Teenage Patients with Class II Subdivision Treated with Aligners and Elastics: A Retrospective Study

<i>Background and Objectives</i>: This study aimed to evaluate the outcomes of Class II subdivision teenage patients treated with Invisalign<sup>®</sup> clear aligners (CAs) and elastics. <i>Materials and Methods</i>: A total of 23 individuals aged 14.3 ± 2.5 year...

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Main Authors: Vincenzo Quinzi, Andrea Conigliaro, Eda Fani, Lucia Memè, Fabiana Fiasca, Nicolò Carugo, Giuseppe Marzo
Format: Article
Language:English
Published: MDPI AG 2024-12-01
Series:Medicina
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Online Access:https://www.mdpi.com/1648-9144/60/12/2089
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author Vincenzo Quinzi
Andrea Conigliaro
Eda Fani
Lucia Memè
Fabiana Fiasca
Nicolò Carugo
Giuseppe Marzo
author_facet Vincenzo Quinzi
Andrea Conigliaro
Eda Fani
Lucia Memè
Fabiana Fiasca
Nicolò Carugo
Giuseppe Marzo
author_sort Vincenzo Quinzi
collection DOAJ
description <i>Background and Objectives</i>: This study aimed to evaluate the outcomes of Class II subdivision teenage patients treated with Invisalign<sup>®</sup> clear aligners (CAs) and elastics. <i>Materials and Methods</i>: A total of 23 individuals aged 14.3 ± 2.5 years were enrolled in this study. The participants were divided into Group 1 (mandibular midline deviation) and Group 2 (maxillary midline deviation). The midline deviation from the facial midline; anteroposterior discrepancy; overjet (OJ), overbite (OB), and Peer Assessment Rating (PAR) scores; upper incisor and lower incisor (L1) positions; and angulation were measured at the beginning (T0) and end (T1) of the orthodontic treatment. <i>Results</i>: Group 1 showed significant higher variations in OJ (−2.3 ± 2.3 vs. −0.6 ± 0.8, <i>p</i> < 0.001), OB (−2.1 ± 2.3 vs. −1.1 ± 1.4, <i>p</i> < 0.001), PAR score (−32.0 ± 11.7 vs. −27.3 ± 13.1, <i>p</i> < 0.001), L1-to-mandibular-plane angle (−3.6 ± 7.0 vs. −1.3 ± 3.2, <i>p</i> < 0.001), and interincisal angle (10.07 ± 8.7 vs. 5.9 ± 5.3, <i>p</i> = 0.007). The midline deviation was the only measurement with higher variation in Group 2. The average distance between the mesiobuccal cusp of the maxillary first molar and the buccal groove of the mandibular first molar was 0.3 ± 0.5 mm. <i>Conclusions</i>: A total of 21 patients achieved bilateral Class I (91% success rate) and demonstrated great improvement (72–96%) in PAR scores. Regardless of the etiology of malocclusion, the orthodontic correction of the Class II subdivision with CAs showed high accuracy and predictable results.
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spelling doaj-art-dfdb826005f14c9b91596dcc2e876eeb2024-12-27T14:39:06ZengMDPI AGMedicina1010-660X1648-91442024-12-016012208910.3390/medicina60122089Teenage Patients with Class II Subdivision Treated with Aligners and Elastics: A Retrospective StudyVincenzo Quinzi0Andrea Conigliaro1Eda Fani2Lucia Memè3Fabiana Fiasca4Nicolò Carugo5Giuseppe Marzo6Department of Life, Health and Environmental Sciences, Postgraduate School of Orthodontics, University of L’Aquila, 67100 L’Aquila, ItalyDepartment of Life, Health and Environmental Sciences, Postgraduate School of Orthodontics, University of L’Aquila, 67100 L’Aquila, ItalyDepartment of Life, Health and Environmental Sciences, Postgraduate School of Orthodontics, University of L’Aquila, 67100 L’Aquila, ItalyDepartment of Clinical Sciences and Stomatology, Polytechnic University of Marche, 60126 Ancona, ItalyDepartment of Life, Health and Environmental Sciences, Postgraduate School of Orthodontics, University of L’Aquila, 67100 L’Aquila, ItalyDepartment of Life, Health and Environmental Sciences, Postgraduate School of Orthodontics, University of L’Aquila, 67100 L’Aquila, ItalyDepartment of Life, Health and Environmental Sciences, Postgraduate School of Orthodontics, University of L’Aquila, 67100 L’Aquila, Italy<i>Background and Objectives</i>: This study aimed to evaluate the outcomes of Class II subdivision teenage patients treated with Invisalign<sup>®</sup> clear aligners (CAs) and elastics. <i>Materials and Methods</i>: A total of 23 individuals aged 14.3 ± 2.5 years were enrolled in this study. The participants were divided into Group 1 (mandibular midline deviation) and Group 2 (maxillary midline deviation). The midline deviation from the facial midline; anteroposterior discrepancy; overjet (OJ), overbite (OB), and Peer Assessment Rating (PAR) scores; upper incisor and lower incisor (L1) positions; and angulation were measured at the beginning (T0) and end (T1) of the orthodontic treatment. <i>Results</i>: Group 1 showed significant higher variations in OJ (−2.3 ± 2.3 vs. −0.6 ± 0.8, <i>p</i> < 0.001), OB (−2.1 ± 2.3 vs. −1.1 ± 1.4, <i>p</i> < 0.001), PAR score (−32.0 ± 11.7 vs. −27.3 ± 13.1, <i>p</i> < 0.001), L1-to-mandibular-plane angle (−3.6 ± 7.0 vs. −1.3 ± 3.2, <i>p</i> < 0.001), and interincisal angle (10.07 ± 8.7 vs. 5.9 ± 5.3, <i>p</i> = 0.007). The midline deviation was the only measurement with higher variation in Group 2. The average distance between the mesiobuccal cusp of the maxillary first molar and the buccal groove of the mandibular first molar was 0.3 ± 0.5 mm. <i>Conclusions</i>: A total of 21 patients achieved bilateral Class I (91% success rate) and demonstrated great improvement (72–96%) in PAR scores. Regardless of the etiology of malocclusion, the orthodontic correction of the Class II subdivision with CAs showed high accuracy and predictable results.https://www.mdpi.com/1648-9144/60/12/2089class IIalignersasymmetryelastics
spellingShingle Vincenzo Quinzi
Andrea Conigliaro
Eda Fani
Lucia Memè
Fabiana Fiasca
Nicolò Carugo
Giuseppe Marzo
Teenage Patients with Class II Subdivision Treated with Aligners and Elastics: A Retrospective Study
Medicina
class II
aligners
asymmetry
elastics
title Teenage Patients with Class II Subdivision Treated with Aligners and Elastics: A Retrospective Study
title_full Teenage Patients with Class II Subdivision Treated with Aligners and Elastics: A Retrospective Study
title_fullStr Teenage Patients with Class II Subdivision Treated with Aligners and Elastics: A Retrospective Study
title_full_unstemmed Teenage Patients with Class II Subdivision Treated with Aligners and Elastics: A Retrospective Study
title_short Teenage Patients with Class II Subdivision Treated with Aligners and Elastics: A Retrospective Study
title_sort teenage patients with class ii subdivision treated with aligners and elastics a retrospective study
topic class II
aligners
asymmetry
elastics
url https://www.mdpi.com/1648-9144/60/12/2089
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