scholarly journals Vertical facial disproportions in children with Class III malocclusion

2019 ◽  
Vol 147 (3-4) ◽  
pp. 152-159
Author(s):  
Zdenka Stojanovic ◽  
Jasmina Milic ◽  
Verica Pavlic
Keyword(s):  
Mixed Dentition ◽  
Class I ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Gender Dimorphism ◽  
Early Therapy ◽  
Skeletal Class ◽  
Facial Height ◽  
Significant Difference ◽  
Experimental Group

Introduction/Objective. Class III malocclusion is a sagittal intermaxillary disproportion with dominant presence of mandible. Apart from primary sagittal, anomalies in vertical face dimension can also be present. The aim of this study is to evaluate vertical facial disproportions in the skeletal Class III malocclusion in stage of mixed dentition, in order to better plan its early therapy. Methods. In total 100 children were randomly selected and divided according to cephalometric analyzes in the two equal groups: Group 1 (experimental group) ? skeletal Class III malocclusion (n = 50) and Group 2 (control group) ? skeletal Class I (n = 50). The groups were further divided into three subgroups according to the age and gender of the children. Vertical craniofacial proportions were measured by anterior (upper, lower and total) and posterior facial height and their proportion. The values were statistically analyzed (p ? 0.05). Results. Upper anterior, lower anterior, total anterior and posterior facial height, proportion between lower and total anterior facial height, and proportion of posterior to total anterior facial height did not have a significant difference among children with Class I and Class III malocclusions. Upper anterior facial height proportional to total anterior facial height was statistically significant greater in experimental group when compared to control. Significant gender dimorphism was noted among the same subgroups. Conclusion. Vertical craniofacial proportions in children with Class III malocclusion in stage of mixed dentition was not significantly changed. This finding leaves room for the successful application of early, individually planned orthodontic therapy.

scholarly journals Prevalence of malocclusion among school Children of Kathmandu, Nepal

2019 ◽  
Vol 9 (1) ◽  
pp. 59-62
Author(s):  
Manju Bajracharya ◽  
Sunanda Sundas ◽  
Resina Pradhan ◽  
Surendra Maharjan
Keyword(s):  
School Children ◽  
Cross Sectional Study ◽  
Mixed Dentition ◽  
Class I ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Cross Sectional ◽  
Normal Occlusion ◽  
Significant Difference ◽  
Study Population

Introduction: this study was carried to understand Prevalence of malocclusion among the school children of Kathmandu, Sorakhutte residing near school during mixed dentition period. A sample of 600 children ; 365 male, 235 female in age group of 6-13yrs was selected randomly from different school of Kathmandu city. The aim of our study is to find out prevalence of malocclusion among the mixed detention children of Kathmandu. Materials & Method: Data was collected using direct observation of the subjects, Descriptive cross-sectional study method was used in this research. Occlusal assessment were done according to angle’s classification and dewey’s modification type of class I, class III malocclusion. Result: Subjects with normal occlusion was found to be 59.3% and with malocclusion was found to 40.7%. Among them class I malocclusion was majority of (57%) of study population, crowded incisors and significant difference was observed between male and female in the study. Conclusion: This study helps to access the prevalence malocclusion and need of orthodontic treatment for the mixed dentition period children.

scholarly journals Cephalometric assessment of maxillary length in Serbian children with skeletal class III

2013 ◽  
Vol 70 (7) ◽  
pp. 645-652 ◽  
Author(s):  
Zdenka Stojanovic ◽  
Predrag Nikolic ◽  
Angelina Nikodijevic ◽  
Jasmina Milic ◽  
Branislav Stojanovic
Keyword(s):  
Cranial Base ◽  
Mixed Dentition ◽  
Class I ◽  
Control Group ◽  
Class Iii ◽  
X Ray ◽  
Skeletal Class ◽  
Jaw Bones ◽  
Significant Difference ◽  
Group A

