Morphological features of Class I,II and III malocclusions of Saudi adolescents

AimsThis cross-sectional study compared and contrasted the morphological characteristics of Class I, II and III malocclusions in an adolescent Saudi population.MethodsAdolescent Saudis with Angle’s Class I, II and III malocclusions were selected from orthodontic patients’ records. Angular and linear measurements were compared between the three groups. Cephalometric analysis was performed using the VistadentOC® software. Multifactorial ANOVA for angular and linear measurements between and within groups.ResultsOrthodontic records of 300 patients were included. There was no significant difference between and within groups in age and distribution of Angle’s classification, p > 0.05. Multifactorial ANOVA showed that there were significant interactions between gender and malocclusions in skeletal, dental and soft tissue measurements, p < 0.05. There were significant differences in the sagittal and vertical skeletal measurements between groups, p < 0.05. The dental measurements were also significantly different in most of the measurements (p < 0.05). Moreover, there were significantly different readings among the groups in the soft tissue analysis.ConclusionMorphological characteristics of adolescent Saudis show unique differences between gender and malocclusions, more so in Class III malocclusions. Class II and III malocclusions also show skeletal differences amongst the groups.     

A case of canine hypodontia in an early Croatian cemetery Strance-Gorica

In the old Croatian cemetery Strance-Gorica in the Vinodol region, dating from the 9th to 11th century, osteological parts of the upper and the lower jaws with teeth were found, besides some other archeological finds. Data processing in dentistry regarding a possible presence of hypodontia was carried out on archeological finds (skeletal remains) on 27 persons available for the research. Only one case of canine hypodontia was found and described. In the remaining 26 persons no case of hypodontia was found on the relicts of the upper and lower jaws nor in other teeth groups. The frequency of hypodontia in the old Croatian cemetery Strance-Gorica was 3.7, which corresponds to the frequency of this anomaly in the 20th century population of Croatia.     

Distribution of craniofacial variables in south Dalmatian and middle Croatian populations

The objective of the present work was to determine some relevant craniofacial parameters, particularly in relation to sex, for the study of the distribution of basic head and face types, and to investigate craniofacial and morphological differences between two population samples. The study sample comprised 100 subjects of both sex aged 18 to 30 from South Dalmatia and 200 subjects from Middle Croatia. Eight basic craniofacial variables were measured to obtain head, forehead and face indexes. The data indicate that average values of all variables can be used as standard craniofacial parameters for the examined population groups. All the craniofacial variables are considerably higher in men than in women (p < 0.05). In the South Dalmatian population mesocephalia (48.0%) and leptoprosopia (82.0%) prevail, while in the Middle Croatian population the brachycephalia (62.0%), and euriprosopia (73.5%) are present to a greater degree. The most significant craniofacial and morphological differences between the examined study samples are head width (Eu-Eu), face width (Zy-Zy), and forehead height (Tr-N). They were found to be statistically significant in the examined Middle Croatian population (p < 0.05). The presented measurements are highly relevant to orthodontic diagnostics and therapy.     

Lower limb skeletal muscle mass: development of dual-energy X-ray absorptiometry prediction model.

Although magnetic resonance imaging (MRI) can accurately measure lower limb skeletal muscle (SM) mass, this method is complex and costly. A potential practical alternative is to estimate lower limb SM with dual-energy X-ray absorptiometry (DXA). The aim of the present study was to develop and validate DXA-SM prediction equations. Identical landmarks (i.e., inferior border of the ischial tuberosity) were selected for separating lower limb from trunk. Lower limb SM was measured by MRI, and lower limb fat-free soft tissue was measured by DXA. A total of 207 adults (104 men and 103 women) were evaluated [age 43 +/- 16 (SD) yr, body mass index (BMI) 24.6 +/- 3.7 kg/m(2)]. Strong correlations were observed between lower limb SM and lower limb fat-free soft tissue (R(2) = 0.89, P < 0.001); age and BMI were small but significant SM predictor variables. In the cross-validation sample, the differences between MRI-measured and DXA-predicted SM mass were small (-0.006 +/- 1.07 and -0.016 +/- 1.05 kg) for two different proposed prediction equations, one with fat-free soft tissue and the other with added age and BMI as predictor variables. DXA-measured lower limb fat-free soft tissue, along with other easily acquired measures, can be used to reliably predict lower limb skeletal muscle mass.     

Dental anxiety in relation to emotional and behavioral problems in Croatian adolescents

