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Orthod Fr. 2010 Dec;81(4):279-86. doi: 10.1051/orthodfr/2010026. Epub 2010 Dec 10.

[Improving the effectiveness of functional jaw orthopedics in Class II malocclusion by appropriate treatment timing].

[Article in French]

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Department of Orthodontics, Università degli Studi di Firence, Via del Ponte di Mezzo 46-48, 50127 Firenze, Italie.


Time can be considered the fourth dimension in dento-facial orthopedics. Treatment timing can play a significant role in the outcomes of treatment aimed to produce an orthopedic effect in the craniofacial structures. The results of methodologically-sound cephalometric studies of both the past and the recent history of orthodontics clearly indicate that optimal treatment timing for Class II skeletal disharmony with a functional appliance (e.g. twin block) is during or slightly after the peak in mandibular growth as revealed by a reliable biologic indicator of individual skeletal maturity such as the cervical vertebral maturation method.

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