Myofunctional Trainer versus Twin Block in Developing Class II Division I Malocclusion: A Randomized Comparative Clinical Trial

• Main Authors: Yasmine Elhamouly (Author), Azza A. El-Housseiny (Author), Hanan A. Ismail (Author), Laila M. El Habashy (Author)
• Format: Book
• Published: MDPI AG, 2020-05-01T00:00:00Z.
• Subjects: article
• Online Access: Connect to this object online.
• Notes: 10.3390/dj8020044; 2304-6767
• Keywords: myofunctional appliances; T4K; functional appliances; twin block; developing class II; Dentistry; RK1-715
• Source: Dentistry Journal, Vol 8, Iss 2, p 44 (2020)

This study aimed to evaluate and compare the dentoalveolar effects of the myofunctional trainer T4K^TM versus twin block in children with class II division I malocclusion. Two parallel arm randomized comparative clinical trial was conducted, including twenty healthy children, 9-12 years old, showing Angle's class II division I malocclusion due to mandibular retrusion. Children were randomly assigned into two groups according to the appliance used; Group 1: T4k, and Group II: twin block. Follow-up was done every 4 weeks for 9 months. Postoperative cephalometric X ray, study casts and photographs were taken for measurements and comparison. T4K showed a statistically significant reduction in the overjet (−2.50 ± 1.00 mm) (<i>p</i> < 0.0001), and a significant increase in the lower arch perimeter (LAP) (1.19 ± 0.96 mm) (<i>p</i> = 0.01). The twin block showed a statistically significant reduction in the overjet (−3.75 ± 1.10 mm) (<i>p</i> < 0.0001), a significant reduction in the overbite (−16.22 ± 17.02 %) (<i>p</i> = 0.03), and a significant increase in the LAP (1.69 ± 0.70 mm) (<i>p</i> < 0.0001). The overjet showed a higher significant decrease in the twin block group than in T4K (<i>p</i> = 0.03). The mean values of the overbite were significantly decreased in twin block than in T4k (<i>p</i> < 0.0001). Both groups showed significant dentoalveolar improvements toward class I occlusion; however, the twin block showed significantly better results than T4K appliance.