scholarly journals Evaluation of facial soft-tissue values and craniofacial morphology in obese adolescent patients with different skeletal classes

2022 ◽  
Vol 11 ◽  
pp. 270-278
Author(s):  
Ahmet Karaman ◽  
Esra Genc
Keyword(s):  
Soft Tissue ◽  
Cranial Base ◽  
Craniofacial Morphology ◽  
Obese Group ◽  
Class Iii ◽  
Facial Soft Tissue ◽  
Obese Adolescent ◽  
Anterior Cranial Base ◽  
The Mean ◽  
Body Mass Indexes

Objectives: The purpose of this study was to evaluate the facial soft tissue and craniofacial morphological structures in adolescent obese individuals with different skeletal patterns. Materials and Methods: The study was carried out on 292 adolescents examined under three groups based on their body mass indexes (BMIs) as obese, healthy, and overweight. The subjects were also categorized based on skeletal classes as Class I, Class II, and Class III. Results: The glabella, nasion, labiale inferius, labiomentale, and pogonion values of the female patients were significantly higher in obese group. In the obese and overweight groups, effective midfacial and mandibular length, anterior and posterior facial heights, and SN values of the females were higher than males. In the obese group, the mean effective midfacial and mandibular length (Co-A and Co-Gn), anterior and posterior facial heights (S-Go and N-Me), and anterior cranial base (SN) values were significantly higher than other groups. Conclusion: Soft-tissue thicknesses increase as BMI value increases. Craniofacial morphology reveals significant differences between BMI groups.

scholarly journals Craniofacial morphology in males with 46,XX chromosomal constitution

2003 ◽  
Vol 50 (3) ◽  
pp. 120-123
Author(s):  
Ivana Scepan ◽  
Branislav Glisic ◽  
Marko Babic ◽  
Zorana Nikolic ◽  
Dusan Djordjevic
Keyword(s):  
Cranial Base ◽  
Mean Value ◽  
Craniofacial Morphology ◽  
Normal Male ◽  
Normal Female ◽  
Class Iii ◽  
Male And Female ◽  
Chromosomal Constitution ◽  
Anterior Cranial Base ◽  
The Mean

The aim of this investigation was to assess the craniofacial morphology of five male individuals with 46,XX chromosomal constitution, and to compare them with normal male individuals (46,XY) and normal female participates (46,XX). The investigation was carried out on the lateral cephalomestic radiographs of five male individuals with sex reverse syndrome (46,XX chromosomal constitution), 62 normal female (46,XX) and 31 normal male (46,XY chromosomal constitution) participants. The following angular variables were measured: SNA, SNB, ANB, SN/SpP, SN/MP and SpP/MP. For each variable the mean value and standard deviation were calculated. The Student t-test was used to compare the result obtained between the group of patients with sex reverse syndrome and group of normal male, as well as of normal female participants. The male individuals with 46, XX chromosomal constitution showed slight bimaxillary retrognathism, and class III sagittal jaw relationship. Due to decreased inclination of the upper jaw to the anterior cranial base, the angle of vertical jaw relationship slightly increased in the group of patients with sex reverse syndrome, compared to normal male and female participants.

Craniofacial Morphology of Children with Williams Syndrome

1993 ◽  
Vol 30 (3) ◽  
pp. 343-349 ◽  
Author(s):  
Eliyahu Mass ◽  
Leon Belostoky
Keyword(s):  
Soft Tissue ◽  
Williams Syndrome ◽  
Cranial Base ◽  
Craniofacial Morphology ◽  
Diagnostic Feature ◽  
Facial Appearance ◽  
Facial Height ◽  
Mandibular Plane ◽  
Anterior Cranial Base ◽  
The Common

Facial dysmorphology is considered to be a major diagnostic feature in patients with Williams syndrome (WS). The dysmorphology is composed of soft tissue and skeletal components. In this study the skeletal component of the facial dysmorphology was examined by analyzing the lateral cephalometric radiographs of 8 children with WS. Seven anatomic areas were judged by means of the analysis of 48 cephalometric variables. Four skeletal features contributed to the facial appearance of children with WS: (1) the anterior cranial base was short, although the cranial base angle (N-S-Ba) was normal; (2) the angle of the mandibular plane was steep, although total facial height was normal; (3) despite the normal facial height, there was an unusual proportion of upper to lower anterior facial height and posterior to anterior facial height; and (4) the chin button (pogonion to N-B line) was deficient, although the mandible could not be classified as retrognathic. The common skeletal components were not dominant enough to characterize the facial dysmorphology completely.

