Skip to main content

Table 2 Included studies

From: Effect of removable functional appliances on mandibular length in patients with class II with retrognathism: systematic review and meta-analysis

Appliance: sample/age (years)

Year of publication

Type of study

Measurement method

Type of Appliance

Duration of treatment

Cephalometric points for mandibular changes

Timing of treatment

Maturation analysis and method

Results conclusions of author

Tulloch [23]

 Bionator: 53 /9.4

1997

RCT

CXRa

Bionator

15 months

Mandibular length Co-Gn/Co-Pg+ (mm)

1 year before of peak

Carpal

Functional appliances produce mandibular changes with great variation

 Control: 61/9.4

15 months

Martina [7]

 Sander Bite Jumping: 23/10.9

2013

RCT

CXRa

Sander Bite Jumping

18 months

Mandibular length (Pg/OLp+ Co/OLp)

NAb

Cervical vertebrae

Treated individuals had a significant increase in mandibular length and molar relationship improvement

 Control: 23/10.5

12 months

Mandibular length (Pg/OLp + Co/OLp)

Illing [24]

 Twin block: 16/11.5

1998

RCT

CXRa

Twin Block

9 months

NAb

NAb

NAb

Both appliances demonstrated significant skeletal changes.

 Bionator: 18/11.8

Bionator

9 months

Co-Gna(mm)

 Control: 20 /11.2

 

9 months

NAb

Nelson [22]

 Harvold Activator: 12 /13

1993

RCT

CXRa

Classic activator

18 months

Co-Pog (mm)

NAb

NAb

No evidence supporting that functional appliances alter mandibular

 Frankel: 13/13

Frankel

18 months

Co-Pog (mm)

 Control: 17 /13

 

18 months

 

O Brien [19]

 Twin block: 73/9.7

2003

RCT

CXRa

Twin block

15 months

Mandibular length (Pg/OLp + Co/OLp)

Pre-peak

NAb

The Twin-block appliance resulted in substantial reduction in the overjets of children with Class II malocclusion.

 Control: 74/9.8

15 months

(Pg/OLp + Co/OLp)

  1. +Measurement not clear in the text
  2. aCephalographic X-ray
  3. bInformation not available