This prospective study will compare the effects of LM-Activator™ and Twin Block appliances in 26 children (aged 8-13 years) with Class II malocclusion. Skeletal, dentoalveolar, and cervical posture parameters will be assessed using lateral cephalometric radiographs and digital dental models.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
TREATMENT
Masking
NONE
Enrollment
26
The LM-Activator™ is a prefabricated myofunctional orthodontic appliance designed for early treatment of Class II malocclusion in growing children. In this study, children aged 8-13 years received LM-Activator™ therapy, and changes in skeletal, dentoalveolar, and cervical posture parameters were evaluated using cephalometric analysis and digital dental models.
Twin Block is a removable functional appliance commonly used in the management of Class II malocclusion in children.
Marmara Üniversitesi Recep Tayyip Erdoğan Külliyesi Sağlık Yerleşkesi, Diş Hekimliği Fakültesi, Başıbüyük Yolu 9/3 34854 Başıbüyük / Maltepe / İSTANBUL
Istanbul, Turkey (Türkiye)
Change in Overjet (mm) Assessed by Cephalometric Analysis
Overjet defined as the horizontal distance (in millimeters) between the incisal edge of the maxillary and mandibular central incisors, measured on standardized lateral cephalometric radiographs. The outcome is calculated as the change from baseline to post-treatment.
Time frame: Up to 12 months
Change in ANB Angle (degrees) Assessed by Cephalometric Analysis
ANB angle measured in degrees on standardized lateral cephalometric radiographs to evaluate the sagittal skeletal relationship between the maxilla and mandible. The outcome is calculated as the change from baseline to post-treatment.
Time frame: Up to 12 months
Change in Overbite (mm) Assessed by Cephalometric Analysis
Overbite defined as the vertical overlap (in millimeters) between the maxillary and mandibular central incisors, measured on standardized lateral cephalometric radiographs. Change calculated from baseline to post-treatment.
Time frame: Up to 12 months
Change in SNA Angle (degrees) Assessed by Cephalometric Analysis
SNA (Sella-Nasion-A point) angle measured in degrees on standardized lateral cephalometric radiographs to evaluate sagittal position of the maxilla relative to the cranial base. Change calculated from baseline to post-treatment.
Time frame: Up to 12 months
Change in SNB Angle (degrees) Assessed by Cephalometric Analysis
SNB (Sella-Nasion-B point) angle measured in degrees on standardized lateral cephalometric radiographs to evaluate sagittal position of the mandible relative to the cranial base. Change calculated from baseline to post-treatment.
Time frame: Up to 12 months
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Change in Upper Incisor Inclination (U1-SN, degrees) Assessed by Cephalometric Analysis
U1-SN angle measured in degrees on standardized lateral cephalometric radiographs to assess maxillary incisor inclination relative to the SN plane. Change calculated from baseline to post-treatment.
Time frame: Up to 12 months
Change in Lower Incisor Inclination (IMPA, degrees) Assessed by Cephalometric Analysis
IMPA (Incisor Mandibular Plane Angle) measured in degrees on standardized lateral cephalometric radiographs to assess mandibular incisor inclination relative to the mandibular plane. Change calculated from baseline to post-treatment.
Time frame: Up to 12 months
Change in Mandibular Plane Angle (Go-Me to SN, degrees) Assessed by Cephalometric Analysis
Mandibular plane angle measured in degrees as the angle between the Go-Me line and the SN plane on standardized lateral cephalometric radiographs (vertical skeletal pattern). Change calculated from baseline to post-treatment.
Time frame: Up to 12 months
Change in Frankfort-Mandibular Plane Angle (FMA, degrees) Assessed by Cephalometric Analysis
FMA measured in degrees on standardized lateral cephalometric radiographs to assess vertical skeletal pattern. Change calculated from baseline to post-treatment.
Time frame: Up to 12 months
Change in Jarabak Ratio (%) Assessed by Cephalometric Analysis
Jarabak ratio calculated as a percentage from standardized lateral cephalometric radiographs to assess vertical facial proportions. Change calculated from baseline to post-treatment.
Time frame: Up to 12 months
Change in Cranio-Cervical Angle (NSL-CVT, degrees) Assessed by Cephalometric Analysis
NSL-CVT angle measured in degrees on standardized lateral cephalometric radiographs to assess head and cervical posture (cranial base to cervical vertebra tangent). Change calculated from baseline to post-treatment.
Time frame: Up to 12 months
Change in Cranio-Cervical Angle (NSL-OPT, degrees) Assessed by Cephalometric Analysis
NSL-OPT angle measured in degrees on standardized lateral cephalometric radiographs to assess head posture relative to the odontoid process tangent. Change calculated from baseline to post-treatment.
Time frame: Up to 12 months
Change in Inner Angle (degrees) Measured on Digital Dental Models
Inner angle measured in degrees on digital dental models as defined in the study protocol. Change calculated from baseline to post-treatment.
Time frame: Up to 12 months