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

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.

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Analysis of variation of sagittal position of the jaw bones in skeletal class III malocclusion

Vojnosanitetski pregled ◽

10.2298/vsp1212039s ◽

2012 ◽

Vol 69 (12) ◽

pp. 1039-1045

Author(s):

Zdenka Stojanovic ◽

Predrag Nikolic ◽

Angelina Nikodijevic ◽

Jasmina Milic ◽

Milos Duka

Keyword(s):

Cranial Base ◽

Class Iii ◽

Class Iii Malocclusion ◽

Facial Profile ◽

X Ray ◽

Skeletal Class ◽

Jaw Bones ◽

Lower Jaw ◽

Significant Difference ◽

Analysis Of Variation

Background/Aim. Skeletal Class III malocclusion is a discrepancy in the sagittal jaw relationship, due to imbalances in their development and/or position, resulting in the dominant appearance of the lower jaw in facial profile. The aim of this study was to determine variations in the sagittal position of the jaw bones to the cranial base in subjects with skeletal Class III, for the earliest possible diagnosis of malocclusion. Methods. Fifty children and as many adults with skeletal Class III, both sexes, were examined and selected, based on the findings of sagittal interjaw relationship (ANB) ? 0? from the cephalometric analysis of tele-x-ray profile head shots. The subjects were grouped according to age. The first group consisted of children aged 6-12 years, and another group, of adults aged 18-26 years. We measured the angles of maxillary prognathism (SNA), mandibular prognathism (SNB) and ANB. Based on these results, within the respective groups subclassification into the subgroups was done, among which a significant difference measured values was evaluated. In both groups a significant correlation of the determined values was evaluated. Results. An average SNA angle ranged 77.36 ? 3.58 in children and 77.32 ? 4.88 in adults, while an average SNB angle was 79.46 ? 3.91 in the group of children and 81.12 ? 3.76 in adults. An average ANB angle was -2.10 ? 2.07 in children, and -4.00 ? 2.34 in adults. In both groups, a significant correlation between the measured values and a significant difference in the values of all the measured parameters were found between patients from different subgroups (p < 0.01). Conclusion. The most common morphological variation of sagittal position of the upper jaw is its retrognatism, which is equally present in both children and adults. Sagittal position of the lower jaw in most of the adults was prognathic, while mandible prognathism in the children was less present.

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

Vojnosanitetski pregled ◽

10.2298/vsp0709604s ◽

2007 ◽

Vol 64 (9) ◽

pp. 604-610 ◽

Cited By ~ 2

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. .

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Vertical facial disproportions in children with Class III malocclusion

Srpski arhiv za celokupno lekarstvo ◽

10.2298/sarh180319041s ◽

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.

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Size of lower jaw as an early indicator of skeletal class III development

Vojnosanitetski pregled ◽

10.2298/vsp0808589s ◽

2008 ◽

Vol 65 (8) ◽

pp. 589-595

Author(s):

Zdenka Stojanovic ◽

Angelina Nikodijevic ◽

Bozidar Udovicic ◽

Jasmina Milic ◽

Predrag Nikolic

Keyword(s):

Cranial Base ◽

The Body ◽

Mixed Dentition ◽

Class Iii ◽

Skeletal Class ◽

Total Length ◽

Lower Jaw ◽

Proportional Relation ◽

Significant Difference ◽

Upper Jaw

Background/Aim. Malocclusion of skeletal class III is a complex abnormality, with a characteristic sagital position of the lower jaw in front of the upper one. A higher level of prognatism of the lower jaw in relation to the upper one can be the consequence of its excessive length. The aim of this study was to find the differences in the length of the lower jaw in the children with skeletal class III and the children with normal sagital interjaw relation (skeletal class I) in the period of mixed dentition. Methods. After clinical and x-ray diagnostics, profile tele-x-rays of the head were analyzed in 60 examinees with mixed dentition, aged from 6 to 12 years. The examinees were divided into two groups: group 1 - the children with skeletal class III and group 2 - the children with skeletal class I. The length of the lower jaw, upper jaw and cranial base were measured. The proportional relations between the lengths measured within each group were established and the level of difference in the lengths measured and their proportions between the groups were estimated. Results. No significant difference between the groups was found in the body length, ramus and the total length of the lower jaw. Proportional relation between the body length and the length of the lower jaw ramus and proportional relation between the forward cranial base and the lower jaw body were not significantly different. A significant difference was found in proportional relations of the total length of the lower jaw with the total lengths of cranial base and the upper jaw and proportional relation of the length of the lower and upper jaw body. Conclusion. Of all the analyzed parameters, the following were selected as the early indicators of the development of skeletal class III on the lower jaw: greater total length of the lower jaw, proportional to the total lengths of cranial base and the upper jaw, as well as greater length of the lower jaw body, proportional to the length of the upper jaw body. .

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

The Angle Orthodontist ◽

10.2319/012607-37.1 ◽

2008 ◽

Vol 78 (2) ◽

pp. 324-331 ◽

Cited By ~ 10

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.

