scholarly journals Upper Airway Dimensions in Class II Malocclusion

2007 ◽  
Vol 77 (6) ◽  
pp. 1046-1053 ◽  
Author(s):  
Mirja Kirjavainen ◽  
Turkka Kirjavainen
Keyword(s):  
Treatment Time ◽  
Upper Airway ◽  
Class Ii ◽  
Class I ◽  
Class Ii Malocclusion ◽  
Cross Sectional ◽  
Lateral Cephalograms ◽  
Division 1 ◽  
Upper Airway Structure ◽  
Class Ii Division 1

Abstract Objective: To study the effects of cervical headgear treatment of Class II division 1 malocclusion on upper airway structures in children. Materials and Methods: Forty children aged 9.1 (7.2–11.5) years with Class II division 1 malocclusion were treated using a cervical headgear as the only treatment appliance. The headgear consisted of a long outer bow bent 15° upward and a large inner bow expanded 10 mm larger than the intermolar distance. Lateral cephalograms were taken before and after the treatment. Upper airway structures were estimated from the cephalograms. The results were compared to cross-sectional data of 80 age-matched controls with a Class I molar relationship. Results: A Class I molar relationship was achieved in all treated children. The mean treatment time was 1.6 (0.3–3.1) years. The Class II malocclusion was accompanied by a similar or wider nasopharyngeal space than in the controls but narrower oro- and hypopharyngeal spaces. The retropalatal area was widened by the treatment (P < .05), whereas the rest of the oropharynx and hypopharynx remained narrower than in the controls. Before the treatment, the mandibular plane was in a more horizontal position than in the controls, but during the treatment, it rotated to a position similar to that of the controls. Conclusion: Class II division 1 malocclusion is associated with a narrower upper airway structure even without retrognathia. Headgear treatment is associated with an increase in the retropalatal airway space.

scholarly journals Comparative Evaluation of Adenoids, Upper Airway, and Tongue Using “Predictors of Difficult Airways” in Class II Division 1 and Division 2 Cases with Class I Cases: Prospective In Vivo Observational Study

2021 ◽  
pp. 030157422096341
Author(s):  
Smita Mangesh Choudhari ◽  
Sunita Shrivastav
Keyword(s):  
Significant Positive Correlation ◽  
Upper Airway ◽  
Class Ii ◽  
Class I ◽  
Positive Correlation ◽  
Division 1 ◽  
Difficult Airways ◽  
Mandibular Protrusion ◽  
Division 2 ◽  
Class Ii Division 1

Introduction: Altered nasorespiratory function leads to altered craniofacial growth. Thus, airway evaluation is important for preventive, interceptive, and corrective orthodontic treatment. The aim of this study was to evaluate and compare adenoids, the upper airway, the tongue, and mandibular dimensions using “predictors of difficult airways” in class II division 1 and class II division 2 cases with class I cases. Method: Sixty subjects of age 15 to 18 years were divided into 3 groups (group 1: class I cases; group 2: class II division 1 cases; and group 3: class II division 2 cases) based on cephalometric parameters, with 20 cases in each group. Cephalometric evaluation of adenoids and the nasopharyngeal airway was done using the Handelman–Osborne area method. Upper and lower airway evaluation was done using McNamara’s linear method. “Predictors of difficult airways” were used for evaluation of the airway, which included nasal competency, the Mallampati scale, mandibular length, mandibular protrusion, and the thyromental distance. Results: The present study found a significant positive correlation between the grades of nasal competency and percentage adenoid wall area, and a significant negative correlation between the grades of nasal competency and the upper airway. There was a significant positive correlation between the grades of nasal competency and mandibular length, and a significant positive correlation between the grades of mandibular protrusion and mandibular length. There was a significant positive correlation between the grades of the thyromental distance and mandibular length. Conclusion: It was concluded that the “predictors of difficult airways” would be helpful in early diagnosis and identification of potential risk factors that may cause “breathing disorders”–related malocclusions and later on increase the risk of developing OSA.

scholarly journals Thin-plate Spline Analysis of Craniofacial Growth in Class I and Class II Subjects

