scholarly journals Angular Relationship between Frankfort Horizontal Plane and Sella-Nasion Plane in Nepalese Orthodontic Patients: A Cephalometric Study

2017 ◽  
Vol 7 (1) ◽  
pp. 14-17
Author(s):  
Jamal Giri ◽  
Prabhat Ranjan Pokharel ◽  
Rajesh Gyawali

Introduction: The angle between Frankfort horizontal (FH) plane and Sella-Nasion (SN) plane is considered to be 7°. Various studies have shown that the FH-SN angulations could vary; which can affect cephalometric diagnosis.Objective: To determine average FH-SN angle for a group of Nepalese orthodontic patients. The secondary objectives were to assess whether the FH-SN angle exhibits sexual dimorphism and to evaluate the FH-SN angle in different skeletal relationships.Materials & Method: Lateral cephalograms of 238 orthodontic patients were hand traced and the angle between the FH and SN plane was measured and recorded. The cephalograms were also classified as skeletal Class I, II or III cases using Wits appraisal.Result: The average FH-SN angle was 6.71° ± 3.13°. FH-SN angle was greater in female samples compared to males. However, the difference was not statistically significant. Similarly, the ANOVA analysis revealed no significant difference between FH-SN angles in different skeletal relationships.Conclusion: The average FH-SN angle for a group of Nepalese orthodontic patients was 6.71° ± 3.13°. There was no statistically significant difference in FH-SN angle between skeletal Class I, II and III relationships

Author(s):  
Mandeep Kaur Bhullar ◽  
Nikita Gupta ◽  
Sanjay Mittal ◽  
Isha Aggarwal ◽  
Tanzin Palkit ◽  
...  

Abstract Introduction Hyoid bone plays a significant role in physiological functions of craniofacial region, and its position adapts to changes of the head posture. The objective of this study was to evaluate the hyoid bone position among skeletal Class I subjects with various growth patterns. Materials and Methods 90 subjects of north Indian origin, aged between 16 to 30 years, having skeletal class I relation were selected for the study. Subjects were then subdivided into three groups, that is, Group I (n = 30; normodivergent), Group II (n = 30; hypodivergent) and Group III (n = 30; hyperdivergent), based on their vertical growth pattern. Lateral cephalograms were traced and analyzed manually for evaluation of hyoid bone position. Result  The sagittal position of the hyoid bone shows no significant difference with varying growth patterns. The vertical relation G-C3Chor distance showed significant difference in hypodivergent subjects. The axial inclination of the hyoid bone showed no significant difference between different growth patterns. Conclusion The anteroposterior position of the hyoid bone does not change with different growth patterns in skeletal class I subjects. The G-C3Chor distance was found to be statistically significant when the three groups were compared.


2021 ◽  
Vol 11 (1) ◽  
pp. 49-54
Author(s):  
Sujal Amatya ◽  
Rabindra Man Shrestha ◽  
Shristi Napit

Introduction: Great emphasis has been given to the evaluation of sagittal apical base relationship in orthodontic diagnosis and treatment planning. The prediction of magnitude and direction of facial growth based on sagittal relationship will help in orthodontic treatment with growth modification. The objective of the study is to assess the growth pattern in skeletal Class I malocclusion. Materials and Method: 104 subjects (52 male and 52 female) with the age between 18-30 years with Class I skeletal relation was selected from lateral cephalograms of patients visiting the Department of Orthodontics, Kantipur Dental College. The ANB angle was measured to assess the sagittal jaw relationship and the Jarabak’s ratio to access the growth pattern. Descriptive statistics were calculated for each parameter. Pearson’s test was done to evaluate the correlation between the parameters. Independent t-test was done to compare Anterior Facial height (AFH), Posterior Facial Height (PFH) and Jarabak’s ratio between male and female subjects. Result: Among the total subjects with skeletal Class I malocclusion; hyperdivergent growth pattern was least (10.57%), followed by normodivergent (18.26%) and hypodivergent growth pattern (71.15%). Mean Jarabak’s ratio for hyperdivergent, normodivergent and hypodivergent growth pattern were 58.65±1.94, 63.98±0.85 and 69.98±4.13 respectively. Very strong correlation was found between AFH and PFH in hyperdivergent (r = 0.821) and normodivergent group (r =0.978). Strong correlation was found in hypodivergent group between AFH and PFH (r =0.743). Also, strong correlation was found in hypodivergent group between PFH and Jarabak’s ratio (r =0.643). Conclusion: Hypodivergent growth pattern was the dominant growth pattern in skeletal Class I malocclusion. PFH influenced the determination of Jarabak’s ratio more than the AFH in hypodivergent growth pattern. Hypodivergent growth pattern is correlated with large SNB angle.


2020 ◽  
Vol 16 (12) ◽  
pp. 1088-1093
Author(s):  
Mathew Thomas Maliael ◽  

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.


