The influence of incompetent lip seal on the growth and development of craniofacial complex

Abnormal orofacial functions in the period of growth and development can cause morphological anomalies of the craniofacial complex. The aim of this study was to determine the correlation between open mouth posture and morphology of craniofacial complex. The shape, size and relationships of skeletal parts of craniofacial complex were determined by analysis of lateral cephalograms in the sample of 84 children--45 girls and 39 boys (aged 8.96 +/- 0.66 years). The sample was divided into two groups--lip competence and lip incompetence group. Differences in cephalometric values between observed groups were found. The values of inclination of lower central incisors (angle ILi/NB), interbasal angle (NL/NSL), angle between occlusal and mandibular plane and anterior lower facial height were significantly higher in the group with open mouth posture. It can be concluded that lip incompetence plays an important role in growth and development of craniofacial complex.     

Mandibular symphysis dimensions in different sagittal and vertical skeletal relationships

BackgroundThe aim of this cross-sectional study was to compare the dimensions of mandibular symphysis (MS) between gender and the different sagittal and vertical skeletal relationships.Material and MethodsPre-treatment records of orthodontic patients were divided according to gender, sagittal (Class I, II and III) and vertical (decreased, average and increased mandibular plane [MP] angle) skeletal relationships. Measurements of MS parameters were performed on lateral cephalograms using IMAGEJ software. Comparisons between MS parameters and gender and the different skeletal relationships was performed using multifactorial and one-way ANOVA, and independent sample t-tests.ResultsA total of 104 records (25 males and 79 females) fulfilled the inclusion criteria. Males had significantly greater MS surface area, dentoalveolar length, skeletal symphysis length, total symphysis length, vertical symphysis dimension and symphysis convexity (p < 0.05). Skeletal Class II patients had significantly greater dentoalveolar and skeletal symphysis lengths while Class III had greater chin length, vertical symphysis dimension and symphysis convexity (p < 0.05). Patients with decreased vertical dimension had greater skeletal symphysis length (p = 0.026) and those with an average vertical relationship had greater chin length (p < 0.001).ConclusionsThe morphology of the mandibular symphysis is affected by gender, sagittal and vertical skeletal patterns. Males had increased mandibular symphysis surface area and linear dimensions. Class II patients had greater dentoalveolar length. Chin length was greater in patients with an average MP angle.     

Correlation between chronological age and skeletal age using cvmi and modified MP3 methods

Chronological age conveys only a rough approximation of the maturational status of a person whereas skeletal maturity indicators give a more accurate estimation. Therefore, it is of interest to document the correlation between chronological and skeletal age using CVMI and modified MP3 methods. A total of 39 subjects between the age ranges of 9-16 years were selected for this study. Pre-treatment lateral cephalograms and hand-wrist radiographs of the subjects were used. The skeletal age was analyzed by the Cervical Vertebrae Maturity Index (CVMI) and modified MP3 methods. The data was analyzed with SPSS software version 23.00. Kendall''s Tau correlation test was performed to estimate the correlation between chronological age and skeletal age among the subjects and a linear regression test was also performed. Positive correlation was found between chronological age and skeletal age assessed by CVMI method (r= 0.398) and modified MP3 method (r=0.382) with p value >0.003. Thus it can be concluded that there was a positive correlation between chronological age and skeletal age among all the subjects.     

A Three Dimensional Study of Upper Airway in Adult Skeletal Class II Patients with Different Vertical Growth Patterns

Objective

The study was performed to compare the 3D pharyngeal airway dimensions in adult skeletal Class II patients with different vertical growth patterns (low, normal, and high angle) and to investigate whether the upper airway dimensions of untreated skeletal Class II adults were affected by vertical skeletal variables.

Methods

Cone-beam computed tomography (CBCT) records of 64 untreated adult skeletal Class II patients (34 male and 30 female) were collected to evaluate the pharyngeal airway dimensions. Subjects were divided into three subgroups according to the GoGn-SN angle (low angle, normal angle or high angle). All subgroups were matched for sex. ANOVA and SNK - q tests were used to identify differences within and among groups (p<0.05). Coefficient of product-moment correlation (Pearson correlation coefficient) was used to analyze the association between pharyngeal airway dimensions and vertical growth patterns.

Results

The results showed that pharyngeal airway measurements were statistically significantly less (p<0.05) in high angle group as compared to normal angle or low angle group.

Conclusions

Adult skeletal Class II subjects with vertical growth patterns have significantly narrower pharyngeal airways than those with normal or horizontal growth patterns, confirming an association between pharyngeal airway measurements and a vertical skeletal pattern.     

