scholarly journals The assessment of resting tongue posture in different sagittal skeletal patterns

2019 ◽  
Vol 24 (3) ◽  
pp. 55-63 ◽  
Author(s):  
Farheen Fatima ◽  
Mubassar Fida
Keyword(s):  
Study Groups ◽  
Dental Arch ◽  
Class Iii ◽  
Arch Form ◽  
Skeletal Class ◽  
Cephalometric Radiograph ◽  
Lateral Cephalograms ◽  
Lateral Cephalometric Radiograph ◽  
Moderate Positive Correlation ◽  
Dental Casts

ABSTRACT Introduction: Resting tongue posture affects the surrounding structures and, theoretically, may result in altered arch form and jaw relationship. Objective: The objective of the present study was to investigate the association between resting tongue posture as observed in lateral cephalometric radiograph, sagittal jaw relationship and arch form. Methods: The study was conducted on pretreatment lateral cephalograms and dental casts of 90 subjects. Subjects were equally divided into three groups, based on sagittal jaw relationship (Class I, II and III). Tongue posture was determined in terms of tongue-to-palate distances at six different points (distances 1 to 6) using ViewPro-X software, according to the method described by Graber et al in 1997. The arch widths (intercanine and intermolar widths) were evaluated on pretreatment dental casts. Results: Tongue-to-palate distances were found to be comparable among different study groups. Significant differences were found in intercanine and intermolar widths at the cuspal and gingival levels among the study groups, except for intercanine width at cuspal level in maxilla and intermolar width at cuspal level in mandible. Moderate positive correlation was found between arch widths ratios at distances 3 and 4 in skeletal Class III group. Effect size was found to be moderate to large in different sagittal skeletal patterns and arch widths. Conclusion: The results of the current study showed no significant differences in the resting tongue posture among the groups, and moderate to weak correlation between tongue posture and dental arch widths.

Multidisciplinary Approach for Treating Malocclusion of Patient With Basal Cell Nevus Syndrome: A Case Report

2019 ◽  
Vol 57 (2) ◽  
pp. 255-262
Author(s):  
Sayuri Inoue ◽  
Hiroshi Kurosaka ◽  
Donghoon Lee ◽  
Takashi Yamashiro
Keyword(s):  
Basal Cell ◽  
Orthodontic Treatment ◽  
Cleft Lip ◽  
Multidisciplinary Approach ◽  
Genetic Disorder ◽  
Dental Arch ◽  
Class Iii ◽  
Basal Cell Nevus Syndrome ◽  
Skeletal Class ◽  
Craniofacial Features

Basal cell nevus syndrome (BCNS) is a rare genetic disorder that can be caused by mutation of multiple genes, including PTCH1, PTCH2, and SUFU, in an autosomal dominant manner. The symptoms include some craniofacial features such as keratocystic odontogenic tumors (KCOTs), macrocephaly, and cleft lip and/or palate. Although comprehensive orthodontic treatment is frequently required for some of these craniofacial deformities, there are few reports that show the outcomes of comprehensive orthodontic treatment. Here, we report a case of BCNS with multiple KCOTs, macrocephaly, skeletal class III malocclusion, asymmetric dental arch, and mandibular crowding, which was successfully treated with comprehensive orthodontic treatment.

scholarly journals Uso de redes neuronales artificiales en predicción de morfología mandibular a través de variables craneomaxilares en una vista posteroanterior / Use of Artificial Neural Networks for Mandibular Morphology Prediction through Craniomaxillar Variables...

