scholarly journals Mandibular Morphology Differences Between Edentulous And Dentate Assessed By Panoramic Radiographs

2017 ◽  
Vol 16 (2) ◽  
Author(s):  
Lidya Irani Nainggolan ◽  
Aude Layakni Girsang

Introduction: Facial profile can be influenced by edentulous condition that can change mandibular morphology that can affect mastication, digestion and psychosocial life. Edentulism causes absence of occlusal mechanical stimulus, decrease the activity of mastication muscles and increase mandibular bone resorption. These changes can be assessed using panoramic radiography by looking at the vertical dimension of the head of the condyle and its shape, ramus, and the angle of the mandible. The aim of the study was to assess the mean value and differences of mandibular morphology in edentulous and dentate patients using panoramic radiography. Materials and Methods: This was an analytical study with cross-sectional approach using purposive sampling methods. 50 dentate and edentulous patients who came to Dentistry Hospital of University of Sumatera Utara were used as sample. Data analysis was done using Independent T test and MannWhitney test. Results: Results showed that the average value of gonial angle, ramus height, condylar height, antegonial notch depth and ramus notch depth in edentulous patients were 125,38 ± 9,51; 35.98mm ± 4.26; 5.58mm ± 0.90; 2.11mm ± 1.04; and 2.73mm ± 0, 88, and the results showed that the average value of mandibular morphology in dentate patients were 123.34 ± 7.07; 38.15mm ± 3.23; 6.95mm ± 1.25; 1.41mm ± 0.77; and 2.15mm ± 0.59. Conclusion(s): There were significant differences in the values of ramus height, condylar height, antegonial notch depth, and ramus notch depth. Difference was also found in gonial angle value, but was not statistically significant.

2019 ◽  
Vol 10 (2) ◽  
pp. 1243-1248
Author(s):  
Cek Dara Manja ◽  
Dennis

The height of the maxillary alveolar ridge can be measured using panoramic radiography. The decline occurred because the height of the alveolar ridge undergoes slow physiological resorption due to the absence of mechanical stimulus. The purpose of this research is to know the difference and the average height of the maxillary alveolar ridge in edentulous and dentate women using panoramic radiography. This study is an analytical method with a cross-sectional approach. A total sample of 40 women, edentulous and dentate has been measured. Measurements were made by measuring the distance between the lowest point of the infraorbital ridge and alveolar crest maxilla on the incisor point, right and left premolar, right and left molar. A statistical test is done using independent t-test. The results showed that the average value of a dentate women sample is greater than edentulous. The average value obtained by the dentate sample is greatest in incisor point by 37,57mm± 3,34mm and the smallest at the right molar point by 33,87mm ± 2,81mm. The average value obtained by the edentulous sample is greatest in incisor point by 35,30mm ± 2,79mm and the smallest at the right molar point by 31,84mm ± 3,85mm. It can be concluded that there is a significant difference in the height of the maxillary alveolar ridge on an edentulous sample and dentate, except the right molar teeth. The average height of the maxillary alveolar ridge in an edentulous sample is 33,35mm ± 3,43mm, and the dentate sample is 35,66mm ± 3,21mm.


2021 ◽  
Vol 59 (237) ◽  
Author(s):  
Manju Bajracharya ◽  
Anjana Rajbhandari ◽  
Resina Pradhan ◽  
Pushkar Manandhar ◽  
Surendra Maharjan ◽  
...  

Introduction: The Gonial angle is an important parameter of the craniofacial complex for growth Patterns prediction. The gonial angle on lateral cephalometric radiograph represents the mandibular morphology concerning mandibular body and ramus. The objective of this study was to find out the mean value of gonial angle in lateral cephalometric radiographs of patients of orthodontic department in a tertiary care center. Methods: The descriptive cross-sectional study was conducted among patients from the Department of Orthodontics at People’s Dental College and Hospital between 8th December 2020 to 8th February 2021 at People’s Dental College and Hospital, Kathmandu, Nepal after obtaining Ethical approval (Reference Number. 01, CH100 09,2077/2078) by the Institutional Review Committee. A convenience sampling technique was used to collect 166 pre-treatment lateral cephalograms radiographs of patients between 17-30 years. Data were collected and entered using Statistical Package of Social Science 16. Results: The mean value of gonial angle on lateral cephalogram radiographs was 132.84±3.70 in hyperdivergent, 119.94±5.57 in hypodivergent and 124.06±3.88 in normodivergent vertical skeletal patterns and between male and female were 132.52±4.32, 133.07±3.28 in hyperdivergent, 121.46±3.78, 119.14±6.42 in hypodivergent and 123.74±5.14, 123.94±3.90 in normodivergent vertical skeletal patterns of Orthodontic Patients. Conclusions: The gonial angle value on lateral cephalometric radiographs was greater in hyperdivergent than hypodivergent and normodivergent vertical skeletal patterns. The hyperdivergent vertical skeletal pattern of female was greater than of male patient’s lateral cephalometric radiographs while hypodivergent and normodivergent vertical skeletal patterns of males were greater than female lateral cephalogram radiographs of Nepalese orthodontic patients.


