COMPARATIVE EVALUATION OF THE NASOPHARYNGEAL SOFT TISSUE CHARACTERISTICS BETWEEN IDEAL OCCLUSION AND CLASS III MALOCCLUSION IN DAKSHINA KANNADA POPULATION

2021 ◽  
pp. 61-64
Author(s):  
Brigit Alphonsa Gervasis ◽  
Sharath Kumar Shetty ◽  
MaheshKumarY MaheshKumarY ◽  
Laxmi Sarvani
Keyword(s):  
Sexual Dimorphism ◽  
Pearson Correlation ◽  
Cranial Base ◽  
Nasal Fossa ◽  
Class I ◽  
Ideal Class ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Lateral Cephalograms ◽  
Tissue Characteristics

Introduction :Because of the close relationship between the pharynx and the dentofacial structures, a mutual interaction is expected to occur between the pharyngeal structures and the dentofacial pattern. The aim of this study was to assess and compare the nasopharyngeal characteristics in adults with Ideal occlusion and Class III malocclusion in Dakshina Kannada population. Materials and Methods: The study sample consisted of 64 patients with Class III malocclusion and 96 subjects with Ideal Class I molar relation randomly selected from the patients visiting the department of orthodontics of various dental colleges in Dakshina Kannada district. Lateral cephalograms were manually traced, linear and area measurements were determined to dene the airway characteristics. Independent means t tests and Pearson correlation analysis were used to evaluate sexual dimorphism and the correlations among the variables. Results: Nasal fossa length, lower pharyngeal dimension, and upper adenoid width were greater in the Class III malocclusion group. The cranial base showed signicant correlation with nasal fossa length in the Class III malocclusion group. Lower pharyngeal dimension was increased in Class III malocclusion group compared to Ideal Class I occlusion. Sexual dimorphism was also found within Ideal Class I occlusion and Class III Malocclusion groups. Conclusions : From analysing the data it was found that the nasopharynx in Class III malocclusion patients in Dakshina Kannada was characterised by an increased lower pharyngeal dimension, upper adenoid width, nasal fossa dimension and also smaller cranial base length.

scholarly journals Mandibular symphysis morphology and dimensions in different anteroposterior jaw relationships

2013 ◽  
Vol 84 (2) ◽  
pp. 304-309 ◽  
Author(s):  
Susan N. Al-Khateeb ◽  
Emad F. Al Maaitah ◽  
Elham S. Abu Alhaija ◽  
Serene A. Badran
Keyword(s):  
Correlation Coefficient ◽  
Alveolar Bone ◽  
Pearson Correlation ◽  
Class Ii ◽  
Class I ◽  
Pearson Correlation Coefficient ◽  
Strongly Correlated ◽  
Class Iii ◽  
Mandibular Symphysis ◽  
Lateral Cephalograms

ABSTRACT Objective: To assess the morphology and dimensions of mandibular symphysis (MS) in different anteroposterior jaw relationships and to investigate whether craniofacial parameters have any correlation with its shape and/or dimensions. Materials and Methods: Lateral cephalograms of subjects with Class I, Class II, and Class III skeletal relationships were traced. Several craniofacial and MS parameters were measured. MS parameters were compared between the three groups using analysis of variance and were correlated with the craniofacial parameters using the Pearson correlation coefficient. Results: Larger angle of concavity of the chin, more inclination of the alveolar bone toward the mandibular plane, and larger MS dimensions and area (P < .001) were found with a Class III skeletal relationship compared to Class I and Class II relationships. The Pearson correlation coefficient between Id-Me and AFH was r  =  0.83 and between Id-Me and LAFH it was r  =  0.81. Conclusions: The dimensions and configuration of MS in the Class III relationship were different than those in Class I and Class II relationships; the alveolar part of MS compensated for the skeletal relationship in the Class III pattern. MS dimensions were strongly correlated to anterior facial dimensions.