2016 ◽  
Vol 35 (74) ◽  
Author(s):  
Tania Camila Niño Sandoval ◽  
Sonia Victoria Guevara Pérez ◽  
Fabio Augusto González ◽  
Robinson Andrés Jaque ◽  
Clementina Infante Contreras
Keyword(s):  
Neural Networks ◽  
Artificial Neural Networks ◽  
Maxillofacial Surgery ◽  
Class Iii ◽  
Skeletal Class ◽  
Lateral Cephalograms ◽  
Artificial Neural ◽  
Mandibular Morphology ◽  
Input Variables ◽  
The Right

<p><em><strong><span>Background:</span></strong></em><span class="apple-converted-space"><span> </span></span><span>Predicting mandibular morphology is important in facial reconstruction for forensic purposes as in orthodontics and maxillofacial surgery. This process has been performed through parametric and linear methods based on Caucasian populations. Also, these analyzes are performed on lateral cephalograms, but a prediction from a posteroanterior view is not taken into account.<span class="apple-converted-space"> </span><em><strong>Purpose:</strong></em><span class="apple-converted-space"> </span>To predict through artificial neural networks the mandibular morphology using craniomaxillary measures in posteroanterior radiographs.<span class="apple-converted-space"> </span><em><strong>Methods:</strong></em><span class="apple-converted-space"> </span>229 standardized posteroanterior radiographs from Colombian young adults of both sexes were collected. Coordinates of craniofacial skeletal landmarks were used to create mandibular and craniomaxillary measures. 17 predictor craniomaxillary input variables were selected, measuring widths, heights, and angles. Similarly, 13 mandibular measures were selected to be predicted, considering both the right and left sides. Artificial neural networks were used for the prediction process and it was evaluated by a correlation coefficient using a ridge regression between real value and the predicted value.<span class="apple-converted-space"> </span><em><strong>Results:</strong></em><span class="apple-converted-space"> </span>The results found in the model were significant especially for 5 variables of morphological importance in the forensic field: right mandibular ramus (Cdd-God), bigonial width (Goi-God), bicondylar width (Cdi-Cdd), and distance between the condyles to the menton (Cdd-Me and Cdi-Me).<span class="apple-converted-space"> </span><em><strong>Conclusions:</strong></em><span class="apple-converted-space"> </span>An important prediction capacity in 5 measures of forensic importance in patients with skeletal Class I, Class II and Class III was found in both sexes.</span></p>

Comparison of skeletal anchorage and tooth-borne maxillary protraction followed by fixed appliance in Class III malocclusion

2019 ◽  
Vol 42 (2) ◽  
pp. 193-199 ◽  
Author(s):  
Sang-Hoon Lee ◽  
Sang-Duck Koh ◽  
Dong-Hwa Chung ◽  
Jin-Woo Lee ◽  
Sang-Min Lee
Keyword(s):  
Phase Ii ◽  
Class I ◽  
Skeletal Anchorage ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Fixed Appliance ◽  
Skeletal Class ◽  
Maxillary Protraction ◽  
Lateral Cephalograms ◽  
Residual Growth

Summary Objectives The purpose of this study was to compare the results of skeletal anchorage (SAMP) and tooth- borne (TBMP) maxillary protraction followed by fixed appliance in growing skeletal Class III patients. Materials and methods Patients treated with maxillary protraction were selected and classified into two groups (SAMP: n = 19, mean age = 11.19 years; TBMP: n = 27, mean age = 11.21 years). Lateral cephalograms taken before treatment (T0), after the maxillary protraction (T1), and after the fixed appliance treatment (T2) were analysed and all variables were statistically tested to find difference between the two groups. Results Compared to the TBMP, the SAMP showed significant forward growth of maxilla (Co-A point and SN-Orbitale) and improvement in intermaxillary relationship (ANB, AB to mandible plane, and APDI) after the overall treatment (T0–T2), with no significant sagittal changes in maxilla or mandible throughout the fixed appliance treatment (T1–T2). Limitations In maxillary protraction, effects of skeletal anchorage were retrospectively compared with those of dental anchorage, not with Class I or III control. Conclusions and implications After maxillary protraction, skeletal and tooth-borne anchorage did not cause significant differences in the residual growth of maxilla throughout the phase II treatment. Orthopaedic effects with skeletal anchorage showed appropriate stability in maxilla and intermaxillary relationship even after fixed appliance treatment.

scholarly journals A “new vista” in the assessment of antero-posterior jaw relationship