Endonasal Endoscopic Closure of Cerebrospinal Fluid Fistulas at the Anterior Cranial Base

1996 ◽  
Vol 105 (8) ◽  
pp. 620-623 ◽  
Author(s):  
Mislav Gjuric ◽  
Henning Keimer ◽  
Ulrich Goede ◽  
Malte Erik Wigand
Keyword(s):  
Cerebrospinal Fluid ◽  
Soft Tissue Injuries ◽  
Inferior Turbinate ◽  
Cranial Base ◽  
Csf Leak ◽  
Facial Soft Tissue ◽  
Csf Rhinorrhea ◽  
Endoscopic Closure ◽  
Anterior Cranial Base ◽  
Dural Tears

This study reports our indications and limits for endonasal endoscopic closure of dural defects with a cerebrospinal fluid (CSF) leak at the anterior cranial base, and demonstrates our surgical technique. Fifty-three patients with CSF rhinorrhea were reassessed for the success rate of closure of the CSF leak. Surgery was successful in 98%, and 68% of fistulas were closed endoscopically. A free graft of autogenous mucoperiosteum of the inferior turbinate was the most frequently used tissue for defect closure. The endonasal endoscopic route proved relatively safe for the closure of dural tears, irrespective of the cause, up to about 10 × 10 mm. It is characterized by minimal morbidity because of the preservation of sinus ventilation and bony structures, supraorbital nerves, and olfactory fibers. Defects larger in size, predominantly of traumatic origin, were closed via the transfacial approach. The decision on the surgical approach was additionally based on the extent of the facial soft tissue injuries and the localization of the leak.

scholarly journals Soft tissue thickness of face profile conditioning by dento-skeletal anomalies

2011 ◽  
Vol 139 (7-8) ◽  
pp. 439-445
Author(s):  
Tatjana Tanic ◽  
Zorica Blazej ◽  
Vladimir Mitic
Keyword(s):  
Soft Tissue ◽  
Class Ii ◽  
Class Iii ◽  
Upper Lip ◽  
Tissue Thickness ◽  
Facial Soft Tissue ◽  
Lower Lip ◽  
Skeletal Anomalies ◽  
Soft Tissue Thickness ◽  
Soft Tissue Profile

Introduction. Orthodontic treatment of dento-skeletal anomalies is generally based on the correction of teeth and jaws relationship, while it is expected that soft facial tissue spontaneously adapts to therapeutically achieved relationship and to accompany hard tissue changes. Objective. To establish facial soft tissue thickness conditioning by the presence of dento-skeletal anomalies. Methods. The study was performed at the Dental Clinic of Nis, and involved the analysis of cephalometric rendgenograms in 121 patients, aged 12-18 years, with no previous orthodontical treatment. According to dento-skeletal relationship between teeth and jaws the patients were divided into four groups; class I (control group), class II of division 1, class II of division 2 and class III. The standard analysis of dento-skeletal profile was done according to Steiner and soft tissue profile according to Burstone was done in all. Results. The patients of class II/1 had a significantly thinner upper lip (t=2.650; p<0.05) and thinner upper lip sulcus (t=1.999; p<0.05). The patients of class II/2 had a significantly thicker upper lip (t=2.912; p<0.01), while those of class III had a significantly thinner lower lip (t=3.900; p<0.001). Conclusion. The thickness of facial soft tissue considerably influences facial profile appearance in persons with a dento-skeletal anomaly. Not only do soft tissues adapt to the existing jaws relationship, but can also camouflage present anomalies.

scholarly journals Facial Soft Tissue in Subjects with Class II and Class III Facial Deformities: Preliminary Results

