ArticleChildren (Basel, Switzerland)2025
Comparison of the Skeletal and Dento-Alveolar Changes Obtained with a Customized Elastodontic Appliance and Twin Block: A Prospective Investigation.
Article in Children (Basel, Switzerland), 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
objectivesThis study aimed to compare the skeletal and dentoalveolar effects of a fully customized elastodontic appliance with those of the traditional Twin Block appliance in growing patients with Class II malocclusion during the mixed dentition phase.
methodsA total of 35 patients were included: 18 treated with a customized elastodontic appliance (C-Ela group) and 17 with a Twin Block appliance (TB group). Digital dental models and lateral cephalometric radiographs were obtained at baseline (T1) and after 12 months of treatment (T2). All patients were treated by experienced clinicians according to standardized appliance protocols. Data analysis was performed by a blinded operator using Ortho Analyzer and Dolphin Imaging software. The Shapiro-Wilk test was applied to verify the normal distribution of the data. Paired-sample
resultsBoth groups showed significant intragroup improvements in overjet (C-Ela: -2.77 ± 2.07; TB: -2.30 ± 2.72 mm), overbite (C-Ela: -1.79 ± 1.95; TB: -1.40 ± 2.65 mm), and sagittal molar relationship (
conclusionsBoth appliances effectively corrected Class II malocclusions. However, the customized elastodontic device provided better dentoalveolar control, particularly in managing anterior crowding and incisor inclination. Its individualized fit may enhance biomechanical precision and improve overall treatment outcomes in growing patients.
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