal-mandibular plane angle than the other groups. Both treatment modalities significantly reduced overjet and overbite from T1 to T2. <b>Conclusions</b>: The EL and MA appliances effectively advanced the mandible, leading to significant improvements in the sagittal relationship, overjet, and overbite while maintaining stable vertical control. Additionally, the MA group exhibited a more pronounced forward movement of the soft tissue chin.https://www.mdpi.com/2227-9067/12/5/562Class IIaligners therapycephalometric analysis |
| spellingShingle | Elisabetta Cretella Lombardo Letizia Lugli Roberta Lione Patrizio Bollero Paola Cozza Chiara Pavoni Orthodontic Management of Class II Malocclusion with Clear Aligners: Mandibular Advancement vs. Class II Elastics Children Class II aligners therapy cephalometric analysis |
| title | Orthodontic Management of Class II Malocclusion with Clear Aligners: Mandibular Advancement vs. Class II Elastics |
| title_full | Orthodontic Management of Class II Malocclusion with Clear Aligners: Mandibular Advancement vs. Class II Elastics |
| title_fullStr | Orthodontic Management of Class II Malocclusion with Clear Aligners: Mandibular Advancement vs. Class II Elastics |
| title_full_unstemmed | Orthodontic Management of Class II Malocclusion with Clear Aligners: Mandibular Advancement vs. Class II Elastics |
| title_short | Orthodontic Management of Class II Malocclusion with Clear Aligners: Mandibular Advancement vs. Class II Elastics |
| title_sort | orthodontic management of class ii malocclusion with clear aligners mandibular advancement vs class ii elastics |
| topic | Class II aligners therapy cephalometric analysis |
| url | https://www.mdpi.com/2227-9067/12/5/562 |
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