The aim of the current study is to evaluate the skeletal, dental, soft tissue, TMJ, and upper airway size changes associated with a new design of twin block compared to the conventional twin block appliance. Additionally, patients' satisfaction with the two designs will be assessed.
Twin block appliance is the gold standard for the treatment of skeletal class II patients with deficient mandible. Yet, it has some drawbacks as proclination of the mandibular incisors, development of posterior open bite and the unesthetic appearance. Many modifications in twin block A new design were made to overcome the previous problems, as adding incisor capping, Clasps, sagittal blocks, and esthetic twin block appliances. In the current trial A new design of esthetic twin block appliance with sagittal blocks is investigated and the post treatment skeletal, dental, and soft tissue, TMJ, and upper airway size will be assessed and compared to the changes associated with the conventional design of twin block. Moreover, patient satisfaction with the appliance will be assessed with both appliances.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
SINGLE
Enrollment
30
Vacuum formed twin block appliance with sagittal blocks
skeletal changes
changes in SNA, SNB, and ANB angles will be measured before and after treatment
Time frame: 9 months
Dental changes
changes in maxillary and mandibular incisors position and inclination will be assessed before and after treatment
Time frame: 9 months
soft tissue changes
changes in soft tissue A, B, Pog points will be assessed before and after treatment
Time frame: 9 months
JMJ changes
changes in the TMJ morphologic structure will be assessed before and after treatment
Time frame: 9 months
Upper airway size
changes in the Upper airway size will be assessed before and after treatment
Time frame: 9 months
patient satisfaction
patients acceptance of the appliance will be assessed by a questionnaire administered in one to one interview.
Time frame: after one and nine months
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