scholarly journals Appraisal of the relationship between tooth inclination, dehiscence, fenestration, and sagittal skeletal pattern with cone beam computed tomography

2019 ◽  
Vol 89 (4) ◽  
pp. 544-551 ◽  
Author(s):  
İpek Coşkun ◽  
Burçak Kaya

ABSTRACT Objectives: To examine the relationship between sagittal facial pattern and dehiscence/fenestration presence in conjunction with buccolingual tooth inclination by using cone beam computed tomography. Materials and Methods: The study was carried out on the cone beam computed tomography scans of the following three groups of patients (n = 20 in each group): Class I, Class II, Class III. Buccolingual tooth inclination, buccal dehiscence/fenestration presence, and lingual dehiscence/fenestration presence were evaluated on each tooth. Analysis of variance, Kruskall-Wallis H, Scheffe, and chi-square tests were used for statistical comparisons. Results: Differences (P < .05) were observed between the groups for inclination of upper incisors and all lower teeth except for second molars. Dehiscence prevalence in the upper buccal and posterior buccal regions was higher (P < .05) in the Class I group when compared with the other groups. Lower buccal and anterior buccal regions showed higher (P = .0001) dehiscence prevalence in all groups. No difference was observed in fenestration prevalence between the groups. The upper buccal and anterior buccal regions showed higher (P = .0001) fenestration prevalence in all groups. Conclusions: Orthodontists must consider concealed alveolar defects in treatment planning to avoid gingival recession or tooth mobility.

Diagnostics ◽  
2021 ◽  
Vol 11 (3) ◽  
pp. 541
Author(s):  
Xiao-Chuan Fan ◽  
Lin-Sha Ma ◽  
Li Chen ◽  
Diwakar Singh ◽  
Xiaohui Rausch-Fan ◽  
...  

(1) Background—The aim of the present study was to evaluate the correlation between the temporomandibular joint (TMJ) osseous morphology of normal skeletal pattern individuals with different dental malocclusions by using cone-beam computed tomography (CBCT). (2) Methods—The CBCT images of bilateral TMJs in 67 subjects with skeletal class I and average mandibular angle (26 males and 41 females, age range 20–49 years) were evaluated in this study. The subjects were divided into class I, class II division 1, and class II division 2 according to the molar relationship and retroclination of the maxillary incisors. Angular and linear measurements of TMJ were evaluated and the differences between the groups were statistically analyzed. (3) Results—Intragroup comparisons showed statistical differences for articular eminence inclination, the width of the glenoid fossa, the ratio of the width of the glenoid fossa to the depth of the glenoid fossa, the condylar angle, and the intercondylar angle between the malocclusion groups. The measurements of the glenoid fossa shape showed no significant difference between the left and right sides. Females showed more differences in the morphological parameters of TMJ between the three malocclusion groups than the males. (4) Conclusion—The present study revealed differences in the TMJ osseous morphology between dental class I and class II malocclusions in the normal skeletal pattern.


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.


2020 ◽  
Vol 2020 ◽  
pp. 1-6 ◽  
Author(s):  
Kun-Jung Hsu ◽  
Yu-Chuan Tseng ◽  
Shih-Wei Liang ◽  
Szu-Yu Hsiao ◽  
Chun-Ming Chen

