Comparison of early treatment outcomes rendered in three different types of malocclusions

Valmy Pangrazio-Kulbersh, He Kyong Kang, Archana Dhawan, Riyad Al-Qawasmi, Rafael Rocha Pacheco

Research output: Contribution to journalArticlepeer-review

2 Scopus citations


Objective: To evaluate the outcome of early treatment in Class I, II, and III malocclusions based on the reduction of weighted Peer Assessment Rating (PAR) scores. Materials and Methods: Two hundred thirty subjects (female ¼ 105; male ¼ 125) selected from 400 cases were divided into three groups based on their malocclusions (Class I, II, and III). The PAR index was evaluated prior to early treatment (T0), at the end of phase I (T1), and after completion of phase II therapy (T2). The reliability of overall PAR scores was assessed by Bland-Altman plot and intraclass correlation coefficient. The starting age, total weighted PAR scores and their changes after phase I and II treatments, treatment time, and the percentage of correction in the three different malocclusions were assessed by repeated-measures analysis of variance with post hoc analysis. The level of significance was set at P, .05. Results: More than 30% reduction of the weighted PAR scores and less than 10 points of the remaining weighted PAR scores were observed in all malocclusion groups at T1. The Class III group had the highest percentage of correction during phase I treatment. Conclusions: Early treatment effectively reduced the complexity of Class I, II, and III malocclusions and accounted for 57%, 64%, and 76% of the total correction, respectively, after phase I treatment, as indicated by an overall reduction in weighted PAR scores. The Class III group responded most favorably to early treatment followed by the Class II group. (Angle Orthod. 2018;88:253-258).

Original languageEnglish (US)
Pages (from-to)253-258
Number of pages6
JournalAngle Orthodontist
Issue number3
StatePublished - May 2018
Externally publishedYes


  • Early treatment
  • Occlusal changes
  • PAR index

ASJC Scopus subject areas

  • Orthodontics


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