scholarly journals Relationship between head posture and parameters of sagittal position and length of jaws

2016 ◽  
Vol 69 (9-10) ◽  
pp. 288-293
Author(s):  
Vladanka Vukicevic ◽  
Djordje Petrovic

Introduction. Head posture in relation to the cervical spine is correlated with the morphology of the face and jaw, the position and the mutual relationship of the maxilla and mandible, their length and inclination. The aim of this study is to examine the relationship between the head posture and parameters of the sagittal position and length of the jaws. Material and Methods. The study included 90 subjects (30 for I, II and II skeletal class each) between the ages of 8 and 14 years, who were examined at the Department of Dentistry of Vojvodina in Novi Sad. Each subject had the lateral cephalogram made, and the analysis was performed by means of the computer program ?Onyx Ceph.? The following parameters were analyzed: craniocervical angle, angle of maxillary prognathism, angle of mandibulary prognathism, the difference angles of maxillary and mandibulary prognathism, length of maxillae, and length of mandible. Results. The angle of maxillary prognathism was in positive correlation with the craniocervical angle in the patients with class I and II, and they were negatively correlated in the patients with class III. The angle of mandibulary prognathism was in positive correlation with the craniocervical angle in the patients with class I and III, but they were negatively correlated in the patients with class II. The patients with class II had a statistically significant positive correlation between the craniocervical angle and length of the maxilla, and a significant, but negative correlation between the craniocervical angle and length of the mandible. Conclusion. Increased extension of the head in relation to the cervical spine can be a contributing factor to the formation of class II malocclusion.

2015 ◽  
Vol 5 ◽  
pp. 151-155
Author(s):  
Divi Mittal ◽  
Shivanand Venkatesh ◽  
Prashantha Govinakovi Shivamurthy ◽  
Silju Mathew

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.


2019 ◽  
Vol 9 (2) ◽  
pp. 20-22
Author(s):  
Faisal Rasheed ◽  
Zubair Hassan Awaisi ◽  
Muhammad Inam Elahi ◽  
Abid Hussain Kanju ◽  
Zeenat Naz Sahito ◽  
...  

Introduction: Hyoid bone is attached to mandible and cranium by different ligaments and muscular attachments and plays important role in maintaining of functions of oral cavity such as posture of tongue. Hyoid bone is attached to mandible and cranium by different ligaments and muscular attachments and plays important role in maintaining of functions of oral cavity such as posture of tongue. Materials & Method: Study was carried out in Nishtar Institute of Dentistry, Multan in May-June 2019. Lateral cephalogram of 113 patients were taken from orthodontic department and drawn by using 3H pencil and acetate matte sheets. Skeletal malocclusions were distributed into Class I, Class II and Class III on the bases of ANB angle. Hyoid bone position was determined using method devised by Bibby and Preston. IBM SPSS was used to assess the statistical data and mean, correlations and one sample t-test were applied. Result: Data shows that in population of Multan, Pakistan, hyoid bone is posterior and downward in position and lies close to mandibular plane. Mean value of C3-H, Hyoid angle and H-RGn was 28.76mm ± 4.01mm, 15.26º ± 5.85º and 33.6mm ± 6.12mm. Conclusion: It is concluded that hyoid bone is positioned more downward and backward direction in Skeletal Class I cases from given sample, moderately in Class III and less in Class II cases.


2021 ◽  
Vol 24 (2) ◽  
Author(s):  
Mohammad Zandi ◽  
Abbas Shokri ◽  
Vahid Mollabashi ◽  
Zahed Eghdami ◽  
Payam Amini

