Treatment effects of maxillary splint and Bionator appliances in the treatment of Class II division 1 malocclusion

Renata Rodrigues de ALMEIDA-PEDRIN, Arnaldo PINZAN, Renato Rodrigues de ALMEIDA, Marcio Rodrigues de ALMEIDA, José Fernando Castanha HENRIQUES

The purpose of this investigation was to evaluate and compare the cephalometric changes of maxillary splint and bionator appliances on individuals with Class II, division 1 malocclusion. Lateral cephalograms were available for 90 patients of both sex, divided in three groups of 30 each one. The first group served as a control group, with initial mean age of 10.02 years. The second group was treated with maxillary splint appliance with initial mean age of 10.02 years. The group 3 was treated with Bionator appliance with initial mean age of 10.35 years. The lateral cephalometric headfilms were taken of each patient at the beginning and the end of treatment, in a total of 180 headfilms. The cephalometric variables were analyzed with statistical tests. The results showed that only maxillary splint influenced changes in forward growth of the maxilla and Bionator appliances provides a statistically significant increase in mandibular protrusion. However, it was observed that both appliances provides an increase in total mandibular and body length, with greater values in group 2, but these results do not showed statistically differences. This study indicated that both appliances provide an improvement in the maxillomandibular relationship, compared to the control group. In addition, there were no statistically significant differences in the craniofacial growth pattern among the three groups nor in the facial heights. It was observed that both appliances produced lingual inclination and retrusion of the upper incisors. Maxillary splint provided lingual tipping of the lower incisors while Bionator produced labial tipping and protrusion of these teeth. The lower molars showed a greater vertical development and extrusion in experimental groups. The maxillary splint produced distal movement of the first upper molars and bionator showed mesial inclination.

Keywords: Maxillary splint and Bionator appliances. Class II, division 1. Orthopedics.

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