2007 ◽  
Vol 77 (4) ◽  
pp. 595-601 ◽  
Author(s):  
Lorenzo Franchi ◽  
Tiziano Baccetti ◽  
Franka Stahl ◽  
James A. McNamara
Keyword(s):  
Thin Plate ◽  
Class Ii ◽  
Cranial Base ◽  
Thin Plate Spline ◽  
Class I ◽  
Class Ii Malocclusion ◽  
Craniofacial Growth ◽  
Developmental Phase ◽  
Division 1 ◽  
Class Ii Division 1

Abstract Objective: To compare the craniofacial growth characteristics of untreated subjects with Class II division 1 malocclusion with those of subjects with normal (Class I) occlusion from the prepubertal through the postpubertal stages of development. Materials and Methods: The Class II division 1 sample consisted of 17 subjects (11 boys and six girls). The Class I sample also consisted of 17 subjects (13 boys and four girls). Three craniofacial regions (cranial base, maxilla, and mandible) were analyzed on the lateral cephalograms of the subjects in both groups by means of thin-plate spline analysis at T1 (prepubertal) and T2 (postpubertal). Both cross-sectional and longitudinal comparisons were performed on both size and shape differences between the two groups. Results: The results showed an increased cranial base angulation as a morphological feature of Class II malocclusion at the prepubertal developmental phase. Maxillary changes in either shape or size were not significant. Subjects with Class II malocclusion exhibited a significant deficiency in the size of the mandible at the completion of active craniofacial growth as compared with Class I subjects. Conclusion: A significant deficiency in the size of the mandible became apparent in Class II subjects during the circumpubertal period and it was still present at the completion of active craniofacial growth.

scholarly journals A Comparative Study of Arch Widths of Bangladeshi Subject with Normal Occlusion and Class II Division 1 Malocclusion

2013 ◽  
Vol 2 (2) ◽  
pp. 18-23
Author(s):  
MM Islam ◽  
MZ Hossain
Keyword(s):  
Comparative Study ◽  
Class Ii ◽  
Class I ◽  
Dental Arch ◽  
Class Ii Malocclusion ◽  
Normal Occlusion ◽  
Division 1 ◽  
The Mean ◽  
Dental Crowding ◽  
Class Ii Division 1

Aim: To evaluate possible differences of the upper and lower dental arches width among youths with Class I,normal occlusion and Class II, division 1 malocclusion. Materials and Methods: The evaluation was conducted on 100 pairs of dental casts of Bangladeshi youths with permanent dentition, 50 with Class I, normal occlusion (22 males and 28 females) at the mean age of 19±3 years and 50 with Class II, division 1, malocclusion (18 males and 32 females ) at the mean age of 20±4 years. The group with Class II malocclusion was divided into two categories: Class II without dental crowding and Class II with dental crowding. A comparison was made between the intercanine inter first premolar and intermolar widths of both dental arches. Results: Subjects with Class II, division, 1 malocclusion when compared with Class I normal occlusion presented (a) in the upper dental arch , smaller intermolar, interpremolar and intercanine width. (b) in the lower dental arch , smaller intermolar width. DOI: http://dx.doi.org/10.3329/bjodfo.v2i2.16159 Ban J Orthod & Dentofac Orthop, April 2012; Vol-2, No.2, 18-23

scholarly journals THE INFLUENCE OF THE SAGITTAL DENTOSKELETAL PATTERN ON THE VALUE OF THE SOFT TISSUE PROFILE ANGLES - A CEPHALOMETRIC STUDY

2019 ◽  
pp. 048
Author(s):  
Tatjana Perović ◽  
Milena Blažej ◽  
Ivan Jovanović
Keyword(s):  
Soft Tissue ◽  
Class Ii ◽  
Class I ◽  
Class Iii ◽  
Lower Face ◽  
Soft Tissue Profile ◽  
Lateral Cephalograms ◽  
Division 1 ◽  
Cephalometric Study ◽  
Class Ii Division 1