2015 ◽  
Vol 5 ◽  
pp. 151-155
Author(s):  
Divi Mittal ◽  
Shivanand Venkatesh ◽  
Prashantha Govinakovi Shivamurthy ◽  
Silju Mathew
Keyword(s):  
Sensitivity And Specificity ◽  
Roc Curves ◽  
Class Ii ◽  
Class I ◽  
Class Iii ◽  
Operating Characteristics ◽  
Lateral Cephalogram ◽  
Skeletal Class ◽  
Lateral Cephalograms ◽  
Posterior Discrepancy

Aim The purpose of this investigation was to (1) compare the credibility of four recently introduced cephalometric measurements in assessing the antero-posterior jaw relationship; (2) To assess the correlation between various measurements used for assessment of antero-posterior discrepancy, including Yen linear, Yen angle, W angle and Pi angle. Materials and Methods The sample size for the study consisted of 45 subjects with age group of 15-19 years (mean age 17 ± 2.1) and was subdivided into Skeletal Class I, II and III groups of 15 each based upon the ANB angle derived from the pre treatment lateral cephalogram. Landmarks were located and Yen angle, Yen linear, W angle and Pi angle were assessed for each group. All the lateral cephalograms were traced by a single examiner. Intra examiner reliability was assessed by Intraclass co-efficient correlation (ICC) test. Correlation coefficients were obtained for each of parameters to compare their relationship with other parameters in Class I group. Receiver operating characteristics (ROC) curves were run to examine sensitivity and specificity of all the angles. Results The results showed that ICC for all the groups were ≥0.90 showing good repeatability of the measurements. There was statistically significant correlation between Yen angle and ANB angle, Yen linear and Yen angle for Class I group, between W angle and Yen angle for Class II group, between Yen angle, Yen linear and ANB for Class III group. ROC curves showed that Pi angle had 100% sensitivity and specificity to discriminate a Class II and a Class III group from a Class I and a Class III group from a Class II. Yen linear and W angle showed very low specificity to differentiate a Class II from a Class I group. Interpretation and Conclusion The new parameters considered in the study were found to be equally reliable and are not affected much by local remodeling due to tooth movements or by occlusal or Frankfurt horizontal plane. These parameters measure the antero-posterior discrepancy more consistently and accurately, with Pi angle being the most accurate.

scholarly journals Craniofacial And Dentoalveolar Morphology In Individuals With Prader-Willi Syndrome: A Case-Control Study.

2021 ◽  
Author(s):  
Gisela Vasconcelos ◽  
Jo Stenehjem ◽  
Stefan Axelsson ◽  
Ronnaug Saeves
Keyword(s):  
Young Adults ◽  
Class Ii ◽  
Growth Direction ◽  
Control Group ◽  
Craniofacial Growth ◽  
Prader Willi Syndrome ◽  
Class Iii ◽  
Skeletal Class ◽  
Skeletal Class Ii ◽  
Lateral Cephalograms

Abstract Background: Prader-Willi syndrome (PWS) is a complex multisystem genetic disorder with distinct genetic and clinical features. Among other clinical symptoms, PWS is characterized by severe infantile hypotonia with feeding problems, childhood onset hyperphagia, obesity, scoliosis, short stature combined with growth hormone deficiency and developmental delay. PWS is associated with facial dysmorphology, orofacial dysfunction, oral abnormalities, low salivary flow and subsequent severe tooth wear. Little is known about the craniofacial growth direction or dental and skeletal relationships in individuals with PWS in different ages. The purpose of this study was to assess the craniofacial and dentoalveolar characteristics and to investigate the craniofacial growth direction separately in children, young adults and adults with PWS, using a cephalometric analysis of lateral cephalograms. Results: Lateral cephalograms of 42 individuals with a confirmed genetic diagnosis of PWS were analysed and divided into three groups according to their age: Children (< 12 years), young adults (12 – 20 years) and adults (> 20 years). Cephalometric variables were compared between PWS patients and healthy age- and sex-matched controls.Significant deviations and distinct craniofacial patterns were found in children, young adults and adults with PWS compared with the control group. Children showed retrognatic mandible with a skeletal class II relationship, posterior growth direction and longer anterior face height. The young adults had smaller cranial base angle, a skeletal class II pattern and a higher anterior lower face than the control group. Adults with PWS had a prognathic mandible, skeletal class III relationship with anterior growth direction, more retroclined lower incisors and proclined upper incisors than the controls. Similar results were found when comparing the three groups with PWS; the adults had a prognathic mandible, skeletal class III pattern and anterior growth direction. Children had a retropositioned mandibula, skeletal class II relationship and posterior growth direction. Conclusion: This study may contribute to a better understanding of the craniofacial growth pattern in children, young adults and adults with PWS and may have a clinical importance when planning dental treatment, such as prosthodontics and/or orthodontics.

