Morphological difference of symphysis according to various skeletal types using cone-beam computed tomography
2
조회
0
다운로드
0
인용
0
참고문헌
키워드
초록
Purpose: The aim of this study was to investigate differences between the morphology of the mandibular symphysis and four facial skeletal types. Materials and Methods: 40 cone-beam computed tomographies were selected and classified in to 4 groupsaccording to their vertical and anterior-posterior skeletal patterns. The bone volume (mm3) of the symphysis, the cross sectional area corresponding to the 4 mandibular incisors’ axis: the cross sectional area of total bone (mm2), the area of the cancellous bone (mm2) and the thickness (mm) of labial and lingual alveolar bone at 2 mm, 3 mm under the cemento-enamel junction (CEJ) were measured. General linear model (GLM), Kruskal-Wallis test and Tukey honestly significant difference (HSD) test were subsequently used for statistical analysis. Results: The lingual cortical bone thickness of the lateral incisors at 2, 3 mm under CEJ was greater in the Class I low angle group than the other 3 groups (P < 0.05). There were no statistically significant differences in the volume of the mandibular incisor bony support, cross-sectional area of total bone and cancellous bone at the mandibular incisor’ axis. Conclusion: Patients in Class I, low angle group have a thicker lingual mandibular symphysis than Class I, high angle patients.
Abstract
Purpose: The aim of this study was to investigate differences between the morphology of the mandibular symphysis and four facial skeletal types. Materials and Methods: 40 cone-beam computed tomographies were selected and classified in to 4 groupsaccording to their vertical and anterior-posterior skeletal patterns. The bone volume (mm3) of the symphysis, the cross sectional area corresponding to the 4 mandibular incisors’ axis: the cross sectional area of total bone (mm2), the area of the cancellous bone (mm2) and the thickness (mm) of labial and lingual alveolar bone at 2 mm, 3 mm under the cemento-enamel junction (CEJ) were measured. General linear model (GLM), Kruskal-Wallis test and Tukey honestly significant difference (HSD) test were subsequently used for statistical analysis. Results: The lingual cortical bone thickness of the lateral incisors at 2, 3 mm under CEJ was greater in the Class I low angle group than the other 3 groups (P < 0.05). There were no statistically significant differences in the volume of the mandibular incisor bony support, cross-sectional area of total bone and cancellous bone at the mandibular incisor’ axis. Conclusion: Patients in Class I, low angle group have a thicker lingual mandibular symphysis than Class I, high angle patients.
참고문헌 (27)
- Handelman CS, "The anterior alveolus: its importance in limiting orthodontic treatment and its influence on the occurrence of iatrogenic sequelae", Angle Orthod, 66, pp.95~109 (1996)
- Edwards JG, "A study of the anterior portion of the palate as it relates to orthodontic therapy", Am J Orthod, 69, pp.249~273 (1976)
- Mulie RM, "The limitations of tooth movement within the symphysis, studied with laminagraphy and standardized occlusal films", J Clin Orthod, 10, pp.882~893 (1976)
- Lupi JE, "Prevalence and severity of apical root resorption and alveolar bone loss in orthodontically treated adults", Am J Orthod Dentofacial Orthop, 109, pp.28~37 (1996)
- Nahm KY, "Alveolar bone loss around incisors in Class I bidentoalveolar protrusion patients: a retrospective three-dimensional cone beam CT study", Dentomaxillofac Radiol, 41, pp.481~488 (2012)
- Wehrbein H, "Mandibular incisors, alveolar bone, and symphysis after orthodontic treatment. A retrospective study", Am J Orthod Dentofacial Orthop, 110, pp.239~246 (1996)
- Wainwright WM, "Faciolingual tooth movement: its influence on the root and cortical plate", Am J Or- thod, 64, pp.278~302 (1973)
- Adams GL, "Comparison between traditional 2-dimensional cephalometry and a 3-dimensional approach on human dry skulls", Am J Orthod Dentofacial Orthop, 126, pp.397~409 (2004)
- Mozzo P, "A new volumetric CT machine for dental imaging based on the cone-beam technique: preliminary results", Eur Radiol, 8, pp.1558~1564 (1998)
- Baumrind S, "Using three-dimensional imaging to assess treatment outcomes in orthodontics: a progress report from the University of the Pacific", Orthod Craniofac Res, 6, pp.132~142 (2003)
- Little RM, "The irregularity index: a quantitative score of mandibular anterior alignment", Am J Orthod, 68, pp.554~563 (1975)
- Ji-Hwan Kim, "Comparison of cephalometric norms between Mongolian and Korean adults with normal occlusions and well-balanced profiles", 대한치과교정학회지, 41(1), pp.42~50 (2011), 대한치과교정학회
- Erbay EF, "Soft tissue profile in Anatolian Turkish adults: Part II. Comparison of different soft tissue analyses in the evaluation of beauty", Am J Orthod Dentofacial Orthop, 121, pp.65~72 (2002)
- Bae KW, "A cephalometric study on the vertical and anteroposterior dysplasia of the craniofacial skeleton", Korean J Orthod, 18, pp.175~188 (1988)
- Landis JR, "The measurement of observer agreement for categorical data", Biometrics, 33, pp.159~174 (1977)
- Swasty D, "Cross-sectional human mandibular morphology as assessed in vivo by conebeam computed tomography in patients with different vertical facial dimensions", Am J Orthod Dentofacial Orthop, 139, pp.377~389 (2011)
- 최해리윤, "정상골격군에서의 연령에 따른 하악 전치부 치조골 두께의 차이", 대한치과교정학회지, 37(3), pp.220~230 (2007), 대한치과교정학회
- Swasty D, "Anthropometric analysis of the human mandibular cortical bone as assessed by cone-beam computed tomography", J Oral Maxillofac Surg, 67, pp.491~500 (2009)
- Ruf S, "Does orthodontic proclination of lower incisors in children and adolescents cause gingival recession?", Am J Orthod Dentofacial Orthop, 114, pp.100~106 (1998)
- Djeu G, "Correlation between mandibular central incisor proclination and gingival recession during fixed appliance therapy", Angle Orthod, 72, pp.238~245 (2002)
- Artun J, "Periodontal status of mandibular incisors following excessive proclination. A study in adults with surgically treated mandibular prognathism", Am J Orthod Dentofacial Orthop, 91, pp.225~232 (1987)
- Sarikaya S, "Changes in alveolar bone thickness due to retraction of anterior teeth", Am J Orthod Dentofacial Orthop, 122, pp.15~26 (2002)
- Dorfman HS, "Mucogingival changes resulting from mandibular incisor tooth movement", Am J Orthod, 74, pp.286~297 (1978)
- Wehrbein H, "Periodontal conditions after facial root tipping and palatal root torque of incisors", Am J Orthod Dentofacial Orthop, 106, pp.455~462 (1994)
- Schwartz-Dabney CL, "Variations in cortical material properties throughout the human dentate mandible", Am J Phys Anthropol, 120, pp.252~277 (2003)
- Tsunori M, "Relationship between facial types and tooth and bone characteristics of the mandible obtained by CT scanning", Angle Orthod, 68, pp.557~562 (1998)
- Mah J, "Three-dimensional craniofacial imaging", Am J Orthod Dentofacial Orthop, 126, pp.308~309 (2004)