Predicting vertical dimension with cephalograms, for edentulous patients

Objectives: To provide information on vertical dimension (VD), occlusal plane (OP), and size of future occlusal rims, through lateral Rx and cephalometric tracings that analyse and compare hard and soft tissue. To show that these measures are compatible with methods routinely used to prescribe for full. Design: Ten patients age range 53–81. Lateral Rx, with and without dentures, were taken and traced cephalograms were used to compare hard and soft tissue angles and planes. Main outcome measures: Based on three cephalometric analyses: Rickets, and McNamara for skeletal, and Legan‐Burstone for soft tissue, to identify the following landmarks: 13 skeletal points: N, ANS, PNS, Me, Xi, Pm, FC, Or, Po, A, B, Co, Gn and four soft tissue points: G, Gv, Sn, Me′; seven skeletal planes: HP, FP, NF, N‐ANS‐Me, A‐B, ANS‐Me, Co‐Gn, and three soft tissue planes: G‐Sn, Sn‐Me′, Sn‐Gv, and six angles: N‐FC‐A, ANS‐Xi‐Pm, 1 NF, 1MP, 6 NF, interincisor angle. Results: Stability in skeletal VD was observed with the proportion of 0.8 ± 0.2 being present, between the middle third and lower third facial heights, N‐ANS/ANS‐Me. In addition, soft tissue proportion remained near 1, G‐Sn,/Sn‐Me. The length and position of first upper molar, upper and lower incisors were used to predict the OP. When compared with cephalograms of the same patient with dentures, similar measurements were observed. Conclusions: It was possible to provide information on skeletal, facial proportions, VD, OP, and rim size using cephalograms for edentulous patients.     

Kinematic data on primate head and neck posture: Implications for the evolution of basicranial flexion and an evaluation of registration planes used in paleoanthropology

Kinematic data on primate head and neck posture were collected by filming 29 primate species during locomotion. These were used to test whether head and neck posture are significant influences on basicranial flexion and whether the Frankfurt plane can legitimately be employed in paleoanthropological studies. Three kinematic measurements were recorded as angles relative to the gravity vector, the inclination of the orbital plane, the inclination of the neck, and the inclination of the Frankfurt plane. A fourth kinematic measurement was calculated as the angle between the neck and the orbital plane (the head-neck angle [HNA]). The functional relationships of basicranial flexion were examined by calculating the correlations and partial correlations between HNA and craniometric measurements representing basicranial flexion, orbital kyphosis, and relative brain size (Ross and Ravosa [1993] Am. J. Phys. Anthropol. 91:305–324). Significant partial correlations were observed between relative brain size and basicranial flexion and between HNA and orbital kyphosis. This indicates that brain size, rather than head and neck posture, is the primary influence on flexion, while the degree of orbital kyphosis may act to reorient the visual field in response to variation in head and neck posture. Regarding registration planes, the Frankfurt plane was found to be horizontal in humans but inclined in all nonhuman primates. In contrast, nearly all primates (including humans) oriented their orbits such that they faced anteriorly and slightly inferiorly. These results suggest that for certain functional craniometric studies, the orbital plane may be a more suitable registration plane than Frankfurt “Horizontal.” Am J Phys Anthropol 108:205–222, 1999. © 1999 Wiley-Liss, Inc.     

The shape of the thorax based on data of fluorographic studies]

Five thoracic types were distinguished on the basis of 3 transverse sizes between the 4th, 7th, and 10th ribs, detected on the thoracic fluorograms of 1116 men and 1460 women: cylindrical, narrow conical, conical, wide conical, and egg-shaped. A subtype of a cylindrical thorax--cylindrical with a waist--was distinguished in women. In men conical chests occurred in 48.9% of cases, wide conical in 24%, whereas in women narrow conical chests occurred in 41.8% and cylindrical in 27.5% of cases. The examinees were grouped in accordance with the thoracic shape and their physical parameters and the parameters of the chests were compared. The chest proportions represent the most comprehensive characterization of the skeletal index: the ratio between the transverse size between the 7th ribs and the vertical size in per cent. The skeletal index directly correlates with body mass, thoracic circumference, transverse and longitudinal sizes of the heart and is in inverse correlation with body length, angle of inclination of the 8th rib and angle of inclination of the heart axis to the horizontal line.     

