scholarly journals SYMPHYSIS MORPHOLOGY AND DIMENSIONS IN DIFFERENT VERTICAL FACIAL PATTERNS (CBCT SCAN STUDY)

2015 ◽  
Vol 61 (3) ◽  
pp. 217-226
Author(s):  
Mohamad Mahfoud ◽  
◽  
Hazem Hassan ◽  
Keyword(s):  
Orthodontic Treatment ◽  
Growth Direction ◽  
Cone Beam ◽  
Planning Tool ◽  
Mandibular Symphysis ◽  
Mandibular Growth ◽  
Mandibular Plane ◽  
Reference Measure ◽  
The Face ◽  
Highly Correlated

Mandibular symphysis (MS) morphology is a valuable diagnostic and treatment-planning tool in orthodontics. It is utilised as a reference measure for esthetic purposes, specifically in the lower part of the face, as well as to predict the direction of the mandibular growth rotation as the vertical growth direction. The aim of the presenting study is to use cone beam computed tomography (CBCT) to evaluate the MS morphology and dimensions of adults with different vertical facial patterns and had no previous orthodontic treatment. The study consisted of 100 subjects (42 males and 58 females). Mean age of subjects is 27.6 years (average age of men 29.2 years, average age of women 26.4 years). The CBCT images were obtained by Scanora 3D. The evaluation of the different vertical facial patterns was carried out according to Björk and Jarabak. Six lines, four angles and one area were used in the mandibular symphysis study. The study revealed varying correlations between the parameters of the mandibular symphysis and those of the vertical facial patterns. It was found that the convexity of the mandibular symphysis (B-POG-Me) and the distance from POG to the z-axis (POG-Z Axis) are highly correlated to the parameters evaluating the vertical facial patterns. The angle between the Gonion-Nasion line and the mandibular plane (GO2-Angle) and the angle between the palatal and mandibular planes (B-Angle) were highly correlated to the measurements used on the mandibular symphysis.

A Retrospective CBCT Study of the Relationship between Mandibular Symphysis Bone Density and Mandibular Growth Direction

2020 ◽  
Vol 44 (5) ◽  
pp. 356-365
Author(s):  
Jong-Moon Chae ◽  
Jay Gousman ◽  
Jung Won Seo ◽  
R Curtis Bay ◽  
Seong-Suk Jue ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Bone Density ◽  
Normal Growth ◽  
Growth Direction ◽  
Cone Beam ◽  
Mandibular Symphysis ◽  
Mandibular Growth ◽  
Adolescent Patients ◽  
Sagittal Slice ◽  
The Relationship

Objective: The objective of this retrospective study was to investigate the relationship between mandibular symphysis bone density (BD) and mandibular growth direction in adolescent patients by facilitating the measurement of cortical and cancellous BDs at the mandibular symphysis using cone beam computed tomography (CBCT). Study Design: 224 adolescent patients (98 males and 126 females) were categorized by sex, age, and mandibular growth direction. Cortical and cancellous BDs were measured along with a sagittal slice at multiple locations. Results: Females exhibited higher cortical BD than males at menton (Me, P =0.002). Patients with a posterior growth direction exhibited a higher cortical BD than those with anterior and normal growth direction at Me (P <0.021, P <0.001, respectively), pogonion (Pog, P =0.037, P =0.037, respectively) and genion (Ge, P =0.007, P =0.008, respectively). Patients with a posterior growth direction exhibited a higher cortical BD than those with anterior growth direction at B point (P =0.009). Conclusions: Significant differences in BD were identified across anthropometric categories. These findings may be useful in determining mandibular growth direction in adolescents.

scholarly journals Correlation Between Gonial Angle And Mandibular Symphysis Width In South Indian Dravidian Population

2020 ◽  
Vol 11 (SPL3) ◽  
pp. 1132-1135
Author(s):  
Anjali Anna Thomas ◽  
Harish Babu ◽  
Remmiya Mary Varghese
Keyword(s):  
Growth Pattern ◽  
Growth Direction ◽  
Growth Patterns ◽  
Mandibular Symphysis ◽  
Mandibular Growth ◽  
Gonial Angle ◽  
Vertical Growth ◽  
Lateral Cephalograms ◽  
Horizontal Growth ◽  
Vertical Growth Pattern