2009 ◽  
Vol 31 (4) ◽  
pp. 217-234 ◽  
Author(s):  
Stephen McAleavey ◽  
Manoj Menon ◽  
Etana Elegbe

The application of Spatially-Modulated Ultrasound Radiation Force (SMURF) to shear modulus imaging is demonstrated in tissue-mimicking phantoms and porcine liver. Scanning and data acquisition was performed with a Siemens Antares ultrasound scanner and VF7-3 linear array operating at 4.21 MHz. Modulus estimates in uniform phantoms of Zerdine with shear moduli of 5.1 and 12.4 kPa exhibited standard deviations within 6% of the mean value. Zerdine spheres 1 cm in diameter (nominally 2.7, 4.7 and 15 kPa) in a 8 kPa (nominal) background are clearly resolved. Cross sectional images of a soft conical inclusion in a gelatin-based phantom indicate a spatial resolution of approximately 2.5 mm. Images of the shear modulus of an ex-vivo sample of porcine liver tissue show an average value of 3 kPa. A stiff lesion induced with 0.5 mL of 10% glutaraldehyde is clearly visible as a region of shear modulus in excess of 10 kPa. A modulus gradient associated with the diffusion of the glutaraldehyde is visible. Two pulse sequences were examined, differing only in the timing of the beams used to generate the shear waves. Details of the beam sequences and subsequent signal processing are presented.


2014 ◽  
Vol 2014 ◽  
pp. 1-5 ◽  
Author(s):  
Rıdvan Okşayan ◽  
Bayram Asarkaya ◽  
Nizamettin Palta ◽  
İrfan Şimşek ◽  
Oral Sökücü ◽  
...  

Purpose. The objective of this study was to evaluate morphological changes of the mandible in edentulous and dentate subjects using panoramic radiographs.Materials and Methods. Panoramic radiographs were divided into the following three groups: Group I (completely edentulous group), Group II (old dentate group) and Group III (young dentate group). The research parameters of gonial angle, condylar height, ramus height, ramus notch depth, and antegonial notch depth were measured on panoramic radiographs. The Kruskal-Wallis statistical test was used to determine significant differences in mandibular morphological parameters among the three groups. The Mann-WhitneyUtest was used to compare the subgroups.Results. Significant differences were found only in ramus height between three groups. According to the Mann-WhitneyUtest, a significant difference was exhibited among Groups I and II in the ramus height parameter. No significant differences were found in the gonial angle, condylar height, ramus notch depth, or antegonial notch depth when comparing the young dentate, old dentate, and completely edentulous subjects.Conclusions. Significant differences were found only in ramus height between the groups. Ramus height may be an indicator that changed by years and tooth loss. It must be considered that ramus height can be decreased in edentulism.


2019 ◽  
Vol 13 (1) ◽  
pp. 399-404 ◽  
Author(s):  
Eyas Abuhijleh ◽  
Abdulhadi Warreth ◽  
Mariam Qawadi ◽  
Einas Abdulrida ◽  
Ahmed Radaideh ◽  
...  