成人骨性Ⅱ类不同垂直骨面型上气道及舌骨形态位置的三维研究

目的:研究成人骨性II类不同垂直骨面型上气道与舌骨形态及位置的差异。方法:随机选择60名成人骨性II类患者,男女比例1:1,依据GoGn-SN角分为三组(高角组、均角组及低角组),在自然头位下拍摄CBCT,运用MIMICS软件对上呼吸道及舌骨进行三维建模并测量21项相关指标,分析不同垂直骨面型之间上气道各段之间及舌骨形态、位置的差异。结果:不同垂直骨面型之间鄂咽上界平面矢状径长度(PNSL)存在显著性差异(P0.05),上气道各段高度(UTH、ETH)及宽度(PNSW、UTW、ETW)之间比较无统计学差异(P0.05)。高角组上气道鄂咽下界及舌咽下界矢状径长度(UTL、ETL)与均角和低角组均存在显著差异(P0.01),随着垂直骨面型增大,呈现高角均角低角的趋势。高角组上气道鄂咽及舌咽体积明显小于均角和低角,差异有统计学意义(P0.05)。舌骨形态及位置在不同垂直骨面型之间无差异(P0.05)。结论:不同垂直向生长方式对上气道产生影响较大,而对舌骨的生长发育无影响。     

Development of flight behaviour in maturing adults of Locusta migratoria: I. Flight performance and wing-stroke parameters

In tethered Locusta migratoria suspended from a flight balance, flight performance, wing-stroke frequency, stroke angle, and stroke plane angle were studied throughout adult life. No correlation between flight performance and age was found in adults older than 2 days. During continuous flight in locusts of all ages the wing-stroke frequency and the wing-stroke angle of both wings decreases, and the wing-stroke plane angle (forewing) increases slightly. Within 2 weeks of adult life the wing-stroke frequency increases by a factor of ca. 2, whereas the wing-stroke angles and the stroke plane angles remain constant.     

Analysis of the vertical facial form in patients with severe hypodontia

We examined the lateral cephalograms of Russian patients in the following categories: control with acceptable occlusions (group 1); severe hypodontia with absence of six or more teeth (group 2); and severe hypodontia associated with hypohidrotic ectodermal dysplasia (HED) (group 3). Analysis was in a cross-sectional manner, comparing dimensions at the start of the mixed dentition phase (age 6-10) and in the permanent dentition (age 12-18). The groups were matched for age and sex. Thirty-one hard- and soft-tissue landmarks were traced, and 35 linear, 19 angular, and 7 ratioed measurements were taken and compared, using analysis of variance to compare the means of each group. A reduced anterior face height was found in groups 2 and 3 as a consequence of a reduced anterior lower face height. In group 2 in the mixed dentition, the posterior face height was also reduced. The inclination of the mandible (相似文献   

Change in the inclination of the occlusal plane during craniofacial growth and development

The aim of this study was to examine the change in the occlusal plane inclination that takes place during craniofacial growth relative to various facio-cranial reference lines, as well as to find possible differences in means between sexes, to determine if there were correlations among variables, and to find out which of the parameters were the most reliable in determining the occlusal plane inclination. The investigation was carried out on 192 lateral radiographs of subjects divided into five age groups. The radiographs were traced and six angular roentgencephalometric variables were analysed by using different reference lines: cranial base (OLNS), Frankfort horizontal (OLFH), maxillary base (OLPL), mandibular base (OLML), anterior face height (OLNM) and posterior face height (OLSGO). It could be concluded that the change in occlusal plane inclination shows anterior rotation (left profile) during growth. The most significant change of the occlusal plane inclination was found using variables OLPL, OLFH and OLNS. There were no significant differences according to sex. Small but significant correlations were found between all investigated variables, except OLML.     

How should dysplastic human hips be evaluated?

Dysplasia of the human hip is characterised by insufficient anterolateral covering of femoral head by the acetabulum. In our study, we evaluated dysplastic human hip joints using biomechanical parameters (the peak contact stress in the weight-bearing area of the hip - pmax) and X-ray image parameters (the centre-edge angle - thetaCE, the transverse acetabular inclination angle - thetaUS, the acetabular index of the weight-bearing zone - thetaAC, the ACM angle - thetaACM, and the hip value - HV). The purpose of this study is to make use of X-ray and biomechanical parameters to evaluate hips diagnosed with "hip dysplasia", and to establish whether or not there is a correlation between the two. Our results show a statistically significant correlation between pmax and thetaCE, thetaUS and thetaAC. The correlation between pmax and thetaACM and HV is not statistically significant.     