Background/Aim. Malocclusion of skeletal class III is a complex irregularity of sagittal inter-jaw relationship, which is due to irregularities of sagittal position of one or both of the jaw bones, which is often associated with disproportionate ratio of their length. The aim of this study was to determine whether the length of the jaw of children with skeletal class III in the period of mixed dentition was changed. Methods. Fifty children with skeletal class III and the same number of those with skeletal class I, of both sexes, have been selected on the basis of cephalometric analysis of profile tele-x-ray of the head. All the children aged 6-12 had mixed dentition, and were divided according to sex and age into three subgroups within each group. The length of maxilla, mandible and cranial base were measured. Proportions among the lengths measured within each group were found and difference significance in the measured lengths and their proportions among groups and subgroups were evaluated. Results. The children with skeletal class III, compared with the findings in the control group, had significantly lower values of maxillary length, total maxillary length, as well as lower values of their lengths in proportion to lengths of the front or the total length of cranial base and in proportion to mandibular lengths (p < 0.05). Among the patients of different sexes, both in the test and the control group, a significant difference in the values of the measured lengths was found. Conclusion. The children with skeletal class III have significantly shorter maxilla than those with skeletal class I.

scholarly journals Radiographic cephalometry assessment of the linear and angular parameters on cranial base in children with skeletal class III

2007 ◽  
Vol 64 (9) ◽  
pp. 604-610 ◽  
Author(s):  
Zdenka Stojanovic ◽  
Jasmina Milic ◽  
Predrag Nikolic
Keyword(s):  
Clinical Examination ◽  
Cranial Base ◽  
Mixed Dentition ◽  
Class I ◽  
Class Iii ◽  
Skeletal Class ◽  
Significant Difference ◽  
Group 2 ◽  
Parameter Values ◽  
Group 1

Background/Aim. In malocclusion of skeletal class III, mandible is located in front of maxilla in sagital plain, which is manifested by a lower value of the sagital inter-jaw angle than in skeletal class I, where the jaw sagital relation is normal. Apart from the deformities on mandible and/or maxilla, in skeletal class III deformities are also frequent on the cranial base. The aim of this research was to find the differences in the parameter values on the cranial base among the children with skeletal class III and the children with skeletal class I in the period of mixed dentition. Methods. After clinical examination and orthopan-tomography, profile radiography of the head was analyzed in 60 examinees, aged from 6?12 years. The examinees were divided into two groups: group 1 - the children with skeletal class III; group 2 - the children with skeletal class I. Both linear and angular parameters on the cranial base were measured, as well as the angles of maxillary and mandible prognatism and the angle of sagital inter-jaw relation. The level of difference in the parameter values between the groups was estimated and the degree of correlation of the main angle of the cranial base with the angles of sagital position of the jaws in each of the two groups was established. Results. A significant difference between the groups was found only in the average values of the angles of maxillary prognatism and sagital interjaw relation. In the group 1, the main angle of the cranial base was in a significant correlation with the angles of sagital positions of the jaws, while in the group 2, such significance was not found. Conclusion. There were no significant differences in the parameter values on the cranial base between the groups. There was a significant correlation of the main angle of the cranial base with the angles of sagital position of the jaws in the group 1 only. .

scholarly journals Global distribution of malocclusion traits: A systematic review

2018 ◽  
Vol 23 (6) ◽  
pp. 40.e1-40.e10 ◽  
Author(s):  
Maged Sultan Alhammadi ◽  
Esam Halboub ◽  
Mona Salah Fayed ◽  
Amr Labib ◽  
Chrestina El-Saaidi
Keyword(s):  
Class Ii ◽  
Permanent Dentition ◽  
Open Bite ◽  
Mixed Dentition ◽  
Class I ◽  
Pool Data ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Posterior Crossbite ◽  
Electronic Search