Comparison of skeletal anchorage and tooth-borne maxillary protraction followed by fixed appliance in Class III malocclusion

2019 ◽  
Vol 42 (2) ◽  
pp. 193-199 ◽  
Author(s):  
Sang-Hoon Lee ◽  
Sang-Duck Koh ◽  
Dong-Hwa Chung ◽  
Jin-Woo Lee ◽  
Sang-Min Lee
Keyword(s):  
Phase Ii ◽  
Class I ◽  
Skeletal Anchorage ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Fixed Appliance ◽  
Skeletal Class ◽  
Maxillary Protraction ◽  
Lateral Cephalograms ◽  
Residual Growth

Summary Objectives The purpose of this study was to compare the results of skeletal anchorage (SAMP) and tooth- borne (TBMP) maxillary protraction followed by fixed appliance in growing skeletal Class III patients. Materials and methods Patients treated with maxillary protraction were selected and classified into two groups (SAMP: n = 19, mean age = 11.19 years; TBMP: n = 27, mean age = 11.21 years). Lateral cephalograms taken before treatment (T0), after the maxillary protraction (T1), and after the fixed appliance treatment (T2) were analysed and all variables were statistically tested to find difference between the two groups. Results Compared to the TBMP, the SAMP showed significant forward growth of maxilla (Co-A point and SN-Orbitale) and improvement in intermaxillary relationship (ANB, AB to mandible plane, and APDI) after the overall treatment (T0–T2), with no significant sagittal changes in maxilla or mandible throughout the fixed appliance treatment (T1–T2). Limitations In maxillary protraction, effects of skeletal anchorage were retrospectively compared with those of dental anchorage, not with Class I or III control. Conclusions and implications After maxillary protraction, skeletal and tooth-borne anchorage did not cause significant differences in the residual growth of maxilla throughout the phase II treatment. Orthopaedic effects with skeletal anchorage showed appropriate stability in maxilla and intermaxillary relationship even after fixed appliance treatment.

Longitudinal Craniofacial Growth Patterns in Patients with Orofacial Clefts: Geometric Morphometrics

2004 ◽  
Vol 41 (2) ◽  
pp. 136-143 ◽  
Author(s):  
G. D. Singh ◽  
Jasmin Rivera-Robles ◽  
Jaime de Jesus-Vinas
Keyword(s):  
Cleft Lip ◽  
Cranial Base ◽  
Growth Patterns ◽  
Class I ◽  
Size Increase ◽  
Scaling Analysis ◽  
Craniofacial Growth ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Growth Guidance

Objective To demonstrate craniofacial developmental patterns in repaired cleft lip and cleft palate (CLP). Design Retrospective, longitudinal. Setting Center for Craniofacial Disorders, San Juan, Puerto Rico. Sample Males aged 9 to 17 years: 13 noncleft (NC) Class I occlusion (NCC1); 13 NC Class III malocclusion (NCC3); 12 CLP Class I occlusion (CLPC1); and 15 CLP Class III malocclusion (CLPC3). Main Outcome Measures Form changes (ages 10, 13, and 16 years), using finite-element scaling analysis. Results NCC1, 10 to 13 interval: 30% size increase in upper midface (p < .05), mental region (p < .01), mandibular body (p < .05); 13 to 16 interval: 10% to 35% size increase in bimaxillary region and ramus (p < .01). NCC3, 10 to 13 interval: 10% to 40% size increase in posterior cranial base, upper midface, and mandible (p < .05); 13 to 16 interval: 10% to 30% size increase in bimaxillary region (p < .01), especially ramus. CLPC1, 10 to 13 interval: 10% to 15% size increase in posterior cranial base (p < .01), midface (p < .05), and mandibular ramus (p < .05); 13 to 16 interval: 8% to 20% size increase in upper midface (p < .01), lower midface (p < .05), and mandible (p < .05). CLPC3, 10 to 13 interval: no significant changes; 13 to 16 interval: upper midface and cranial base show nonsignificant size decreases, but ramus showed size increase. Conclusions Noncleft and CLP Class 1 occlusion groups show similar craniofacial growth patterns. Noncleft Class III groups show excessive cranial and mandibular growth. Class III malocclusion in CLP patients is associated with clinically deficient craniomaxillary growth. Growth guidance may be indicated in children with CLP with unfavorable craniofacial growth patterns.

scholarly journals Cranial base characteristics in anteroposterior malocclusions: A meta-analysis

2015 ◽  
Vol 86 (4) ◽  
pp. 668-680 ◽  
Author(s):  
Aixiu Gong ◽  
Jing Li ◽  
Zhendong Wang ◽  
Yuan Li ◽  
Fang Hu ◽  
...  
Keyword(s):  
Meta Analysis ◽  
Class Ii ◽  
Cranial Base ◽  
Class I ◽  
Cochrane Library ◽  
Base Length ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Base Angle ◽  
Statistical Heterogeneity