Objective. The study aimed to investigate and measure the anatomical relationship between the mandibular lingula (Li) and skeletal patterns using cone-beam computed tomography (CBCT). Materials and Methods. In total, 72 participants (23 men and 49 women) were categorized into three groups according to their skeletal patterns (specifically, the A point–nasion–B point (ANB]) angle) as follows: Class I (0° < ANB < 4°), Class II (ANB ≥ 4°), and Class III (ANB ≤ 0°). The CBCT images of 144 rami were collected, and the distance from the Li to the external oblique ridge (Li-EOR), internal oblique ridge (Li-IOR), posterior border of the ramus (Li-PBR), inferior border of the ramus (Li-IBR), sigmoid notch (Li-Sm), and mandibular foramen (Li-MF) was examined. The Li-hMF (horizontal distance from the Li to the MF) and Li-vMF (vertical distance from the Li to the MF) were measured. The comparisons of gender, side (right and left), and skeletal patterns were then evaluated by statistical analysis. Results. The values of the Li-EOR and Li-PBR (19.99 mm and 15.93 mm, respectively) were significantly higher in men than in women (18.85 mm and 14.89 mm, respectively). Moreover, the Li-IBR was higher in men (32.91 mm) than in women (30.40 mm). Both sides (right and left) and skeletal patterns demonstrated that the Li-EOR, Li-IOR, and Li-PBR were not significantly different. Pearson’s correlation test reported a strong correlation between the Li-EOR and Li-IOR (r=0.610). Conclusion. The distances from mandibula lingula to the external oblique ridge, posterior border of ramus, and inferior border of ramus were significantly longer in men than in women. Similarly, both horizontal and vertical distances from the lingula to the mandibular foramen were significantly longer in men than in women. Therefore, the results demonstrated that the Li was longer and more protruding in men than in women. With respect to the horizontal distance from the mandibular lingula to the mandibular foramen, of the three types of the skeletal system (Class I, Class II, and Class III), Class III was the significantly largest.


2016 ◽  
Vol 17 (7) ◽  
pp. 542-548 ◽  
Author(s):  
Mohammad Y Hajeer ◽  
Mowaffak A Ajaj ◽  
Heba M Jazmati

ABSTRACT Introduction Few studies utilized cone beam computed tomography (CBCT) to evaluate soft tissue dimensions in malocclusion patients. The aim of this study was to analyze the three-dimensional (3D) soft tissue relationships of adult patients according to their gender and skeletal sagittal class using CBCT. Materials and methods The study sample consisted of 96 CBCT images of patients of both genders; aged 18 to 25 years with a normal vertical skeletal pattern. Patients were segregated into three groups according to their skeletal sagittal class: Class I (2 < ANB < 4), class II (ANB > 4), and class III (ANB < 2). The soft tissue measurements were analyzed in both the sagittal views and frontal volumetric rendered views using 3D-OnDemand software. Results In males, the measurements (U1-stom, nasal width, mouth width) were greater in class I than in class II group. Lower lip thickness was greater in class I than in class III group (p < 0.05). In females, both labiomental fold thickness and upper lip height measurements showed greater mean values in class II than in class I group. In contrast, lower lip height was greater in class I than in class III group. Ls-Pr, U1-stom, and face width at Cheilion revealed greater values in class III patients than in class II patients. On the other hand, the lower lip thickness, upper lip height, and lower lip height measurements showed greater values in class II than in class III group (p < 0.05). Soft tissue thicknesses and measurements were greater in males than in females. However, statistically significant differences between the two sexes were not detected for all of the variables measured in each skeletal class. Conclusion The current study indicates the presence of differences in soft tissue thicknesses and facial soft tissue dimensions among skeletal classes and between the two sexes. Clinical significance Cone beam computed tomography imaging is a very valuable tool to analyze 3D soft tissue characteristics of patients with different skeletal patterns of malocclusion. How to cite this article Jazmati HM, Ajaj MA, Hajeer MY. Assessment of Facial Soft Tissue Dimensions in Adult Patients with Different Sagittal Skeletal Classes using Cone beam Computed Tomography. J Contemp Dent Pract 2016;17(7):542-548.


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.


2011 ◽  
Vol 82 (1) ◽  
pp. 67-74 ◽  
Author(s):  
Ahmet Yagci ◽  
İlknur Veli ◽  
Tancan Uysal ◽  
Faruk Izzet Ucar ◽  
Törün Ozer ◽  
...  