Abstract Objective: Considering that the available studies on prevalence of malocclusions are local or national-based, this study aimed to pool data to determine the distribution of malocclusion traits worldwide in mixed and permanent dentitions. Methods: An electronic search was conducted using PubMed, Embase and Google Scholar search engines, to retrieve data on malocclusion prevalence for both mixed and permanent dentitions, up to December 2016. Results: Out of 2,977 retrieved studies, 53 were included. In permanent dentition, the global distributions of Class I, Class II, and Class III malocclusion were 74.7% [31 - 97%], 19.56% [2 - 63%] and 5.93% [1 - 20%], respectively. In mixed dentition, the distributions of these malocclusions were 73% [40 - 96%], 23% [2 - 58%] and 4% [0.7 - 13%]. Regarding vertical malocclusions, the observed deep overbite and open bite were 21.98% and 4.93%, respectively. Posterior crossbite affected 9.39% of the sample. Africans showed the highest prevalence of Class I and open bite in permanent dentition (89% and 8%, respectively), and in mixed dentition (93% and 10%, respectively), while Caucasians showed the highest prevalence of Class II in permanent dentition (23%) and mixed dentition (26%). Class III malocclusion in mixed dentition was highly prevalent among Mongoloids. Conclusion: Worldwide, in mixed and permanent dentitions, Angle Class I malocclusion is more prevalent than Class II, specifically among Africans; the least prevalent was Class III, although higher among Mongoloids in mixed dentition. In vertical dimension, open bite was highest among Mongoloids in mixed dentition. Posterior crossbite was more prevalent in permanent dentition in Europe.

scholarly journals Dentofacial Changes after Orthodontic Intervention with Eruption Guidance Appliance in the Early Mixed Dentition

2008 ◽  
Vol 78 (2) ◽  
pp. 324-331 ◽  
Author(s):  
Katri Keski-Nisula ◽  
Leo Keski-Nisula ◽  
Hannu Salo ◽  
Kati Voipio ◽  
Juha Varrela
Keyword(s):  
Treatment Group ◽  
Mixed Dentition ◽  
Class I ◽  
Control Group ◽  
Significant Shift ◽  
Facial Height ◽  
Significant Difference ◽  
The Mean ◽  
Maxillary Incisors ◽  
Clinically Significant

Abstract Objective: To evaluate skeletal and dentoalveolar changes induced by the eruption guidance appliance in the early mixed dentition. Materials and Methods: Pre- and posttreatment cephalometric radiographs of 115 consecutively treated children, 62 boys and 53 girls, were compared with those obtained from a control group of 104 children, 52 boys and 52 girls. Pretreatment radiographs were taken at the deciduous-mixed dentition interphase (T1) and after full eruption of all permanent incisors and first molars (T2). The mean age of the children in both groups was 5.1 years at T1 and 8.4 years at T2. Results: A significant difference between the groups at T2 was found in the mandibular length, midfacial length, and maxillomandibular differential. The increase in mandibular length was 11.1 mm in the treatment group and 7.2 mm in the control group. No differences were found in measurements of maxillary position or size. There was a significant shift toward a Class I relationship in the treatment group. Labial tipping and linear protrusion of the mandibular incisors was evident in the treatment group at T2. There was no effect on the inclination or position of the maxillary incisors. Conclusions: Occlusal correction was achieved mainly through changes in the dentoalveolar region of the mandible. In addition, the appliance enhanced condylar growth resulting in a clinically significant increase in mandibular length. No effect was observed on maxillary position, maxillary size, inclination or protrusion of the maxillary incisors, or facial height.

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 Palatal bone thickness at the implantation area of maxillary skeletal expander in adult patients with skeletal Class III malocclusion: a cone-beam computed tomography study

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Weiting Chen ◽  
Kaili Zhang ◽  
Dongxu Liu
Keyword(s):  
Computed Tomography ◽  
Cone Beam Computed Tomography ◽  
Adult Patients ◽  
Cone Beam ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Bone Thickness ◽  
Skeletal Class ◽  
Significant Difference ◽  
Palatal Bone

Abstract Background Maxillary skeletal expanders (MSE) is effective for the treatment of maxillary transverse deformity. The purpose of the study was to analyse the palatal bone thickness in the of MSE implantation in patients with skeletal class III malocclusion. Methods A total of 80 adult patients (40 males, 40 females) with an average angle before treatment were divided into two groups, the skeletal class III malocclusion group and the skeletal I malocclusion group, based on sagittal facial type. Each group consisted of 40 patients, with a male to female ratio of 1:1. A cone-beam computed tomography scanner was employed to obtain DICOM data for all patients. The palatal bone thickness was measured at 45 sites with MIMICS 21.0 software, and SPSS 22.0 software was employed for statistical analysis. The bone thickness at different regions of the palate in the same group was analysed with one-way repeated measures ANOVA. Fisher’s least significant difference-t method was used for the comparison of pairs, and independent sample t test was employed to determine the significance of differences in the bone thickness at the same sites between the two groups. Results Palatal bone thickness was greater in the middle region of the midline area (P < 0.01), while the thickness in the middle and lateral areas in both groups was generally lower (P < 0.001). The bone in the anterior, middle, and posterior regions of the two groups became increasingly thin from the middle area toward the parapalatine region. The palatal bone was significantly thinner in the area 9.0 mm before the transverse palatine suture in the midline area, 9.0 mm before and after the transverse palatine suture in the middle area, and 9.0 mm after the transverse palatine suture in the lateral area. Conclusion The palatal bone was thinner in patients with class III malocclusion than in patients with class I malocclusion, with significant differences in some areas. The differences in bone thickness should be considered when MSE miniscrews are implanted. The anterior and middle palatal areas are safer for the implantation of miniscrews, while the thinness of the posterior palatal bone increases the risk of the miniscrews falling off and perforating.

