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Application of AMCOP® elastodontic device for early orthodontic management of class III malocclusion in pediatric patients

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Abstract

Introduction: Managing Class III malocclusions remains a complex issue in orthodontics today. While traditional functional approaches have often led to favorable outcomes, newer alternatives such as elastodontic devices have recently gained attention as a more advanced iteration of conventional methods. These appliances may offer a promising early intervention strategy for growing patients presenting with Class III malocclusions.
Aim: This retrospective study aims to investigate the clinical effectiveness of the AMCOP® TC bioactivator in addressing dento-skeletal Class III malocclusions. Additionally, the study presents four selected clinical cases to illustrate the outcomes.
Materials and Methods: A total of 11 pediatric patients (5 boys and 6 girls) aged between 6 and 12 years were included in the study. All patients exhibited Class III malocclusion and were treated with the AMCOP® TC elastodontic appliance. The device was worn for two hours in the afternoon and overnight for an initial period of 6–8 months, followed by exclusive nighttime wear. Lateral cephalometric radiographs were taken at the start (T0) and end (T1) of the treatment. All radiographic data were evaluated using DeltaDent® software.
Conclusions: The AMCOP® TC elastodontic device effectively contributed to the correction of dento-skeletal Class III malocclusion and supported the postural improvement of the cervical spine, specifically the first vertebra. Despite the need for additional clinical studies, the results suggest that this treatment may serve as a non-invasive and well-tolerated option for interceptive orthodontic care.

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Authors

Grazia Marinelli - Interdisciplinary Department of Medicine, University of Bari “Aldo Moro”, Bari, Italy

Lucia Memè - Università degli Studi Link Campus University, Roma, Italy

Angelo Michele Inchingolo - Interdisciplinary Department of Medicine, University of Bari “Aldo Moro”, Bari, Italy

Filippo Cardarelli - Interdisciplinary Department of Medicine, University of Bari “Aldo Moro”, Bari, Italy

Laura Ferrante - Interdisciplinary Department of Medicine, University of Bari “Aldo Moro”, Bari, Italy

Elisabetta De Ruvo - Interdisciplinary Department of Medicine, University of Bari “Aldo Moro”, Bari, Italy

Francesco Inchingolo - Interdisciplinary Department of Medicine, University of Bari “Aldo Moro”, Bari, Italy

Massimo Corsalini - Interdisciplinary Department of Medicine, University of Bari “Aldo Moro”, Bari, Italy

Vito Crincoli - Interdisciplinary Department of Medicine, University of Bari “Aldo Moro”, Bari, Italy

Giuseppe Minervini - Multidisciplinary Department of Medical-Surgical and Odontostomatological Specialties, University of Campania "Luigi Vanvitelli," Naples, Italy

Andrea Palermo - Department of Experimental Medicine, University of Salento, Lecce, Italy

Marco Farronato - Department of Biomedical, Surgical and Dental Sciences, School of Dentistry, University of Milan - Fondazione IRCCS Cà Granda, Ospedale Maggiore Policlinico, Milan, Italy

Cinzia Maria Norma Maspero - Department of Biomedical, Surgical and Dental Sciences, School of Dentistry, University of Milan - Fondazione IRCCS Cà Granda, Ospedale Maggiore Policlinico, Milan, Italy

Ana Júlia De Paula Guerra - São José do Rio Preto, Brazil

Sabina Saccomanno - Department of Life Science, Health and Health Professsions, Link University, Italy

Alessio Danilo Inchingolo - Interdisciplinary Department of Medicine, University of Bari “Aldo Moro”, Bari, Italy

Gianna Di Palma - Interdisciplinary Department of Medicine, University of Bari “Aldo Moro”, Bari, Italy

How to Cite
Marinelli, G., Memè, L., Inchingolo, A. M., Cardarelli, F., Ferrante, L., De Ruvo, E., Inchingolo, F., Corsalini, M., Crincoli, V., Minervini, G., Palermo, A., Farronato, M., Maspero, C. M. N. ., De Paula Guerra, A. J. ., Saccomanno, S., Inchingolo, A. D., & Di Palma, G. (2026). Application of AMCOP® elastodontic device for early orthodontic management of class III malocclusion in pediatric patients. Annali Di Stomatologia, 17(1), 83–119. https://doi.org/10.59987/ads/2026.1.83-119

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