Research Article
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Year 2019, Volume: 22 Issue: 2, 147 - 155, 31.05.2019
https://doi.org/10.7126/cumudj.499216

Abstract

References

  • 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. 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. 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. 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. 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. Güray E, Orhan M. Selçuk type headgear-timer (STHT), Am J Orthod and Dentofacial Orthop 1997;111:87-92.
  • 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. 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.
  • 9. Tortop T and Yüksel S. Treatment and Posttreatment Changes with Combined Headgear Therapy. Angle Orthod 2007;77(5):857-863.
  • 10. Mossaz CF, Byloff FK, Kiliaridis S. Cervical headgear vs pendulum appliance for the treatment of moderate skeletal Class II malocclusion. Am J Orthod Dentofacial Orthop. 2007 Nov;132(5):616-23.
  • 11. Zhang JM, Chen HY, Zhang L. Pancherz's analysis in evaluating the treatment effects of headgear-activator on skeletal Class II divison 1 malocclusion. Hua Xi Kou Qiang Yi Xue Za Zhi 2007;25(6):557-560.
  • 12. Godt A, Berneburg M, Kalwitzki M, Göz G. Cephalometric analysis of molar and anterior tooth movement during cervical headgear treatment in relation to growth patterns. J Orofac Orthop. 2008;69(3):189-200.
  • 13. Graber TM, Swain BF. Current orthodontic concepts and techniques, 2nd ed; St. Louis: CV Mosby, 1975: 365-452.
  • 14. Brandt, Root TL. Interview: Dr. Terrel L. Root on headgear. J Clin Orthod 1975;9(1):20-41.
  • 15. Ramsay DS, Soma M, Sarason IG. Enhancing patient adherence: the role of technology and its application to orthodontics. In: McNamara JA Jr, Trotman CA, Ferrara A, editors. Creating the compliance patient. Monograph 33. Craniofacial Growth Series. Ann Arbor: Center for Human Growth and Development; University of Michigan; 1996:141-65.
  • 16. Northcutt ME Updating the timing headgear, Journal of Clinical Orthodontics, 1975;9:713-717.
  • 17. Mitchell JI. It's time for the timing headgear, Journal of Clinical Orthodontics, 1976;10:919-929.
  • 18. Cureton SL, Regennitter FJ, Yancey JM. The role of the headgear calendar in headgear compliance, Am J Orthod Dentofacial Orthop, 1993;104:387-394.
  • 19. Cole W. Accuracy of patient reporting as an indication of headgear compliance, Am J Orthod Dentofacial Orthop, 2002;121:419-423.
  • 20. Bos A, Hoogstraten J, Prahl-Andersen B. On the use of personality characteristics in predicting compliance in orthodontic practice, Am Jo Orthod Dentofacial Orthop, 2003;123:568-571.
  • 21. Northcutt ME. The timing headgear, J Clinic Orthod, 1974;8:321-324.
  • 22. Cureton SL, Regennitter F, Orbell MG. An accurate, inexpensive headgear timer, J Clinic Orthod, 1991;25:749-754.
  • 23. Kim HY. Statistical notes for clinical researchers: Evaluation of measurement error 2: Dahlberg’s error, Bland-Altman method, and Kappa coefficient. Restorative Dentistry & Endodontics. 2013;38(3):182-185.
  • 24. Kim KR, Muhl ZF. Changes in mandibular growth direction during and after cervical headgear treatment. Am J Orthod Dentofacial Orthop. 2001 May;119(5):522-30.
  • 25. Koch R, Witt E. Die Headgearbehandlung aus fernröntgenologischer Sicht – eine retrospektive Bewertung. Fortschr Kieferorthop 1977;38:197–204.
  • 26. Pirttiniemi P, Kantomaa T, Mäntysaari R, et al. The effects of early headgear treatment on dental arches and craniofacial morphology: an 8 year report of a randomized study. Eur J Orthod 2005;27(5):429–436.
  • 27. Tulloch JFC, Phillips C, Koch G, Proffit WR. The effect of early intervention on skeletal pattern in Class II malocclusion: A randomized clinical trial. Am J Orthod Dentofacial Orthop 1997;111:391–400.
  • 28. Ülgen M. Kephalometrische Untersuchung der Auswirkungen der Distalbißbehandlung mit dem Aktivator und dem Zervikalheadgear auf das Gesichtsskelett und deren Vergleich. Fortschr Kieferorthop 1981;42:337–48.
  • 29. Wiesländer L. The effect of force on craniofacial development. Am J Orthod 1974;65:531–537.
  • 30. Bowden DEJ. Theoretical considerations of headgear therapy: literature review. Br J Orthod 1978;5:145-152.
  • 31. Kopecky GR, Fishman LS. Timing of cervical headgear based on skeletal maturation. Am J Orthod Dentofacial Orthop 1993;104:162-169.
  • 32. Rodrigues C, Mundstock KS, Mundstock CA. Apresentação do sistema CSS como meio de avaliação de uso dos aparelhos de ancoragem extrabucal. Ortodontia Gaúcha 1999;3:109-117.
  • 33. Kirjavainen M, Hurmerinta K, Kirjavainen T. Facial Profile Changes in Early Class II Correction with Cervical Headgear. Angle Orthod, 2007;77(6):960-967.
  • 34. Trakyali G , Sayınsu K, Müezzinoglu AE, Arun T. Conscious hypnosis as a method for patient motivation in cervical headgear wear — a pilot study. Eur J Orthod, 2008;30:147–152.

Compliance and Effectiveness in Cervical Headgear

Year 2019, Volume: 22 Issue: 2, 147 - 155, 31.05.2019
https://doi.org/10.7126/cumudj.499216

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.