Mandibular growth pattern (MGP) prediction plays an important role in orthodontic treatment planning. This study sought to assess the mandibular symphyseal width in adolescents with different mandibular growth patterns (MGPs) so as to see whether a correlation exists. This study was conducted on 90 lateral cephalograms of patients aged between 10 and 16 years. The subjects were divided into normo-divergent, hypodivergent and hyperdivergent subgroups based on the gonial angle. The symphyseal measurement included width or depth of the mandibular symphysis according to Akietal study. He suggested that a mandible with anterior growth direction was associated with a large depth of the symphysis. In contrast, a mandible with a posterior growth direction was associated with a small depth of symphysis. To assess the correlation between mandibular symphyseal width and mandibular growth pattern, Pearson’s correlation test was done. Correlation is significant at the 0.01 level (2 tailed). A P-value which is less than 0.05 was considered statistically significant. The mandibular symphyseal width was found to be strongly associated with the MGP. It can be inferred from the results that in vertical growth pattern, as the gonial angle increases, symphyseal width decreases and in horizontal growth pattern, as the gonial angle decreases, symphyseal width increases. Also, in vertical growth pattern subjects, the mandibular symphyseal width is narrower. In contrast, in horizontal growth pattern subjects, the mandibular symphyseal width is wider.

scholarly journals The relationship of vertical skeletofacial morphology to oropharyngeal airway shape using cone beam computed tomography: Possible implications for airway restriction

2013 ◽  
Vol 84 (3) ◽  
pp. 548-554 ◽  
Author(s):  
Jennifer A. Haskell ◽  
Bruce S. Haskell ◽  
Michael E. Spoon ◽  
Changyong Feng
Keyword(s):  
Computed Tomography ◽  
Cone Beam Computed Tomography ◽  
Cervical Vertebrae ◽  
Three Dimensional ◽  
Cone Beam ◽  
Deep Bite ◽  
Oropharyngeal Airway ◽  
Mandibular Plane ◽  
The Face ◽  
Relationship Of

ABSTRACT Objective: To determine if the shape of the oropharyngeal airway is related to the vertical morphology of the skeletofacial complex, including the hyoid bone. Materials and Methods: Cone beam computed tomography scans from 50 pretreatment adult orthodontic records were used to obtain skeletal and airway measurements. Linear regression statistics were used to compare soft tissue variables to hard tissue predictor variables. Results: Transverse airway widening was significantly increased when the distance between the hyoid and vertebrae was reduced; when the three-dimensional (3D) facial axis angle decreased (became more vertical); when the 3D mandibular plane angle increased; when the width of the hyoid increased, or when the calculated length of the geniohyoid decreased. Conclusions: A laterally elliptical airway—found when the face is more vertical and when the hyoid is closer to the cervical vertebrae—is hypothetically more resistant to collapse. Patients with a retrognathic, skeletal deep bite and a rounded oropharynx should be identified and corrected early to prevent potential airway problems.

scholarly journals Surgical-orthodontic treatment of Class III malocclusion with agenesis of lateral incisor and unerupted canine

2013 ◽  
Vol 18 (3) ◽  
pp. 94-100 ◽  
Author(s):  
Bruno Boaventura Vieira ◽  
Ana Carolina Meng Sanguino ◽  
Marilia Rodrigues Moreira ◽  
Elizabeth Norie Morizono ◽  
Mírian Aiko Nakane Matsumoto
Keyword(s):  
Orthodontic Treatment ◽  
Facial Asymmetry ◽  
Dental Arch ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Mandibular Growth ◽  
Skeletal Class ◽  
Impacted Canine ◽  
The Face ◽  
Prolonged Retention

INTRODUCTION: Orthodontic-surgical treatment was performed in patient with skeletal Class III malocclusion due to exceeding mandibular growth. Patient also presented upper and lower dental protrusion, overjet of -3.0 mm, overbite of -1.0 mm, congenital absence of tooth #22, teeth #13 and supernumerary impaction, tooth #12 with conoid shape and partly erupted in supraversion, prolonged retention of tooth #53, tendency to vertical growth of the face and facial asymmetry. The discrepancy on the upper arch was -2.0 mm and -5.0 mm on the lower arch. METHODS: The pre-surgical orthodontic treatment was performed with extractions of the teeth #35 and #45. On the upper arch, teeth #53, #12 and supernumerary were extracted to accomplish the traction of the impacted canine. The spaces of the lower extractions were closed with mesialization of posterior segment. After aligning and leveling the teeth, extractions spaces closure and correct positioning of teeth on the bone bases, the correct intercuspation of the dental arch, with molars and canines in Angle's Class I, coincident midline, normal overjet and overbite and ideal torques, were evaluated through study models. The patient was submitted to orthognathic surgery and then the post-surgical orthodontic treatment was finished. RESULTS: The Class III malocclusion was treated establishing occlusal and facial normal standards.

