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.

Walter, Ursula and Freddy, three of Fritz Gottschalk's children dressed in costumes in front of a dollhouse; Hannover, Germany.

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Fritz Gottschalk family with other children on the beach; Norderney, Germany.

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Studio portrait of Elfriede Maria Roth; Cambridge, Massachusetts Portraits; Children

When Bruno Roth arrived in the United States in 1939 he opened a photo studio. He used this photograph for advertising

Studio portrait of young Hilde Rosenbaum Portraits Children

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Studio portrait of young Hilde Rosenbaum holding a teddy bear; Berlin Portraits Children

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Intergenerational collaborative drawing: A research method for researching with/about young children

This paper focuses on the methodological effectiveness of intergenerational collaborative drawing (ICD). A group of eight researchers trialled this particular approach to drawing, most of them for the first time. Each researcher drew with young children, peers and tertiary students, with drawings created over a period of six months. The eight researchers came together in a 'community of scholars' approach to this project because of two shared interests: (i) issues of social justice, access and equity; and (ii) arts-based education research methods. The researchers were curious how ICD might methodologically support their respective research processes. As knowledge and theory about young children becomes more complex, researchers need responsive methodological tools to ask new questions and conduct rigorous, ethical research. This partial account describes how drawing together might perform methodologically. The data reported here draws from the detailed field notes, drawings and reflections of the researchers. Conclusions arise from the analysis of these reflections, with the authors suggesting ways in which ICD might benefit research with young children.

Studio portrait of Gretel Heimann (on right) with her sister Anna Portraits Children

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Studio portrait of Josef Soudek as a young boy dressed in a sailor suit; Bodenbach (Děčín, Czech Republic) Portraits Children

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Ruth Augusta Beatrice Goldschmidt; Berlin Portraits Children

Born 1923?

Passport portrait of Ruth Augusta Beatrice Goldschmidt Portraits Children

Born 1923?

Henry H. Goldschmidt Gould standing outdoors Portraits Children

Born July 15, 1914, died August 6, 1978

Henry H. Goldschmidt Gould (top row fourth from right) with unidentified school classmates Portraits Children

Born July 15, 1914, died August 6, 1978

Portrait of Gertrud (Trude) Guttmann Portraits Children

Born September 8, 1905, worked in a Jewish orphanage in Berlin and was deported to Auschwitz May 17, 1943, where she died.