The effect of Frankel Ⅲ orthodontic appliance combined with lip muscle training in the treatment of malocclusion during mixed dentition

doi:10.19439/j.sjos.2024.04.018

Abstract

Abstract: PURPOSE: To exploring the clinical effect of lip muscle training combined with Frankel Ⅲ orthodontic appliances in correcting Class Ⅲ malocclusion during the mixed dentition period. METHODS: One hundred children with Class Ⅲ malocclusion during the mixed dentition period admitted to Hangzhou Greentown Stomatological Hospital from June 2018 to December 2022 were selected. The children were randomly divided into a combination group (treated with lip muscle training and Frankel Ⅲ orthodontic appliance) and a control group (treated with Frankel Ⅲ orthodontic appliance), with 50 cases in each group. X-ray cephalometric indicators, temporomandibular joint parameters, upper airway measurement parameters and 12 month follow-up of the two groups of children were compared before and after treatment. SPSS 21.0 software package was used for statistical analysis. RESULTS: Before treatment, there was no significant difference of SNA, SNB, ANB, U1-NA, L1-NB, ANS-Ptm, S-Ptm, Co Po, Co-S, MP-SN, MP-FH and NP-FH between the combination group and the control group (P>0.05). After treatment, ANB, U1-NA, L1-NB and MP-SN in the combination group were significantly higher than those in the control group, while NP-FH were significantly lower than that in the control group(P<0.05). Before treatment, there was no significant difference of the joint space, anterior joint space and posterior joint space between the combination group and the control group patients(P>0.05); after treatment, the joint space and the joint space in the combination group were significantly higher than those in the control group(P<0.05). Before treatment, there was no significant difference of Ba PNS, Ad1 PNS, Ad2 PNS, Mc1 Mc2, SPP-SPPW, U-MPW, PAS and V-LPW between the combination group and the control group(P>0.05); after treatment, Ad2-PNS in the combination group was significantly higher than that in the control group(P<0.05). After 12 months of follow-up, the recurrence rate of the combination group was 2.00%, which was significantly lower than that (16.00%) of the control group (P<0.05). CONCLUSIONS: The combination of lip muscle training and Frankel III orthodontic appliances is more conducive to correcting Class III malocclusion during the replacement period, improving upper airway morphology, and reducing the recurrence rate after treatment.

Key words: Lip muscle training, Frankel Ⅲ orthodontic appliance, Dental replacement period, Malocclusion

CLC Number:

R783.5

DING Min-lin, ZHANG Hai-liang, ZHANG Ji-min. The effect of Frankel Ⅲ orthodontic appliance combined with lip muscle training in the treatment of malocclusion during mixed dentition[J]. Shanghai Journal of Stomatology, 2024, 33(4): 432-437.

References

[1] Masucci C, Oueiss A, Maniere-Ezvan A, et al.What is a malocclusion?[J]. Orthod Fr, 2020, 91(1-2): 57-67.
[2] Dehesa-Santos A, Iber-Diaz P, Iglesias-Linares A.Genetic factors contributing to skeletal Class III malocclusion: a systematic review and meta-analysis[J]. Clin Oral Investig, 2021,25(4):1587-1612.
[3] da Costa JB, Frazier K, Duong ML, et al. Defective restoration repair or replacement: an American Dental Association Clinical Evaluators Panel survey[J]. J Am Dent Assoc, 2021, 152(4): 329-330. e2.
[4] Owens D, Watkinson S, Harrison JE, et al. Orthodontic treatment for prominent lower front teeth (Class III malocclusion) in children[J]. Cochrane Database Syst Rev, 2024, 4(4):CD003451.
[5] Macri M, Rendina F, Perrella G, et al.CBCT evaluation in a growing patient with Mandibular asymmetry treated with rapid palatal expander and Frankel-III[J]. Case Rep, 2021, 22(7): e356.
[6] Macrì M, Festa F.Three-dimensional evaluation using CBCT of the mandibular asymmetry and the compensation mechanism in a growing patient: a case report[J]. Front Public Health, 2022, 10(7): 921413.
[7] Nogami Y, Saitoh I, Inada E, et al.Lip-closing strength in children is enhanced by lip and facial muscle training[J]. Clin Exp Dent Res, 2022, 8(1): 209-216.
[8] Inada E, Kaihara Y, Nogami Y, et al.Lip and facial training improves lip-closing strength and facial morphology[J]. Arch Oral Biol, 2023, 154(8): 105761.
[9] 傅民魁. 口腔正畸学[M]. 6版, 北京: 人民卫生出版社, 2012.
[10] Campbell C, Millett D, Kelly N, et al.Frankel 2 appliance versus the modified twin block appliance for phase 1 treatment of Class II division 1 malocclusion in children and adolescents: a randomized clinical trial[J]. Angle Orthod, 2020, 90(2): 202-208.
[11] 鄢洁雅, 林怡君, 李雅欣, 等. 骨性Ⅲ类错𬌗畸形患者双颌手术后上气道形态变化及相关性分析[J]. 上海口腔医学, 2023, 32(5): 485-490.
[12] 高丽萍, 汤莉, 万露, 等. 儿童骨性Ⅲ类错𬌗牙弓和基骨弓的生长发育特点[J]. 中国组织工程研究, 2022, 26(32): 5229-5235.
[13] Lyu L, Lin H, Huang H.The effect of combined maxillary pad movable appliance and FR-III functional appliance in the treatment of skeletal Class III malocclusion of deciduous teeth[J]. BMC Oral Health, 2022, 22(1):485.
[14] Krekeler BN, Rowe LM, Connor NP.Dose in exercise-based dysphagia therapies: a scoping review[J]. Dysphagia, 2021, 36(1): 31-32.
[15] Tada M, Ofusa W, Shiratori T, et al.Electromyographic evaluation of perioral muscle activities during facial expression and button-pull exercise[J]. J Oral Rehabil, 2021, 48(11): 1226-1234.
[16] 陈彧洋, 吴卓轩, 宫宇, 等. 错𬌗畸形的发生及治疗与舌、舌骨位置以及气道大小的关系[J]. 现代口腔医学杂志, 2023, 37(1): 26-30,58.
[17] 任小华, 韩红娟, 吴浩. 青春期骨性Ⅲ类错𬌗畸形改良前后侧貌改变相关研究[J]. 四川医学, 2018, 39(7): 730-734.
[18] Jha AK, Chandra S.Early management of Class III malocclusion in mixed dentition[J]. Int J Clin Pediatr Dent, 2021, 14(2):331-334.
[19] 尹艳波, 赵鑫. 前方牵引联合口唇肌训练预防替牙期Ⅲ类错𬌗畸形正畸术后错复发的临床效果探讨[J].山西医药杂志, 2022, 51(13): 1477-1479.
[20] Beltrami F, Kiliaridis S, Antonarakis GS.Long-term stability of posterior crossbite correction, treated in the mixed or permanent dentition of growing children: a systematic review and meta-analysis[J]. Orthod Craniofac Res, 2024, 27(1):1-14.