The aim of this study has been to establish the values of soft tissue profile angles in subjects with dentoskeletal Class I, Class II Division 1, Class II Division 2, and Class III pattern, in order to examine the influence of sagittal dentoskeletal relation on the value of angular profile parameters. This comparative cephalometric study included the examination and the analysis by lateral cephalograms to evaluate soft tissue profile angles for 120 adult Caucasian subjects (60 women and 60 men) from the mid Balkan region divided into four groups towards ANB angle and incisors inclination. The following angles were examined: angle of facial convexity, facial convexity angle for the lower face and the angle of total facial convexity. By investigating the influence of the sagittal dentoskeletal pattern on the value of facial convexity angles, significant differences have been established between subjects with Class I and Class II Division 1 and 2 for all examined angles (p<0.001; p=0.011), while the differences between Class I and Class III are only significant for the facial convexity angle and facial convexity angle for the lower face, while the differences in the overall facial convexity angle are not significant (p=0.067). There are significant differences between subjects for all examined angles except the total facial convexity angle between Class I and Class III.

scholarly journals COLLUM’S ANGLE AND CROWN ROOT ANGLE OF MAXILLARY INCISORS IN DIFFERENT MALOCCLUSIONS

2021 ◽  
Vol 71 (1) ◽  
pp. 238-42
Author(s):  
Saadia Panezai ◽  
Nasrullah Mengal ◽  
Sadia Nisar Ahmed
Keyword(s):  
Class Ii ◽  
T Test ◽  
Process Data ◽  
Cross Sectional ◽  
Root Angle ◽  
Lateral Cephalograms ◽  
Division 1 ◽  
Collum Angle ◽  
Division 2 ◽  
Class Ii Division 1

Objective: To determine Collum angle and crown to root angle of maxillary central incisor in different skeletalmalocclusion. Study Design: Comparative cross sectional study. Place and Duration of Study: Orthondontics department, Bolan Medical College, Civil Sandman Hospital,Quetta, from Jun to Dec 2018. Methodology: Data sample consisted of 140 lateral cephalograms. Sample consisted of 74 female cephalograms and 66 male cephalograms. The mean age of sampled subjects ranged between 21.62 ± 5.96 years. The Colum angle of the maxillary central incisors in each group was measured. SPSS version 21 was used to enter and process data. Comparison between Class II division 1 and division 2 collum angles was made by applying student t-test. Results: The average value for Collum angle in class II division 1 sample was 4.38 ± 3.08 with minimum being 0and maximum 15 degree. The average values for Class II division 2 was 10.52 ± 4.37 with minimum 30 and amaximum 23 degree. Conclusion: Maxillary central incisors in all malocclusions had significantly different mean Collum angles fromzero. Paired sample t-test comparison showed that the Collum angle for maxillary central was much higher inClass II division 2.

scholarly journals Facial Profile Changes in Early Class II Correction with Cervical Headgear

2007 ◽  
Vol 77 (6) ◽  
pp. 960-967 ◽  
Author(s):  
Mirja Kirjavainen ◽  
Kirsti Hurmerinta ◽  
Turkka Kirjavainen
Keyword(s):  
Treatment Time ◽  
Class Ii ◽  
Upper Lip ◽  
Facial Profile ◽  
Nasolabial Angle ◽  
Lateral Cephalograms ◽  
Division 1 ◽  
Before And After ◽  
Profile Changes ◽  
Class Ii Division 1

Abstract Objective: To characterize the effects of early cervical headgear treatment on the facial profile of children in Class II division 1 malocclusion. Materials and Methods: Forty children aged 9.1 (7.2–11.5) years with Class II division 1 malocclusion were treated using a cervical headgear appliance. The headgear consisted of a long outer bow bent upward 15° and a large expanded inner bow. Lateral cephalograms were taken before and after treatment, and the facial profile was estimated from the cephalograms. The results were compared to an age- and sex-matched normal cohort of 644 Finnish children. Results: Class I molar relationship was achieved in all treated children. The treatment time was 1.6 (0.3–3.1) years on average. Compared to the controls, the treatment restricted the forward growth of maxillary A-point, and the SNA angle decreased 1.4° ± 1.2° per year (P &lt; .00001). Decreased maxillary prognathism was associated with decreased facial convexity, g-sn-pg (P = .02), and the ANB (P &lt; .00001) angles decreased compared to the controls. Upper lip protrusion (distance ls to sn-pg; P &lt; .00001) was decreased, and the nasolabial angle (cm-sn-ls) widened despite the increased facial inclination of the upper incisors (P = .0005). The treatment significantly decreased the gap between the lips (P = .0009) in their relaxed position. Conclusion: Cervical headgear treatment in Class II correction is associated with a decreased facial convexity caused by the restriction of forward growth of the maxillary A-point, while the rest of the facial profile, including the mandible, continue to grow forward at a normal rate.