Objective: The present study is intended for properly assessing, comparing, and evaluating the contemporary measurements of gonial angle using digital panoramic radiography. In addition, this research evaluates the importance of mandibular gonial angle in gender determination. Materials and Methods: Technically, this is a retrospective cross-sectional study, where the study sample was composed of 590 (295 males and 295 females) patients undergoing digital panoramic radiography in the College of Dentistry in University of Science & Technology of Fujairah, Fujairah, UAE . These patients had been prescribed panoramic radiographs based on different factors. As a generally adopted procedure, bilateral gonial angle measurements were carried out, results were recorded, and their predictability as a determinant of gender was assessed. ANOVA and t-test procedures were utilized for statistical analysis of the collected data. Results: The analysis of the present study confirmed a statistically significant difference between the right and left sides of the gonial angle in both genders. Further, the mean comparison exposed a variation between males and females, based on gonial angle values; females have a statistically significant higher mean angle values than males. Based on the analysis, the present study concludes that this difference between males and females from both sides suggests that the gonial angle helps in sex identification. Conclusion: It has been concluded that gender significantly influences the gonial region and has great potential to be used as a forensic tool in gender determination. Digital panoramic radiography is a good study tool and it can be used to determine the morphology of the mandible.


2018 ◽  
Vol 51 (2) ◽  
pp. 81
Author(s):  
Maria Sitanggang ◽  
Trelia Boel

Background: The mandible constitutes part of the craniofacial bone that plays an important role in determining an individual’s facial profile. The mandible grows and develops throughout life from the prenatal phase up to old age when it becomes and edentulous. Changes in the mandible can be measured using radiographs. These establish several parameters of mandibular morphology, including: ramus height, condylion height, body length, condylion angle, symphysis height, symphysis width and symphysis angle. Purpose: This study aimed to determine differences in the mandibular morphology of members of the mongoloid racial group in Medan according to age as measured by cephalometric radiography. Methods: This investigation constituted analytical research using cross-sectional study with a total sample of 150 individuals divided according to age: group 1 (aged 4-12 years), group 2 (aged 13-24 years, group 3 (aged 25-34 years), group 4 (aged 35-60 years) and group of 5 (aged > 60 years). The parameters were computerized by means of a digital cephalometric radiograph, the resulting data being analized with Oneway ANOVA and LSD. Results: The mean value of the highest to the lowest ramus height, and symphysis height from the five age groups, sequentially, were in group 3, group 4, group 5, group 2, and group 1. The mean value from the highest to the lowest of body length, condylion height, condylion angle, and symphysis width, sequentially, were in group 3, group 4, group 2, group 5, and group 1. The mean value from the highest to the lowest of symphysis angle, sequentially, were in group 1, group 3, group 4, group 2, and  group 5. Conclusion: The mandibular morphology of each age group differs in Mongoloid races in Medan based on lateral cephalometric radiography in which changes are may be affected by the state of teeth and age.


2018 ◽  
Vol 7 (1) ◽  
pp. 29
Author(s):  
Riantini Amalia ◽  
Pulung Siswantara

Premarital period is the best time to prepare physical, psychological, and social condition. Health check-up program and reproductive health promotion for prospective wives are ways to form the quality of family’s health. The aim of this study is to figure out the difference of knowledge before and after reproductive health promotion for prospective wives. This study was conducted in September 2017 at Puskesmas Pucang Sewu. This study is a quntitative research with cross sectional method with paired t-test. The sample of this study was 32 respondents and were given some questionnaires which provided questions about prospective wives’ knowledge of reproductive health before and after the promotion. The promotion of reproductive health was done to increase their knowledge in terms of nutrition level, reproductive health to prepare the precious generation. This research found thatbefore counseling 62.5% of respondents had less knowledge. It then decreased to 12.5% after counseling. The average value of respondents before counseling was 50.62 and then increased to 66.25 after counseling. The mean value is 15.625 and the p value is 0.031 or α less than 0.05. Thus, there was a significant difference of prospective wives’ knowledge before and after promotion was given. Puskesmas Pucang Sewu is recommended to keep giving the premarital counseling with lectures and frequently asked questions method and using slide show media because it has been proven to improve wives’ knowledge. Beside, it is necessary to implement collaboration of wives’ program holder with nutrition and psycology officer related about promotion materials in order to improve knowledge about nutrition and psycology management at wives’.


