Dr. Gregory Antonarakis

Dr. Gregory S. Antonarakis, MSc

Gregory Antonarakis received his dental degree from Cardiff, UK, and his orthodontic specialty training from Geneva, Switzerland. He subsequently completed his PhD on functional appliance treatments in Gothenburg, Sweden, and then went on to pursue a clinical fellowship in cleft and craniofacial orthodontics in Toronto, Canada. Gregory then returned to the University of Geneva, Switzerland where he has been working since, with a special interest in the treatment of patients with clefts and craniofacial anomalies, juvenile idiopathic arthritis, and individuals with special needs.

TOPIC: Compliance, pain and good old-fashioned headgear

Although other methods of distalisation or improving anchorage of the maxillary molars exist today and are often used, headgear appliances are also still a viable treatment option for the treatment of Class II malocclusion in children. Like every removable appliance, headgear is compliance dependent and patient cooperation is key in achieving treatment goals. Although compliance is dependent on numerous factors, pain may by one of the determining factors in pushing patients to discontinue with appliance wear or to not comply with treatment prescriptions. Predicting which patients will experience more pain therefore, and adapting the management of these patients accordingly to reduce pain and hopefully increase compliance may be reasonable. These efforts might ensure that with increased compliance, the clinical outcome of headgear therapy in Class II malocclusion will be more favourable towards achieving treatment goals.