Clinical and functional changes in patients with mandibular retrognathism treated with the modified Nance Button
DOI:
https://doi.org/10.47606/ACVEN/MV0256Keywords:
mandibular retrognathism, functional appliances, class II syndromeAbstract
Introduction: Mandibular retrognathism is a common and visible anomaly in the mandible, in which it appears retracted with respect to the maxilla and is generally associated with bony dysplasia of the mandibular bone. Objective: To describe the clinical and functional changes in patients with mandibular retrognathism treated with the modified Nance Button appliance. Materials and methods: An experimental, open study was carried out, with historical control in the Orthodontics service of the Provincial Stomatological Clinic of Sancti Spíritus, between January 2022 and March 2024. 20 patients who met the selection criteria were included, through assignment intentional, those who formed the study group. Theoretical, empirical and statistical methods were used. Demographic, clinical and functional variables were studied. Results: After one year of treatment, in the study group, the overjet decreased by 3.85 mm, the overshoot by 1.45 mm and the protrusive movement by 3.85 mm. Increased left lateral movement by 1.1 mm, right lateral movement by 1.15 mm. Similar changes occurred in the control group, but more marked - with statistically significant differences - in the highlight. Conclusion: The clinical and functional variables in patients treated with the modified Nance button evolved towards normal criteria and in a similar way to the Neville Bass appliance, which suggests the consideration of its use as an alternative for the treatment of patients with mandibular retrognathism. .
Downloads
References
Verano Luis L, de la Rosa Cabrera Y. Nuevas opciones de aparatos funcionales para tratar pacientes con retrognatismo mandibular. Gacmédespirit [Internet]. 2021 [citado 27 Ene 2023];23(3). Disponible en: https://revgmespirituana.sld.cu/index.php/gme/article/view/2193
Quizhpi DB. Efectividad dentoalveolaresqueletal con aparatos funcionales fijos y removibles en avance mandibular.[Internet]. 2022 [Consultado 30 Sep 2023]. Disponible en: https://dialnet.unirioja.es/servlet/articulo?codigo=8499399.
Galli, E., Roscher, D., Mauriño, N., Moreno, P., Puia, S., &Mateu, M. E. Cirugía Ortognática Para el Tratamiento de las Anomalías Dentoesqueletales. Revista De La Facultad De Odontologia De La Universidad De Buenos Aires [Internet]. 2021 [Consultado 5Ene 2022]; 34(77), 21–26. Disponible en:https://revista.odontologia.uba.ar/index.php/rfouba/article/view/27
Verano-Luis L, Rosa-Cabrera Y, Pérez-García LM, Jiménez-Marín O. Utilización del botón de Nance modificado para la propulsión mandibular. AMC [Internet]. 2022 [citado 2023 Ene 24] ; 26: e8336. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1025-02552022000100013&lng=es. Epub 10-Feb-2022.
V. Ciftci, Uzel A. Dento-skeletal effects of myofunctional appliance on patients with class II div 1 in mixed dentition stage: A cephalometric study. [Internet]. 2021 [cited 2021 Dec 18] Available from: https://www.sciencedirect.com/science/article/abs/pii/S0917239421000495 DOI: https://doi.org/10.1016/j.pdj.2021.08.005
Frilund, E., Sonesson, M. y Magnusson, A. Cumplimiento del paciente con el aparato Twin Block durante el tratamiento de la maloclusión de Clase II: un ensayo controlado aleatorio sobre dos prescripciones de control. Revista europea de ortodoncia, [Internet]. 2023 [consultado 10 Feb 2023]; 45 (2), 142-149.Disponible en: https://doi.org/10.1093/ejo/cjac046 DOI: https://doi.org/10.1093/ejo/cjac046
Gandhi, V., Mehta, F., Patel, D., Joshi, H., Tadinada, A., Yadav, S., &Malek, F. Evaluation of Skeletal and Dentoalveolar Changes in Patients With Class II Div 1 Malocclusion Treated With Twin Block Appliance. [Internet]. 2023 [cited 2023 Feb 10] Available from: https://doi.org/10.7759/cureus.49364 DOI: https://doi.org/10.7759/cureus.49364
Torres Lima Mariagny, Bioti Torres Analina Mercedes, Alfonso Valdés Hermes, Martínez Vergara Yisbel. Tratamiento con Activador Abierto Elástico de Klammt en Clase II, división 1. Rev Ciencias Médicas [Internet]. 2018 Feb [citado 2024 Feb 16] ; 22( 1 ): 59-67-9. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1561-31942018000100009&lng=es.