scholarly journals Correlation of frankfort horizontal with the sellanasion line angular data in different sagittal skeletal bases

2020 ◽  
Vol 16 (12) ◽  
pp. 1088-1093
Author(s):  
Mathew Thomas Maliael ◽  
Keyword(s):  
T Test ◽  
Class I ◽  
Gender Dimorphism ◽  
Skeletal Class ◽  
Significant Difference ◽  
Beta Angle ◽  
Angular Data ◽  
The Difference ◽  
The One ◽  
One Way Anova

It is of interest to establish the cephalometric correlation of angular data between frankfort horizontal and the sella-nasion line in different sagittal skeletal bases. Beta angle was used to divide the sample based on their sagittal skeletal base relationship. The FH-SN angle was measured for each group. The data were tabulated into IBM SPSS software. Kolmogorov-Smirnov and Shapiro-Wilk test was done to test the normal distribution of the data. One-way ANOVA analysis was done to test the difference of the FH-SN angle among the groups. Independent samples t-Test was done to test for gender dimorphism. The mean FH-SN angle of the sample was 6.33°3.35°. The results of the One-Way ANOVA and independent samples t-Test were insignificant. Results show that is no statistically significant difference in FHSN angle between skeletal class I, II and III.The mean FH-SN angle of the sample was 6.33°3.35°. The distribution of the data was normal. The results of the One-Way ANOVA and Independent samples t-Test were insignificant. There was no statistically significant difference in FH-SN angle between skeletal class I, II and III.

scholarly journals Skull bone thickness versus malocclusion

2015 ◽  
Vol 5 ◽  
pp. 255-261
Author(s):  
D. K. Mahamad Iqbal ◽  
Vivek B. Amin ◽  
Rohan Mascarenhas ◽  
Akther Husain
Keyword(s):  
Class Ii ◽  
Parietal Bone ◽  
Frontal Bone ◽  
Class I ◽  
Class Ii Malocclusion ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Bone Thickness ◽  
Significant Difference ◽  
Skull Thickness

Objective The objectives of this study were to determine the thickness of skull bones, namely frontal, parietal, and occipital bones in Class I, Class II, and Class III patients. Materials and Methods Three hundred subjects who reported to the Department of Orthodontics requiring orthodontic treatment within the age group 17-35 were selected for the study. They were subdivided into three groups of 100 each according to the skeletal and dental relation. Profile radiographs were taken and the tracings were then scanned, and uploaded to the MATLAB 7.6.0 (R 2008a) software. The total surface areas of the individual bones were estimated by the software, which represented the thickness of each bone. Result Frontal bone was the thickest in Class III malocclusion group and the thinnest in Class II malocclusion group. But the parietal and occipital bone thickness were not significant. During gender differentiation in Class I, malocclusion group frontal bone thickness was more in males than females, In Class II, malocclusion parietal bone thickness was more in males than females. No statistically significant difference exists between genders, in Class III malocclusion group. During inter-comparison, the frontal bone thickness was significant when compared with Class I and Class II malocclusion groups and Class II and Class III malocclusion groups. Conclusion The differences in skull thickness in various malocclusions can be used as an adjunct in diagnosis and treatment planning for orthodontic patients. It was found that the new method (MATLAB 7.6.0 [R 2008a] software) of measuring skull thickness was easier, faster, precise, and accurate.

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