ABSTRACT Objective:  To investigate cranial base characteristics in malocclusions with sagittal discrepancies. Materials and Methods:  An electronic search was performed in PubMed, Embase, Web of Science, and the Cochrane Library. A fixed- or random-effect model was applied to calculate weighted mean difference with 95% confidence intervals (CIs) according to statistical heterogeneity. Outcome measures were anterior, posterior, and total cranial base length and cranial base angle. Sensitivity analysis and publication bias were conducted. Results:  Twenty studies that together included 1121 Class I, 1051 Class II, and 730 Class III cases qualified for the final analysis. Class III malocclusion demonstrated significantly reduced anterior (95% CI: −1.74, −0.53; P &lt; .001 vs Class I; 95% CI: −3.30, −2.09; P &lt; .001 vs Class II) and total cranial base length (95% CI: −3.33, −1.36; P &lt; .001 vs Class I; 95% CI: −7.38, −4.05; P &lt; .001 vs Class II). Further, Class II patients showed significantly greater anterior and total cranial base length than did Class I patients (95% CI: 0.51, 1.87; P &lt; .001 for SN; 95% CI: 2.20, 3.30; P &lt; .001 for NBa). Cranial base angle was significantly smaller in Class III than in Class I (95% CI: −3.14, −0.93; P &lt; .001 for NSBa; 95% CI: −2.73, −0.68; P  =  .001 for NSAr) and Class II malocclusions (95% CI: −5.73, −1.06; P  =  .004 for NSBa; 95% CI: −6.11, −1.92; P &lt; .001 for NSAr) and greater in Class II than in Class I malocclusions (95% CI: 1.38, 2.38; P &lt; .001 for NSBa). Conclusions:  This meta-analysis showed that anterior and total cranial base length and cranial base angle were significantly smaller in Class III malocclusion than in Class I and Class II malocclusions, and that they were greater in Class II subjects compared to controls.

scholarly journals Evaluation of Cranial Base Morphology of Pakistani Population in Skeletal Class I, II and III Malocclusions

2019 ◽  
Vol 9 (2) ◽  
pp. 43-46
Author(s):  
Faizan Alia ◽  
Rabia Aziz ◽  
Amna Malik ◽  
Hadiqa Afzal
Keyword(s):  
Pearson Correlation ◽  
Class Ii ◽  
Cranial Base ◽  
Class I ◽  
Base Length ◽  
Class Iii ◽  
Skeletal Class ◽  
Anterior Cranial Base ◽  
Angular Measurements ◽  
Jaw Position

 Introduction: Cranial Base integrate different patterns of growth in various regions of the skull such as the nasal cavity, the oral cavity, and the pharynx. Anteroposterior jaw position is thought to be affected by cranial base growth. Although scientific literature shows conflicting results regarding both positive and negative correlation between the cranial base and skeletal malocclusions. Materials & Method: 138 patients selected according to the Inclusion criteria were divided into three major categories depending upon ANB angle. Class I, class II group and class III group. Pretreatment lateral cephalometric radiographs were taken. Linear and Angular measurements were measured. All the data was entered in SPSS version 25 and then analyzed by using descriptive statistics including mean, standard deviation and by using inferential statistics including Pearson correlation and ANOVA test. Result: No significant differences were recorded between cranial base deflection angles (N-S-Ar and N-S-Ba) and malocclusions groups while Anterior cranial base length S-N was found to be maximum in class III and posterior cranial base length S-Ba was greater in class I. Conclusion: Cranial base angles N-S-Ar and N-S-Ba did not demonstrate any statistically significant correlation with three malocclusion groups i.e. Class I, Class II and Class III and their correlation was negative.

scholarly journals Soft Tissue Characteristics and Gender Dimorphism in Class III Malocclusion: a Cephalometric Study in Adult Greeks

2017 ◽  
Vol 21 (3) ◽  
pp. 162-166
Author(s):  
Smaragda Kavvadia ◽  
Sossani Sidiropoulou-Chatzigianni ◽  
Georgia Pappa ◽  
Eleni Markovitsi ◽  
Eleftherios G. Kaklamanos
Keyword(s):  
Soft Tissue ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Upper Lip ◽  
Gender Dimorphism ◽  
Skeletal Class ◽  
Soft Tissue Profile ◽  
Lateral Cephalograms ◽  
Males And Females ◽  
Tissue Characteristics