Preoperative anthropometric dysmorphology in metopic synostosis

Anthropometric identification of dysmorphology in craniofacial anomalies, including the craniosynostoses, provides invaluable assistance in clinical diagnosis as well as offering a technique for interpreting possible deformities in skeletal remains. Premature closure of the metopic suture is a rare form of craniosynostosis, representing about 4% of clinically diagnosed synostoses. Accompanying this closure are defects of the head and face, particularly the upper face and orbits. To identify quantitatively the craniofacial dysmorphology associated with metopic synostosis, 50 patients with a diagnosis of primary (nonsyndromal) metopic synostosis were examined using a battery of 24 anthropometric measurements from which 11 proportion indices were calculated. The data were compared to sex- and age-matched normal standards and converted to standard (Z) scores before being analyzed using Student's t-test. The data indicate a complex pattern of dysmorphology arising from the synostosis which affects the upper face and orbits as well as the cranial vault. The entire fronto-orbito-zygomatic complex is narrowed, and vertex is reduced. There is compensatory sagittal and transverse growth of the posterior neurocranium and compensatory vertical and sagittal growth of the upper face. There are statistically significant differences in the pattern of dysmorphology between patients presenting prior to 6 months of age and those older but no significant differences between sexes. Am J Phys Anthropol 103:341–351, 1997. © 1997 Wiley-Liss, Inc.     

Effect of cup inclination on predicted contact stress-induced volumetric wear in total hip replacement

In order to increase the lifetime of the total hip endoprosthesis, it is necessary to understand mechanisms leading to its failure. In this work, we address volumetric wear of the artificial cup, in particular the effect of its inclination with respect to the vertical. Volumetric wear was calculated by using mathematical models for resultant hip force, contact stress and penetration of the prosthesis head into the cup. Relevance of the dependence of volumetric wear on inclination of the cup (its abduction angle ?_A) was assessed by the results of 95 hips with implanted endoprosthesis. Geometrical parameters obtained from standard antero-posterior radiographs were taken as input data. Volumetric wear decreases with increasing cup abduction angle ?_A. The correlation within the population of 95 hips was statistically significant (P = 0.006). Large cup abduction angle minimises predicted volumetric wear but may increase the risk for dislocation of the artificial head from the cup in the one-legged stance. Cup abduction angle and direction of the resultant hip force may compensate each other to achieve optimal position of the cup with respect to wear and dislocation in the one-legged stance for a particular patient.     

Resting Orientations of Dinosaur Scapulae and Forelimbs: A Numerical Analysis,with Implications for Reconstructions and Museum Mounts

The inclination of the scapular blade and the resting pose of the forelimb in dinosaurs differ among reconstructions and among skeletal mounts. For most dinosaurian taxa, no attempt has previously been made to quantify the correct resting positions of these elements. Here, we used data from skeletons preserved in articulation to quantify the resting orientations of the scapula and forelimb in dinosaurs. Specimens were included in the study only if they were preserved lying on their sides; for each specimen the angle between forelimb bones at a given joint was included in the analysis only if the joint was preserved in articulation. Using correlation analyses of the angles between the long axis of the sacrum, the first dorsal centrum, and the scapular blade in theropods and Eoraptor, we found that vertebral hyperextension does not influence scapular orientation in saurischians. Among examined taxa, the long axis of the scapular blade was found to be most horizontal in bipedal saurischians, most vertical in basal ornithopods, and intermediate in hadrosauroids. We found that in bipedal dinosaurs other than theropods with semilunate carpals, the resting orientation of the elbow is close to a right angle and the resting orientation of the wrist is such that the hand exhibits only slight ulnar deviation from the antebrachium. In theropods with semilunate carpals the elbow and wrist are more flexed at rest, with the elbow at a strongly acute angle and with the wrist approximately at a right angle. The results of our study have important implications for correct orientations of bones in reconstructions and skeletal mounts. Here, we provide recommendations on bone orientations based on our results.     

The lumbosacral transition: morphologic variations and their functional significance

The articular facet of a superior articular process of the sacrum is directed backward, inward, and upward with marked variations. 4 angles characterize the orientation of this facet: a) The relative angle of tilt: i.e. the angle between the articular facet and the upper end-plate of the sacrum, measured in a sagittal plane. b) The absolute angle of tilt: i.e. the angle between the articular facet and the horizontal plane, measured in a sagittal plane. c) The tilted part-angle of opening: i.e. the angle between the articular facet and the sagittal plane, measured in a plane parallel to the upper end-plate of the sacrum. d) The horizontal part-angle of opening: i.e. the angle between the articular facet and the sagittal plane, measured in a horizontal plane. These 4 angles are determined by characteristic straights within the articular facet and certain reference planes (upper end-plate of the sacrum, horizontal plane, sagittal plane). Only 2 intersecting straights suffice for an adequate determination of a geometrical plane; therefore, if we know the relative angle of tilt and the tilted part-angle of opening, we are able to construct or to calculate the absolute angle of tilt as well as the horizontal part-angle of opening by using the range of inclination of the sacrum. The shape as well as the orientation of the articular facets at the superior articular processes of the sacrum do not depend on the inclination of the pelvis nor on the inclination of the sacrum nor on the range of the lumbosacral angle. Only the absolute angle of tilt shows a reference to the inclination of the sacrum because the relative angle of tilt shows a certain constancy. The orientation of the articular facets is slightly influenced by static moments, but considerably determined by dynamical requirements. At spines with irregular numbers of praesacral vertebrae, the orientation of the lumbosacral articular facets do not differ from the orientation of these facets at spines with the regular number of 24 praesacral vertebrae. This, however, does not prove right at spines, that have a lumbosacral "transitional vertebra". Such lumbosacral transitional vertebrae detract much from the stability of the lumbosacral region of the spine.     

