scholarly journals Alveolar Bone Morphotype in Orthodontic Patients

2021 ◽  
Vol 16 (2) ◽  
pp. 127-140
Author(s):  
Jaime A. Jacques ◽  
Felipe A. Balbontin-Ayala ◽  
Karla F. Gambetta-Tessini ◽  
Arturo Besa-Alonso ◽  
Erica I. Bustamante-Olivares
Keyword(s):  
Alveolar Bone ◽  
Gingival Recession ◽  
Cross Sectional Study ◽  
Cone Beam ◽  
Class Iii ◽  
Cross Sectional ◽  
Skeletal Class ◽  
High Prevalence ◽  
Orthodontic Patients ◽  
Mandibular Teeth

Orthodontic treatments have been described as a risk factor for the development of gingival recessions. This descriptive and cross-sectional study was performed to evaluate the alveolar bone morphotype of the upper and lower anterior of 33 orthodontic treatment of candidate patients. The images were obtained from a high-resolution cone beam computerised tomography. Then, the thickness of the alveolar bone plate of teeth was measured in six levels, recording the presence of dehiscences and fenestrations. A total of 2,334 sites were evaluated. The average thickness of the maxillary alveolar bone at the buccal surface was 0.70, 0.62 and 1.43 mm at the cervical, middle and apical levels, respectively, while in the mandibular teeth it was 0.53, 0.50 and 2.96 mm. At the palatal and lingual surfaces, the bone was thicker than the buccal except at the apical level of the mandible. Most of the examined sites were measured less than 1 mm (n = 1,235, 52.9%), associated with high prevalence of bone dehiscences (57.6%) and fenestrations (33.3%), particularly in skeletal Class III patients. The observed bone morphotype involved a high vulnerability to bone resorption, and the subsequent gingival recession occurrence, face to orthodontic movements.

scholarly journals Evaluation of Articular Eminence Inclination in Normo-Divergent Subjects with Different Skeletal Classes through CBCT

2021 ◽  
Vol 18 (11) ◽  
pp. 5992
Author(s):  
Francesco Moscagiuri ◽  
Francesco Caroccia ◽  
Chiara Lopes ◽  
Beatrice Di Carlo ◽  
Erica Di Maria ◽  
...  
Keyword(s):  
Cross Sectional Study ◽  
Cone Beam ◽  
Class Iii ◽  
Articular Eminence ◽  
Cross Sectional ◽  
Future Studies ◽  
Skeletal Class ◽  
Significant Difference ◽  
Left And Right ◽  
The Right

(1) We aimed to compare articular eminence inclination (AEI) in normo-divergent subjects (SN^GoGn = 32° ± 5°), with different anteroposterior sagittal skeletal classes through a cone beam computed generated tomography (CBCT). (2) In this cross-sectional study, CBCT records were retrospectively analysed. From the original sample of 52 CBCT records, 33 records of normo-divergent adult subjects were selected (11 Class I, 13 Class II and 9 Class III). On mid-sagittal section of the Temporomandibular Joint (TMJ) on both sides, AEI was calculated by graphic method. (3) The Kruskal–Wallis test was used to evaluate any difference between AEI on both left and right sides in the three groups. No statistically significant difference was observed on either the right side (p = 0.174) or the left side (p = 0.624). (4) Articular eminence inclination seems to be not related with skeletal class. Given the lack of significance in the observed differences between AEI and skeletal classes, we believe that future studies should focus on assessing possible relationships between AEI and different vertical skeletal patterns.

scholarly journals Determination of Sagittal Skeletal Discrepancy through Beta Angle: A Lateral Cephalometric Study

2020 ◽  
Vol 10 (3) ◽  
pp. 40-43
Author(s):  
Farah Saleem ◽  
Zubair H Awiasi
Keyword(s):  
Correct Diagnosis ◽  
Cross Sectional Study ◽  
X Rays ◽  
Class Iii ◽  
Cross Sectional ◽  
Skeletal Class ◽  
Skeletal Class Ii ◽  
Beta Angle ◽  
Third Line ◽  
Cephalometric Study