scholarly journals Digital models: How can dental arch form be verified chairside?

2017 ◽  
Vol 22 (6) ◽  
pp. 68-73 ◽  
Author(s):  
Alana Tavares ◽  
Emanuel Braga ◽  
Telma Martins de Araújo
Keyword(s):  
Dental Arch ◽  
Digital Models ◽  
3D Scanner ◽  
Arch Models ◽  
Arch Form ◽  
Orthodontic Archwires ◽  
Dental Arch Length ◽  
Lower Arch ◽  
Dental Arch Form ◽  
Dental Casts

ABSTRACT Introduction: Plaster dental casts are routinely used during clinical practice to access maxillary dental arch form and assist on fabrication of individualized orthodontic archwires. Recently introduced, digital model technology may offer a limitation for the obtainment of a dental physical record. In this context, a tool for dental arch form assessment for chairside use is necessary when employing digital models. In this regard, paper print of the dental arch seems thus to be useful. Methods: In the present study, 37 lower arch models were used. Intercanine and intermolar widths and dental arch length measurements were performed and compared using plaster dental casts, digital models and paper print image of the models. Ortho Insight 3D scanner was employed for model digitalization. Results: No statistically significant differences were noted regarding the measurements performed on the plaster or digital models (p> 0.05). Paper print images, however, showed subestimated values for intercanine and intermolar widths and overestimated values for dental arch length. Despite being statistically significant (p< 0.001), the differences were considered clinically negligible. Conclusion: The present study suggests that paper print images obtained from digital models are clinically accurate and can be used as a tool for dental arch form assessment for fabrication of individualized orthodontic archwires.

A heuristic model for cephalometric diagnosis of sagittal dysplasia

2021 ◽  
pp. 146531252110575
Author(s):  
Mayank Khandelwal ◽  
Prasanna Turuvekere Ramaiah ◽  
Suhas Setty ◽  
Swaroop Subramonia ◽  
Swati Kapoor ◽  
...  
Keyword(s):  
Positive Predictive Value ◽  
Predictive Value ◽  
Diagnostic Algorithm ◽  
Class Iii ◽  
Skeletal Class ◽  
Skeletal Malocclusion ◽  
Lateral Cephalograms ◽  
Conclusive Diagnosis ◽  
Algorithmic Process

Objective: To identify the best-suited cephalometric parameter for assessing the sagittal skeletal discrepancy in the Indian population. Design: An in vitro, observational, single-blinded, retrospective study. Setting: Department of Orthodontics and Dentofacial Orthopaedics. Methods: A total of 94 lateral cephalograms were used in this study. The study involved one key person and two examiners. The key person collected the radiographs, coded, analysed and classified them into three groups (skeletal classes I, II and III). Subsequently, the coded radiographs were independently analysed by the two examiners. They classified the cases by matching a minimum of 6 out of 11 parameters. On completion of diagnosis by the examiners, the samples were decoded and matched with the original diagnosis given by the key person. The samples in which identification of a particular cephalometric parameter matched the original evaluation as given by the key person was regarded as correctly diagnosed. The number of correctly assessed cases was used to judge the diagnostic performance of all the parameters in all the cases. Cross-validation of the method was performed, and a diagnostic algorithm was developed for diagnosis. Results: β angle and Pi angle showed a positive predictive value of 1 in both skeletal class I and II cases. ANB angle, W angle and HBN angle showed a positive predictive value of 1 in skeletal class III cases. Conclusion: No single cephalometric parameter can independently be used to diagnose sagittal skeletal discrepancy in all cases. However, a conclusive diagnosis on the type of sagittal skeletal malocclusion can be made by using a simple and easy to use diagnostic algorithmic process having a combination of cephalometric parameters.