Radwan, E. S., Maher, A., &Montasser, M. A. Comparative Evaluation of Twin Block Appliance and Fixed Orthodontic Appliance in Early Class II Malocclusion Treatment: A Randomized Controlled Trial. The journal of contemporary dental practice. [Internet]. 2022 [cited 2023 Feb 10] 23(11), 1111–1121. Available from: https://doi.org/10.5005/jp-journals-10024-3426 DOI: https://doi.org/10.5005/jp-journals-10024-3426
Zelderloo, A., Cadenas de Llano-Pérula, M., Verdonck, A., Fieuws, S., &Willems, G. Cephalometric appraisal of Class II treatment effects after functional and fixed appliances: a retrospective study. European journal of orthodontics. [Internet]. 2017 [cited 2023 Feb 10] 39(3), 334–341. Available from: https://doi.org/10.1093/ejo/cjw064 DOI: https://doi.org/10.1093/ejo/cjw064
Wu, Y., Yu, Q., Xia, Y., Wang, B., Chen, S., Gu, K., Zhang, B., & Zhu, M. (2023). Does mandibular advancement with clear aligners have the same skeletal and dentoalveolar effects as traditional functional appliances?. BMC oral health.[Internet]. 2023 [cited 2023 Feb 10] 23(1), 65. Available from: https://doi.org/10.1186/s12903-023-02709-5 DOI: https://doi.org/10.1186/s12903-023-02709-5
M, H., Shadani, K., M, A., W, A. S., Mp, S., P, P., &Daksha, S. Evaluation of Clinical Efficacy Between Forsus and Advansync Fixed Functional Appliance for the Treatment of Skeletal Class II Malocclusion Using 3D Cone Beam Computed Tomography (CBCT): A Prospective Randomized Clinical Trial. Cureus. . [Internet]. 2023 [cited 2023 Feb 10] 15(1), e33399. Available from: https://doi.org/10.7759/cureus.33399 DOI: https://doi.org/10.7759/cureus.33399
Ardeshna, A., Bogdan, F., & Jiang, S. Class II correction in orthodontic patients utilizing the Mandibular Anterior Repositioning Appliance (MARA). The Angle orthodontist. [Internet]. 2019 [cited 2023 Feb 10] 89(3), 404–410. Available from: https://doi.org/10.2319/062618-478.1 DOI: https://doi.org/10.2319/062618-478.1
Al-Jewair, T., Ghorbaniparvar, M., Franchi, L., & Flores-Mir, C. Comparison of treatment outcomes with crowned and banded mandibular anterior repositioning appliance (MARA) in Class II pubertal subjects: A retrospective cohort study. International orthodontics. [Internet]. 2020 [cited 2023 Feb 10] 18(2), 297–307. Available from: https://doi.org/10.1016/j.ortho.2020.01.009 DOI: https://doi.org/10.1016/j.ortho.2020.01.009
Curbeira Hernández E. Rehabilitación neurooclusal con pistas planas en pacientes con Síndrome de Clase II al concluir el tratamiento activo.( 57 Congreso Internacional de Estomatología). [Internet] 2015 [consultado 10 Feb 2023]. Disponible en
http://wwwestomatologia2015.sld.cu/index.php/estomatologia/nov2015/paper/viewPaper/1077
Published
How to Cite
Issue
Section
License
Copyright (c) 2025 Loretta de los M. López Hernández, Lizandro Michel Pérez García, Yenelis de la Rosa Cabrera, Iralys María Benítez Guzmán
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
