Class II functional orthopedic treatment with Bionator and Twin Block - Literature review
DOI:
https://doi.org/10.33448/rsd-v13i8.46557Keywords:
Bionator; Orthopedics; Interceptor orthodontics; Twin block; Activating devices.Abstract
The Twin Block and Bionator appliances are functional orthopedic appliances indicated for class II malocclusions. The most important step in making these devices is recording the bite in wax where the patient must be instructed to bite with the jaw forward. The ideal phase to carry out treatment with these devices is during or shortly after the beginning of the pubertal peak. As a result of the use of these devices, it is possible to clinically observe orthodontic results such as retraction and uprighting of the upper incisors and vestibularization of the lower teeth, improving the overjet and improving the overbite that occurs during their activation, wearing the acrylic occlusally to help level the curve of spe. There was controversy between orthopedic results regarding mandibular growth, and regarding restriction of maxillary growth.
References
Araújo, A. M., & Buschang, P. H. (2005). Os efeitos dos aparelhos funcionais sobre a dimensão transversal da maxila e mandíbula. R Dental Press Ortodon Ortop Facial, 10(2), 119-128.
Baccetti, T., et al., (2000). Treatment timing for Twin-block therapy. Am J Orthod Dentofacial Orthop. 118(2), 159-70.
Bass, N. M. (1982). Dento-facial orthopaedics in the correction of class II malocclusion. Br J Orthod. 9(1), 3-31.
Baysal, A., & Uysal, T. (2014) Dentoskeletal effects of Twin Block and Herbst appliances in patients with Class II division 1 mandibular retrognathy. Eur J Orthod. 36(2), 164-72.
Bishara, S. E., & Ziaja, R. R. (1989). Functional appliances: a review. Am J Orthod Dentofacial Orthop. 95(3), 250-8.
Bolmgren, G. A., & Moshiri, F. (1986). Bionator treatment in Class II, division 1. Angle Orthod. 56(3), 255-62.
Brennan, J. A., & Littlewood, S. J. (2006). Twin-block re-activation. J Orthod. 33(1), 3-6.
Cançado, R. H., et al. (2009). Eficiência dos protocolos de tratamento em uma duas fases da má oclusão de Classe II, divisão 1*. R Dental Press Ortodon Ortop Facial, 14(1), 61-79.
Carmichael, G. J., Banks, P. A., & Chadwick, S. M. (1999). A modification to enable controlled progressive advancement of the Twin Block appliance. Br J Orthod. 26(1), 9-13.
Clark, W. J. (1982). The twin block traction technique. Eur J Orthod. 4(2), 129-38.
De Almeida, M. R., Henriques, J. F., & Ursi, W. (2002). Comparative study of the Fränkel (FR-2) and bionator appliances in the treatment of Class II malocclusion. Am J Orthod Dentofacial Orthop. 121(5), 458-66,
Dyer, F. M., McKeown, H. F., & Sandler, P. J. (2001). The modified twin block appliance in the treatment of Class II division 2 malocclusions. J Orthod. 28(4), 271-80.
Fränkel, R., & Reis, W. (1971). Zur Problematik der Unterkiefernachentwicklung bei Distalbissfällen [Late mandibular development in cases of overbite]. Fortschr Kieferorthop, 31(3), 345-55,
Freitas, M. R. (2000). Bionator e as Desordens Temporomandibulares (DTM): Mito ou Realidade? R Dental Press Ortodon Ortop Facial, 5(5), 80-84.
Gandhi, V., et al., (2023). Evaluation of Skeletal and Dentoalveolar Changes in Patients With Class II Div 1 Malocclusion Treated With Twin Block Appliance. Cureus. 15(11): e49364.
Graber, T. M., & Vanarsdall JR., R. L. (1994) Orthodontics: current principles and techniques. (2nd ed.) St. Louis: C. V. p. 965.
Jena, A. K., Singh, S. P., & Utreja, A. K. (2013). Effectiveness of twin-block and Mandibular Protraction Appliance-IV in the improvement of pharyngeal airway passage dimensions in Class II malocclusion subjects with a retrognathic mandible. Angle Orthod. 83(4), 728-34.
Kalbande B., et al., (2023) Treatment of Skeletal Class II Division 1 Using Twin Block Myofunctional Appliance. Cureus. 26;15(10):e47713.
Khan, M. I., Et al., (2022) Dentoskeletal effects of Twin Block appliance in patients with Class II malocclusion. Med Pharm Rep. 95(2), 191-196.
Lange, D. W., Et al., (1995) Changes in soft tissue profile following treatment with the bionator. Angle Orthod. 65(6), 423-30.
Marsico, E., et al., (2011) Effectiveness of orthodontic treatment with functional appliances on mandibular growth in the short term. Am J Orthod Dentofacial Orthop. 139(1), 24-36.
McNamara, J. A. Jr. (1981). Components of class II malocclusion in children 8-10 years of age. Angle Orthod. 51(3), 177-202.
Nabarro, P. A. D., & Höfling, R. T. B. (2008) Efetividade do aparelho ortopédico Bionator de Balters no tratamento do ronco e Apnéia do sono. R Dental Press Ortodon Ortop Facial 39, 13(4), 36-44.
Neves, L. S., Et al., (2018) Influence of fixed appliances on two-phase orthopedic-orthodontic treatment. Brazilian Journal of Oral Science, 17.
Neves, L. S., Et al., (2004) A utilização do aparelho Bionator de Balters para a correção da má-oclusão de classe II, 2ª divisão – relato de um caso clínico. J Bras Ortodon Ortop Facial, 9(53), 447-57.
Olibone, V. L. L., et al., (2006) Influência do aparelho propulsor Twin Block no crescimento mandibular: revisão sistemática da literatura* .R Dental Press Ortodon Ortop Facial, 11(1), 19-27.
Ortolani-Faltin, C., & Junior, K. F. (1998) Bionator de Balters. Revista Dental Press de Ortodontia e Ortopedia Facial - 3(6).
Pereira, A. S., Shitsuka, D. M., Pereira, F. J., & Shitsuka, R. (2018) Metodologia da pesquisa científica. UFSM: Santa Maria.
Qi, J., Et al., (2007) A preliminary report of a new design of cast metal fixed twin-block appliance. J Orthod. 34(4), 213-9.
Rudzki-Janson, I., & Noachtar, R. (1998) Functional appliance therapy with the Bionator. Semin Orthod. 4(1), 33-45.28.
Saikoski, L. Z., Et al., (2014) Dentoskeletal effects of Class II malocclusion treatment with the Twin Block appliance in a Brazilian sample: a prospective study. Dental Press J Orthod. 19(1), 36-45.
Shah, A. A., & Sandler, J. (2009) How to ... take a wax bite for a Twin Block appliance. J Orthod. 36(1), 10-2.
Siara-Olds, N. J., Et al., (2010) Long-term dentoskeletal changes with the Bionator, Herbst, Twin Block, and MARA functional appliances. Angle Orthod. 80(1), 18-29.
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