Research Article

Compliance and Effectiveness in Cervical Headgear

Volume: 22 Number: 2 May 31, 2019
EN

Compliance and Effectiveness in Cervical Headgear

Abstract

Abstract

Objectives: The aim of the present study was to evaluate the correlation between headgear wear duration and correction of skeletal and dental Class II malocclusion in preadolescent patients.

Materials and Methods: The study material consisted of pre and post treatment lateral cephalograms, and actual headgear wear hours calculated from data recorded monthly by Compliance Science System and Affirm smart headgear modules, (Compliance Science System (CSS) and Affirm smart headgear modules, Ortho Kinetics, Vista, California, USA) of 30 patients (14 female and 16 male) treated with cervical headgear for 12 months. The mean age was 10.43 ± 1.07 years. Initial and progress cephalograms were analyzed according to skeletal and dental landmarks to evaluate treatment effect of the appliance. The actual number of hours of appliance wear was calculated by data from timer modules collected every monthly visit. Statistical analysis was performed by using SPSS 24.0.

Results: Results showed that a restriction of sagittal growth of maxilla was achieved in the group using the cervical headgear over 12 hours, while a sagittal growth was observed in the group using the headgear for less than 12 hours daily.

Conclusion: The cervical headgear is still used in orthodontics to restrict the forward growth of maxilla in Class II division 1 patients with a normal or low angle profile. By means of objective data for monthly appliance usage, this study showed that in order to achieve the targeted results the cervical headgear should be used at least 12 hours daily.

 

 Özet

Amaç: Bu çalışmanın amacı, genç bireylerde, servikal headgear kullanım süresi ile iskeletsel ve dental Sınıf II maloluzyonun tedavi sonucu ile arasındaki ilişkinin değerlendirilmesidir.

Materyal ve Metod: Çalışma materyali, servikal headgear ile tedavi olan ortalama yaş aralığı 10.43 ± 1.07 olan 30 hastanın (14 kız and 16 erkek) tedavi öncesi ve tedavi sonrası lateral sefalometrik radyografileri ve Compliance Science System and Affirm smart headgear modül, (Compliance Science System (CSS) and Affirm smart headgear modules, Ortho Kinetics, Vista, California, USA) ile kaydedilen aylık aparey kullanma sürelerini gösteren verilerden oluşmuştur. Apareyin tedavi üzerindeki etkinliği hastaların tedavi öncesi ve sonrası laterakl sefalamoterik radyografilerinin üzerinde belirlenen iskeletsel ve dental noktalar ile yapılan ölçümler ile belirlenmiştir. Aparey kullanma süreleri her ay kontrol randevusunda modüllerin okutulması ile edlde edilmiştir. İstatistiksel analizler SPSS 24.0 programı kullanılara yapılmıştır.

Bulgular: Apareyi 12 saatten fazla kullanan grupta maksillanın sagittal yön büyümesinin frenlendiği gözlenirken, aparey, 12 saatten daha az kullanan hastalarda sagittal yönde maksillar büyümenin olduğu gözenmiştir.

Sonuç: Servikal headgear Sınıf II bölüm 1 malokluzyon tedavisinde maksillar büyümeyi frenlemek amacı ile kullanılan bir apareydir. Servikal headgear kullanımında istenilen hedefe erişilmesi için apareyin günde en az 12 saat kullanılması gerektiği objektif veriler kullanılarak ortaya konulmuştur.

Keywords

References

  1. 1. Kirjavainen M, Kirjavainen T, Haavikko K. Changes in dental arch dimensionsby use of an orthopedic cervical headgear in Class II correction. Am J Orthod Dentofacial Orthop 1997;111:59–66.
  2. 2. Kirjavainen M, Kirjavainen T, Hurmerinta K, Haavikko K. Orthopedic cervical headgear with an expanded inner bow in Class II correction. Angle Orthod 2000;70:317–325.
  3. 3. Kirjavainen M, Kirjavainen T. Maxillary expansion in Class II correction with orthopedic cervical headgear: a posteroanterior cephalometric study. Angle Orthod 2003;73:281-285.
  4. 4. Wieslander L. Early or late cervical traction therapy of Class II malocclusion in the mixed dentition. Am J Orthod 1975;67(4):432-439.
  5. 5. Allan T, Hodgson E. The use of personality measurements as a determinant of patient cooperation in an orthodontic practice. Am J Orthod 1968;54(6):433-440.
  6. 6. Güray E, Orhan M. Selçuk type headgear-timer (STHT), Am J Orthod and Dentofacial Orthop 1997;111:87-92.
  7. 7. Doruk C, Ağar U, Babacan H. The role of the headgear timer in extra oral cooperation, Eur J of Orthod 2004;26:289-291.
  8. 8. Brandão M, Pinho HS, Urias D.Clinical and quantitative assessment of headgear compliance: a pilot study. Am J Orthod Dentofacial Orthop 2006;129(2):239-244.

Details

Primary Language

English

Subjects

Health Care Administration

Journal Section

Research Article

Authors

Nurten Dayıoğlu
0000-0003-4103-6045
Türkiye

Publication Date

May 31, 2019

Submission Date

December 19, 2018

Acceptance Date

March 18, 2019

Published in Issue

Year 1970 Volume: 22 Number: 2

EndNote
Trakyalı G, Dayıoğlu N (May 1, 2019) Compliance and Effectiveness in Cervical Headgear. Cumhuriyet Dental Journal 22 2 147–155.

Cumhuriyet Dental Journal (Cumhuriyet Dent J, CDJ) is the official publication of Cumhuriyet University Faculty of Dentistry. CDJ is an international journal dedicated to the latest advancement of dentistry. The aim of this journal is to provide a platform for scientists and academicians all over the world to promote, share, and discuss various new issues and developments in different areas of dentistry. First issue of the Journal of Cumhuriyet University Faculty of Dentistry was published in 1998. In 2010, journal's name was changed as Cumhuriyet Dental Journal. Journal’s publication language is English.


CDJ accepts articles in English. Submitting a paper to CDJ is free of charges. In addition, CDJ has not have article processing charges.

Frequency: Four times a year (March, June, September, and December)

IMPORTANT NOTICE

All users of Cumhuriyet Dental Journal should visit to their user's home page through the "https://dergipark.org.tr/tr/user" " or "https://dergipark.org.tr/en/user" links to update their incomplete information shown in blue or yellow warnings and update their e-mail addresses and information to the DergiPark system. Otherwise, the e-mails from the journal will not be seen or fall into the SPAM folder. Please fill in all missing part in the relevant field.

Please visit journal's AUTHOR GUIDELINE to see revised policy and submission rules to be held since 2020.