A Comparative Analysis of Treatment Effects of PowerScope and AdvanSync2 in Class II Division 1 Malocclusion: A Retrospective Study.

ABSTRACT

INTRODUCTION: Fixed functional appliances are widely used for the treatment of retrognathic mandibles in skeletal class II malocclusion. The primary objective of the present investigation was to evaluate and compare the treatment effects induced by PowerScope (American Orthodontics, Sheboygan, WI) and AdvanSync2 (Ormco, Orange, CA). The hypothesis posited that there were no notable disparities in the therapeutic impacts of the two appliances. MATERIALS AND METHODS: A retrospective study was undertaken involving 90 subjects with retrognathic mandibles. Group 1 was treated with AdvanSync2, group 2 received PowerScope treatment, and group 3 consisted of an untreated class II control sample. Lateral cephalograms were traced at pre-treatment (T0) and post-treatment (T1), to measure various skeletal, dental, and soft tissue parameters. The comparison between the groups was done using analysis of variance (ANOVA) and post-hoc analysis by Tukey's test. RESULTS: Significant changes were observed in all the parameters, comparing the effects of both appliances to the control group (p < 0.05). AdvanSync2 displayed statistically significant skeletal effects on the maxilla and mandible (p < 0.05). The statistically significant differences were also seen for dental effects such as reduction in overbite and overjet. On the other hand, PowerScope exhibited effects that were not considered statistically significant on the maxilla, instead primarily manifesting dento-alveolar changes that led to a considerable reduction in overbite. In comparison to the control group, both appliances notably produced soft tissue changes. CONCLUSIONS: Our study rejected the null hypothesis. AdvanSync2 yielded superior skeletal outcomes with greater mandibular advancement, compared to PowerScope, which exhibited enhanced dento-alveolar alterations. AdvanSync2 took less treatment time, compared to PowerScope.