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Prevalence of malocclusion among school Children of Kathmandu, Nepal

Orthodontic Journal of Nepal ◽

10.3126/ojn.v9i1.25693 ◽

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.

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3D CBCT Evaluation of Condyle Position in Skeletal Class I & Class III Growing Subjects

Orthodontic Journal of Nepal ◽

10.3126/ojn.v7i2.20153 ◽

2018 ◽

Vol 7 (2) ◽

pp. 9-14

Author(s):

Rajiv Kumar Mishra ◽

Om Prakash Kharbanda ◽

Rajiv Balachandran

Keyword(s):

Three Dimensional ◽

T Test ◽

Class I ◽

Class Iii ◽

Skeletal Class ◽

Significant Difference ◽

Condyle Position ◽

Condylar Position ◽

And Function ◽

Cbct Analysis

Introduction: Evaluation of temporo-mandibular joint (TMJ) anatomy and function is an essential part of orthodontic diagnosis and treatment planning. It has been hypothesized that dental and skeletal malocclusions alter the functional loading of TMJ which can affect joint morphology.Objective: Three dimensional (3D) evaluation of condylar position using CBCT in skeletal Class I and Class III growing subjects.Materials & Method: CBCT images of ten growing skeletal Class I & ten Class III patients in the age range of 7-14 years were analyzed. 3D condylar position were evaluated representing antero-posterior, vertical, laterolateral position of condyle, axial condylar angle and coronal condylar angles which were measured in axial, coronal and sagittal sections using Dolphin Imaging software. Antero-posterior and vertical difference of right and left condyle were measured in axial and coronal sections respectively.Result: Paired t-Test revealed no significant difference between right and left sides of condyle in skeletal Class I as well as Class III subjects. Independent t-test and Mann-Whitney U test showed no significant difference between position of condyle in ClassI and Class III subjects.Conclusion: 3D CBCT analysis shows no significant difference in condylar position of skeletal Class I and Class III subjects.

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Evaluation of horizontal condylar angle in malocclusions with mandibular lateral displacement using cone-beam computed tomography

The Angle Orthodontist ◽

10.2319/012621-76.1 ◽

2021 ◽

Author(s):

Roberto L. Velásquez ◽

Jorge C. Coro ◽

José M. Bustillo ◽

Sadao Sato

Keyword(s):

Computed Tomography ◽

Cone Beam Computed Tomography ◽

Lateral Displacement ◽

Class Ii ◽

Contralateral Side ◽

Class I ◽

Cone Beam ◽

Class Iii ◽

Skeletal Class ◽

Significant Difference

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 < .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 < .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.

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Orthopedic Effect of Chin Cup during Mixed Dentition Stage

The Journal of Contemporary Dental Practice ◽

10.5005/jp-journals-10024-2056 ◽

2017 ◽

Vol 18 (5) ◽

pp. 410-414

Author(s):

Mohamed I Hashem ◽

Zeeshan H Ahmad ◽

Sukumaran Anil ◽

Khalid J Alanazi

Keyword(s):

Treated Group ◽

Mixed Dentition ◽

Control Group ◽

Class Iii ◽

Class Iii Malocclusion ◽

Skeletal Class ◽

Skeletal Changes ◽

Before And After

ABSTRACT Introduction Chin cup (CC) therapy has been used as the traditional appliance for treating class III malocclusion during mixed dentition period. The aim of this study was to investigate the effect of CC on the improvement of skeletal and dentoalveolar skeletal changes in class III patients during mixed dentition stage. Materials and methods A total of 30 patients (7–9 years old) with skeletal class III malocclusion were selected based on clinical and cephalometric examination. Out of 30 patients, 20 underwent CC therapy. All orthodontic records and measurements were taken before and after treatment. Similar records were collected from the control group. The lateral cephalometric films were traced before and after treatment and analyzed. Results There was a significant improvement in maxillary and the mandibular skeletal measurements after CC therapy. Improvement of ANB angle and an increase in Wits appraisal have been detected in the treated group according to intermaxillary skeletal variables. Conclusion The study concluded that the CC therapy is effective for correcting skeletal class III malocclusion along with positive changes in the dentoskeletal variables during the mixed dentition stage. How to cite this article Al-Khalifa HN, Hashem MI, Alanazi KJ, Anil S. Orthopedic Effect of Chin Cup during Mixed Dentition Stage. J Contemp Dent Pract 2017;18(5):410-414.

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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 Journal of Dentistry ◽

10.5005/jp-journals-10015-1237 ◽

2013 ◽

Vol 4 (4) ◽

pp. 228-234 ◽

Cited By ~ 1

Author(s):

Ranjit Kamble ◽

Ananya Hazarey ◽

Pushpa Hazarey ◽

Jeet Singh

Keyword(s):

Vertical Plane ◽

Class Ii ◽

Class I ◽

Root Tip ◽

Control Group ◽

Class Iii ◽

Skeletal Class ◽

Permanent Molar ◽

Positional Variation ◽

Lateral Cephalograms

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.

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