Aspects of orthodontic protocol in cleft lip and palate patients

2020 ◽  
Vol 20 (2) ◽  
pp. 137-142
Author(s):  
O. V. Dudnik ◽  
Ad. A. Mamedov ◽  
O. I. Admakin ◽  
A. A. Skakodub ◽  
Y. O. Volkov ◽  
...  
Keyword(s):  
Oral Hygiene ◽  
Orthodontic Treatment ◽  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Comprehensive Approach ◽  
Maxillofacial Region ◽  
Indirect Methods ◽  
Indirect Bonding ◽  
The Face ◽  
Direct And Indirect Methods

Relevance. Cleft lip and palate is one of the severe malformations of the face and jaw, requiring a comprehensive approach to the rehabilitation of the patients, including doctors of various specialties, one of which is orthodontists. A feature of orthodontic treatment is difficulty of fixing bracket systems, as well as lowering the level of oral hygiene, caused by deformation and displacement of fragments of the maxillofacial region.Purpose. Improving the effectiveness of orthodontic treatment and hygiene of the oral caviti in patients with cleft lip and palate in permanent bite period.Materials and methods. A comparison was made of the effetctiveness of fixing brackets systmes with direct and indirect bonding techniques and the effectiveness of oral hygiene during orthodontic treatment using irrigators.Results. The results of the study showed a difference in the effectiveness of using direct and indirect methods of fixing bracket systems in patients with cleft and palate. The use of irrigators as additional means of oral hygiene has demonstrated a positive dynamic of hygiene indices.Conclusions. Results of the study demonstrate the advantages of fixation the brackets by indirect bonding and use additional hygiene products irrigator for improving of oral hygiene.

scholarly journals Esthetic Considerations in Orthodontics: An Overview

2021 ◽  
Author(s):  
Swati Singh ◽  
Litesh Singla ◽  
Tanya Anand
Keyword(s):  
Soft Tissue ◽  
Profile Analysis ◽  
Dental Occlusion ◽  
Facial Profile ◽  
Mandibular Plane ◽  
The Face ◽  
Facial Proportions ◽  
Posterior Position ◽  
Anterior Posterior ◽  
The Ideal

Abstract Esthetics has been an ever-evolving concept and has gained considerable importance in the field of orthodontics in the last few decades. The re-emergence of the soft tissue paradigm has further catapulted the interest of the orthodontist. So much so that achieving a harmonious profile and an esthetically pleasing smile has become the ideal goal of treatment and is no longer secondary to achieving a functional dental occlusion and/or a rigid adherence to skeletal and dental norms. Esthetics in the orthodontic sense can be divided into three categories: macroesthetics, miniesthetics, and microesthetics. Macroesthetics includes the evaluation of the face and involves frontal assessment and profile analysis. The frontal assessment involves assessment of facial proportions, while the profile analysis involves evaluation of anterior–posterior position of jaws, mandibular plane, and incisor prominence and lip posture. Miniesthetics involves study of the smile framework involving the vertical tooth–lip relationship, smile type, transverse dimensions of smile, smile arc, and midline. Microesthetics involves the assessment of tooth proportions, height-width relationships, connectors and embrasures, gingival contours and heights, and tooth shade and color. The harmony between these factors enables an orthodontist to achieve the idealized esthetic result and hence these parameters deserve due consideration. The importance placed on a pleasing profile cannot be undermined and the orthodontist should aim for a harmonious facial profile over rigid adherence to standard average cephalometric norms. This article aims to give an overview of the macro, mini, and microesthetic considerations in relation to orthodontic diagnosis and treatment planning.

Measurement of cortical plate volume based on CBCT of frontal teeth in studies with retrusion and normality

2021 ◽  
pp. 17-21
Author(s):  
N. G. Meskhiya ◽  
I. S. Kopetskiy ◽  
I. A. Nikolskaya ◽  
D. A. Eremin ◽  
O. N. Kovaleva
Keyword(s):  
Orthodontic Treatment ◽  
Soft Tissues ◽  
Three Dimensions ◽  
Cone Beam ◽  
Cortical Plate ◽  
Imaging Method ◽  
New Approach ◽  
Accuracy Of Measurements ◽  
Bone Structures

Cone Beam Computed Tomography (CBCT) is the preferred imaging method for a comprehensive orthodontic examination. Thanks to the development of this technique, clinicians today can make most accurate measurements without fear of errors associated with projection distortion or localization of landmarks on radiographs. The quality of CBCT images gives to orthodontists the ability to analyze bone structures, teeth (even impacted teeth), and soft tissue in three dimensions. The accuracy of measurements of hard and soft tissues from CBCT images determines the accuracy of diagnosis and treatment planning. A fundamentally new approach has been proposed, which makes it possible to thoroughly study the bone tissue surrounding the tooth at the stages of planning orthodontic treatment. Аnalysis of radiation studies of patients with dentoalveolar anomalies was carried out to select the optimal treatment tactics and to control its effectiveness.

Cone-beam computed tomography for routine orthodontic treatment planning: A radiation dose evaluation

2008 ◽  
Vol 133 (5) ◽  
pp. 640.e1-640.e5 ◽  
Author(s):  
Maria Alves Garcia Silva ◽  
Ulrich Wolf ◽  
Frank Heinicke ◽  
Axel Bumann ◽  
Heiko Visser ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Radiation Dose ◽  
Treatment Planning ◽  
Cone Beam Computed Tomography ◽  
Orthodontic Treatment ◽  
Cone Beam ◽  
Dose Evaluation
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