Three-dimensional evaluation of dentofacial transverse widths in adults with different sagittal facial patterns.

Introduction: The aim of this study was to evaluate the dentofacial transverse dimensions of subjects with different sagittal facial patterns using 3-dimensional cone-beam computed tomography images.Methods: Cone-beam computed tomography images of 63 men and 80 women were divided into skeletal Class...

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Publicado en:American Journal of Orthodontics & Dentofacial Orthopedics Vol. 154; no. 3; pp. 365 - 375
Autores principales: Hwang, Soonshin, Song, Jueon, Lee, Joongoo, Choi, Yoon Jeong, Chung, Chooryung J., Kim, Kyung-Ho
Formato: Journal Article
Publicado: Elsevier B.V. Sep2018
Acceso en línea:Ver este registro en EBSCOhost
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      jtl: American Journal of Orthodontics & Dentofacial Orthopedics
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      dt: Sep2018
      vid: 154
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      pub: Elsevier B.V.
      place: New York, New York
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        10.1016/j.ajodo.2017.11.041
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        atl: Three-dimensional evaluation of dentofacial transverse widths in adults with different sagittal facial patterns.
      aug:
        au:
          Hwang, Soonshin
          Song, Jueon
          Lee, Joongoo
          Choi, Yoon Jeong
          Chung, Chooryung J.
          Kim, Kyung-Ho
        affil: Department of Orthodontics, Gangnam Severance Dental Hospital, Institute of Craniofacial Deformity, College of Dentistry, Yonsei University, Seoul, Korea
      sug:
        subj:
          Maxilla
          Malocclusion
          Imaging, Three-Dimensional
          Tomography, X-Ray Computed
          Mandible
          Female
          Phenotype
          Predictive Value of Tests
          Male
          Adult
          Radiographic Image Interpretation, Computer-Assisted
          Clinical Assessment Tools
          Adult: 19-44 years
          Female
          Male
      ab: Introduction: The aim of this study was to evaluate the dentofacial transverse dimensions of subjects with different sagittal facial patterns using 3-dimensional cone-beam computed tomography images.Methods: Cone-beam computed tomography images of 63 men and 80 women were divided into skeletal Class I, Class II, and Class III groups. Skeletal and dental evaluations were made on frontal views and coronal cross-sections of the images. Independent 2-sample t tests and 1-way analysis of variance followed by post hoc Tukey tests were used for sex and group differences. Pearson correlation analysis was used to identify factors related to changes in ANB angle.Results: The Class II subjects did not show differences in maxillomandibular width and maxillary width compared with Class I subjects; however, their maxillary molars were more lingually tipped. The Class III subjects showed greater maxillomandibular width differences and smaller maxillary widths and maxillary buccolingual alveolar widths at midroot level compared with Class I subjects. The maxillary molars were buccally inclined, and the mandibular molars were lingually compensated in Class III subjects. The ANB angle showed positive correlations with jugal process width, maxillary width, and maxillary buccolingual alveolar width at midroot level as well as mandibular molar buccal inclination; negative correlations were found in maxillomandibular width difference, mandibular width at midroot level, and maxillary molar buccal inclination.Conclusions: A relative comparison of Class I, Class II, and Class III subjects showed that dental compensation had occurred to overcome the transverse skeletal discrepancies in the maxillary posterior segments of Class II and Class III subjects. This could escalate unidentified periodontal and functional problems in the long term. Future studies of transverse dentofacial dimensions, including periodontal evaluations and occlusal forces, would be useful for delivering proper orthodontic treatment for skeletal Class II and Class III subjects.
      pubtype: Academic Journal
      doctype: Journal Article
      ougenre: Article
    language: English
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