Claim Missing Document
Check
Articles

Early Orthodontic Intervention with Eruption Guidance Appliances for Class II Malocclusion: Evidence Mapping Through a Scoping Review Putu Swastiantari; Arlette Suzy Setiawan
SONDE (Sound of Dentistry) Vol. 9 No. 2 (2024): SONDE (Sound of Dentistry)
Publisher : Maranatha Christian University

Show Abstract | Download Original | Original Source | Check in Google Scholar

Abstract

Introduction: Class II malocclusion is a prevalent orthodontic condition in children that can cause both functional and esthetic challenges if not addressed early. The early mixed dentition period offers a critical window for interceptive treatment. Eruption guidance appliances (EGAs) are removable functional devices designed to direct tooth eruption and potentially stimulate favorable skeletal growth. This scoping review aims to map existing evidence on the use of EGAs in treating Class II malocclusion during early mixed dentition. Methods: Following the PRISMA-ScR framework, a comprehensive literature search was conducted in PubMed, Scopus, ScienceDirect, and ProQuest up to July 2025. Studies were selected based on inclusion criteria involving children aged 6–9 years with Class II malocclusion treated using EGAs, with reported skeletal and/or dentoalveolar outcomes. Data were extracted on study design, population, intervention protocols, outcomes, and conclusions. Results: Five eligible studies were included, comprising randomized controlled trials, cohort studies, and case report. Most reported significant dentoalveolar improvements such as reduced overjet, overbite, and molar relationship correction. Skeletal changes were modest but consistent, notably in mandibular advancement and ANB angle reduction. Discussion: EGAs demonstrated favorable outcomes by enhancing dental development and moderately influencing skeletal growth. However, study heterogeneity, limited sample sizes, and short follow-up durations were common limitations. Conclusion: EGAs are promising interceptive tools for early Class II correction, offering non-invasive benefits in guiding eruption and promoting mild skeletal adaptation. Further well-designed longitudinal trials are needed to confirm long-term effectiveness and establish clinical protocols.
Co-Authors Achmad Dheni Suwardhani Adistia, Rinintha Aggiani Dewi Rahmawati Akbar, Saiful Alfiani Hidayanti Aliyya Luthfiana Andiesta, Niekla Survia Andikarya, R. Oke Anne Agustina Suwargiani Arief Budiarto Asril, Juli Aulia Dewi Kusumawati Azzahra, Rissa Shabira bt. Syaiful Azim, Fitri Anissa Syaimima Citra Windani Mambang Sari Desy Indra Yani Dhia Thifal Malihah Dianegianty, Rine Dwi Budi Santoso Efi Fitriana Eka Chemiawan Elvanissa Ruslan Nur, Elvanissa Ruslan Eriska Riyanti Faizah Salsabila Felicia Melati Gilang Yubiliana, Gilang Hendriati Agustiani Henri Hartman, Henri Hetria Hayyun Namirah Hidayat, Dimas Firman hidayatullah, Hidayatullah hidayatullah Hilnia Zidnia Husyaerry, Machmud Al Ign. Wiseto P. Agung Inne Arline Diana Inne Suherna Sasmita Iwan Ahmad Jakobus Runkat, Jakobus Julian Amriwijaya Kahar Mulyani Kurnia Putri Utami Kusman Ibrahim Kusumawati, Aulia Dewi Laili Rahayuwati M Harun Achmad, M Harun Maulina, Tantry Megan, Felisia Flaviana Meirina Gartika Munandar, Ihsan Haris Naninda Berliana Pratidina Naninda Berliana Pratidina Noer Fadilah, Rina Putri Noor Roziq Ghulam Perdana Novriyanti, Tika Oruga, Myra D. Permata, Ardita Dyna Pratidina, Naninda Berliana Pratiwi, Gusti Agung Intan Prisno, Don Purwadhi Purwadhi Putu Swastiantari Raden Nabilah Putri Fauziyyah Rafilia, Yuanne Nisrina Rasmi Rikmasari Ratna Indriyanti Ratna Indriyanti, Ratna Ratnawati, Yeni Reiva Farah Dwiyana Ria N. Firman Risti Saptarini Primarti Risyandi Anwar Roosje Rosita Oewen, Roosje Rosita Rosiliwati Wihardja, Rosiliwati Rubini, Rizki Adriansyah Sativa, Liariza Simanjuntak, Debora Rotua Novita Soewondo, Willyanti Sri Hendrawati Sri Susilawati Sukajie, Bambang Sukmasari, Susi Supriatno Supriatno Suwardhani, Achmad Dheni Syaiful Azim, Fitri Anissa Syaimima Syarief Hidayat Tadeus Arufan Jasrin Taufiqi Hidayatullah Teguh Adi Partama Unang Supratman Veranita, Mira Vira Amelia Wafa, Wade'ah Wardani, Vira Aulia Kusuma Waruwu, Eusebiusyuvens Chandra Wilda Hafny Lubis Willyanti Soewondo Wojtyla, Maria Caroline Y Yoana Yetty Herdiati Nonong Yetty Herdiyati Nonong Yetty Herdiyati, Yetty Yohanes Hutasoit