study published in The Angle Orthodontist looks at long-term skeletal and dental effects of using Bionator or Activator appliances followed by fixed appliances.

According to the researchers, “Significant long-term mandibular changes (Co-Gn) in the treated group (3.6 mm over the controls) were associated with improvements in the skeletal sagittal intermaxillary relationship, overjet, and molar relationship (3.0–3.5 mm). Treatment during the pubertal peak was able to produce significantly greater increases in total mandibular length (4.3 mm) and mandibular ramus height (3.1 mm) associated with a significant advancement of the bony chin (3.9 mm) when compared with treatment before puberty.”

To view our chart that compares the specs of 20 functional appliances, click here