2014 ◽  
Vol 32 (3) ◽  
pp. 1022-1025
Author(s):  
Sergio Olate ◽  
Mario Cantín ◽  
Bélgica Vásquez ◽  
Mariano del Sol ◽  
Márcio de Moraes
Keyword(s):  
Soft Tissue ◽  
Class Ii ◽  
Class Iii ◽  
Facial Soft Tissue ◽  
Preliminary Results

Assessment of Facial Soft Tissue Dimensions in Adult Patients with Different Sagittal Skeletal Classes using Cone beam Computed Tomography

2016 ◽  
Vol 17 (7) ◽  
pp. 542-548 ◽  
Author(s):  
Mohammad Y Hajeer ◽  
Mowaffak A Ajaj ◽  
Heba M Jazmati
Keyword(s):  
Computed Tomography ◽  
Soft Tissue ◽  
Cone Beam Computed Tomography ◽  
Class Ii ◽  
Adult Patients ◽  
Class I ◽  
Cone Beam ◽  
Class Iii ◽  
Facial Soft Tissue ◽  
Lower Lip

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.

scholarly journals Comparative analysis of the anterior and posterior length and deflection angle of the cranial base, in individuals with facial Pattern I, II and III

2013 ◽  
Vol 18 (1) ◽  
pp. 69-75 ◽  
Author(s):  
Guilherme Thiesen ◽  
Guilherme Pletsch ◽  
Michella Dinah Zastrow ◽  
Caio Vinicius Martins do Valle ◽  
Karyna Martins do Valle-Corotti ◽  
...  
Keyword(s):  
Deflection Angle ◽  
Cranial Base ◽  
Profile Angle ◽  
Mean Values ◽  
Anterior Cranial Base ◽  
Significant Difference ◽  
Facial Pattern ◽  
Caucasian Patients ◽  
The Mean ◽  
Post Hoc

OBJECTIVE: This study evaluated the variations in the anterior cranial base (S-N), posterior cranial base (S-Ba) and deflection of the cranial base (SNBa) among three different facial patterns (Pattern I, II and III). METHOD: A sample of 60 lateral cephalometric radiographs of Brazilian Caucasian patients, both genders, between 8 and 17 years of age was selected. The sample was divided into 3 groups (Pattern I, II and III) of 20 individuals each. The inclusion criteria for each group were the ANB angle, Wits appraisal and the facial profile angle (G'.Sn.Pg'). To compare the mean values obtained from (SNBa, S-N, S-Ba) each group measures, the ANOVA test and Scheffé's Post-Hoc test were applied. RESULTS AND CONCLUSIONS: There was no statistically significant difference for the deflection angle of the cranial base among the different facial patterns (Patterns I, II and III). There was no significant difference for the measures of the anterior and posterior cranial base between the facial Patterns I and II. The mean values for S-Ba were lower in facial Pattern III with statistically significant difference. The mean values of S-N in the facial Pattern III were also reduced, but without showing statistically significant difference. This trend of lower values in the cranial base measurements would explain the maxillary deficiency and/or mandibular prognathism features that characterize the facial Pattern III.

Anterior Cranial Base Morphology in Mice with Midfacial Retrusion

1994 ◽  
Vol 31 (6) ◽  
pp. 417-428 ◽  
Author(s):  
Scott Lozanoff ◽  
Stefan Jureczek ◽  
Tracey Feng ◽  
Raj Padwal
Keyword(s):  
Cranial Base ◽  
Procrustes Analysis ◽  
Posterior Region ◽  
Mouse Mutant ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Size Change ◽  
Element Analysis ◽  
Anterior Cranial Base