Objetive: This study aimed to compare the anatomical characteristics of the mandible in patients with skeletal class I, II and class III disorders using cone beam computed tomography (CBCT). Material and Methods: CBCT scans of patients between 17 to 40 years taken with NewTom 3G CBCT system with 12-inch field of view (FOV) were selected from the archive. Lateral cephalograms were obtained from CBCT scans of patients, and type of skeletal malocclusion was determined (Class I, II or III). All CBCT scans were evaluated in the sagittal, coronal and axial planes using the N.N.T viewer software. Results: The ramus height and distance from the mandibular foramen to the sigmoid notch in class II patients were significantly different from those in skeletal class I (P < 0.005). Distance from the mandibular canal to the anterior border of ramus in class III individuals was significantly different from that in skeletal class I individuals (P < .005). Conclusion: Length of the body of mandible in skeletal class I was significantly different from that in skeletal class II and III patients. Also, ramus height in skeletal class I was significantly different from that in skeletal class II patients. CBCT had high efficacy for accurate identification of anatomical landmarks.   Keywords Prognathism; Retrognathism; Mandible; Anatomy; Cone beam computed tomography.


2019 ◽  
Vol 9 (1) ◽  
pp. 15-18
Author(s):  
Bashu Dev Pant ◽  
Anjana Rajbhandari ◽  
Resina Pradhan ◽  
Manju Bajracharya

Introduction: Teeth eruption is important for the development of alveolar process which increases vertical height of the face and third molar is the last tooth to erupt in the oral cavity after birth. The aim of this study was to determine relationship between skeletal malocclusion and dental anomalies in Nepalese population. Materials & Method: A sample of 170 patients with agenesis of at least one third molar was divided into four groups according to the third-molar agenesis pattern. Panoramic radiographs, lateral cephalograph and cast models were used to determine the skeletal malocclusion and associated dental anomalies. The Pearson chi-square test was used for stastical analysis. Result: Among 170 patients more than half of the patients were female with the average age being 18.15 ± 3.64 years. Majority of the patients had Class I skeletal malocclusion followed by Class II and III but on group wise comparison of patients with different skeletal patterns Class I skeletal malocclusion had highest prevalence of dental anomalies followed by Class III and Class II malocclusion. Conclusion: Prevalence of third-molar agenesis was more in skeletal class I malocclusion followed by class II and III but skeletal Class I malocclusions had more dental anomalies followed by class III and class II malocclusion.


2019 ◽  
Vol 24 (4) ◽  
pp. 63-72
Author(s):  
Sonia Patricia Plaza ◽  
Andreina Reimpell ◽  
Jaime Silva ◽  
Diana Montoya

ABSTRACT Objective: The purpose of this study was to establish the association between sagittal and vertical skeletal patterns and assess which cephalometric variables contribute to the possibility of developing skeletal Class II or Class III malocclusion. Methods: Cross-sectional study. The sample included pre-treatment lateral cephalogram radiographs from 548 subjects (325 female, 223 male) aged 18 to 66 years. Sagittal skeletal pattern was established by three different classification parameters (ANB angle, Wits and App-Bpp) and vertical skeletal pattern by SN-Mandibular plane angle. Cephalometric variables were measured using Dolphin software (Imaging and Management Solutions, Chatsworth, Calif, USA) by a previously calibrated operator. The statistical analysis was carried out with Chi-square test, ANOVA/Kruskal-Wallis test, and an ordinal multinomial regression model. Results: Evidence of association (p< 0.05) between sagittal and vertical skeletal patterns was found with a greater proportion of hyperdivergent skeletal pattern in Class II malocclusion using three parameters to assess the vertical pattern, and there was more prevalent hypodivergence in Class III malocclusion, considering ANB and App-Bpp measurements. Subjects with hyperdivergent skeletal pattern (odds ratio [OR]=1.85-3.65), maxillary prognathism (OR=2.67-24.88) and mandibular retrognathism (OR=2.57-22.65) had a significantly (p< 0.05) greater chance of developing skeletal Class II malocclusion. Meanwhile, subjects with maxillary retrognathism (OR=2.76-100.59) and mandibular prognathism (OR=5.92-21.50) had a significantly (p< 0.05) greater chance of developing skeletal Class III malocclusion. Conclusions: A relationship was found between Class II and Class III malocclusion with the vertical skeletal pattern. There is a tendency toward skeletal compensation with both vertical and sagittal malocclusions.


