Stability of molar relationship after non-extraction Class II malocclusion treatment

Darwin Vaz de LIMA, Karina Maria Salvatore de FREITAS, Marcos Roberto de FREITAS, Guilherme JANSON, José Fernando Castanha HENRIQUES, Arnaldo PINZAN

Objective: This study aimed to evaluate the stability of molar relationship after non-extraction treatment of Class II malocclusion. Methods: The sample comprised 39 subjects (16 females, 23 males) with initial Class II malocclusion treated with no extractions, using fixed appliances. Mean age at the beginning of treatment was 12.94 years, at the end of treatment was 15.14 years and at post-retention stage was 21.18 years. Mean treatment time was 2.19 years and mean time of post-treatment evaluation was 6.12 years. To verify the influence of the severity of initial Class II molar relationship in stability of molar relationship, the sample was divided into two groups, one presenting a ½-cusp or ¾-cusp Class II molar relationship, and the other with full-cusp Class II molar relationship. In dental casts from initial, final and post-retention stages, molar, first and second premolars and canine relationships were measured. Data obtained were analyzed by dependent ANOVA, Tukey and Pearson's correlation tests, as well as independent t test between the two groups divided by severity of initial molar relationship. Results: There was a non-statistically significant 0.12 mm relapse of molar relationship. The initial severity of Class II molar relationship was not correlated to relapse in the post-retention period. When compared, the two groups showed no difference in relapse of molar relationship. Conclusion: It was concluded that correction of Class II molar relationship is stable and initial severity does not influence relapse of molar relationship.

Keywords: Corrective orthodontics. Angle Class II malocclusion. Treatment outcomes.

How to cite: Lima DV, Freitas KMS, Freitas MR, Janson G, Henriques JFC, Pinzan A. Stability of molar relationship after non-extraction Class II malocclusion treatment. Dental Press J Orthod. 2013 Mar-Apr;18(2):42-54.

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