Comparison of the Effects of Fixed and Removable Functional Orthodontic Treatment on the Mandibular Trabecular Bone in Fractal Analysis

Objective: The aim of this retrospective study was to compare the effects of the Twin block and Herbst appliances on the mandibular trabecular pattern using fractal dimension analysis (FDA) of panoramic radiographs (PRs). Methods: The PRs of 50 subjects with skeletal Class II malocclusion who under...

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Main Authors: Nurver Karslı, Can Arslan, Derya Germeç Çakan, Ayşe Tuba Altuğ, Senem Tuğra Dönmez, Asya Atasoy Yücesan
Format: Article
Language:English
Published: Galenos Yayinevi 2024-12-01
Series:Turkish Journal of Orthodontics
Subjects:
Online Access:https://turkjorthod.org/articles/comparison-of-the-effects-of-fixed-and-removable-functional-orthodontic-treatment-on-the-mandibular-trabecular-bone-in-fractal-analysis/doi/TurkJOrthod.2023.2023.73
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author Nurver Karslı
Can Arslan
Derya Germeç Çakan
Ayşe Tuba Altuğ
Senem Tuğra Dönmez
Asya Atasoy Yücesan
author_facet Nurver Karslı
Can Arslan
Derya Germeç Çakan
Ayşe Tuba Altuğ
Senem Tuğra Dönmez
Asya Atasoy Yücesan
author_sort Nurver Karslı
collection DOAJ
description Objective: The aim of this retrospective study was to compare the effects of the Twin block and Herbst appliances on the mandibular trabecular pattern using fractal dimension analysis (FDA) of panoramic radiographs (PRs). Methods: The PRs of 50 subjects with skeletal Class II malocclusion who underwent the Twin block (T-group, average age: 11.63±0.87; 25 girls, 25 boys), 50 subjects with skeletal Class II malocclusion who underwent the Herbst (H-group, average age: 11.72±0.91; 27 girls, 23 boys), and 50 controls (C-group average age: 11.67±0.83; 24 girls, 26 boys) were selected. The condyle, corpus, and angulus regions of all groups in the mandible were examined using FDA. Results: The condylar region (p≤0.001) and corpus mandible in the treatment groups (T-group: right, p≤0.05, left, p≤0.01; H-group: p≤0.05), as well as the left and right condylar region (p≤0.001) and left corpus mandible (p≤0.05) in the C-group, all indicated substantial increases in FDA between T0 and T1. Inter-group comparisons indicated that the T-group had greater variances in the condyle (p≤0.001) compared to the H group. Conclusion: As the findings revealed both Twin block and Herbst appliances not only contributed to the dentoalveolar structure but also provided remodeling of the mandibular trabecular structure. Consequently, the null hypothesis was rejected.
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institution Kabale University
issn 2528-9659
2148-9505
language English
publishDate 2024-12-01
publisher Galenos Yayinevi
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series Turkish Journal of Orthodontics
spelling doaj-art-2c31f0246bfb46f6bd25180eef2181bc2025-01-07T10:31:58ZengGalenos YayineviTurkish Journal of Orthodontics2528-96592148-95052024-12-0137426527510.4274/TurkJOrthod.2023.2023.73Comparison of the Effects of Fixed and Removable Functional Orthodontic Treatment on the Mandibular Trabecular Bone in Fractal AnalysisNurver Karslı0https://orcid.org/0000-0003-3585-9440Can Arslan1https://orcid.org/0000-0003-1091-4028Derya Germeç Çakan2https://orcid.org/0000-0002-8849-8012Ayşe Tuba Altuğ3https://orcid.org/0000-0002-8351-2460Senem Tuğra Dönmez4https://orcid.org/0000-0003-3486-4379Asya Atasoy Yücesan5https://orcid.org/0000-0002-8462-0674Karadeniz Technical University Faculty of Dentistry, Department of Orthodontics, Trabzon, TurkeyYeditepe University Faculty of Dentistry, Department of Orthodontics, İstanbul, TurkeyYeditepe University Faculty of Dentistry, Department of Orthodontics, İstanbul, TurkeyAnkara University Faculty of Dentistry, Department of Orthodontics, Ankara, TurkeyKaradeniz Technical University Faculty of Dentistry, Department of