A study of holographic interferometry on the initial reaction of maxillofacial complex during protraction.

Most extraoral appliances used for protracting small or retropositioned maxilla do not allow for variations in the point of force application or in its direction. This variation may be necessary to control vertical, anteroposterior, as well as transverse effects. The purpose of this study was to investigate the initial reaction of the maxillofacial complex according to force magnitude, force direction, and point of force application. For this purpose, an antenna-type modified protraction headgear was tested with double exposure holographic interferometry on a dry human skull with well-aligned upper teeth. Fringe patterns of each protraction condition were compared and analyzed. In most cases, upward rotation of the anterior portion of the maxilla changed to translation, or to downward rotation, as force direction was changed from parallel to the occlusal plane to 20 degrees downward to the occlusal plane. Furthermore, a 500 gm force applied 15 mm above and directed 20 degrees below the occlusal plane produced a translation of the maxillary complex, indicated by a typical circular fringe pattern on the holographic plate, which represents the center of resistance of the maxilla. In most cases, with all force variables tested, a protraction of the maxilla with palatal expansion was more effective in producing translation of the maxilla than was protraction without palatal expansion. By varying force magnitude, force direction and point of force application with maxillary protraction, the amount of maxillary rotation and translation might be controlled.