scholarly journals Dentoskeletal effects produced by a Jasper Jumper with an anterior bite plane

2016 ◽  
Vol 86 (5) ◽  
pp. 775-781 ◽  
Author(s):  
Turi Bassarelli ◽  
Lorenzo Franchi ◽  
Efisio Defraia ◽  
Birte Melsen
Keyword(s):  
Matched Control ◽  
Class Ii ◽  
Control Group ◽  
Comprehensive Treatment ◽  
Class Ii Malocclusion ◽  
Significant Movement ◽  
Lateral Cephalograms ◽  
Division 1 ◽  
Student’S T ◽  
Class Ii Division 1

ABSTRACT Objective:  The aim of this retrospective study was to evaluate the dentoskeletal effects produced by a modified Jasper Jumper with an anterior bite plane for the correction of Class II division 1 malocclusion. Materials and Methods:  A sample of 32 growing patients (mean age  =  11.9 ± 1.4 years) with Class II division 1 malocclusion and increased overbite were treated with a modified Jasper Jumper (JJ) and anterior bite plane protocol and compared with a matched control group of 30 subjects with untreated Class II malocclusion (mean age 12.2 ± 0.8 years). Lateral cephalograms were taken before treatment (T1) and at the end of comprehensive treatment (T2). Mean treatment duration was 2.1 ± 0.4 years. The T1–T2 changes in the two groups were compared with Student’s t-tests for independent samples. Results:  The JJ group was successfully treated to a Class I occlusal relationship with a significant reduction in overjet (–3.9 mm, P &lt; .001) and overbite (–3.1 mm, P &lt; .001). The JJ group exhibited a significant increase in mandibular length and a significant improvement in maxillomandibular sagittal skeletal relationships. The lower incisors were significantly proclined, while the lower first molars demonstrated significant movement in a mesial direction. Conclusions:  Use of a modified JJ appliance and anterior bite plane is an effective protocol for the treatment of Class II malocclusion with increased overbite and greater skeletal (75%) than dentoalveolar (25%) effects mainly at the mandibular level.

scholarly journals Dentoskeletal effects of Twin Block appliance in patients with Class II malocclusion

2021 ◽  
Author(s):  
Mahamad Irfanulla Khan ◽  
Praveen Kumar Neela ◽  
Nayeem Unnisa ◽  
Ajit Kumar Jaiswal ◽  
Nadeem Ahmed ◽  
...  
Keyword(s):  
Class Ii ◽  
Post Treatment ◽  
Control Group ◽  
Class Ii Malocclusion ◽  
Mandibular Growth ◽  
Twin Block ◽  
Lateral Cephalograms ◽  
Division 1 ◽  
Pre Treatment ◽  
Class Ii Division 1

Background and aim. Class II malocclusions are most commonly seen in orthodontic practice and in the recent times Twin Block appliance has been the most popular and widely used among removable functional appliances for the correction of Class II malocclusion in growing patients. The aim of this retrospective study was to evaluate the dentoskeletal effects produced by the Twin Block appliance for the correction of Class II division 1 malocclusion with retrognathic mandible. Methods. Pre-treatment (T1) and post-treatment (T2) lateral cephalograms of 30 patients treated with Twin Block appliance (mean age  =  10.8 ± 1.2 years) for the correction of class II division 1 malocclusion were compared with the 30 untreated class II control patients (mean age 11.2 ± 0.8 years) who did not undergo any treatment during this period. Both the groups were evaluated for the dentoskeletal changes using 24 angular and linear cephalometric measurements. The differences between the pre and post-treatment were calculated using a paired t-test. Results. The cephalometric analysis revealed that the Twin Block appliance stimulated mandibular growth and statistically significant differences were found between the two groups. Twin Block patients showed a statistically very high significant (p<0.001) increase in mandibular length (6.02 mm) compared with the control group (0.3 mm). ‘Headgear effect’ on the maxilla, increase in lower anterior facial height, significant reduction of overjet, overbite and Class I molar relationship was achieved in the Twin Block group. However, no significant changes appeared in the control group. Conclusion: The results of the present study conclude that the Twin Block appliance is effective in the treatment of Class II malocclusion and this is due to a combination of skeletal and dentoalveolar changes in both the arches.

