Chinese Journal of Tissue Engineering Research ›› 2021, Vol. 25 ›› Issue (29): 4593-4599.doi: 10.12307/2021.155

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Two appliances for anterior crossbite correction in deciduous dentition: a comparison of permanent incisor germ displacement based on cephalometric measurement

Liu Yafei1, Zuo Yanping1, Liu Xin2, Zhao Lixia1, Wei Jing1   

  1. 1Department of Orthodontics, the First Hospital of Hebei Medical University, Shijiazhuang 050031, Hebei Province, China; 2Department of Stomatology, the Fourth Hospital of Hebei Medical University, Shijiazhuang 050017, Hebei Province, China
  • Received:2020-11-09 Revised:2020-11-12 Accepted:2020-12-24 Online:2021-10-18 Published:2021-06-01
  • Contact: Zuo Yanping, MD, Professor, Department of Orthodontics, the First Hospital of Hebei Medical University, Shijiazhuang 050031, Hebei Province, China
  • About author:Liu Yafei, Master, Associate chief physician, Department of Orthodontics, the First Hospital of Hebei Medical University, Shijiazhuang 050031, Hebei Province, China
  • Supported by:
    the Scientific Research Fund of Hebei Provincial Health Department, No. 20100050 (to LYF)

Abstract:

BACKGROUND: Currently, it is still unclear on the mechanism by which anterior crossbite correction in deciduous dentition exerts a role in permanent incisor germ.

OBJECTIVE: To compare and analyze the changes in the position and angle of the maxillary permanent incisor germ after the modified block appliance and the protraction appliance are used to correct anterior crossbite in the deciduous dentition.  

METHODS: Thirty-six patients with deciduous anterior crossbite admitted from 2008 to 2018 were treated with modified block appliance or protraction appliance. The positions and angles of maxillary permanent incisor germs before and after orthodontic treatment were measured and analyzed. The implementation of the study protocol complied with the relevant ethical requirements of the First Hospital of Hebei Medical University, and guardians of these included children were fully informed of the trial process. 
RESULTS AND CONCLUSION: Preoperatively, the inclination of the maxillary permanent incisor germs G1-SN and G1-NA were smaller in the modified block appliance group than in the protraction appliance group (both P < 0.05) The axial distance of the incisal edge and root tip of maxillary permanent incisor germs in X-axis and Y-axis was increased obviously in the two groups (P < 0.05 or P < 0.01), especially in the protraction appliance group (P < 0.05 or P < 0.01 or P < 0.001). These findings indicate that both modified block appliance and protraction appliance can make maxillary permanent incisor germs move forward and downward, and the displacement is more evident after orthodontic treatment with protraction appliance. Compared with the modified block appliance, the protraction appliance has a more obvious effect on the forward and downward movement of maxillary permanent incisor germs, and this movement mode is similar to the whole movement.

Key words: deciduous anterior crossbite, permanent incisor germs, modified block appliance, protraction appliance, class III malocclusion

CLC Number: