scholarly journals Reliability of panoramic radiography in assessing gonial angle compared to lateral cephalogram in adult patients with Class I malocclusion

2016 ◽  
Vol 28 (3) ◽  
pp. 252 ◽  
Author(s):  
Syed Shahbaz ◽  
Girish Katti ◽  
Chandrika Katti ◽  
Karuna ◽  
Munnawwarulla Khan ◽  
...  
2021 ◽  
Vol 11 (1) ◽  
pp. 17-23
Author(s):  
Harish Atram ◽  
Kalyani Chaudhari ◽  
Pankaj Akhare ◽  
Kshitij Sabley ◽  
Akanksha Kumar ◽  
...  

2012 ◽  
Vol 2012 ◽  
pp. 1-4 ◽  
Author(s):  
Rıdvan Okşayan ◽  
Ali Murat Aktan ◽  
Oral Sökücü ◽  
Esin Haştar ◽  
Mehmet Ertuğrul Ciftci

Purpose. The objective of this study was to assess gonial angle under the angle classification by comparing panoramic radiograph and lateral cephalometric radiograph.Materials and Methods. 49 patients (25 males, 24 females) with an age range of 12–29 years participated in the present study. Subjects were retrospectively selected among those categorised as skeletal and dental Class I, II, and III malocclusion group. Using lateral cephalometric radiograph, mandibular and ramal planes were drawn and based on these planes. Gonial angle was determined from two tangents which were drawn from the inferior border of the mandible and posterior borders of the condyle and ramus of both sides in the panoramic radiographs. Multiple comparison tests (ANOVA) were used to determine differences between the three angle groups.Results. There were no significant differences between Class I, II, and III malocclusion group values of gonial angles determined by lateral cephalometric radiograph and panoramic radiographs ().Conclusion. Panoramic radiograph results were shown to be as reliable as lateral cephalometric radiograph in all angle classifications. Panoramic radiography can be used as an alternative radiographic technique to detect gonial angle in orthodontic patients.


2014 ◽  
Vol 2 (2) ◽  
pp. 189 ◽  
Author(s):  
Bruno Frazão Gribel ◽  
Guilherme Thiesen ◽  
Tássia Silvana Borges ◽  
Maria Perpétua Mota Freitas

AIM: The objective of this study was evaluating the prevalence of mandibular asymmetry in skeletal Class I adult patients. MATERIALS AND METHODS: The sample was composed by cone-beam computed tomography images of 250 skeletal Class I patients with age from 18 to 70 years old. The side deviation of mandibular asymmetry was evaluated (right and left), as well as the intensity of this asymmetry. People with gnathic deviation until 2mm were considered as patients with slight asymmetry; deviation between 2 and 5mm was considered moderate asymmetry and those higher than 5mm as severe asymmetries. The error calculation method was performed and there was not significant error in the measurements. To verify the association between the prevalence of mandibular asymmetry and the gender of individuals, the Χ2 was carried out and the significant level adopted was 5% (p<0.05). RESULTS: The results showed that mandibular deviation occurred more frequently to the left side in both genders (male 56.5% e female 58.2%), without statistically significant difference between them (p=0.792). Besides, the prevalence of slight, moderate and severe asymmetries were, respectively 61%, 27% and 12% for males and 54%, 28% and 18% for female; and there was not statistically significant difference (p=0.366) between the gender of the sample evaluated. CONCLUSION: In this study, both deviation and intensity of mandibular asymmetry did not present preference regarding to the gender.


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.


2005 ◽  
Vol 32 (5) ◽  
pp. 273-275 ◽  
Author(s):  
P. Novota ◽  
K. Kolostova ◽  
D. Pinterova ◽  
J. Novak ◽  
P. Weber ◽  
...  

2014 ◽  
Vol 2014 ◽  
pp. 1-4 ◽  
Author(s):  
Khalid H. Zawawi

Mandibular incisor extraction for orthodontic treatment is considered an unusual treatment option because of the limited number of patients that meet the criteria for such treatment. Accurate diagnosis and treatment planning is essential to achieve the desired results. Adult orthodontic patients are increasingly motivated by esthetic considerations and reject the idea of conventional fixed appliances. In recent years, Invisalign appliances have gained tremendous attention for orthodontic treatment of adult patients to meet their esthetic demands. In this case report, a case of Class I malocclusion was treated with mandibular incisor extraction using the Invisalign appliance system. Successful tooth alignment of both arches was achieved. The use of Invisalign appliance is an effective treatment option in adult patients with Class I malocclusion that requires incisor extraction due to moderate to severe mandibular anterior crowding.


2008 ◽  
Vol 108 (4) ◽  
pp. 676-686 ◽  
Author(s):  
Alaa Eldin Elsharkawy ◽  
Friedrich Behne ◽  
Falk Oppel ◽  
Heinz Pannek ◽  
Reinhard Schulz ◽  
...  

Object The goal of this study was to evaluate the long-term outcome of patients who underwent extratemporal epilepsy surgery and to assess preoperative prognostic factors associated with seizure outcome. Methods This retrospective study included 154 consecutive adult patients who underwent epilepsy surgery at Bethel Epilepsy Centre, Bielefeld, Germany between 1991 and 2001. Seizure outcome was categorized based on the modified Engel classification. Survival statistics were calculated using Kaplan–Meier curves, life tables, and Cox regression models to evaluate the risk factors associated with outcomes. Results Sixty-one patients (39.6%) underwent frontal resections, 68 (44.1%) had posterior cortex resections, 15 (9.7%) multilobar resections, 6 (3.9%) parietal resections, and 4 (2.6%) occipital resections. The probability of an Engel Class I outcome for the overall patient group was 55.8% (95% confidence interval [CI] 52–58% at 0.5 years), 54.5% (95% CI 50–58%) at 1 year, and 51.1% (95% CI 48–54%) at 14 years. If a patient was in Class I at 2 years postoperatively, the probability of remaining in Class I for 14 years postoperatively was 88% (95% CI 78–98%). Factors predictive of poor long-term outcome after surgery were previous surgery (p = 0.04), tonic–clonic seizures (p = 0.02), and the presence of an auditory aura (p = 0.03). Factors predictive of good long-term outcome were surgery within 5 years after onset (p = 0.015) and preoperative invasive monitoring (p = 0.002). Conclusions Extratemporal epilepsy surgery is effective according to findings on long-term follow-up. The outcome at the first 2-year follow-up visit is a reliable predictor of long-term Engel Class I postoperative outcome.


2020 ◽  
Author(s):  
Chenshuang Li ◽  
Luca Sfogliano ◽  
Wenlu Jiang ◽  
Haofu Lee ◽  
Zhong Zheng ◽  
...  

ABSTRACT Although headgear is rarely used in adult patients, its use in adults is mainly for anchorage control. In the current case report, a 24-year-old patient had a skeletal Class I relationship with a Class II tendency, brachyfacial pattern, significant facial asymmetry, and dental 3/4 cusp Class II molar and canine relationships on both sides. The patient declined surgery, and facial asymmetry was not his concern. The final treatment goal was to achieve a stable Class I dental relationship and normal occlusion without significantly compromising the patient's profile. The patient was compliant with the use of cervical-pull headgear after he refused the options of orthodontic-orthognathic combined treatment, maxillary premolar extraction, or temporary skeletal anchorage mini-implants. A 5-mm maxillary arch distal movement was accomplished without significant distal tipping of the molar crowns. The active treatment duration was 31 months. Proper overbite and overjet, balanced occlusion, and an acceptable facial profile were achieved. The treatment results inspire reconsideration of the possibility of using headgear in dental Class II correction in adult patients.


2015 ◽  
Vol 5 ◽  
pp. 151-155
Author(s):  
Divi Mittal ◽  
Shivanand Venkatesh ◽  
Prashantha Govinakovi Shivamurthy ◽  
Silju Mathew

Aim The purpose of this investigation was to (1) compare the credibility of four recently introduced cephalometric measurements in assessing the antero-posterior jaw relationship; (2) To assess the correlation between various measurements used for assessment of antero-posterior discrepancy, including Yen linear, Yen angle, W angle and Pi angle. Materials and Methods The sample size for the study consisted of 45 subjects with age group of 15-19 years (mean age 17 ± 2.1) and was subdivided into Skeletal Class I, II and III groups of 15 each based upon the ANB angle derived from the pre treatment lateral cephalogram. Landmarks were located and Yen angle, Yen linear, W angle and Pi angle were assessed for each group. All the lateral cephalograms were traced by a single examiner. Intra examiner reliability was assessed by Intraclass co-efficient correlation (ICC) test. Correlation coefficients were obtained for each of parameters to compare their relationship with other parameters in Class I group. Receiver operating characteristics (ROC) curves were run to examine sensitivity and specificity of all the angles. Results The results showed that ICC for all the groups were ≥0.90 showing good repeatability of the measurements. There was statistically significant correlation between Yen angle and ANB angle, Yen linear and Yen angle for Class I group, between W angle and Yen angle for Class II group, between Yen angle, Yen linear and ANB for Class III group. ROC curves showed that Pi angle had 100% sensitivity and specificity to discriminate a Class II and a Class III group from a Class I and a Class III group from a Class II. Yen linear and W angle showed very low specificity to differentiate a Class II from a Class I group. Interpretation and Conclusion The new parameters considered in the study were found to be equally reliable and are not affected much by local remodeling due to tooth movements or by occlusal or Frankfurt horizontal plane. These parameters measure the antero-posterior discrepancy more consistently and accurately, with Pi angle being the most accurate.


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