Malocclusion, Angle Class II Clinical Trial
Official title:
Effect of Low-Intensity Pulsed Ultrasound Applied on Temporomandibular Joint Region on Functional Treatment of Class II Malocclusion: A Randomized Controlled Trial
This experimental study will evaluate the effect of combined treatment with low-intensity
pulsed ultrasound (LIPUS) and functional appliances (twin-block) on the correction of class
II malocclusion, compared with the control group treated with functional appliances
(twin-block) only.
The study sample will consist of 40 patients with class II malocclusion. The sample will be
allocated randomly into two groups: control group and experimental group.
The functional appliance (twin-block) will be applied for all patients, while the
low-intensity pulsed ultrasound (LIPUS) will be applied for the experimental group only. The
skeleto-dental changes occurring after functional treatment will be assessed using
cephalometric radiographs; pre and post- treatment changes for each group will be evaluated
individually, and the two groups will be compared.
Studies of the etiologic factors of Class II malocclusions recognize that most Class II
malocclusions are a result of mandibular deficiency and not of maxillary excess. For many
patients, especially adults, optimal overall results are best obtained using a combined
orthodontic-surgical approach. However, treating such cases early while the patient is still
growing, using mandibular propulsive functional appliances, can produce satisfactory
improvement in the facial esthetics, and minimizes the need for surgical intervention in many
cases.
Ultrasound (US), a form of mechanical energy that is transmitted through and into biological
tissues as an acoustic pressure wave at frequencies above the limit of human hearing, is used
widely in medicine as a therapeutic, operative and diagnostic tool. Therapeutic US, and some
operative US. Previous studies on animals have found that therapeutic ultrasound (US) can
stimulate and enhance mandibular growth when applied during the active growth period.
This study will evaluate the effect of low-intensity pulsed ultrasound (LIPUS) on the growth
of mandible and the duration of functional treatment.
Twin-block will be applied to the two groups. While the control group will receive the
twin-block only, the experimental group will receive the twin-block combined with
low-intensity pulsed ultrasound (LIPUS) on Temporomandibular joint (TMJ) region.
Cephalometric radiographs will be obtained before and after functional treatment to evaluate
the dento-skeletal changes.
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