Author(s):  
I Gusti Aju Wahju Ardani ◽  
Ike Sesaria Pratiknjo ◽  
Irwadi Djaharu’ddin

Abstract Objectives Vertical proportions of the face are important determining factors for diagnosis and planning appropriate orthodontic treatment. Orthodontic patients have different vertical and sagittal skeletal discrepancies, as well as associated varying degrees of dentoalveolar compensations. Dentoalveolar is a functional component of the jaw; it plays a role in occlusal dynamics and forms sagittal and vertical maxilla–mandibula relationships. This study aims to analyze the relationship between dentoalveolar heights and several vertical skeletal patterns in patients with Class I malocclusion in ethnic Javanese. Materials and Methods The sample consisted of lateral cephalograms of 75 patients (18 samples were male, and 57 were female). Determined by inclusion and exclusion criteria, the participants were selected from an initial sample of 196 patients with skeletal Class I malocclusion (sella–nasion–A and B [ANB] = 1–4 degrees). Cephalometric analysis was performed using OrthoVision2017 digital software. This analysis measured upper anterior dental height (UADH), upper posterior dental height (UPDH), lower anterior dental height (LADH), lower posterior dental height (LPDH), ANB angle, sella–nasion and mandibular plane (SN-MP), sella–nasion and palatal plane (SN-PP), palatal plane and mandibular plane (PP-MP), Frankfort horizontal plane and mandibular plane (FH-MP), sella to gonion (S-Go), articulare to gonion (Ar-Go), nasion to menton (N-Me), nasion to anterior nasal spine (N-ANS), and anterior nasal spine to menton (ANS-Me). Pearson correlation test was used to assess correlations among all variables (p < 0.05). Results Significant correlations were observed between dentoalveolar heights and SN-MP, S-Go, Ar-Go, N-Me, and ANS-Me (p < 0.05). Conclusions Patients with Class I malocclusion in ethnic Javanese exhibit a significant correlation between dentoalveolar and vertical skeletal patterns. UPDH and/or LPDH have a significantly positive correlation with SN-MP, S-Go, Ar-Go, N-Me, and ANS-Me. The orthodontic correction of the decreased or increased facial height included either the extrusion or intrusion of the anterior or posterior teeth in different ways.


2017 ◽  
Vol 7 (1) ◽  
pp. 37-38
Author(s):  
Dhananjay Rathod ◽  
GP Rathod ◽  
Pankaj Rathod ◽  
Gazal Bisht

Objective: To evaluate and establish the norms for Class I subjects of Uttarakhand population using the beta angle.Materials & Method: The sample included pre-treatment lateral cephalograms of 100 subjects aged 18-30 years belonging to Uttarakhand ethnicity and possessing skeletal Class I malocclusion with pleasing profile. Beta angle measurement was performed and compared with Caucasian standards.Result: No statistically significant difference was found in the beta angle values of Uttarakhand and Caucasian populations. Beta angle norms for Caucasian population can be applied for the Uttarakhand population.Conclusion: Beta angle is relatively a stable parameter in population with different ethnicities. 


2016 ◽  
Vol 6 (2) ◽  
pp. 7-9
Author(s):  
Hemant Kumar Halwai ◽  
Vanita Gautam ◽  
Manju Pandey

Objective: To determine the distribution of different skeletal pattern in orthodontic patients visiting a tertiary center in midwestern Nepal.Materials & Method: A sample of 200 lateral cephalograms of Nepali patients visiting UCMS-College of Dental Surgery, Bhairahawa was obtained. The jaw base relationship was assessed from lateral cephalograms using angular measurement (ANB angle). Among the total sample size; 74 (37%) were males and 126 (63%) were female. Age was divided into 3 groups: 8-11 years, 12-17 years, and 18-36 years. Pearson Chi square test was done to test the association between age group and distribution of skeletal jaw base relationship. All data were recorded and analyzed with SPSS software.Result: The distribution of skeletal malocclusion according to ANB angle classification revealed that the most prevalent skeletal malocclusion was Class II skeletal jaw base relationship accounting up to 97(48.5%), followed by Class I 87(43.5%) and Class III 16(8%). The study showed statistically significant difference between gender and distribution of skeletal jaw base relationship (p<0.05). However, there was no significant difference between the age groups and distribution of skeletal jaw base relationship (p<0.05).Conclusion: Most common skeletal jaw base relationship in patients seeking orthodontic patients was Class II followed by Class I and Class III in a tertiary center of mid-western Nepal. 


2017 ◽  
Vol 7 (1) ◽  
pp. 7-10 ◽  
Author(s):  
Anand Acharya ◽  
Bhushan Bhattarai ◽  
Diana George ◽  
Tarakant Bhagat

Introduction: Occlusal traits in orthodontic patients have been studied in different parts of Nepal. However, very few data are available on malocclusion in south-eastern region of Nepal.Objective: To assess the pattern of malocclusion occurring in orthodontic patients in south-eastern region of Nepal, and to estimate the age of presentation of Class II malocclusion among the patients.Materials & Method: Data were collected from 150 pre-treatment study models and lateral cephalograms from two orthodontic specialty clinics in Biratnagar. Angle’s classification system was used to determine dental malocclusion and ANB angle was used to determine skeletal malocclusion. Chi square test was used to test the association between dental and skeleton malocclusions.Result: Angle’s Class I malocclusion was found in 95(63.33%), Class II Div 1 in 41(27.33%), Class II Div 2 in 13(8.66%) and Class III in 1(0.66%). Among all subjects; 119 (79.33%) had skeletal Class I, 24(16%) had skeletal Class II and 7(4.66%) had skeletal Class III. There was significant association between dental and skeletal malocclusions. The average age for reporting Class II Div 1 malocclusion was 16.5 years and Class II Div 2 malocclusion was 19 years.Conclusion: Angle’s Class I is the most common malocclusion followed by Class II and Class III among orthodontic patients in south-eastern Nepal. The subjects lack awareness on age factor for orthodontic treatment. 


