ABSTRACT

Objectives

To evaluate the use of the Forsus Fatigue Resistant Device (FFRD), supported with bimaxillary splints, in treatment of skeletal Class II malocclusion.

Materials and Methods

Data from 46 skeletal Class II females who received either conventional Forsus alone (FFRD group) (15 patients, 12.54 ± 0.90 years), FFRD and bimaxillary splints (splint-FFRD group) (15 patients, 12.29 ± 0.82 years), or were untreated controls (16 subjects, 12.1 ± 0.9 years) were retrieved from previous clinical trials. FFRD was inserted onto the mandibular archwire in the FFRD group after leveling and alignment with multibracket appliances. In the splint-FFRD group, Forsus was inserted between fixed maxillary and mandibular splints. Treatment continued until reaching an edge-to-edge incisor relationship.

Results

Both treatment groups failed to induce significant mandibular skeletal effects compared to the normal growth exhibited by untreated controls. The splint-FFRD group showed significant reduction of SNA (−0.88° ± 0.51°) and ANB (−1.36° ± 0.87°). The mandibular incisors showed significant proclination in the FFRD (9.17° ± 2.42°) and splint-FFRD groups (7.06° ± 3.34°).

Conclusions

The newly proposed splint-supported FFRD was equally effective as the conventional FFRD in treatment of Class II malocclusion with dento-alveolar changes and additional maxillary restricting effect. It has an additional advantage of immediate initiation of the Class II correction.

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Author notes

a

Lecturer, Department of Orthodontics, Faculty of Dentistry, Cairo University, Cairo, Egypt.

b

Lecturer, Department of Orthodontics, Faculty of Dentistry, Ain Shams University, Cairo, Egypt.

c

Professor, Department of Orthodontics, Faculty of Dentistry, Cairo University, Cairo, Egypt.

d

Associate Professor, Department of Orthodontics, Faculty of Dentistry, Ain Shams University, Cairo, Egypt.