Effects of Combined Bonded Maxillary Expansion and Face Mask on Dental Arch Length in Patients with Skeletal Class III Malocclusions

2017 ◽  
Vol 41 (1) ◽  
pp. 75-81 ◽  
Author(s):  
Fatma Deniz Uzuner ◽  
Duygu Öztürk ◽  
Selin Kale Varlık
Keyword(s):  
Face Mask ◽  
Mixed Dentition ◽  
Dental Arch ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Maxillary Expansion ◽  
Skeletal Class ◽  
Palatal Rugae ◽  
Dental Arch Length ◽  
Orthodontic Models

Objective: To evaluate the effects of combined rapid maxillary expansion (RME) and face mask (FM) therapy during the mixed dentition period on the dental arch length in patients with skeletal Class III malocclusion. Study Design: We evaluated pre- and post-treatment orthodontic models of 52 patients (25 girls, 27 boys) aged 8–12 years with skeletal Class III malocclusion(ANB&lt;0) accompanied by maxillary transverse deficiency and retrognatism treated by bonded RME-FM therapy for a mean duration of 8 months. Palatal rugae, the cusp tips of permanent first molars, deciduous molars/permanent premolars, deciduous canines and the incisal edges of permanent central incisors were marked on orthodontic models, which were then photocopied. Inter-molar, inter-premolar and inter-canine widths; the arch length; the arch depth and molar and incisor sagittal movements were measured on these photocopies. Statistical comparisons were made using paired t-tests. Results: Inter-molar, inter-premolar and inter-canine widths and the arch length showed significant increases after treatment, while the arch depth showed a significant decrease (p&lt;0.001 for all). Conclusions: With the study limitations, our results suggest that combined RME-FM therapy increases the arch length in the mixed dentition of patients with skeletal Class III malocclusion.

scholarly journals Quantitative comparison of incisal tooth wear in patients receiving one-phase or two-phase treatment for skeletal Class III malocclusion with anterior crossbite

2017 ◽  
Vol 88 (2) ◽  
pp. 151-156 ◽  
Author(s):  
So-Jeong Jang ◽  
Dong-Soon Choi ◽  
Insan Jang ◽  
Paul-Georg Jost-Brinkmann ◽  
Bong-Kuen Cha
Keyword(s):  
Therapy Group ◽  
Tooth Wear ◽  
Craniofacial Morphology ◽  
Treatment Modalities ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Two Phase ◽  
Skeletal Class ◽  
Group I ◽  
Dental Casts

ABSTRACT Objectives: The present study aimed to compare the amount of incisal tooth wear in the maxillary central incisors of patients with skeletal Class III malocclusion and anterior crossbite receiving one-phase or two-phase treatment. The hypothesis was that tooth wear would differ according to treatment modalities. Materials and Methods: Maxillary dental casts obtained before (T1) and after (T2) orthodontic treatment were divided into three groups. Group I consisted of casts from 21 patients (7 males, 14 females; mean age 9.8 years) who received two-phase treatment (maxillary protraction followed by fixed appliance therapy). Group II comprised casts from 37 patients who underwent orthodontic camouflage treatment for crossbite, subdivided according to age. Group IIa consisted of casts from 15 adolescents (8 males, 7 females; mean age 13.5 years), and group IIb consisted of casts from 22 adults (13 males, 9 females; mean age 24.5 years). Maxillary dental casts obtained at T1 and T2 were scanned. For each pair of digital images, T2 was superimposed on T1 using the best-fit method. Tooth wear was quantified and compared among groups. Results: Significantly less tooth wear was observed in group I compared to groups IIa and IIb, but no difference was found between groups IIa and IIb. Spearman correlation analysis revealed no significant correlation between tooth wear and age, treatment duration, or craniofacial morphology. Conclusions: Despite the long duration of early treatment, it caused less wear of the maxillary central incisors than did orthodontic camouflage treatment.

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