Oral Diagnosis and Radiology, Trabzon, TurkeyKaradeniz Technical University Faculty of Dentistry, Department of Oral Diagnosis and Radiology, Trabzon, TurkeyObjective: The aim of this retrospective study was to compare the effects of the Twin block and Herbst appliances on the mandibular trabecular pattern using fractal dimension analysis (FDA) of panoramic radiographs (PRs). Methods: The PRs of 50 subjects with skeletal Class II malocclusion who underwent the Twin block (T-group, average age: 11.63±0.87; 25 girls, 25 boys), 50 subjects with skeletal Class II malocclusion who underwent the Herbst (H-group, average age: 11.72±0.91; 27 girls, 23 boys), and 50 controls (C-group average age: 11.67±0.83; 24 girls, 26 boys) were selected. The condyle, corpus, and angulus regions of all groups in the mandible were examined using FDA. Results: The condylar region (p≤0.001) and corpus mandible in the treatment groups (T-group: right, p≤0.05, left, p≤0.01; H-group: p≤0.05), as well as the left and right condylar region (p≤0.001) and left corpus mandible (p≤0.05) in the C-group, all indicated substantial increases in FDA between T0 and T1. Inter-group comparisons indicated that the T-group had greater variances in the condyle (p≤0.001) compared to the H group. Conclusion: As the findings revealed both Twin block and Herbst appliances not only contributed to the dentoalveolar structure but also provided remodeling of the mandibular trabecular structure. Consequently, the null hypothesis was rejected.https://turkjorthod.org/articles/comparison-of-the-effects-of-fixed-and-removable-functional-orthodontic-treatment-on-the-mandibular-trabecular-bone-in-fractal-analysis/doi/TurkJOrthod.2023.2023.73functionalcl iifractaldental radiography
spellingShingle Nurver Karslı
Can Arslan
Derya Germeç Çakan
Ayşe Tuba Altuğ
Senem Tuğra Dönmez
Asya Atasoy Yücesan
Comparison of the Effects of Fixed and Removable Functional Orthodontic Treatment on the Mandibular Trabecular Bone in Fractal Analysis
Turkish Journal of Orthodontics
functional
cl ii
fractal
dental radiography
title Comparison of the Effects of Fixed and Removable Functional Orthodontic Treatment on the Mandibular Trabecular Bone in Fractal Analysis
title_full Comparison of the Effects of Fixed and Removable Functional Orthodontic Treatment on the Mandibular Trabecular Bone in Fractal Analysis
title_fullStr Comparison of the Effects of Fixed and Removable Functional Orthodontic Treatment on the Mandibular Trabecular Bone in Fractal Analysis
title_full_unstemmed Comparison of the Effects of Fixed and Removable Functional Orthodontic Treatment on the Mandibular Trabecular Bone in Fractal Analysis
title_short Comparison of the Effects of Fixed and Removable Functional Orthodontic Treatment on the Mandibular Trabecular Bone in Fractal Analysis
title_sort comparison of the effects of fixed and removable functional orthodontic treatment on the mandibular trabecular bone in fractal analysis
topic functional
cl ii
fractal
dental radiography
url https://turkjorthod.org/articles/comparison-of-the-effects-of-fixed-and-removable-functional-orthodontic-treatment-on-the-mandibular-trabecular-bone-in-fractal-analysis/doi/TurkJOrthod.2023.2023.73
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AT canarslan comparisonoftheeffectsoffixedandremovablefunctionalorthodontictreatmentonthemandibulartrabecularboneinfractalanalysis
AT deryagermeccakan comparisonoftheeffectsoffixedandremovablefunctionalorthodontictreatmentonthemandibulartrabecularboneinfractalanalysis
AT aysetubaaltug comparisonoftheeffectsoffixedandremovablefunctionalorthodontictreatmentonthemandibulartrabecularboneinfractalanalysis
AT senemtugradonmez comparisonoftheeffectsoffixedandremovablefunctionalorthodontictreatmentonthemandibulartrabecularboneinfractalanalysis
AT asyaatasoyyucesan comparisonoftheeffectsoffixedandremovablefunctionalorthodontictreatmentonthemandibulartrabecularboneinfractalanalysis