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Öğe Comparative evaluation of a new removable jasper jumper functional appliance vs an activator-headgear combination(E H ANGLE EDUCATION RESEARCH FOUNDATION, INC, 2003) Sari, Z; Goyenc, Y; Doruk, C; Usumez, SThe aim of this study was to comparatively evaluate the effects of an activator-headgear (FIG) combination to a Jasper Jumper (JJ) plus occipital HG, which was incorporated into removable upper and lower plates. The study group consisted of 60 subjects with mandibular deficiency and a vertical growth pattern. Of these, 20 were treated with JJ appliance-HG incorporated to removable upper and lower plates, 20 were treated with an activator-HG combination. Another 20 subjects who refused orthodontic treatment served as controls. Pre- and postreatment lateral cephalograms and hand-wrist films were gathered for all 60 subjects. Lateral cephalograms were manually traced before being transferred to RMO JOE software by a digitizer. Measurements that are not included in the software were measured manually. Thirty-five dental and skeletal parameters were used in the study. The collected data were subjected to statistical analysis using SPSS packet software. Wilcoxon paired t-test was used for intragroup comparisons. Differences between groups were evaluated by analysis of variance and Bonferroni tests. Results suggest that ANB angle was decreased significantly in both treatment groups compared with the controls. Increase in total facial height was greater in the activator group than in the JJ group. Vertical growth inhibition of lower incisors was greater in the JJ group. The activator-HG appliance was more effective on the mandible, whereas the JJ appliance was mainly active on the maxilla. Thus, ideal cases for JJ-splinted appliance should be high-angle cases, particularly with maxillary excess and some mandibular deficiency.Öğe A comparison of the effects of rapid maxillary expansion and fan-type rapid maxillary expansion on dentofacial structures(E H ANGLE EDUCATION RESEARCH FOUNDATION, INC, 2004) Doruk, C; Bicakci, AA; Bascifti, FA; Agar, U; Babacan, HThe aim of this study was to evaluate and compare the sagittal, transverse, and vertical effects of rapid maxillary expansion (RME) and fan-type RME on dentofacial structures. The study group consisted of 34 patients, 14 boys and 20 girls (average age 12.5 years), selected without considering their skeletal class and sex. The fan-type RME group comprised 17 subjects, who had an anterior constricted maxilla with a normal intermolar width. The RME group comprised 17 other subjects, who had a maxillary transverse discrepancy with a posterior crossbite. The records obtained for each patient included a lateral and a frontal cephalometric film, upper plaster models, and occlusal radiograph obtained before treatment (T1), after expansion (T2), and immediately after a three-month retention period (T3). The data obtained from the evaluation of the records before and after treatment, after treatment and after retention, and before treatment and after retention were compared using paired t-test. Further comparisons between the groups were made using Student's t-test. There was significantly greater expansion in the intercanine than in the intermolar width in the fan-type RME group as compared with the RME group. Downward and forward movement of the maxilla was observed in both groups. The upper incisors were tipped palatally in the RME group, but they were tipped labially in the fan-type RME group. There was significantly greater expansion in the nasal cavity and maxillary width in the RME group as opposed to the fan-type RME group.