scholarly journals Comparison of Association between Cervical Spine and Face in Subjects with Vertical and Horizontal Growth Pattern: An in vitro Study using Lateral Cephalogram

2016 ◽  
Vol 7 (2) ◽  
pp. 73-77 ◽  
Author(s):  
Sunita Shrivastav ◽  
Deoashish D Gupta ◽  
Priyanka Niranjane ◽  
Narendra Sharma ◽  
Rakesh Nathani
Keyword(s):  
Cervical Spine ◽  
Growth Pattern ◽  
Cervical Vertebrae ◽  
In Vitro Study ◽  
Lateral Cephalogram ◽  
Average Growth ◽  
Gonial Angle ◽  
Horizontal Growth ◽  
Vertical Growth Pattern

ABSTRACT Purpose The purpose of this study was to analyze and comparethe association between cervical spine and face in subjects with vertical and horizontal growth pattern using lateral cephalogram. Materials and methods Lateral cephalograms of 75 subjects between ages of 18 and 35 years were taken and analyzed. The study sample was divided into three groups of 25 individuals each; i.e., vertical growth pattern (gonial angle > 125°); horizontal growth pattern (gonial angle < 121°); and control group with average growth pattern (gonial angle 123° ± 2.5°). The relation between upper cervical vertebrae and face was compared between three groups by taking linear measurements. Results A statistically significant difference was observed in vertical dimensions of second cervical vertebra when it was correlated with anterior cranial base, maxilla and mandible in adults having horizontal and vertical growth pattern as compared to individuals with average growth pattern. Linear vertical measurements between maxilla to cervical spine and mandible to cervical spine were less in horizontal growth pattern as compared to vertical and average growth pattern. The p-value of SCV2—0.001, GoCV2—0.405, and PmCV2—0.001 showed significant results within intergroups. Conclusion It can be concluded that there exists an association between the morphology of the cervical vertebrae and the vertical and horizontal skeletal growth patterns. How to cite this article Gupta DD, Niranjane P, Sharma N, Shrivastav S, Kamble RH, Nathani R. Comparison of Association between Cervical Spine and Face in Subjects with Vertical and Horizontal Growth Pattern: An in vitro Study using Lateral Cephalogram. World J Dent 2016;7(2):73-77.

scholarly journals Assessment of Vertical Skeletal Patterns using a New Cephalometric Parameter: The Dhaval—Rohan Angle

2017 ◽  
Vol 51 (1) ◽  
pp. 7-11
Author(s):  
Dhaval Ranjitbhai Lekhadia ◽  
Rohan Rai ◽  
Niveditha Hegde ◽  
Abhinay Sorake
Keyword(s):  
Growth Pattern ◽  
Lateral Cephalogram ◽  
Average Growth ◽  
Mean Values ◽  
Vertical Growth ◽  
Lateral Cephalograms ◽  
Significant Difference ◽  
Horizontal Growth ◽  
Point G ◽  
Vertical Growth Pattern

ABSTRACT Introduction The aim of this study was to establish a new cephalometric parameter, named the Dhaval—Rohan angle (DR), to assess the vertical skeletal patterns on a lateral cephalogram with accuracy and reproducibility. Materials and methods One hundred and twenty pretreatment lateral cephalograms of the patients visiting the department of orthodontics and dentofacial orthopedics for treatment were obtained and divided into three groups. i.e., horizontal growth pattern, average growth pattern, and vertical growth pattern cases based on the routinely used cephalometric parameters; FMA, SN-GoGn, Y-axis angle and Jarabak ratio. This angle uses three skeletal landmarks, the point C (center of the condyle), point M (midpoint of premaxilla), and point G (center of the largest circle that is tangent to the internal inferior, anterior, and posterior surfaces of the mandibular symphysis). Results The one-way analysis of variance (ANOVA) test showed that the three groups studied were not the same for DR angle and the post hoc Tukey test found the groups to be significantly different. According to the Student's t-test, there was no statistically significant difference in mean values of DR angle between males and females. Conclusion Cephalometric evaluation of young adults shows that the DR angle below 28.5° indicates a horizontal growth pattern, between 28.5 and 32.5° indicate an average growth pattern and above 32.5° indicate a vertical growth pattern. How to cite this article Lekhadia DR, Rai R, Hegde N, Hegde G, Sorake A, Kumar A. Assessment of Vertical Skeletal Patterns using a New Cephalometric Parameter: The Dhaval—Rohan Angle. J Postgrad Med Edu Res 2017;51(1):7-11.