References

  • 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. 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. 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. 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. 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. Güray E, Orhan M. Selçuk type headgear-timer (STHT), Am J Orthod and Dentofacial Orthop 1997;111:87-92.
  • 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. 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.
  • 9. Tortop T and Yüksel S. Treatment and Posttreatment Changes with Combined Headgear Therapy. Angle Orthod 2007;77(5):857-863.
  • 10. Mossaz CF, Byloff FK, Kiliaridis S. Cervical headgear vs pendulum appliance for the treatment of moderate skeletal Class II malocclusion. Am J Orthod Dentofacial Orthop. 2007 Nov;132(5):616-23.
  • 11. Zhang JM, Chen HY, Zhang L. Pancherz's analysis in evaluating the treatment effects of headgear-activator on skeletal Class II divison 1 malocclusion. Hua Xi Kou Qiang Yi Xue Za Zhi 2007;25(6):557-560.
  • 12. Godt A, Berneburg M, Kalwitzki M, Göz G. Cephalometric analysis of molar and anterior tooth movement during cervical headgear treatment in relation to growth patterns. J Orofac Orthop. 2008;69(3):189-200.
  • 13. Graber TM, Swain BF. Current orthodontic concepts and techniques, 2nd ed; St. Louis: CV Mosby, 1975: 365-452.
  • 14. Brandt, Root TL. Interview: Dr. Terrel L. Root on headgear. J Clin Orthod 1975;9(1):20-41.
  • 15. Ramsay DS, Soma M, Sarason IG. Enhancing patient adherence: the role of technology and its application to orthodontics. In: McNamara JA Jr, Trotman CA, Ferrara A, editors. Creating the compliance patient. Monograph 33. Craniofacial Growth Series. Ann Arbor: Center for Human Growth and Development; University of Michigan; 1996:141-65.
  • 16. Northcutt ME Updating the timing headgear, Journal of Clinical Orthodontics, 1975;9:713-717.
  • 17. Mitchell JI. It's time for the timing headgear, Journal of Clinical Orthodontics, 1976;10:919-929.
  • 18. Cureton SL, Regennitter FJ, Yancey JM. The role of the headgear calendar in headgear compliance, Am J Orthod Dentofacial Orthop, 1993;104:387-394.
  • 19. Cole W. Accuracy of patient reporting as an indication of headgear compliance, Am J Orthod Dentofacial Orthop, 2002;121:419-423.
  • 20. Bos A, Hoogstraten J, Prahl-Andersen B. On the use of personality characteristics in predicting compliance in orthodontic practice, Am Jo Orthod Dentofacial Orthop, 2003;123:568-571.
  • 21. Northcutt ME. The timing headgear, J Clinic Orthod, 1974;8:321-324.
  • 22. Cureton SL, Regennitter F, Orbell MG. An accurate, inexpensive headgear timer, J Clinic Orthod, 1991;25:749-754.
  • 23. Kim HY. Statistical notes for clinical researchers: Evaluation of measurement error 2: Dahlberg’s error, Bland-Altman method, and Kappa coefficient. Restorative Dentistry & Endodontics. 2013;38(3):182-185.
  • 24. Kim KR, Muhl ZF. Changes in mandibular growth direction during and after cervical headgear treatment. Am J Orthod Dentofacial Orthop. 2001 May;119(5):522-30.
  • 25. Koch R, Witt E. Die Headgearbehandlung aus fernröntgenologischer Sicht – eine retrospektive Bewertung. Fortschr Kieferorthop 1977;38:197–204.
  • 26. Pirttiniemi P, Kantomaa T, Mäntysaari R, et al. The effects of early headgear treatment on dental arches and craniofacial morphology: an 8 year report of a randomized study. Eur J Orthod 2005;27(5):429–436.
  • 27. Tulloch JFC, Phillips C, Koch G, Proffit WR. The effect of early intervention on skeletal pattern in Class II malocclusion: A randomized clinical trial. Am J Orthod Dentofacial Orthop 1997;111:391–400.
  • 28. Ülgen M. Kephalometrische Untersuchung der Auswirkungen der Distalbißbehandlung mit dem Aktivator und dem Zervikalheadgear auf das Gesichtsskelett und deren Vergleich. Fortschr Kieferorthop 1981;42:337–48.
  • 29. Wiesländer L. The effect of force on craniofacial development. Am J Orthod 1974;65:531–537.
  • 30. Bowden DEJ. Theoretical considerations of headgear therapy: literature review. Br J Orthod 1978;5:145-152.
  • 31. Kopecky GR, Fishman LS. Timing of cervical headgear based on skeletal maturation. Am J Orthod Dentofacial Orthop 1993;104:162-169.
  • 32. Rodrigues C, Mundstock KS, Mundstock CA. Apresentação do sistema CSS como meio de avaliação de uso dos aparelhos de ancoragem extrabucal. Ortodontia Gaúcha 1999;3:109-117.
  • 33. Kirjavainen M, Hurmerinta K, Kirjavainen T. Facial Profile Changes in Early Class II Correction with Cervical Headgear. Angle Orthod, 2007;77(6):960-967.
  • 34. Trakyali G , Sayınsu K, Müezzinoglu AE, Arun T. Conscious hypnosis as a method for patient motivation in cervical headgear wear — a pilot study. Eur J Orthod, 2008;30:147–152.
There are 34 citations in total.

Details

Primary Language English
Subjects Health Care Administration
Journal Section Original Research Articles
Authors

Goksu Trakyalı 0000-0001-7261-5504

Nurten Dayıoğlu 0000-0003-4103-6045

Publication Date May 31, 2019
Submission Date December 19, 2018
Published in Issue Year 2019Volume: 22 Issue: 2

Cite

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.


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