Effects of Angle class II correction with the Forsus fatigue resistant device on mandibular third molars A retrospective study


IŞIK ASLAN B., AKARSLAN Z., KARADAĞ ÇAMAN Ö.

JOURNAL OF OROFACIAL ORTHOPEDICS-FORTSCHRITTE DER KIEFERORTHOPADIE, vol.82, no.6, pp.403-412, 2021 (SCI-Expanded) identifier identifier identifier

  • Publication Type: Article / Article
  • Volume: 82 Issue: 6
  • Publication Date: 2021
  • Doi Number: 10.1007/s00056-021-00281-7
  • Journal Name: JOURNAL OF OROFACIAL ORTHOPEDICS-FORTSCHRITTE DER KIEFERORTHOPADIE
  • Journal Indexes: Science Citation Index Expanded (SCI-EXPANDED), Scopus, EMBASE, MEDLINE
  • Page Numbers: pp.403-412
  • Keywords: Third molar, Eruption space, Retromolar space, Fixed orthodontic appliances, Angle class II malocclusion
  • Hacettepe University Affiliated: Yes

Abstract

Purpose The goal was to evaluate the effects of Angle class II malocclusion treatment using the Forsus fatigue resistant device (FRD, 3M, St. Paul, MN, USA) on the position and angulation of mandibular third molars and retromolar space. Patients and methods In all, 58 class II patients (mean age 13.6 +/- 1.8 years) treated with the FRD (FRD group) were compared with 51 class I patients (mean age 13.5 +/- 1.6 years) who underwent orthodontic treatment (control group). A total of 109 mandibular third molars in the FRD group and 91 in the control group were evaluated. Changes in the retromolar space, angulation of the second (gamma) and third molars (beta), and the angle between these teeth (alpha) were assessed with panoramic radiographs taken at the beginning and the end of the treatment. Data were statistically analyzed. Results At the end of the treatment, there were significant increases in gamma and beta in the FRD group and gamma in the control group (p < 0.05). The decrease in alpha in the FRD group and increase in the control group were not significant (p > 0.05); however, this change led to a small significant change between the groups (p < 0.05). The retromolar space significantly increased in the FRD group compared to the control group (p < 0.05). No significant correlation was found between retromolar space and third molar uprighting in any of the groups (p > 0.05). Conclusion Class II correction with FRD led to mesialization of the lower arch which provided an increase in the retromolar space. Little improvement in the uprighting of the third molars occurred.