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.

Gonial Angle as an Indicator for the Prediction of Growth Pattern

2015 ◽  
Vol 6 (3) ◽  
pp. 161-163 ◽  
Author(s):  
J Rubika ◽  
A Sumathi Felicita ◽  
V Sivambiga
Keyword(s):  
Growth Pattern ◽  
P Value ◽  
Average Growth ◽  
Mean Values ◽  
Gonial Angle ◽  
Angle Measurements ◽  
Lateral Cephalograms ◽  
The Mean ◽  
Level Of Significance ◽  
Vertical Growth Pattern

ABSTRACT Aim To determine the gonial angle, upper gonial angle and lower gonial angle in patients with horizontal, vertical and average growth pattern belonging to the local Chennai population and determine if it can be used as a growth indicator. Materials and methods Gonial angle, upper gonial angle and lower gonial angle measurements were made on lateral cephalograms of 90 patients—44 males and 46 females. Results A one sample t-test was used to determine the mean values for average, horizontal and vertical growth pattern and to check their level of significance. All the values were statistically significant with a p-value = 0.000. Conclusion The upper gonial angle was the same irrespective of growth pattern. The gonial angle and lower gonial angle can be used as an indicator for growth. How to cite this article Rubika J, Felicita AS, Sivambiga V. Gonial Angle as an Indicator for the Prediction of Growth Pattern. World J Dent 2015;6(3):161-163.

scholarly journals Correlation of Growth Pattern and Palatal Rugae Pattern in South Indian Population

2021 ◽  
pp. 030157422110159
Author(s):  
Shetty Suhani Sudhakar ◽  
K. Mithun ◽  
Abhinay Sorake ◽  
K. Nillan Shetty ◽  
Thankam C. Susan
Keyword(s):  
Growth Pattern ◽  
Growth Patterns ◽  
South Indian Population ◽  
Average Growth ◽  
Vertical Growth ◽  
South Indian ◽  
Palatal Rugae ◽  
Horizontal Growth ◽  
Clinically Significant ◽  
Vertical Growth Pattern

Aim: To determine the correlation between palatal rugae (PR) pattern and subjects with vertical, average, and horizontal growth pattern and to determine gender variation if any. Material and Methods: One hundred and twenty study models were divided into horizontal, vertical, and average growth patterns with 40 (20 males and 20 females) samples in each group. The pattern of PR was assessed in each group using a template. Result: Type B (wavy type) PR occurs more often in horizontal and average growth pattern (80% and 72.5% respectively), whereas its occurrence in vertical growth pattern subject is the least among other growth patterns, that is, 42.5% of the total subjects. Type E (curved type) PR has appeared highest in 27.5% of average growth pattern patient followed by 12.5% of vertical growth pattern subjects. The occurrence of type E PR is least in horizontal growth pattern which is just 5% of the total subjects. Conclusion: Curved-type PR was more prevalent in vertical and average growth patterns. Diverging PR pattern was mainly seen in vertical growth pattern. PR also shows sexual dimorphism. The association is clinically significant as it will lead to determination of facial vertical growth pattern at early age; thus, it serves as a diagnostic adjunct for different malocclusions very early in life and aids in preventive or interceptive orthodontic measures to alleviate forthcoming growth pattern.

scholarly journals Cervical Spine Mechanism for Reproduction of the Biomechanical Behaviours of the Human Neck during Rotation-Traction Manipulation

