Assessment of cephalometric changes in pharyngeal airway involving first premolar extractions in Class II Division 1 Patients and Class I bimaxillary protrusion patients treated with fixed mechanotherapy: A retrospective study

2017 ◽  
Vol 3 (1) ◽  
pp. 31-36 ◽  
Keyword(s):  
Retrospective Study ◽  
Class Ii ◽  
Class I ◽  
Pharyngeal Airway ◽  
Division 1 ◽  
Cephalometric Changes ◽  
Bimaxillary Protrusion ◽  
Class Ii Division 1

scholarly journals Comparative Evaluation of Adenoids, Upper Airway, and Tongue Using “Predictors of Difficult Airways” in Class II Division 1 and Division 2 Cases with Class I Cases: Prospective In Vivo Observational Study

2021 ◽  
pp. 030157422096341
Author(s):  
Smita Mangesh Choudhari ◽  
Sunita Shrivastav
Keyword(s):  
Significant Positive Correlation ◽  
Upper Airway ◽  
Class Ii ◽  
Class I ◽  
Positive Correlation ◽  
Division 1 ◽  
Difficult Airways ◽  
Mandibular Protrusion ◽  
Division 2 ◽  
Class Ii Division 1

Introduction: Altered nasorespiratory function leads to altered craniofacial growth. Thus, airway evaluation is important for preventive, interceptive, and corrective orthodontic treatment. The aim of this study was to evaluate and compare adenoids, the upper airway, the tongue, and mandibular dimensions using “predictors of difficult airways” in class II division 1 and class II division 2 cases with class I cases. Method: Sixty subjects of age 15 to 18 years were divided into 3 groups (group 1: class I cases; group 2: class II division 1 cases; and group 3: class II division 2 cases) based on cephalometric parameters, with 20 cases in each group. Cephalometric evaluation of adenoids and the nasopharyngeal airway was done using the Handelman–Osborne area method. Upper and lower airway evaluation was done using McNamara’s linear method. “Predictors of difficult airways” were used for evaluation of the airway, which included nasal competency, the Mallampati scale, mandibular length, mandibular protrusion, and the thyromental distance. Results: The present study found a significant positive correlation between the grades of nasal competency and percentage adenoid wall area, and a significant negative correlation between the grades of nasal competency and the upper airway. There was a significant positive correlation between the grades of nasal competency and mandibular length, and a significant positive correlation between the grades of mandibular protrusion and mandibular length. There was a significant positive correlation between the grades of the thyromental distance and mandibular length. Conclusion: It was concluded that the “predictors of difficult airways” would be helpful in early diagnosis and identification of potential risk factors that may cause “breathing disorders”–related malocclusions and later on increase the risk of developing OSA.

scholarly journals Evaluation of tongue posture & dimensions in relation to skeletal Class I and Class II patterns- A cephalometric study

2021 ◽  
Vol 7 (4) ◽  
pp. 276-281
Author(s):  
Puja Khanna ◽  
Sumit Chhabra ◽  
Preeti Munjal ◽  
Sunny Mittal ◽  
Nishtha Arora
Keyword(s):  
Statistical Tests ◽  
Class Ii ◽  
Class I ◽  
Control Group ◽  
Skeletal Class ◽  
Normal Occlusion ◽  
Division 1 ◽  
Skeletal Pattern ◽  
Bonferroni Test ◽  
Class Ii Division 1

Association of tongue posture with dental and facial skeletal pattern have been suggested in past. This study was undertaken to assess tongue posture and dimensions in Class I and Class II Dentoskeletal patterns to determine whether any correlation exists between tongue posture and skeletal pattern of an individual. Cephalograms of 150 individuals (aged 18-23 years), taken in Natural Head Position (NHP) and tongue at rest were divided into three groups i.e. Group 1 – Class I Normal occlusion, Group 2 – Class II Division 1 Normodivergent and Group 3 – Class II Division 1 Hypodivergent, consisting of 50 samples each. To ensure the rest position of tongue, patient was asked to relax for 30 seconds after coating the tongue with barium sulphate in midline and then to swallow, and the X-ray was taken at the end of swallowing. Each group was divided into two subgroups according to sex. Groups were constituted according to the Frankfort mandibular plane angle (FMA) angle. The subjects who had skeletal Class II pattern due to mandibular retrusion and not due to maxillary prognathism were only included in the study group. Statistical analysis was done using the software SPSS version 21.0. The statistical tests used were unpaired t-test and One-way ANOVA test with post-hoc bonferroni test. The p-value was considered significant if less than 0.05.The dorsum of the tongue was higher at back and lower in front in Class II Division 1 Hypodivergent group as compared to Class I Normal occlusion group (P<.05). Tongue height and tongue length were significantly reduced in Class II Division 1 Normodivergent and Class II Division 1 Hypodivergent malocclusion groups when compared to Class I control group (P<.05).The study supports the existence of a relationship between posture & dimensions of the tongue with Class I and Class II skeletal patterns.

