Patrick Matthiesen and Ara-Serge Donabedian at Aenny Catzenstein's 80th birthday; London Portraits Children

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Beatrice Durand at Aenny Catzenstein's 80th birthday; London Portraits Children

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Beatrice Durand at Aenny Catzenstein's 80th birthday; London Portraits Children

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Gottschalk children on vacation at a mountain lake; Titisee, Germany.

Front left to right: Ursula and Walter; back left to right: Kurt, Elizabeth, and Hal

Fritz Gottschalk and his children boating on a mountain lake; Titisee, Germany.

From left to right: Ursula, Walter, Hal, Kurt, Fritz, and Elizabeth Gottschalk; the lake is probably the Titisee near the Swiss border in the Black Forest, Germany

Johanna Heymann with her ten children

Reproduction of a portrait of Johanna Heymann, wife of Aron Hirsch with her ten children (tallest boy is Gotthold Heymann) on the occasion of the 50th birthday of Aron Hirsch; Berlin

George Gruenthal as a child Portraits Children

Son of Max and Lola Gruenthal

Ara-Serge Donabedian with Beatrice and Francine Durand at Aenny Catzenstein's 80th birthday; London Portraits; Children

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Studio portrait of Hilde Mosse, Marianne Ginsberg (Gilbert) and Rudolf Mosse sitting on a sled Portraits; Children

Verso: Handwritten postcard correspondence dated 1916 January 21

Dr. Simberg, Rudolf Mosse, Richard Israel and other unidentified men hunting with Count Czarnecki Portraits; Children

Jagd beim Grafen Czarnecki

Portrait of Hugo Pollak with wife Thekla Lichtenstadt Pollak and their children Hans Pollak and Zdenka (Mimi) Pollak seated outdoors Portraits Family

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Francine Durand on Aenny's 80th birthday; London Portraits Children

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Gustav Molling with his children Kaethe, Hans Victor and Alice.

The woman on the photograph might be his wife Hermione

Cervical headgear in Class II division 1 correction in children : Academic Dissertation

Class II division 1 malocclusion occurs in 3.5 to 13 percent of 7 12 year-old children. It is the most common reason for orthodontic treatment in Finland. Correction is most commonly performed using headgear treatment. The aim of this study was to investigate the effects of cervical headgear treatment on dentition, facial skeletal and soft tissue growth, and upper airway structure, in children. 65 schoolchildren, 36 boys and 29 girls were studied. At the onset of treatment a mean age was 9.3 (range 6.6 12.4) years. All the children were consequently referred to an orthodontist because of Class II division 1 malocclusion. The included children had protrusive maxilla and an overjet of more than 2mm (3 to 11 mm). The children were treated with a Kloehn-type cervical headgear as the only appliance until Class I first molar relationships were achieved. The essential features of the headgear were cervical strong pulling forces, a long upward bent outer bow, and an expanded inner bow. Dental casts and lateral and posteroanterior cephalograms were taken before and after the treatment. The results were compared to a historical, cross-sectional Finnish cohort or to historical, age- and sex-matched normal Class I controls. The Class I first molar relationships were achieved in all the treated children. The mean treatment time was 1.7 (range 0.3-3.1) years. Phase 2 treatments were needed in 52% of the children, most often because of excess overjet or overbite. The treatment decreased maxillary protrusion by inhibiting alveolar forward growth, while the rest of the maxilla and mandible followed normal growth. The palate rotated anteriorly downward. The expansion of the inner bow of the headgear induced widening of the maxilla, nasal cavity, and the upper and lower dental arches. Class II malocclusion was associated with narrower oro- and hypopharyngeal space than in the Class I normal controls. The treatment increased the retropalatal airway space, while the rest of the airway remained unaffected. The facial profile improved esthetically, while the facial convexity decreased. Facial soft tissues masked the facial skeletal convexity, and the soft tissue changes were smaller than skeletal changes. In conclusion, the headgear treatment with the expanded inner bow may be used as an easy and simple method for Class II correction in growing children.