2017 ◽  
Vol 2017 ◽  
pp. 1-14
Author(s):  
Yuancan Huang ◽  
Shuai Li ◽  
Minshan Feng ◽  
Liguo Zhu
Keyword(s):  
Cervical Spine ◽  
Soft Tissues ◽  
Cervical Vertebrae ◽  
High Rate ◽  
Cervical Injury ◽  
System A ◽  
Mass Spring ◽  
Electromagnetic Clutch

Rotation-traction (RT) manipulation is a commonly used physical therapy procedure in TCM (traditional Chinese medicine) for cervical spondylosis. This procedure temporarily separates the C3 and C4 cervical vertebrae from each other when a physician applies a jerky action while the neck is voluntarily turned by the patient to a specific position as instructed by the physician, where the cervical vertebrae are twisted and locked. However, a high rate of cervical injury occurs due to inexperienced physician interns who lack sufficient training. Therefore, we developed a cervical spine mechanism that imitates the dynamic behaviours of the human neck during RT manipulation. First, in vivo and in vitro experiments were performed to acquire the biomechanical feature curves of the human neck during RT manipulation. Second, a mass-spring-damper system with an electromagnetic clutch was designed to emulate the entire dynamic response of the human neck. In this system, a spring is designed as rectilinear and nonlinear to capture the viscoelasticity of soft tissues, and an electromagnetic clutch is used to simulate the sudden disengagement of the cervical vertebrae. Test results show that the mechanism can exhibit the desired behaviour when RT manipulation is applied in the same manner as on humans.

scholarly journals Measurement of inter radicular bone width in different growth patterns for determining safe zone for placement of miniscrew implants – A cone beam computed tomography study

2021 ◽  
Vol 7 (2) ◽  
pp. 137-143
Author(s):  
Rohit Kulshrestha ◽  
Sagar Sarje ◽  
Rahul Despande ◽  
Srinivas Ashtekar ◽  
Jagadeesh Gajapurada ◽  
...  
Keyword(s):  
Growth Pattern ◽  
Sagittal Plane ◽  
Growth Patterns ◽  
Average Growth ◽  
Implant Placement ◽  
Bone Width ◽  
Posterior Maxilla ◽  
Miniscrew Implant ◽  
The Right ◽  
Vertical Growth Pattern

To measure the inter-radicular spaces in both arches for miniscrew implant placement and to determine the most reliable sites using CBCT. A CBCT radiograph was taken for 75 subjects that met with inclusion criteria. They were divided into 3 categories- Hypodivergent, average, and hyperdivergent group. Images were calibrated by using software and printed as a film. Interradicular space on the right side of the jaw was measured in the sagittal plane after assuming the jaw to be symmetrical. Bucco-lingual and mesiodistal width were measured up to desired bone levels. In vertical growth pattern, in posterior maxilla highest mesiodistal width between 2nd premolar and 1st molar at 7mm. In the mandible, it was between the 1st and 2nd molar at 11mm. In horizontal growth pattern, in posterior maxilla highest mesiodistal width between 1st and 2nd premolar, and mandible it was between 1st and 2nd molar at 11mm. In average growth pattern, in posterior maxilla highest mesiodistal width between 2nd premolar and 1st molar and 1st molar at 7mm. In the mandible, it was between the 1st and 2nd molar at 11mm. The importance of the relationship between the growth pattern and the availability of inter radicular space may aid the clinician in planning appropriate surgical sites for miniscrew implant placement.

scholarly journals A photogrammetric and cephalometric evaluation of facial symmetry and smile in relation to attractiveness.