Introduction: Accurate classification and treatment planning relies on correct diagnosis of skeletal and dentalrelationships. Commonly used measurements used to classify sagittal relationship ANB and Wit’s appraisal are not without potential inherent problems which might lead to less accurate classification of sagittal dysplasia. To avoid these problems, a new approach Beta angle was introduced by Baik in 2004. Beta angle as it involves different landmarks of classifying anterior-posterior relationships is said to be devoid of those problems thus more reliable. We conducted a cross sectional study to measure the angle among patients presenting in Nishtar Institute of Dentistry Multan Pakistan. Materials and Method: Ninety pretreatment cephalometric x-rays of patients between ages 12 to 30 years were selected and studied. They were divided into three classes based on ANB angle and Wit’s appraisal. For the measurement of Beta angle, a line was drawn from the center of condyle (C) to point A and other to point B. A third line joining A to B was drawn. A line from point A perpendicular to line C-B was drawn and angle was measured between this perpendicular and line joining A-B. ANOVA was used to compare means of three groups. Pearson correlational coefficient was used to correlate relationship between Beta angle and ANB angle. Result: The results showed Beta angle ranged between 27° and 34° for class I. Subjects having angle less than 27° can be classified as skeletal class II and those with angles larger than 34° as skeletal class III subjects. Conclusion: Beta angle is reliable method for assessing and classifying sagittal skeletal discrepancies 

scholarly journals Impact of orthognathic surgery on the prevalence of dehiscence in Class II and Class III surgical-orthodontic patients:

2021 ◽  
Author(s):  
Monique Cimão dos Santos ◽  
Lilian Cristina Vessoni Iwaki ◽  
José Valladares-Neto ◽  
Maristela Sayuri Inoue-Arai ◽  
Adilson Luiz Ramos
Keyword(s):  
Orthognathic Surgery ◽  
Alveolar Bone ◽  
Class Ii ◽  
Vascular Supply ◽  
Cone Beam ◽  
Third Molars ◽  
Class Iii ◽  
Before And After ◽  
Orthodontic Patients ◽  
Supply Reduction

ABSTRACT Objectives The objectives were to evaluate and compare the presence of bone dehiscence before and after orthognathic surgery. Materials and Methods In this retrospective study, 90 cone-beam computed tomography (CBCT) scans from 45 patients were evaluated. Class II (n = 23) and Class III (n = 22) orthodontic patients who were being prepared for orthognathic surgery were measured. CBCT scans were obtained about 30 days prior to (T0) and 6 months after (T1) double jaw orthognathic surgery. The distance between the cemento-enamel junction (CEJ) and the alveolar bone crest was assessed at the buccal and lingual surfaces of all teeth, on both sides and arches, except for the second premolars and the second and third molars. A total of 1332 sites were measured for Class II (644) and Class III (688) patients. The software used was OsiriX (version 3.3 32-bit). Data were compared with Wilcoxon and McNemar tests at the 5% level. Results Bone dehiscence before surgery was present in 26% and 15% of the Class II and III groups, respectively. The presence of dehiscence increased to 31% in the Class II and 20% in the Class III patients after surgery (P < .05). Conclusions The prevalence of dehiscence increased slightly in Class II and Class III surgical-orthodontic patients after orthognathic surgery. Temporary vascular supply reduction and oral hygiene difficulties may explain these results; however, more studies are needed.

scholarly journals Gingival recession: prevalence, extension and severity in adults

2004 ◽  
Vol 12 (3) ◽  
pp. 250-255 ◽  
Author(s):  
Milena Guerreiro Marini ◽  
Sebastião Luiz Aguiar Greghi ◽  
Euloir Passanezi ◽  
Adriana Campos Passanezi Sant'Ana
Keyword(s):  
Gradual Increase ◽  
Gingival Recession ◽  
Root Surface ◽  
Clinical Aspect ◽  
Class Iii ◽  
High Prevalence ◽  
Older Subjects ◽  
Dental Surface ◽  
Mandibular Teeth ◽  
Dental Professionals

The gingival recession was assessed in 380 adult individuals aged more than 20 years and comprised both subjects being treated and looking for treatment at Bauru Dental School. Clinical evaluation was conducted by a single examiner in all teeth and involved analysis of four dental aspects (mesial, buccal, distal and lingual). The gingival recession was regarded as present whenever more than 1mm of root surface was exposed, and its vertical width was measured in millimeters from the cementoenamel junction to the gingival margin. The recessions were further scored following the criteria suggested by Miller in 1985. Gingival recession was observed in at least one dental surface in about 89% of the individuals analyzed. The prevalence, extension and severity of this clinical aspect increased with age. Class I recessions were the most frequent, yet there was a gradual increase of Class III and IV recessions as older subjects were evaluated. The mandibular teeth displayed more surfaces with gingival recession than the maxillary teeth and the mandibular incisors were the most affected teeth. Such high prevalence of gingival recession in adult patients demonstrates that dental professionals should provide attention to the clinical relevance of such alterations, as well as to the diagnosis of the etiologic factors.

scholarly journals Analysis of orthopedic treatment of skeletal Class III malocclusion with Rapid Palatal Expansion and Face Mask therapy