The role of the anterior cranial base in the morphogenesis of class III malocclusions remains uncertain. This study was conducted to determine whether morphologic deficiencies occur in the anterior cranial base in the Brachyrrhine (Br) mouse mutant showing severe midfacial retrusion, which is characteristic of a class III malocclusion. Crania from three groups of C3H/Hej, 3H1 Br/+, and 3H1+/+ mice, each consisting of 15 animals, were collected at 1, 3, and 5 days of age (total = 135). The anterior cranial base from each specimen was subjected to computerized reconstruction and ten landmarks were digitized from each model. The landmark configurations were compared using Procrustes analysis. Significant differences between models were determined at each age. In order to localize differences between forms, average landmark configurations derived from Procrustes analysis were subjected to finite-element analysis. Size-change values for the 3H1 Br/+ animals showed magnitudes that increased in an anteroposterior direction when compared to the 3H1 +/+ and C3H/Hej animals at all ages. The largest values were located posteriorly along the ossifying front of the presphenoid. In five of six comparisons, the size-change values separated into two distinct clusters. The posterior region of the anterior cranial base was divisible into two subclusters, one located superiorly and the other interiorly. These data suggest that midfacial retrusion in the Br mouse may be caused, in part, by growth deficiencies in the posterior region of the anterior cranial base, particularly the presphenoidal and sphenoethmoidal regions.

scholarly journals Modifications of Midfacial Soft-Tissue Thickness Among Different Skeletal Classes in Italian Children

2018 ◽  
Vol 10 (1) ◽  
pp. 1-8
Author(s):  
Daniele Gibelli ◽  
Matteo Zago ◽  
Annalisa Cappella ◽  
Claudia Dolci ◽  
Chiarella Sforza
Keyword(s):  
Soft Tissue ◽  
Soft Tissues ◽  
Class Ii ◽  
Class Iii ◽  
Tissue Thickness ◽  
Facial Soft Tissue ◽  
Skeletal Class ◽  
Soft Tissue Thickness ◽  
Italian Children ◽  
The Relationship

Background: The anatomical assessment of the arrangement of facial soft tissues has important applications in different fields from orthodontics to plastic surgery. One of the issues concerns the relationship between facial soft tissue thickness and skeletal class. Literature mainly deals with adult populations, whereas very few studies have been focused on children. Objective: This study aims at investigating the relationship between midline facial soft tissue thickness and skeletal classes in Italian pre-treatment orthodontic child patients. Methods: Lateral cephalometric X-ray films were obtained from 220 healthy Caucasoid children (91 males and 129 females), aged between 6 and 18 years (Class I: 41 males and 70 females; Class II: 18 males and 25 females; Class III: 32 males and 34 females). All the films were digitized and 14 soft tissue thicknesses were measured on the midface; in addition, the skeletal class was assessed according to the corrected ANB angle (ANBc). Differences in facial soft tissue thickness according to sex and skeletal class were assessed through two-way ANOVA test (p<0.01). Results: Statistically significant differences according to sex were found for labrale superius, stomion and labrale inferius, with thicker soft tissues in males than in females (p<0.01). Only measurements at labrale superius and gnathion showed statistically significant differences according to skeletal class, with thicker soft tissues in Class III children and thinner ones in Class II children (p<0.01). Conclusion: The limited number of investigations, as well as the differences in protocols, renders the comparison of results from different studies difficult, suggesting further investigations to enlighten this complex and debated anatomical issue.

Induced Premaxillary Suture Fusion: Class III Malocclusion Model

2008 ◽  
Vol 87 (9) ◽  
pp. 856-860 ◽  
Author(s):  
W.H. Ruan ◽  
J.N. Winger ◽  
J.C. Yu ◽  
J.L. Borke
Keyword(s):  
Cranial Base ◽  
Craniofacial Morphology ◽  
Control Group ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Obvious Change ◽  
Before And After ◽  
Suture Fusion ◽  
The Relationship ◽  
Experimental Group

The etiology of class III malocclusion remains unknown. The present study investigates the relationship between craniofacial morphology and premaxillary suture fusion to test the hypothesis that class III malocclusion may be related to premaxillary suture fusion. Cyanoacrylate was applied to immobilize the left premaxillary suture in the experimental group. Sham surgeries in rats were used for controls. Dental impressions and radiographs were taken before and after surgery for comparison of craniofacial differences between groups. Overall cranial base lengths, craniofacial widths, and craniofacial angulations related to the anterior base showed significant differences between groups. At the end of the experiment, the growth of the snout in the experimental group was inhibited and deviated to the treated side, while no obvious change was seen in the control group. The results show that induced premaxillary suture fusion can affect craniofacial morphology and indicate that premature premaxillary suture fusion may result in class III malocclusion.

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