Change in the vertical dimension of Class II Division 1 patients after use of cervical or high-pull headgear

Am J Orthod Dentofacial Orthop 2016;150:771-81


The goals of this study were to compare the effects that cervical and high-pull headgear have on the vertical dimensions in Class II Division 1 patients during phase 1 treatment and to compare these effects with untreated predicted growth for the sample population. Methods: Pretreatment and posttreatment cephalometric radiographs of children who had undergone Class II Division 1 correction with cervical (n 5 22) or high-pull headgear (n 5 19) were analyzed for the measurements that describe the changes in the vertical component of growth and mandibular position. The groups were matched for age (mean, 9 6 2.5 years), treatment time (mean, 14 months), malocclusion, and similar skeletal features. The groups were compared with each other and also with an untreated growth model. Results: Treatment with cervical headgear resulted in smaller increases in measurements that describe the vertical dimension than with high-pull headgear. Cervical headgear showed more favorable changes in mandibular growth that were statistically significant when compared with the untreated growth models.

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