Abstract Objective: To test the null hypothesis that the presence of dehiscence and fenestration was not different among patients with skeletal Class I, II, and III malocclusions. Materials and Methods: In this retrospective study, a total of 123 cone-beam computed tomography (CBCT) images were obtained with an iCAT scanner (Imaging Sciences International, Hatfield, Pa). Patients with normal vertical patterns were classified according to dental malocclusion and ANB angle. Class I comprised 41 patients—21 girls and 20 boys (mean age, 22.4 ± 4.5 years); Class II comprised 42 patients—22 girls and 20 boys (mean age, 21.5 ± 4.2 years); and Class III comprised 40 subjects—22 girls and 18 boys (mean age, 22.1 ± 4.5 years). A total of 3444 teeth were evaluated. Analysis of variance and Tukey's test were used for statistical comparisons at the P &lt; .05 level. Results: Statistical analysis indicated that the Class II group had a greater prevalence of fenestration than the other groups (P &lt; .001). No difference was found in the prevalence of dehiscence among the three groups. Although fenestration had greater prevalence in the maxilla, more dehiscence was found in the mandible for all groups. In Class I, alveolar defects (dehiscence, fenestration) were matched relatively in both jaws. Furthermore, Class II and Class III subjects had more alveolar defects (41.11% and 45.02%, respectively) in the mandible. Dehiscences were seen with greater frequency in the mandibular incisors of all groups. Conclusion: The null hypothesis was rejected. Significant differences in the presence of fenestration were found among subjects with skeletal Class I, Class II, and Class III malocclusions. Fenestrations had greater prevalence in the maxilla, but more dehiscences were found in the mandible.


2020 ◽  
Vol 10 (2) ◽  
pp. 30-35
Author(s):  
Mustafa Yalçın ◽  
Nihat Laçin

Purpose: The aim of this study was to evaluate the prevalence of antral pseudocysts(AP), maxillary sinus septas(MSS) and the relationship between AP and MSS by using cone-beam computed tomography(CBCT).Methodology: The CBCT scans of 466 patients (237 male, 229 female ranging in age between 13 and 83) were included in our study. The presence or absence of AP and MSS were confirmed at axial, sagittal, and coronal sections of CBCT images by considering gender and localization. For statistical analysis, Pearson chi-square and Spearman correlation tests were used.Results: One hundred-ninety eight out of 466 (42.49%) patients had AP in the right and left maxillary sinus. There was a significant difference in the prevalence of AP between men and women (p≤0.001). The prevalence of AP was higher in men than in women. Twenty-eight out of 237 patients in men(11.81%) and 35 out of 229 patients in women(15.28%) had MSS in the right and left maxillary sinus. Conclusion: The prevalence of AP and MSS was 42.49% and 13.52%, respectively and the prevalence of MSS was lower in our study than other studies. We did not determine the relationship between AP and MSS in the maxillary sinuses.   How to cite this article: Yalçın M, Laçin N. Evaluation of the antral pseudocysts and maxillary sinus septas by using cone-beam computed tomography. Int Dent Res 2020;10(2):30-35. https://doi.org/10.5577/intdentres.2020.vol10.no2.1   Linguistic Revision: The English in this manuscript has been checked by at least two professional editors, both native speakers of English.


2019 ◽  
Vol 90 (2) ◽  
pp. 224-232
Author(s):  
Jong-Moon Chae ◽  
Jae Hyun Park ◽  
Kiyoshi Tai ◽  
Kyosuke Mizutani ◽  
Satoshi Uzuka ◽  
...  

ABSTRACT Objectives: To evaluate the condyle-fossa relationship in adolescents with various skeletal patterns using cone-beam computed tomography (CBCT). Materials and Methods: CBCT images obtained in 120 adolescent patients were used for this study. The patients were divided into 3 groups according to 3 criteria: (1) age (early, middle, and late adolescence); (2) facial height ratio or Jarabak quotient (hyperdivergent, normodivergent, and hypodivergent); and (3) ANB classification (Class I, Class II, and Class III). Temporomandibular joint space (TMJS: AS, anterior space; SS, superior space; PS, posterior space; MS, medial space; LS, lateral space), width and depth of the condyle (MLT, mediolateral thickness; APT, anteroposterior thickness), articular slope (ArS) and vertical height of the fossa (VHF) were measured and compared using CBCT. Results: Differences in condyle-fossa relationships were not significantly different between male and female adolescents, but were significantly different (P &lt; .05) between left and right sides. The mean values showed no statistical differences according to age and skeletal pattern. Most measurements in the sagittal view showed that SS was the greatest, and the mean ratio of AS to SS to PS was 1.00 to 1.27 to 1.19, respectively. The mean values of coronal MS and LS were not significantly different. Conclusions: There were almost no statistical differences in the TMJS in adolescents across various factors except between left and right sides.


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