The deduction of the level of the human larynx from bony landmarks: Its relevance to the evolutionos speech

It has been claimed that the capacity for speech in hominids is related to the level of the larynx relative to its surrounding structures. Lower positioned larynges, such as those found in modern humans, have been said to be a prerequisite for articulate speech. In certain fossil hominids, the level of the larynx has been deduced from the angulation of the styloid process and the distance from the posterior nasal spine to the basion (the distance PB). The hypothesis that correlations exist between these bony features and the level of the larynx was tested in this study. The inclination of the styloid process and the level of the larynx were measured on human cadavers and on lateral x-ray cephalograms of the same cadavers. In addition, the distance PB and the level of the larynx were measured on lateral cephalograms of living adult humans. The inclination of the styloid process and the distance PB were also measured on a series of adult dry skulls. Pearson's correlation coefficients for the three sets of measurements were calculated. Only slight correlations between the inclination of the styloid process, the distance PB, and the level the larynx were found. The results of this study indicate that accurate prediction of the level of the larynx from the inclination of the styloid process and the distance PB is not possible.     

Studies on orthocephalization. 8. Behaviour of the visceral part of the rat head in the period between 7 and 60 days after gestation

The present paper considers the significance of interosseous flexions of the palatal complex in the process of orthocephalization of the rat skull between 7 and 60 d after birth. The study is based on a sample of 25 female rats who have been X-rayed at 7, 14, 30, and 60 d with subsequent analysis of the photographs obtained. During this period the constituents of the bony palate, i.e. the palatine bone, the palatal process of maxilla and the palatal part of premaxilla grow steadily but with decreasing rate of increase with age. The premaxilla grows the most, while the palatal bone grows the least. The angle between the cranial base and the palatal plane decreases, i.e. the rat skull becomes more orthocranial with age. At the same time, the palate becomes more orthopalatal, primarily by an increase in the angle between the palatine bone and maxilla. As the angle between the cranial base and the palatine bone after 14 d increases, i.e. rotates in the opposite direction of the palatal plane, it may be concluded that the process of orthocephalization in this period is caused by the deflexion of the angle between the palatine bone and maxilla, while it before 14 d is caused by a combination of an interosseous deflexion in the palate and an upwards rotation of the palatine bone relative to the cranial base.     

The Effect of the Inclination of the Pelvic Brim and the Shape and Inclination of the Upper Sacrum on the Passage of the Head through the Upper Pelvis: (Section of Obstetrics and Gynæcology)

Engagement of the Head does not depend only on the size and shape of the brim, but also on the angle of inclination of the brim. The methods of determining this inclination are considered and the angle between the plane of the brim and the front of the body of the 5th lumbar vertebra is found to furnish the best index of the inclination. Analysis of a series of cases shows that this angle varies considerably. Its postural range is demonstrated.When the inclination is high the head does not easily engage although the measurements may be normal, and a high inclination is one of the commonest causes of unexpected dystocia.Because these cases are usually selected for a "trial of labour", criteria are necessary to select the cases suitable. Success or failure of trial labour in these cases depends on the amount of room in the upper pelvis. A part from the actual size of the true conjugate the amount of room is shown to depend both on the sacral inclination, a method of measuring which is described, and the shape of the upper sacrum, which shows considerable vriation. A common type of pelvis causing dystocia is one in which the inclination of the brim is high and the upper sacrum is relatively vertical and convex. Pelves of this type do not always fit into any of the standard classifications.The uses and limitations of postural treatment of these cases are discussed.     

PHOTOTROPISM OF DIXIPPUS MOROSUS

1. Local differences in the effects of stimulation of parts of the eye by light are expressed in Dixippus morosus by differential circus movements. 2. The angle of inclination of the body axis toward one source of light when the animal is on a vertical plane with light from one side is inversely proportional to the logarithm of the intensity of the light.