Review Article

Class III Treatment with Skeletal and Dental Anchorage: A Review of Comparative Effects

Table 2

Designs of the included studies.

Author (year) [reference]Study designN(dropouts) Ca(cases) Co(controls) M(n), F(n) Mean AgeClass III DescriptionSkeletal maturation method/ stagesCa (case group appliances) Co (control group appliances)Treatment durationTreatment Stopped

Aglarci et al. (2016) [20]CCT (prospective)59(9) Ca(25) Co(25) M(Ca 12, Co 12), F(Ca 13, Co 13) MA(Ca 11.75 ± 1.23 y, Co 11.21 ± 1.32 y)ANB° < 0 or Wits < 1; anterior crossbiteHWM /prepubertal (Ca 12 MP3 =, 13 S; Co 16 MP3 = 7 S, 2 PP2 =)Ca (BAMP + class III elastics with a force of 200g for each side) Co (FM applied by a bite plate with a force of 400g per side)Ca 0.76 ± 0.09 y, Co 0.52 ± 0.09 yOvj > 2mm (FM); Ovj > 0 (BAMP)

Cevidanes et al. (2010) [21]CCT (prospective)55(-) Ca(21) Co(34) M(Ca 10, Co 14), F(Ca 11, Co 20) MA(Ca 11.10 ± 1.10 y, Co 8.3 ± 1.10 y)Wits < -1; anterior crossbite or incisor end- to-end relationship; class III molar relationshipCVM / CS1- CS3Ca (BAMP + class III elastics with a force of 250g for each side) Co (RPE+FM with a force of 500g per side)Ca 1y, Co 10mOvj > 0; II class molar relationship

Ge et al. (2012) [22]RCT49(6) Ca(25) Co(24) M(Ca 11, Co 12), F(Ca 14, Co 12) MA(Ca 10y4m, Co 10y6m)ANB° < 0; Wits < -2; anterior crossbiteCVM / CS1- CS3Ca (MS+FM with a force of 250g for each side) Co (RPE+FM with a force of 500g per side)Ca 11m, Co 1y1mOvj > 0

Hino et al. (2013) [23]CCT (prospective)46(-) Ca(25) Co(21) M(Ca 12, Co 5), F(Ca 13, Co 16) MA(Ca 11.9 ± 1.8y, Co 8.1 ± 1.5y)Wits < -1; anterior crossbite or incisor end- to-end relationship; class III molar relationshipCVM / CS1- CS3Ca (BAMP + class III elastics with a force of 250g for each side) Co (RPE+FM with a force of 800g per side)Ca 1.2 ± 1y, Co 10.1 ± 2.2mOvj > 0; II class molar relationship

Koh et al. (2014) [24]CCT (retrospective)47(-) Ca(19) Co(28) M(Ca 8, Co 7), F(Ca 11, Co 21) MA(Ca 11.21y, Co 10.09y)OVJ < -2CVM / CS3- CS4Ca (MP+FM with a force of 400-500g for each side) Co (RPE+FM)--

Lee et al. (2012) [25]CCT (retrospective)20(-) Ca(10) Co(10) M(Ca 5, Co 4), F(Ca 5, Co 6) MA(Ca 11.2 ± 1.2y, Co 10.7 ± 1.3y)SNA°< 80°; ANB°< -1; A to N perp < 0; anterior crossbiteCVM / CS2 - CS4Ca (MP+FM with a force of 400g for each side) Co (RPE+FM with a force of 400g per side)Ca 1.0 ± 0.1y, Co 1.1 ± 0.1yOvj > 0; II class molar relationship

Ngan et al. (2015) [26]CCT (retrospective)60(-) G1(20) G2(20) G3(20) M(G1 8, G2 8), F(G1 12, G2 12) MA(G1 9.8 ± 1.6y, G2 9.6 ± 1.2y)Wits < -3; ANB° < -2; anterior crossbite or incisor end- to-end relationship; class III molar relationship-G1 (RPE+FM with a force of 380g per side) G2(bone- borne hybrid hyrax RPE+FM with a force of 380g per side) G3 (untreated)--

Sar et al. (2011) [27]CCT (prospective)45(-) G1(15) G2(15) G3(15) M(G1 10, G2 8, G3 7), F(G1 5, G2 7, G3 8) MA(G1 10.91y, G2 10.31y, G3 10.05y)ANB°< 0; Nperp-A< 1; Wits < -2; anterior crossbite; class III molar relationshipHWM / PP2= -MP3G1 (RPE+MP+FM with a force of 400g per side) G2 (RME+FM with a force of 400g per side) G3 (untreated)G1 0.56 ± 0.16y, G2 0.78 ± 0.26yOvj > 4mm

Tripathi et al. (2016) [28]CCT (retrospective)20(-) Ca(10) Co(10) M(Ca -, Co -), F(Ca -, Co -) MA(Ca 10.10 ± 1.1y, Co 9.90 ± 1.1y)ANB° < 0; anterior crossbite or incisor end- to-end relationshipCVM / CS1- CS3Ca (RPE+MP+FM with a force of 400g per side) Co (RPE+FM with a force of 400g per side)Ca 5.8m, Co 10mOvj > 4mm

RCT , randomized clinical trial; CCT , controlled clinical trial; M , males; F , females; G , group; HWM , hand-and-wrist maturation; CVM , cervical vertebral maturation; CS , CVM stage; BAMP , bone-anchored maxillary protraction; FM , facemask; RPE , rapid palatal expander; MS , miniscrews; MP , miniplates; y , years; m , months; Ovj , Overjet.