SummaryBackground/Aim: Class III malocclusion case are considered complex problems associated with unacceptable esthetics. The purpose of the present study was to assess the characteristics of the soft tissue profile and investigate the possible gender differences in adult Greeks with Class III malocclusion. Material and Methods: The material of the study comprised of 57 pretreatment lateral cephalograms of adult patients with Class III malocclusion aged 18 to 39 years. Eleven variables were assessed. The variables were measured and the mean, minimum and maximum and standard deviations were calculated. Parametric and non-parametric tests were used to compare males and females patients. Results: The total sample was characterized by concave skeletal profile. Male patients exhibited greater nose prominence and superior sulcus depth, longer distance from subnasale to the harmony line, more concave profile, thicker upper lip and larger upper lip strain. Conclusions: Many significant differences were noted in soft tissue characteristics between males and females with skeletal Class III malocclusion, suggesting possible gender dimorphism.

scholarly journals Comparison of ANB Angle, Yen Angle and W Angle in Chinese Population

2019 ◽  
Vol 9 (1) ◽  
pp. 35-39
Author(s):  
Surendra Maharjan ◽  
Chen Lili
Keyword(s):  
Sexual Dimorphism ◽  
Pearson Correlation ◽  
Class I ◽  
Chinese Patients ◽  
Mean Values ◽  
Skeletal Class ◽  
Lateral Cephalograms ◽  
Pearson Correlation Test ◽  
Union Hospital ◽  
Males And Females

Introduction: An accurate, reliable and stable method of accessing sagittal jaw relationship with cephalometric analysis is essential in orthodontic diagnosis and treatment planning. Many methods have been developed to assess antero-posterior jaw discrepancy but they all have some shortcomings including ANB angle. Thus the purpose of this study is 1) To provide mean values and standard deviations for ANB angle, Yen angle and W angle for a sample of skeletal Class I, II and III Chinese males and females malocclusion patients; 2) To verify the existence of sexual dimorphism; 3) To compare these three methods for assessing sagittal jaw relationship 4) To assess the correlation between these and 5) To find out which is the most reliable amongst them. Materials & Method: 120 pretreatment lateral cephalograms of Chinese patients, including both males and females between 18 to 25years old, were collected from the Department of Orthodontics; Wuhan Union Hospital which were divided into 3 groups as Class I, II and III skeletal pattern. Each pattern consists of 40 samples. The values of the males and females were compared with independent t-test while the inter-group comparisons were conducted with ANOVA and Tukey’s test. Pearson correlation test was performed to correlate between these angles. Result: There were no statistically significant differences between the mean values of these angles in male and female within the groups in all three classes. ANOVA analysis showed significant differences were found in ANB angle, Yen angle and W-angle in all the three Groups. Strong correlation existed between Yen angle and W angle. Conclusion: There is no existence of sexual dimorphism in our study. ANB angle is affected by growth of Nasion while Yen angle is affected by rotation of jaws. ANB angle is easy to assess while W angle is most stable and reliable.

Quantitative Analysis of Body Posture and Its Correlation With Cervical Posture in Various Malocclusions

2021 ◽  
Author(s):  
Shruthi Pradeep ◽  
Priyanka Venkatasubramanian ◽  
Ratna Parameswaran ◽  
Devaki Vijayalakshmi
Keyword(s):  
Class Ii ◽  
Body Posture ◽  
Force Platform ◽  
Class I ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Skeletal Class ◽  
Skeletal Malocclusion ◽  
Lateral Cephalograms ◽  
Cervical Posture