2011 ◽  
Vol 2 (3) ◽  
pp. 207-210 ◽  
Author(s):  
BN Praveen ◽  
AR Shubhasini ◽  
Syed Vaseemuddin ◽  
Sunita Amrutesh ◽  
Sumona Pal

ABSTRACT Objective Though the soft palate presents with varied morphology, very few studies have described its diversity. The aim of our study was to investigate various shapes of soft palate in normal individuals. Methods The study comprised of 80 individuals requiring orthodontic treatment but without any speech abnormality, whose age ranged from 9 to 31 years. Velar shape was examined on digital lateral cephalograms and was allocated to one of the six patterns as described by You M et al. The difference in proportion of each type and also difference between genders were studied. Results The normal soft palate can be classified into six types based on its shape. Type 2—rat-tail shape is most common in both the genders. There is no significant difference in proportion of various shapes of soft palate between genders. Conclusion Soft palate may have variable morphology. Knowledge of varied spectrum of velar morphology may help in successful functional and structural repair in cleft palate cases, and shed some light towards the causes of obstructive sleep apnea and related disorders.


Author(s):  
Fataneh Ghorbanijavadpour ◽  
Vahid Rakhshan ◽  
Negin Ashoori

Introduction: Hypodontia is the most prevalent dental anomaly that might cause clinical complications. The aim of this study is to assess the prevalence of hypodontia in relation with sex in permanent teeth, skeletal malocclusion and dental crowding among orthodontic patients admitted to Ahvaz Dental School. Materials and Methods: In this descriptive cross-sectional study, dental casts, panoramic radiographs and lateral cephalograms related to patients that were admitted to Department of Orthodontics of Ahvaz Dental School during 2018-2019 were investigated, to establish the existence of hypodontia, type of skeletal relationship, age, sex and dental crowding in the permanent dentition. The data were analyzed using a chi-square test in IBM SPSS Statistics for Windows, version 25 with statistical significance set at p value < 0.05. Results: Among 331 patients which were included 257 females (77.65%) and 74 males, prevalence of hypodontia was 9.4% (31 patients, 10.5% in females, 5.5% in males). The difference between the genders in term of hypodontia was not significant (p value = 0.257). This condition was existed from the dental and skeletal relationship point of view: hypodontia was observed in 19 patients (61.4%) with class Ⅰ relationship, 9 patients (29%) with skeletal class Ⅱ and 3 patients (9.6%) with skeletal class skeletal class ⅠⅠⅠ relationship. The difference between skeletal relationship and hypodontia was not significant (p value = 0.370). Dental crowding was observed in 24 patients (77.4%). There was not significant difference between dental crowding and hypodontia (p value = 0.276). Conclusion: Hypodontia was more prevalent in females but there was no significant difference between the prevalence of hypodontia in males and females. Previous studies have shown that the prevalence of hypodontia in Iran similar to current study.


2012 ◽  
Vol 83 (2) ◽  
pp. 280-285 ◽  
Author(s):  
Ferdinand M. Machibya ◽  
Xingfu Bao ◽  
Lihua Zhao ◽  
Min Hu

ABSTRACT Objective: To compare the treatment time, outcome, and anchorage loss among orthodontic patients treated by self-ligating brackets (SLBs) and conventional brackets (CBs). Materials and Methods: A retrospective cohort study compared 34 patients (SLB group) treated by SmartClip brackets (3M Unitek, Monrovia, Calif) to 35 patients (CB group) treated by conventional preadjusted Victory series brackets (3M Unitek) and ligated by stainless steel wire ligatures. Pretreatment (T1) and posttreatment (T2) lateral cephalograms were traced and analyzed using Pancherz sagittal-occlusion analysis to obtain skeletal and dental changes in the maxilla and the mandible. The dental cast models were assessed by the Peer Assessment Rating (PAR) Index for the treatment outcomes. Results: The mean treatment time for SLBs (19.19 months) did not show a statistically significant difference from 21.25 months of CBs; the treatment time and pretreatment PAR scores were strongly correlated. There was no difference in anchorage loss between the SLB and CB groups. There were significant dental and skeletal changes among adolescent orthodontic patients regardless of the bracket used. The lingual inclination of the mandibular incisors in the CB group was 3.62° more than in the SLB group (P &lt; .01). Conclusions: The treatment time and anchorage loss are not influenced by the type of bracket used. There are significant dental and skeletal changes among adolescent orthodontic patients regardless of the bracket used. There is significantly greater lingual inclination of mandibular incisors in the CB group than in the SLB group.


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