scholarly journals Comparison of arch width, alveolar width and buccolingual inclination of teeth between Class II division 1 malocclusion and Class I occlusion

2012 ◽  
Vol 83 (2) ◽  
pp. 246-252 ◽  
Author(s):  
Rui Shu ◽  
Xianglong Han ◽  
Yating Wang ◽  
Hui Xu ◽  
Dongqing Ai ◽  
...  
Keyword(s):  
Class Ii ◽  
Class I ◽  
Posterior Teeth ◽  
Mandibular Arch ◽  
Arch Width ◽  
Significant Difference ◽  
Division 1 ◽  
Maxillary Premolars ◽  
Mandibular Posterior Teeth ◽  
Class Ii Division 1

ABSTRACT Objective: To compare the arch width, alveolar width, and buccolingual inclination of maxillary and mandibular posterior teeth between Class II division 1 malocclusion and Class I occlusion. Materials and Methods: Forty-five subjects with Class I occlusion and 45 subjects with Class II division 1 malocclusion were selected to measure the maxillary and mandibular arch width and alveolar width of premolars and first molars with digital caliper. Buccolingual inclination of maxillary and mandibular premolars and first molars were measured with a modified universal bevel protractor. Results: All of the posterior teeth in both groups were lingually tilted. The maxillary premolars and first molars were significantly more lingually tilted (P < .05) in Class II division 1 malocclusion than in Class I occlusion. Mandibular first premolars were significantly less lingually tilted in Class II division 1 malocclusion than in Class I occlusion. No significant difference of buccolingual inclination was found in mandibular second premolars and first molars between the two groups. No significant difference in maxillary and mandibular arch width and alveolar width was found between the two groups. Conclusions: Buccolingual inclination rather than arch width and alveolar width plays an important role in transverse discrepancy of Class II division 1 malocclusion.

scholarly journals Upper Airway Dimensions in Class II Malocclusion

2007 ◽  
Vol 77 (6) ◽  
pp. 1046-1053 ◽  
Author(s):  
Mirja Kirjavainen ◽  
Turkka Kirjavainen
Keyword(s):  
Treatment Time ◽  
Upper Airway ◽  
Class Ii ◽  
Class I ◽  
Class Ii Malocclusion ◽  
Cross Sectional ◽  
Lateral Cephalograms ◽  
Division 1 ◽  
Upper Airway Structure ◽  
Class Ii Division 1

Abstract Objective: To study the effects of cervical headgear treatment of Class II division 1 malocclusion on upper airway structures in children. Materials and Methods: Forty children aged 9.1 (7.2–11.5) years with Class II division 1 malocclusion were treated using a cervical headgear as the only treatment appliance. The headgear consisted of a long outer bow bent 15° upward and a large inner bow expanded 10 mm larger than the intermolar distance. Lateral cephalograms were taken before and after the treatment. Upper airway structures were estimated from the cephalograms. The results were compared to cross-sectional data of 80 age-matched controls with a Class I molar relationship. Results: A Class I molar relationship was achieved in all treated children. The mean treatment time was 1.6 (0.3–3.1) years. The Class II malocclusion was accompanied by a similar or wider nasopharyngeal space than in the controls but narrower oro- and hypopharyngeal spaces. The retropalatal area was widened by the treatment (P < .05), whereas the rest of the oropharynx and hypopharynx remained narrower than in the controls. Before the treatment, the mandibular plane was in a more horizontal position than in the controls, but during the treatment, it rotated to a position similar to that of the controls. Conclusion: Class II division 1 malocclusion is associated with a narrower upper airway structure even without retrognathia. Headgear treatment is associated with an increase in the retropalatal airway space.

