Dr. Anna Wasiewicz, Dr. Alon Zeidman
Received her dental education at the Medical University of Warsaw in 2007. Since 2007 she has been working at the private practice limited to orthodontics and has been using lingual orthodontics since 2008. In addition to the clinical work she has been involved in research and teaching at the Department of Orthodontics at the Medical University of Warsaw since 2010. Her research interests include facial and dental aesthetics, adult orthodontic treatment, TADs and sleep apnea. She has received scientific awards for some of her studies, including those given by the Rector of the Medical University of Warsaw in 2005 and 2015. Dr. Anna Wasiewicz defended the PhD degree in 2015. In 2015 she has also completed an International Master’s of Science course in Lingual Orthodontics at the Federico II University of Naples, Italy. Dr. Anna Wasiewicz is a member of Polish Orthodontic Society, European Orthodontic Society, American Association of Orthodontists, Italian Orthodontic Society and the Orthodontic Section of the Polish Dental Society.
Title: The use of skeletal anchorage and Combenser for the treatment of Class II malocclusion in young adult patients.
AIM: The purpose of the study was to present a successful treatment method of Class II malocclusions with a use of Temporary Anchorage Devices (TADs) and a palatal appliance, called Combenser, in young adult patients. METHODS: 30 young, adult patients with Class II malocclusions, aged between 18 and 27 years of age, were treated with TADs (diameter: 1,7 mm, length: 8 - 10 mm) and palatal appliances - Combensers - to distalize upper first molars. The TADs were inserted bilaterally in the anterior palate and were used to eliminate the anchorage loss.
RESULTS: The results of the study report a successful treatment method of Class II malocclusions in young adult patients.
All 30 cases of Class II malocclusion resulted in a Class I molar relationship after using TADs and Combenser at a single stage. The time of active distalization was from 0,5 to 1 mm per month.
CONCLUSION: The use of Temporary Anchorage Devices together with the Combenser allow to perform a non- compliance correction of Class II malocclusions in young adult patients. Such a therapeutic approach provide to effective correction of Class II malocclusions by distalizing upper first molars in a relatively short period of time. The presented method of treatment reduce the number of extracted teeth due to orthodontics and can be successful in cases with a full Class II malocclusion.
Authors: Anna Wasiewicz DMD, MSc, PhD, Alon Zeidman DMD, MSc