Preview

Pediatric dentistry and dental prophylaxis

Advanced search

Application of the twin-block appliance combined with braces in the treatment of a patient with distal occlusion

https://doi.org/10.33925/1683-3031-2024-741

Abstract

Relevance. Distal occlusion is one of the most frequently encountered anomalies in orthodontic practice among patients with both temporary and permanent dentitions. When selecting a treatment method for this anomaly, it is crucial to consider several significant factors, including the craniofacial stage of skeletal maturity and the type of jaw growth. Special attention should be given to the method of treating patients with incomplete skeletal growth using a twin-block appliance, followed by continued orthodontic treatment with fixed orthodontic appliances (braces).

Clinical case description. This article presents a clinical case of treating a patient with distal occlusion in the peripubertal stage of skeletal growth, which is the most optimal for the initial stage of orthodontic treatment.

Conclusion. Sequential treatment of distal occlusion during the pubertal growth spurt using a twin-block appliance and braces allows achieving the most physiological jaw relationship, ensuring proper functioning of the dentoalveolar system and harmonious development of the body as a whole.

About the Authors

S. N. Gromova
Kirov State Medical University
Russian Federation

Svetlana N. Gromova, DMD, PhD, Associate Professor, Dean of the School of Dentistry, Head of the Department of Dentistry

Kirov



Y. A. Tokaeva
Kirov State Medical University
Russian Federation

Yuliya A. Tokaeva, 5th year student, School of the Dentistry

Kirov



Y. O. Lukashchuk
Kirov State Medical University
Russian Federation

Yuliya O. Lukashchuk, 5th year student, School of the Dentistry

Kirov



V. A. Razumny
Kirov State Medical University
Russian Federation

Vladimir A. Razumny, DMD, PhD, DSc, Professor, Department of the Dentistry

Kirov



T. O. Zubareva
Privolzhsky Research Medical University
Russian Federation

Tatyana O. Zubareva, DMD, PhD, Assistant Professor, Department of the Prosthodontics and Orthodontics

Niznii Novgorod



A. K. Koledaeva
Privolzhsky Research Medical University
Russian Federation

Anna K. Koledaeva, DMD, Resident, School of the Dentistry

Niznii Novgorod



References

1. Yermukhanova GT, Yetekbaeva AO. Studt of the prevalence of dentoalveolar anomalies, including distal bite in children and adolescents. Bulletin of the Kazakh National Medical University. 2021;17(1):133–137 (In Russ.). doi: 0.53065/kaznmu.2021.30.24.030

2. Bishara SE, Jakobsen JR, Vorhies B, Bayati P. Changes in dentofacial structures in untreated Class II division 1 and normal subjects: a longitudinal study. Angle Orthod. 1997;67(1):55-66. doi: 10.1043/0003-3219(1997)067<0055:CIDSIU>2.3.CO;2

3. Shiryaeva TV, Oborotistov NYu, Muraev AA. Digital analysis of stomatognathic system morphofunctional condition in patients with distal occlusion before and after treatment with the Twin Block appliance. Pediatric dentistry and dental prophylaxis. 2022;22(4):261-268 (In Russ.). doi: 10.33925/1683-3031-2022-22-4-261-268

4. Clark W. Design and management of Twin Blocks: reflections after 30 years of clinical use. Journal of Orthodontics. 2010;37(3):209-216. doi: 10.1179/14653121043110

5. O’Brien K, Wright J, Conboy F, Sanjie Y, Mandall N, Chadwick S. Effectiveness of early orthodontic treatment with the twin-block appliance: A multicenter, randomized, controlled trial. Part 1: Dental and skeletal effects. American Journal of Orthodontics and Dentofacial Orthopedics. 2003;124(3):234-243. doi: 10.1016/S0889-5406(03)00352-4

6. Sidlauskas A. Clinical effectiveness of the Twin block appliance in the treatment of Class II Division 1 malocclusion. Stomatologija. 2005;7(1):7-10. Available from: https://pubmed.ncbi.nlm.nih.gov/16254470/

7. Khabibulina LF. Problems of orthodontic treatment of distal occlusion for growing patients. Practical medicine. 2013;72(4):33-36 (In Russ.). Available from: http://pmarchive.ru/problemy-ortodonticheskogo-lecheniya-distalnoj-okklyuzii-u-rastushhix-pacientov/

8. Megrabyan O, Konkova A. Features of treating patients with dental arch distal occlusion in different agedependent perionds (review of literature). Acta medica Eurasica. 2018;(4):19-29 (In Russ.). Available from: https://acta-medica-eurasica.ru/single/2018/4/3/

9. Baccetti T, Franchi L, Toth LR, McNamara JA. Treatment timing for Twin-block therapy. American journal of orthodontics and dentofacial orthopedics. 2000;118(2):159–170. doi: 10.1067/mod.2000.105571

10. McNamara JA, Franchi L. The cervical vertebral maturation method: A user’s guide. The Angle Orthodontist. 2018;88(2):133-143. doi: 10.2319/111517-787.1

11. Rathi MK, Fida M. Applicability of Pont's index in orthodontics. J Coll Physicians Surg Pak. 2014;24(4):256-260. Available from: https://pubmed.ncbi.nlm.nih.gov/24709239/

12. Celebi AA, Tan E, Gelgor IE. Determination and application of Pont's Index in Turkish population. ScientificWorldJournal. 2012;2012:494623. doi: 10.1100/2012/494623

13. Novruzov ZG, Alieva RK, Garaev ZI, Kulieva SK. Effect of modified twin block appliance used for distoclusion treatment on stomatognathic system. Kazan medical journal. 2018; 99(3):426-431 doi: 10.17816/KMJ2018-426

14. Batista KB, Thiruvenkatachari B, Harrison JE, O'Brien KD. Orthodontic treatment for prominent upper front teeth (Class II malocclusion) in children and adolescents. Cochrane Database Syst Rev. 2018;3(3):CD003452. doi: 10.1002/14651858.CD003452.pub4.

15. Ayupova FS, Khotko RA. Modern trends in the choice of tactic and method for the treatment of growing patients with distal occlusion (literature review). Pediatric dentistry and dental prophylaxis. 2020;20(2):156-159 (In Russ.). doi: 10.33925/1683-3031-2020-20-2-156-159.

16. Felicita AS, Thirumurthi AS, Jain RK. Patient’s Psychological Response to Twin-block Therapy. World Journal of Dentistry. 2017;8(4):327–330. doi: 10.5005/jp-journals-10015-1459

17. O’Brien K, Wright J, Conboy F, Chadwick S, Connolly I, Cook P. Effectiveness of early orthodontic treatment with the twin-block appliance: a multicenter, randomized, controlled trial. Part 2: psychosocial effects. American Journal of Orthodontics and Dentofacial Orthopedics. 2003;124(5):488-494. doi: 10.1016/j.ajodo.2003.06.001

18.


Review

For citations:


Gromova S.N., Tokaeva Y.A., Lukashchuk Y.O., Razumny V.A., Zubareva T.O., Koledaeva A.K. Application of the twin-block appliance combined with braces in the treatment of a patient with distal occlusion. Pediatric dentistry and dental prophylaxis. 2024;24(2):189-196. (In Russ.) https://doi.org/10.33925/1683-3031-2024-741

Views: 292


Creative Commons License
This work is licensed under a Creative Commons Attribution 4.0 License.


ISSN 1683-3031 (Print)
ISSN 1726-7218 (Online)