Influence of extraction and nonextraction orthodontic treatment in Japanese-Brazilians with class I and class II division 1 malocclusions

2005 ◽  
Vol 127 (1) ◽  
pp. 30-36 ◽  
Author(s):  
Sandra Márcia Hayasaki ◽  
José Fernando Castanha Henriques ◽  
Guilherme Janson ◽  
Marcos Roberto de Freitas
Keyword(s):  
Orthodontic Treatment ◽  
Class Ii ◽  
Class I ◽  
Japanese Brazilians ◽  
Division 1 ◽  
Class Ii Division 1

scholarly journals Computed Tomography Evaluation of Craniomandibular Articulation in Class II Division 1 Malocclusion and Class I Normal Occlusion Subjects in North Indian Population

2012 ◽  
Vol 2012 ◽  
pp. 1-5 ◽  
Author(s):  
K. C. Prabhat ◽  
Sanjeev Kumar Verma ◽  
Sandhya Maheshwari ◽  
Ibne Ahmad ◽  
Mohd. Tariq
Keyword(s):  
Computed Tomography ◽  
Indian Population ◽  
Class Ii ◽  
Class I ◽  
Spiral Computed ◽  
Computed Tomography Images ◽  
Normal Occlusion ◽  
Division 1 ◽  
Joint Morphology ◽  
Class Ii Division 1

Objective. The purpose of this study is to investigate the Craniomandibular articulation morphology and position of condyle in mandibular fossae in Angle’s class I normal occlusion and Angle’s class II division 1 malocclusion. Materials and Methods. The present study was conducted on 40 subjects with 20 subjects in each group, and the computed tomography images were obtained using spiral computed tomography technique. Each measurement was compared by two-factor analysis of variance (ANOVA) while changes in anterior and posterior joint spaces were done by paired t-test. Results. Statistically significant anterior positioning of condyle was observed in class I normal malocclusion, and it was significant only on right side in class II division 1 malocclusion. Conclusions. There was no difference found in the condylar process and joint morphology between right and left sides of both Angle’s Class I normal occlusion and Angle’s class II division 1 malocclusion. Evaluation of the position of the condyles in their respective mandibular fossae showed concentric position with a tendency towards anterior positioning for both right and left sides of the subjects with Angle’s Class I normal occlusion as well as subjects with Angle’s class II division 1 malocclusion.

scholarly journals Thin-plate Spline Analysis of Craniofacial Growth in Class I and Class II Subjects

2007 ◽  
Vol 77 (4) ◽  
pp. 595-601 ◽  
Author(s):  
Lorenzo Franchi ◽  
Tiziano Baccetti ◽  
Franka Stahl ◽  
James A. McNamara
Keyword(s):  
Thin Plate ◽  
Class Ii ◽  
Cranial Base ◽  
Thin Plate Spline ◽  
Class I ◽  
Class Ii Malocclusion ◽  
Craniofacial Growth ◽  
Developmental Phase ◽  
Division 1 ◽  
Class Ii Division 1

Abstract Objective: To compare the craniofacial growth characteristics of untreated subjects with Class II division 1 malocclusion with those of subjects with normal (Class I) occlusion from the prepubertal through the postpubertal stages of development. Materials and Methods: The Class II division 1 sample consisted of 17 subjects (11 boys and six girls). The Class I sample also consisted of 17 subjects (13 boys and four girls). Three craniofacial regions (cranial base, maxilla, and mandible) were analyzed on the lateral cephalograms of the subjects in both groups by means of thin-plate spline analysis at T1 (prepubertal) and T2 (postpubertal). Both cross-sectional and longitudinal comparisons were performed on both size and shape differences between the two groups. Results: The results showed an increased cranial base angulation as a morphological feature of Class II malocclusion at the prepubertal developmental phase. Maxillary changes in either shape or size were not significant. Subjects with Class II malocclusion exhibited a significant deficiency in the size of the mandible at the completion of active craniofacial growth as compared with Class I subjects. Conclusion: A significant deficiency in the size of the mandible became apparent in Class II subjects during the circumpubertal period and it was still present at the completion of active craniofacial growth.

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