American journal of orthodontics and dentofacial orthopedics : official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics
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Am J Orthod Dentofacial Orthop · Jul 2004
Biography Historical ArticleThe American Board of Orthodontics and specialty certification: the first 50 years.
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Am J Orthod Dentofacial Orthop · Feb 2003
Comparative StudyMaxillary molar distalization or mandibular enhancement: a cephalometric comparison of comprehensive orthodontic treatment including the pendulum and the Herbst appliances.
Several methods of Class II treatment that do not rely on significant patient compliance have become popular during the last decade, including several versions of the Herbst appliance and the pendulum or Pendex molar-distalization appliances. Yet, these 2 general approaches theoretically have opposite treatment effects, one presumably enhancing mandibular growth, and the other moving the maxillary teeth posteriorly. This study examined the treatment effects produced by 2 types of the Herbst appliance (acrylic splint and stainless-steel crown) followed by fixed appliances, and the pendulum appliance followed by fixed appliances. ⋯ It is important not to generalize the findings of this comparison beyond the appliance systems evaluated. The 2 general approaches we evaluated involved a substantial dentoalveolar component in the treatment of Class II malocclusion. A comparison of a molar-distalizing appliance such as the pendulum with other types of functional appliances might yield differing results.
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Am J Orthod Dentofacial Orthop · Sep 2000
Effects of a mandibular repositioner on obstructive sleep apnea.
The purpose of this study was to investigate the effects of a mandibular repositioner on airway, sleep, and respiratory variables in patients with obstructive sleep apnea. Twenty-two patients selected for this study were confirmed with a diagnosis of obstructive sleep apnea based on initial nocturnal polysomnography. The patients were fitted with a mandibular repositioner designed to hold the mandible anteroinferiorly. ⋯ A significant linear correlation was found between the reduction in apnea index and specific craniofacial skeletal structures (length of anterior cranial base, mandibular plane angle, and upper to lower facial height ratios, P <.05). Subjects with a smaller reduction in apnea index tended to have shorter anterior cranial bases, steeper mandibular planes, and smaller upper to lower facial height ratios. We conclude that a mandibular repositioner may be an effective treatment alternative for obstructive sleep apnea and that a reduction in the frequency of apneic episodes is mainly attributed to the effects of the appliance on oropharyngeal structures.
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Am J Orthod Dentofacial Orthop · Jan 2000
A new approach in maxillary molar distalization: intraoral bodily molar distalizer.
The objectives of our study were to achieve bodily molar distalization, avoid distal tipping of molars, eliminate the need for patient cooperation (no headgear, no elastics, and no esthetic and social concern), and finally to minimize the treatment period and maximize the treatment efficiency. The study was carried out on 5 males and 10 females, a total of 15 patients. Mean age for the study group was 13.53 years. ⋯ Maxillary central incisors were proclined by an average of 4.7 mm (P <.001) and tipped 6.73 degrees labially (P <.01). Model analysis showed that maxillary first molars were not rotated, and intermolar distance did not change after distal movement of molars. In conclusion, unlike most of the other molar distalization mechanics, this newly developed device achieved (1) bodily distal movement of maxillary molars and (2) eliminated dependence on patient cooperation and did not require headgear wear for molar root uprighting.
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Am J Orthod Dentofacial Orthop · Jan 2000
Comparative Study Historical ArticleDental and skeletal findings on an ancient Egyptian mummy.
The dentofacial structures of an ancient Egyptian mummy were radiographically evaluated from available computer tomographic scans. The cephalometric measurements obtained were compared to those available on ancient Egyptian Pharaohs as well as to modern cephalometric standards for adult males. The measurements on "Lady" Udja were closely related to both sets of cephalometric standards. The dental findings include: noticeable generalized attrition of the dentition, extracted lower first molar, and impacted maxillary third molars.