2019 ◽  
Vol 22 (4) ◽  
pp. 467-474
Author(s):  
Ana de Lourdes Sá De Lira ◽  
Igo Rafael Costa Araújo
Keyword(s):  
Face Mask ◽  
Cross Sectional Study ◽  
Mixed Dentition ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Maxillary Expansion ◽  
Cross Sectional ◽  
Skeletal Class ◽  
Rapid Palatal Expansion ◽  
Maxillary Deficiency

Aim: To demonstrate the main effects on maxillary and facial profile after treatment with expansion and face mask therapy in patients pattern III Class III. Material and Method: A cross-sectional study of maxillary expansion and reverse traction performed in 4 patients with maxillary deficiency, in the pre-peak pubertal growth stage and in the mixed dentition, with cephalograms before and after treatment, using angular measurements (SNA, SNENA, ANL and 1NA) and linear (S’-ENA, S’-A, 1-NA, OVERJET, S-LS and S-LI) and plot overlays. Results: Improvement in overjet was observed, going from negative to positive in all cases treated with incisor uncrossing, although it was not statistically significant. The upper and lower labial posture with respect to the base of the nose and the ment improved significantly, represented by the measurements S-LS and S-LI, with a change from the concave profile to slightly convex. Conclusion: Class III malocclusion with maxillary deficiency treated with rapid maxillary disjunction and reverse traction with facial mask was effective in both groups, with maxillary protraction and shifting in the concave to slightly convex profile.KeywordsFacial Mask; Rapid maxillary expansion; Class III.

scholarly journals Orthodontic decompensation in skeletal Class III malocclusion: redefining the amount of movement assessed by Cone-Beam Computed Tomography

2015 ◽  
Vol 20 (5) ◽  
pp. 28-34 ◽  
Author(s):  
José Antonio Zuega Cappellozza ◽  
Fabio Pinto Guedes ◽  
Hugo Nary Filho ◽  
Leopoldino Capelozza Filho ◽  
Mauricio de Almeida Cardoso
Keyword(s):  
Computed Tomography ◽  
Cone Beam ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Skeletal Class ◽  
Computed Tomographic ◽  
Before And After ◽  
Mineralized Tissues ◽  
Mandibular Teeth ◽  
Tooth Inclination

Introduction:Cone-Beam Computed Tomography (CBCT) is essential for tridimensional planning of orthognathic surgery, as it allows visualization and evaluation of bone structures and mineralized tissues. Tomographic slices allow evaluation of tooth inclination and individualization of movement performed during preoperative decompensation. The aim of this paper was to assess maxillary and mandibular incisors inclination pre and post orthodontic decompensation in skeletal Class III malocclusion.Methods:The study was conducted on six individuals with skeletal Class III malocclusion, surgically treated, who had Cone-Beam Computed Tomographic scans obtained before and after orthodontic decompensation. On multiplanar reconstruction view, tomographic slices (axial, coronal and sagittal) were obtained on the long axis of each incisor. The sagittal slice was used for measurement taking, whereas the references used to assess tooth inclination were the long axis of maxillary teeth in relation to the palatal plane and the long axis of mandibular teeth in relation to the mandibular plane.Results:There was significant variation in the inclination of incisors before and after orthodontic decompensation. This change was of greater magnitude in the mandibular arch, evidencing that natural compensation is more effective in this arch, thereby requiring more intensive decompensation.Conclusion:When routinely performed, the protocols of decompensation treatment in surgical individuals often result in intensive movements, which should be reevaluated, since the extent of movement predisposes to reduction in bone attachment levels and root length.

scholarly journals ORTHODONTIC PATIENTS

2011 ◽  
Vol 18 (04) ◽  
pp. 611-614
Author(s):  
RANA MODASSIR SHAMSHER KHAN ◽  
ALI SAAD TARIQ
Keyword(s):  
Total Sample ◽  
Class Ii ◽  
Cross Sectional Study ◽  
Class Ii Malocclusion ◽  
Class Iii ◽  
Sectional Study ◽  
Class Iii Malocclusion ◽  
Cross Sectional ◽  
Orthodontic Patients ◽  
Males And Females

Objectives: To find out the prevalence of malocclusion in patients visiting orthodontic department of Lahore medical and dental college (LMDC). Study Design: It is a cross sectional study. Place of study: Orthodontic department, Lahore medical and dental College. Lahore. Material and methods: Malocclusion was clinically examined by using Angle’s classification in 1143 patients (708 girls and 435 boys). Results: Class I malocclusion was found in 23.27% of the total sample. Class II malocclusion was found in 53.19% and Class III malocclusion in 8.66% of sample. No statistically significant differences were found in distribution of malocclusion between males and females. Conclusions: The study revealed that Class II malocclusion predominated among patients visiting orthodontic department of LMDC.

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