Comparative Dentoskeletal Study of Class II Division 1 and Class II Division 2 Malocclusion Subjects

2011 ◽  
Vol 1 (1) ◽  
pp. 36-41
Author(s):  
Jyoti Dhakal
Keyword(s):  
Class Ii ◽  
Class Ii Malocclusion ◽  
Basic Difference ◽  
Cephalometric Radiograph ◽  
Significant Difference ◽  
Division 1 ◽  
Dentoskeletal Morphology ◽  
Division 2 ◽  
Dental Cast ◽  
Class Ii Division 1

The dentoskeletal characteristics of Class II malocclusion subjects were evaluated using cephalometric radiograph and dental cast of 60 untreated patients. The sample included 30 Class II Division 1 and 30 Class II Division 2 malocclusion patients. The inter-canine, inter-premolar, inter-molar, inter-canine alveolar, inter-premolar alveolar, inter-molar alveolar widths are measured on study models. The result showed statistically significant difference between the groups for mandibular inter-canine width only. The cephalometric analysis revealed that SNB angle was responsible for the skeletal sagittal difference between the two groups except for the position of maxillary incisors. No basic difference in dentoskeletal morphology existed between Class II Division 1 and Class II Division 2 malocclusions.

scholarly journals Evaluation of tongue posture & dimensions in relation to skeletal Class I and Class II patterns- A cephalometric study

2021 ◽  
Vol 7 (4) ◽  
pp. 276-281
Author(s):  
Puja Khanna ◽  
Sumit Chhabra ◽  
Preeti Munjal ◽  
Sunny Mittal ◽  
Nishtha Arora
Keyword(s):  
Statistical Tests ◽  
Class Ii ◽  
Class I ◽  
Control Group ◽  
Skeletal Class ◽  
Normal Occlusion ◽  
Division 1 ◽  
Skeletal Pattern ◽  
Bonferroni Test ◽  
Class Ii Division 1

Association of tongue posture with dental and facial skeletal pattern have been suggested in past. This study was undertaken to assess tongue posture and dimensions in Class I and Class II Dentoskeletal patterns to determine whether any correlation exists between tongue posture and skeletal pattern of an individual. Cephalograms of 150 individuals (aged 18-23 years), taken in Natural Head Position (NHP) and tongue at rest were divided into three groups i.e. Group 1 – Class I Normal occlusion, Group 2 – Class II Division 1 Normodivergent and Group 3 – Class II Division 1 Hypodivergent, consisting of 50 samples each. To ensure the rest position of tongue, patient was asked to relax for 30 seconds after coating the tongue with barium sulphate in midline and then to swallow, and the X-ray was taken at the end of swallowing. Each group was divided into two subgroups according to sex. Groups were constituted according to the Frankfort mandibular plane angle (FMA) angle. The subjects who had skeletal Class II pattern due to mandibular retrusion and not due to maxillary prognathism were only included in the study group. Statistical analysis was done using the software SPSS version 21.0. The statistical tests used were unpaired t-test and One-way ANOVA test with post-hoc bonferroni test. The p-value was considered significant if less than 0.05.The dorsum of the tongue was higher at back and lower in front in Class II Division 1 Hypodivergent group as compared to Class I Normal occlusion group (P&#60;.05). Tongue height and tongue length were significantly reduced in Class II Division 1 Normodivergent and Class II Division 1 Hypodivergent malocclusion groups when compared to Class I control group (P&#60;.05).The study supports the existence of a relationship between posture & dimensions of the tongue with Class I and Class II skeletal patterns.

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