2021 ◽  
Author(s):  
Roberto L. Velásquez ◽  
Jorge C. Coro ◽  
José M. Bustillo ◽  
Sadao Sato

ABSTRACT Objectives To evaluate the horizontal condylar angle (HCA) in mandibular lateral displacement (MLD). Materials and Method s: HCA in MLD malocclusions were examined using cone-beam computed tomography data in subjects with MLD and control subjects. Results HCA in joints of control patients and contralateral side joints of MLD patients were not significantly different. The mean HCA on the shifted side was larger than on the contralateral side (P &lt; .001) in the different HCA groups. HCA was significantly larger on the shifted side than on the contralateral side in skeletal Class I, Class II, and Class III groups (P &lt; .001). Conclusions (1) There was no statistically significant difference between HCA in control patients and on the contralateral side in MLD patients. (2) HCA was significantly larger on the shifted side than on the contralateral side. (3) HCA on the shifted side and the contralateral side in MLD Class I, Class II, and Class III are significantly different.


2013 ◽  
Vol 4 (4) ◽  
pp. 228-234 ◽  
Author(s):  
Ranjit Kamble ◽  
Ananya Hazarey ◽  
Pushpa Hazarey ◽  
Jeet Singh

ABSTRACT Introduction To assess the positional variations of maxillary first permanent molar in horizontal and vertical plane with respect to infrazygomatic crest (key ridge) in skeletal class I, II and III cases. Materials and methods A total of 103 lateral cephalograms comprising of 40 skeletal class I (control group), 35 class II and 28 class III cases were selected and analyzed. Six parameters were chosen to compare the vertical and the horizontal variations of first permanent molars. Results The angulation of maxillary first molar with respect to key ridge in class II and III was 2.42° and 6.97° as compared to class I which was 5.35°. The mesiobuccal cusp tip of maxillary first molar from key ridge in class II and III was 2.11 and 5.46 mm respectively as compared to class I (1.62 mm). The mesiobuccal root tip of maxillary first molar from key ridge in class II and III was 2.14 and 2.82 mm as compared to class I (1.27 mm). Conclusion The maxillary first molar was not directly under the infrazygomatic crest and was ahead of the key ridge in all the groups. The maxillary first permanent molar was placed more mesially in class II and III cases as compared to the class I cases but, in class III, it was more upright as compared to class I and II. How to cite this article Kamble R, Hazarey A, Hazarey P, Singh J. Assessment of Positional Variation of Maxillary Permanent First Molar with respect to the Infrazygomatic Crest (Key Ridge) in Skeletal Class I, II and III Cases. World J Dent 2013;4(4):228-234.


2021 ◽  
Vol 48 (2) ◽  
pp. 140-150
Author(s):  
Sophia Rhee ◽  
Ji-Soo Song ◽  
Teo Jeon Shin ◽  
Young-Jae Kim ◽  
Jung-Wook Kim ◽  
...  

A total of 580 patients, who visited and received an orthodontic diagnosis in the Department of Pediatric Dentistry, Seoul National University Dental Hospital from 2017 to 2019, were investigated in this study. The aim of this study was to evaluate skeletal patterns of pediatric orthodontic patients determined with lateral cephalometric analysis and to analyze the relationship between skeletal pattern and probable associated clinical features. Also, the modality of orthodontic treatment for each skeletal classification was investigated to aid in therapeutic decisions.<br/>Patients aged 7 year accounted for the largest age group; 54.2% of patients showed a skeletal class I pattern, 22.2% showed a skeletal class II pattern, and 23.6% showed a skeletal class III pattern. Bi-maxillary retrusion for skeletal class I, retruded mandible with normal positioning of the maxilla for skeletal class II, and retrusion of the maxilla with protrusion of the mandible for skeletal class III were the largest subgroups by skeletal pattern. Brachyfacial type accounted for 55.0% of patients, followed by 31.9% of mesofacial type and 13.1% of dolichofacial type. The prevalence of anterior crossbite in the study was 43.3%, higher than that in previous studies.


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