The Effect of Orthopedic Face Mask Use on Head Posture and Pharyngeal Airway

Taner OZTURK, DDS, MS60 enrolled

Overview

The aim of this study was to evaluate the changes in head posture, position of the hyoid bone, pharyngeal airway and cervical posture after the use of Petit type face mask in patients with skeletal class III malocclusion (ANB angle \< 0) with ongoing growth. No other study was found in the literature in which head posture, cervical posture, and hyoid bone position were evaluated after the use of a face mask and compared with a control group consisting of patients of the same age group and the same malocclusion.

All radiographic assessments, including cephalometric, pharyngeal airway and craniocervical measurements were performed by the same researcher and she was blind to all the treatment details, orthodontic records, and information of the subjects to prevent bias. Lateral cephalometric radiographs were taken digitally with an X-ray unit (OP300; Instrumentarium Dental, Tuusula, Finland) according to the manufacturer and same technician. Subjects were positioned at the natural head position, teeth in centric occlusion, and lightly closed lips for lateral cephalometric radiographs. Skeletal development of individuals was evaluated using cervical vertebra maturation method (Ref: Bacetti T., An Improved Version of the Cervical Vertebral Maturation (CVM) Method for the Assessment of Mandibular Growth. Angle Orthod.). The skeletal development of individuals was evaluated using the cervical vertebra maturation method and it was determined that all patients were in the prepubertal stage (CS1-CS3). (Ref: Cevidanes L., Comparison of two protocols for maxillary protraction: bone anchors versus face mask with rapid maxillary expansion. Angle Orthod.)

Study Type

INTERVENTIONAL

Allocation

NON_RANDOMIZED

Purpose

TREATMENT

Masking

NONE

Enrollment

Conditions

Class III Malocclusion Hyoid Bone

Interventions

Skeletal Class III Malocclusion Treatment with Face Mask GroupDEVICE

Expanding the maxilla, which is narrower than the mandible in the transverse dimension, using a rapid maxillary expansion device and protraction of the maxilla, which is located behind in the sagittal dimension, forward using the face-mask appliance.

Eligibility

Sex: ALLMin age: 8 YearsMax age: 10 Years

Medical Language ↔ Plain English

Inclusion Criteria: * For the study group it is as follows: 1. Patients with skeletal Class III association (ANB \< 0°) 2. Maxillary insufficiency patients 3. Patients with ongoing growth development 4. Patients who have used a 'Petit type face mask' for anterior positioning of the maxilla * For the control group it is as follows: 1. Patients with skeletal Class III association (ANB \< 0°) 2. Maxillary insufficiency patients 3. Patients with ongoing growth development 4. Patients who have not had any orthodontic treatment Exclusion Criteria: 1. Patients with a congenital anomaly or a craniofacial deformity 2. Patients who have undergone orthodontic treatment 3. Patients with tooth extraction or tooth loss 4. Patients with a history of trauma 5. Patients who have completed growth development (patients with Ru on wrist film)

Locations (1)

Erciyes University Faculty of Dentistry

Kayseri, Turkey (Türkiye)

Outcomes

Primary Outcomes

Craniocervical posture change

Investigation of the change in head posture after treatment of class III malocclusion due to maxillary deficiency with a face mask using craniocervical angles (NSL/CVT, NSL/OPT, CVT/HOR, OPT/HOR, NL/VER, NSL/VER).

Time frame: Before treatment (T0) and after treatment (up to about 10-12 month; T1) for the study group. First measurement (T0) for the control group and after similar follow-up time (up to about 10-12 month; T1) as for the treatment group.

Pharyngeal airway change

Investigation of the change in pharyngeal airway dimensions after treatment of class III malocclusion due to maxillary deficiency with a face mask using pharyngeal airway sagittal dimension measurements (PNS-UPW, Cv2-MPW, Cv3-LPW, HRL/U-PNS, U-PNS, PASmin).

Hyoid bone position change

Investigation of the change in hyoid bone position after treatment of class III malocclusion due to maxillary deficiency with a face mask using hyoid bone location measurements (H-Cv2, H-Cv3, H-Mandibular line, H-Me).

Secondary Outcomes

Correlation of craniocervical posture, pharyngeal airway and hyoid bone change

Investigation of the relationship between changes in craniocervical posture, pharyngeal airway dimensions and hyoid bone position.

Data from ClinicalTrials.gov

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