2017 ◽  
pp. 35-44
Author(s):  
Dinh Toan Nguyen

Background: Studies show that diabetes mellitus is the greatest lifestyle risk factor for dementia. Appropriate management and treatment of type 2 diabetes mellitus could prevent the onset and progression of mild cognitive impairment to dementia. MoCA test is high sensitivity with mild dementia but it have not been used and studied widespread in Vietnam. Aim: 1. Using MoCA and MMSE to diagnose dementia in patients with type 2 diabetes mellitus. 2. Assessment of the relationship between dementia and the risk factors. Methods: cross-sectional description in 102 patients with type 2 diabetes mellitus. The Mini-Mental State Examination(MMSE) and the Montreal Cognitive Assessment (MoCA) were used to assess cognitive function. The diagnosis of dementia was made according to Diagnostic and Statistical Manual of Mental Disorders. Results: The average value for MoCA in the group of patients with dementia (15.35 ± 2.69) compared with non-dementia group (20.72 ± 4.53). The sensitivity and specificity of MoCA were 84.8% and 78.3% in identifying individuals with dementia, and MMSE were 78.5% and 82.6%, respectively. Using DSMIV criteria as gold standard we found MoCA and MMSE were more similar for dementia cases (AUC 0.871 and 0.890). The concordance between MoCA and MMSE was moderate (kappa = 0.485). When considering the risk factors, the education,the age, HbA1c, dyslipidemia, Cholesterol total related with dementia in the type 2 diabetes. Conclusion: MoCA scale is a good screening test of dementia in patients with type 2 diabetes mellitus.When compared with the MMSE scale, MoCA scale is more sensitive in detecting dementia. Key words: MoCA, dementia, type 2 diabetes mellitus, risk factors


2016 ◽  
pp. 7-11
Author(s):  
Vinh Phu Hoang ◽  
Tam Vo ◽  
Van Tien Le ◽  
Thi Hoai Huong Vo

Objective: To review disorders elements of the metabolic syndrome in patients with end-stage chronic renal failure on dialysis cycle. Materials and methods: A cross sectional descriptive study of 85 patients including end-stage chronic renal failure in dialysis cycle from 5/2015 - 9/2016 at the Department of Artificial Kidney, Hue Central Hospital. Results: The prevalence of metabolic syndrome in dialysis patients was 37.65%. The prevalence of abdominal obesity was 30.6%; The prevalence of hypertension was 72.9%, the average value systolic blood pressure and diastolic blood pressure were 142.24 ± 27.53, 80.35 ± 12.48 mmHg; The prevalence of hyperglycemia was 28%, the average value blood glucose was 4.9 ± 1.19 mmol/l; The prevalence of triglyceride increase was 34.1%, the average value triglyceride was 1.59 ± 0.84 mmol/l. The prevalence of HDL-C increase was 47.1%, the average value HDL-C was 1.24 ± 0.33 mmol/l. Conclusion: The prevalence of metabolic syndrome in dialysis patients is very high, in which hypertension and HDL disturbances are the highest. Key words: chronic renal failure, dialysis, metabolic syndrome


Diagnostics ◽  
2021 ◽  
Vol 11 (5) ◽  
pp. 757
Author(s):  
Maged Sultan Alhammadi ◽  
Abeer Abdulkareem Al-mashraqi ◽  
Rayid Hussain Alnami ◽  
Nawaf Mohammad Ashqar ◽  
Omar Hassan Alamir ◽  
...  

The study sought to assess whether the soft tissue facial profile measurements of direct Cone Beam Computed Tomography (CBCT) and wrapped CBCT images of non-standardized facial photographs are accurate compared to the standardized digital photographs. In this cross-sectional study, 60 patients with an age range of 18–30 years, who were indicated for CBCT, were enrolled. Two facial photographs were taken per patient: standardized and random (non-standardized). The non-standardized ones were wrapped with the CBCT images. The most used soft tissue facial profile landmarks/parameters (linear and angular) were measured on direct soft tissue three-dimensional (3D) images and on the photographs wrapped over the 3D-CBCT images, and then compared to the standardized photographs. The reliability analysis was performed using concordance correlation coefficients (CCC) and depicted graphically using Bland–Altman plots. Most of the linear and angular measurements showed high reliability (0.91 to 0.998). Nevertheless, four soft tissue measurements were unreliable; namely, posterior gonial angle (0.085 and 0.11 for wrapped and direct CBCT soft tissue, respectively), mandibular plane angle (0.006 and 0.0016 for wrapped and direct CBCT soft tissue, respectively), posterior facial height (0.63 and 0.62 for wrapped and direct CBCT soft tissue, respectively) and total soft tissue facial convexity (0.52 for both wrapped and direct CBCT soft tissue, respectively). The soft tissue facial profile measurements from either the direct 3D-CBCT images or the wrapped CBCT images of non-standardized frontal photographs were accurate, and can be used to analyze most of the soft tissue facial profile measurements.


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