2021 ◽  
Vol 6 (3) ◽  
pp. 1-8
Author(s):  
Akshita ◽  
Arun K. Chauhan ◽  
Riddhi Chawla
Keyword(s):  
Growth Pattern ◽  
Cephalometric Analysis ◽  
Average Growth ◽  
Facial Symmetry ◽  
Photographic Analysis ◽  
Group I ◽  
Cephalometric Radiograph ◽  
Significant Difference ◽  
Horizontal Growth ◽  
Pattern Group

Introduction: Human find symmetrical face more attractive than are asymmetrical faces. The smile is one of the most important facial expressions and is essential in expressing friendliness, agreement, and appreciation. The aim of the present study was to evaluate the relationship between smile and symmetry in attributing to attractiveness.   Materials & Method: The study was conducted in the Department Of Orthodontics and Dentofacial Orthopedics, on 150 samples. 150 good quality radiographs and photographs of the patients were obtained. The subjects were divided into three groups:  Group I – Horizontal growth pattern Group II – Average growth pattern Group III – Vertical growth pattern. The frontal facial photograph and PA cephalometric radiograph were used to assess the facial symmetry. Posed smile photograph and Lateral cephalometric radiograph were used to assess the smile. Digimizer Image Analyzer (bvba software) were used for the analysis. The ratings were given by the expert panellist based on attractiveness   Results: In the present study, Left facial symmetry parameters is marginally higher than right side in cephalometric analysis and converse for photographic analysis, right facial symmetry parameters is marginally higher than left side but this is not statistically significant. There are no statistically significant difference among the groups for smile -photographic parameters and lateral cephalometric smile parameters. There is statistically significant difference among the groups for Visual Analog Scale readings for attractiveness given by orthodontist, general dentist and layperson for frontal profile for the subjects of three study groups.   Conclusion: The study revealed that in cephalometric analysis, left hemiface is wider than right hemiface while in photographic analysis, right hemiface is wider than left hemiface. Vertical grower shows maximum upper incisor exposure and upper and lower vermilion lip thickness. On the contrary full smile length was minimum in vertical grower. The most favored profile by VAS was horizontal growth pattern.

Vertical Proportion of the Face: A Cephalometric study

2021 ◽  
Vol 11 (1) ◽  
pp. 24-28
Author(s):  
Rajiv Yadav ◽  
Kishor Dutta ◽  
Nabin Gosain ◽  
Anil K Yadav ◽  
Neelam Yadav ◽  
...  
Keyword(s):  
Growth Pattern ◽  
Normal Growth ◽  
Class I ◽  
Skeletal Class ◽  
Vertical Growth ◽  
Facial Height ◽  
Group I ◽  
Significant Difference ◽  
Horizontal Growth ◽  
Vertical Growth Pattern

Introduction: Balance in vertical facial proportion is an important criteria for good esthetics. Variations in vertical growth are common and have certain orthodontic implications. The objectives of this study were to determine mean upper anterior facial height and lower anterior facial height, ratio between UAFH to LAFH and their difference among genders in skeletal Class I patients with different vertical growth pattern among patients visiting department of Orthodontic and Dentofacial orthopedics, Tribhuvan University Dental Teaching Hospital, Kathmandu. Materials and Method: This study was descriptive observational cross sectional study with 105 sample aged from 18-25 years. Pretreatment cephalometric radiograph of Skeletal Class I patients were taken and divided into three growth patterns as group I (normal growth pattern), group II (horizontal growth pattern ) and group III (vertical growth pattern ). Upper anterior facial height (N-ANS) and lower anterior facial height (ANS-Me) of all samples were measured on lateral cephalogram with cephalometric tracing ruler parallel to true vertical line. Descriptive statistics was used to calculate mean, minimum, and maximum values standard deviations with p value <0.05. Result: The upper anterior facial height (UAFH) and lower anterior facial height (LAFH) measurements in normal growth pattern was 52.37 and 64.4 , in horizontal growth pattern was 53.0 and 62.2, in vertical growth pattern was 53.37 and 64.42 respectively. The mean ratio of upper and lower anterior facial height in normal, horizontal and vertical growth pattern was 0.81, 0.85 and 0.79 respectively. There was no statistically significant difference in upper and lower facial heights between males and females. There was no statistically significant difference in UAFH between normal, horizontal and vertical growth pattern but statistically significant difference was observed in LAFH between groups. Conclusion: The cephalometric values for different vertical groups in skeletal class I can be used more specifically for diagnosis and treatment planning of Nepali population.

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