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  • Title: Treatment of Skeletal Class II Division 1 Using Twin Block Myofunctional Appliance.
    Author: Kalbande B, Jadhav VV, Reche A, Nerurkar S, Ghulaxe Y.
    Journal: Cureus; 2023 Oct; 15(10):e47713. PubMed ID: 38022141.
    Abstract:
    Myofunctional appliances are customarily used to treat Class II malocclusions in growing children to alter their growth. Functional appliances are widely accepted to enhance skeletal relationships in the short term efficiently. It utilizes muscular forces by muscles to make dental and skeleton modifications. The myofunctional appliance might be removable or fixed. The variation of mode and method of action depends on the design, but the forces created by the muscles' stretching provide their effect. According to research, the effectiveness of functional appliances as a therapy for Class II malocclusion might be influenced by mandibular growth patterns. Their low skeletal maturation influence outweighs the primary dentoalveolar impact of the twin block myofunctional orthodontic appliances. Class II malocclusions can benefit by using myofunctional appliances in specific clinical situations, such as when the patient is still developing. These devices make the fixed appliance phase easier to use, but their effectiveness depends heavily on the patient's compliance. In this case, an 11-year-old female expressed concern about the forward positioning of her upper front teeth when she visited the department of orthodontics. Twin block, a myofunctional appliance, was used to manage it, and then fixed orthodontic treatment was used to fine-tune the occlusion. This case report illustrates the design and treatment effects.
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