Evidence in Orthodontics

31- Can Early Facemask Treatment Prevent Surgery

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This episode explores a multicenter study on early face mask therapy for Class III treatment and its potential to reduce future jaw surgery needs.

  • Study involved 73 children, ages 7-9, followed for 6 years.
  • Early face mask therapy reduced the likelihood of surgery by two-thirds for the treated group.
  • No significant long-term skeletal differences were observed by age 15.
  • A persistent change was a clockwise rotation of the maxilla and mandible.
  • Clinically, two-thirds of treated children maintained a positive overjet.

    • While the therapy doesn't eliminate all Class III issues, it helps avoid some children needing surgery. Future directions include exploring skeletal anchorage for consistent results.

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    Evidence in OrthodonticsBy Dr. Baxmann MSc PhD