Review suggests twin-block appliance produces changes- but are they clinically important?


Fixed and removable functional appliances are used in the management of class II malocclusions. The Twin-block consists of upper and lower acrylic bite blocks with occlusal inclined planes that interlock at a 70 degree angle and guide the mandible forward and downward. It is considered that the twin-block is better tolerated by patients. The aim [read the full story…]

Limited evidence for changes of maxillary alveolar width after surgically assisted rapid maxillary expansion


Transverse discrepancies in the maxilla can be treated by rapid maxillary expansion (RME). This is ideally carried out during the pubertal growth spurt, usually before 15 years of age. In older patients surgically assisted rapid maxillary expansion (SARME) has been used.  The aim of this review was to assess the long-term dental and skeletal changes [read the full story…]