Abstract BACKGROUND: Considering that malocclusions can cause cervico-mandibular and cervico-cranial disorders, the aim of this study is to investigate whether there are significant differences in posture in subjects with skeletal class I, class II and skeletal class III malocclusion METHODS: A clinical study conducted on 90 subjects with Angle`s class I, II, III skeletal malocclusion. Standardized Casts of the subjects were used to analyze the tooth characteristics. Lateral cephalograms were used to assess cervical posture through cervical skull Rocabado analysis. A customized force platform with pressure sensors were used for posture analysis. RESULTS: There is a difference in body posture in subjects with skeletal class I, class II and class III malocclusion and a positive correlation between body posture and cervical posture is found in subjects with these classes of skeletal malocclusion. Subjects with class I malocclusion were found to have a normal cervical and body posture. Strain values from the force platform showed equal distribution of strain on both the feet. Subjects with class II malocclusion were found to have a forward cervical posture with the forward lean of body posture. Subjects with class III skeletal malocclusion were found to have a backward cervical posture with the posterior lean of body posture. CONCLUSION: The results suggest that different classes of malocclusion present with an alteration in cervical and body posture. Correction of the malocclusion or an intervention plan for the prevailing malocclusion should be done as early as possible which can be used to correct the posture thereby restoring the equilibrium of the body.

scholarly journals Longitudinal Evaluation of the Intermaxillary Relationship in Class III Malocclusions

2006 ◽  
Vol 76 (6) ◽  
pp. 955-961 ◽  
Author(s):  
Fengshan Chen ◽  
Kazuto Terada ◽  
Liping Wu ◽  
Isao Saito
Keyword(s):  
Longitudinal Study ◽  
Class I ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Longitudinal Evaluation ◽  
Lateral Cephalograms ◽  
Significant Difference ◽  
Maxilla And Mandible ◽  
Relationship Of

Abstract Objective: To analyze the sagittal, vertical, and transverse relationship of the maxilla and mandible in Japanese girls with Class III malocclusions. Materials and Methods: This longitudinal study utilized biannual posteroanterior and lateral cephalograms of 44 untreated subjects from age 8 to 14 years (Class I, 23 girls; Class III, 21 girls). Sagittal and vertical growths were analyzed on the basis of lateral cephalograms, and transverse growth was analyzed on the basis of posteroanterior cephalograms. Results: There was no significant difference in sagittal intermaxillary relationships in Class III malocclusion from age 8 to 14 years, whereas significant difference in vertical and transverse intermaxillary relationships appeared with ages during this period. When comparing Class III to Class I malocclusions at the same age point, there were significant differences in sagittal and transverse intermaxillary relationships, whereas significant difference in vertical intermaxillary relationship appeared after 12 years of age. Conclusion: The results suggest that the sagittal intermaxillary relationships in Class III malocclusions were established before 8 years of age and remained through puberty and that the vertical and transverse intermaxillary relationships in Class III malocclusions changed with ages from 8 to 14 years.

scholarly journals Björk-Jarabak cephalometric analysis on CBCT synthesized cephalograms with different dentofacial sagittal skeletal patterns

2014 ◽  
Vol 19 (6) ◽  
pp. 46-53 ◽  
Author(s):  
Yalil Augusto Rodriguez-Cardenas ◽  
Luis Ernesto Arriola-Guillen ◽  
Carlos Flores-Mir
Keyword(s):  
Class I ◽  
Cone Beam ◽  
Cephalometric Analysis ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Skeletal Class ◽  
Gonial Angle ◽  
Lateral Cephalograms ◽  
Standard Values ◽  
Range Test

OBJECTIVE: The objective of this study was to evaluate the Björk and Jabarak cephalometric analysis generated from cone-beam computed tomography (CBCT) synthesized lateral cephalograms in adults with different sagittal skeletal patterns.METHODS: The sample consisted of 46 CBCT synthesized cephalograms obtained from patients between 16 and 40 years old. A Björk and Jarabak cephalometric analysis among different sagittal skeletal classes was performed. Analysis of variance (ANOVA), multiple range test of Tukey, Kruskal-Wallis test, and independent t-test were used as appropriate.RESULTS: In comparison to the standard values: Skeletal Class III had increased gonial and superior gonial angles (P < 0.001). This trend was also evident when sex was considered. For Class I males, the sella angle was decreased (P = 0.041), articular angle increased (P = 0.027) and gonial angle decreased (P = 0.002); whereas for Class III males, the gonial angle was increased (P = 0.012). For Class I females, the articular angle was increased (P = 0.029) and the gonial angle decreased (P = 0.004). Björk's sum and Björk and Jabarak polygon sum showed no significant differences. The facial biotype presented in the three sagittal classes was mainly hypodivergent and neutral.CONCLUSIONS: In this sample, skeletal Class III malocclusion was strongly differentiated from the other sagittal classes, specifically in the mandible, as calculated through Björk and Jarabak analysis.

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