The investigation was performed on 113 adolescents in the age between 15 and 18 years (63 boys, 50 girls). Corah Dental Anxiety Scale (CDAS) and Children's Fear Survey Schedule - Dental Subscale (CFSS-DS) were used for evaluation of dental fear and Child Medical Fear Questionnaire (CMFQ) for evaluation of the fear of medical treatment. Achenbach Youth Self Report questionnaire (YSR) was used for evaluation of emotional and behavioral problems. The tests were filled in by children. The aim of the study was to evaluate the level of dental anxiety in adolescents and to assess a cause--consequence relationship between dental anxiety and emotional and behavioral problems in adolescents. The results of CDAS, CFSS-DS and CMFQ tests showed that dental anxiety scores and the total internalizing problems were higher in girls. Girls displayed more physical problems (p < 0.001) and were more prone to anxiety/depression disorders (p < 0.05). Both boys and girls were more aggressive, more prone to delinquent behaviour and had more externalizing problems in comparison with the average values obtained for the Croatian population. Significant correlation coefficients for boys were calculated for age and anxiety/depression, and delinquent behaviour and aggression (p < 0.05). Significant correlations were observed between physical problems and dental anxiety measured by the CFSS-DS test (p < 0.01), and between physical problems and the total internalizing problems (p < 0.05). In girls, the CMFQ scores showed significant correlations between dental anxiety and physical problems (p < 0.05), and anxiety/ depression (p < 0.01) and the total internalizing and externalizing problems (p < 0.05). Significant correlations were calculated for age and the total internalizing and externalizing problems for boys (p < 0.05). According to the results of both CDAS and CMFQ tests, anxiety in girls showed significant correlations with delinquent behaviour (p < 0.01). CDAS scores for girls showed significant correlations with aggression (p < 0.05) and the total externalizing problems (p < 0.01).     

Craniofacial characteristics of Croatian and Syrian populations

Craniofacial area is apart of the human body which undergoes the greatest changes during development and is characterized by uneven growth. External and internal factors affect the growth and development of craniofacial structures. They are responsible for the occurrence of specific craniofacial characteristics in different races or populations within the same race. The present study investigates the possible differences of the basic head and face shapes between the Croatian and Syrian populations. The sample included 400 subjects of both sexes aged 18-24 years and was divided into a Croatian and a Syrian group with 200 subjects each. Six variables defined according to Martin and Saller were measured by standard anthropometric instruments. The results of the study demonstrated statistically significant differences between our subjects in all variables except face width. The dolichocephalic head type and the mesoprosopic face type were predominant in the Croatian population, while the brachycephalic head type and the euryprosopic face type dominated in the Syrian population.     

Tracking variability: recent anthropometric data for croatian population and comparison with other world populations

The variability that exists within the populations of individual countries and the variability that exists between the populations of different countries are both of interest in practical application. For these reasons, a comparison is made in this work between certain anthropometric variables of our sample of Croatian population and anthropometric variables that are available for other human populations in the world of the same or a similar age. The total sample was 1,372 subjects aged from 23 to 59 years old. For the purpose of comparison, data were taken from the study "International Data on Anthropometry" which provides an overview of anthropometric variables for many world populations, as well as data from Rudan's research that was carried out on Croatian population in the late seventies of the last century. Mean value, standard deviation and coefficient of variation have been calculated for every measured parameter. A comparison between the two research samples of Croatian population fairly displays up going trend, for body mass and other bodily dimensions, formed in three decades of difference. Mean value for body height in Rudan's sample is 161.0 cm, and for Bubas's sample in this research was 170.6 cm, both values state for Croatian population but with difference of more than 30 years. Human biologists use term "secular trend" to describe alterations in the measurable characteristics of a population of humans that occur over a century. Accordingly, in adult age, the rate of gain, concerning body height, is 10 to 30 mm per decade. The changes in body proportions during recent decades are less marked than those in body size, but the relationships between stature and weight within one national group have changed significantly.     

安氏Ⅰ类错合拔牙与非拔牙矫治对口唇形态影响的研究

目的：研究安氏Ⅰ类错合拔牙与非拔牙矫治对口唇形态的影响。方法：从直丝弓矫治的AngleⅠ类错合患者治疗前后的X线侧位片中随机选取拔除4个第一前磨牙患者15例（A组）,非拔牙矫治患者15例（B组）,经X线头影软组织测量分析比较矫治前后拔牙组与非拔牙组口唇形态的变化,对所得数据进行统计学处理。结果：拔牙矫治后上下唇的突度有明显改善,平均减少1.42和2.03mm;上下唇的长度也平均增加0.51和1.58mm;非拔牙矫治患者治疗后鼻唇角、下唇突度、上下唇长度均有增加,但矫治前后无统计学差异。结论：拔牙矫治有利于减小上下唇突度从而改善软组织侧貌。     

Tooth germ initiation patterns in a developing dentition: An in vivo study of Xenopus laevis tadpoles

The transparency of soft tissue in Xenopus laevis tadpoles and the anterior‐posterior orientation of their developing tooth germs in the upper jaw offer a unique opportunity for the in vivo charting of the first 15–20 days of the developing dentition. Twenty‐two X. laevis tadpoles were anesthetized daily and their mouths opened to record the first appearance, position, and development of tooth germs in the upper jaw. The initiation patterns revealed considerable variability between animals, and even between the jaw quadrants in the same animal. This variability appears within a structural boundary and the results are consistent with the presence of an odontogenic band. The final length of dental rows far exceeded the jaw growth for each quadrant during the recording period. This in vivo investigation underlines the limits of cross‐sectional studies, and in particular the assumption that tooth germs initiate at the same position in the dental row. The tooth germ initiation patterns in this study did not align with the predictions of standard models for the development of the dentition—Zahnreihen, Clone, and New Progress Zone theories.     

The cleft lip lower-lip deformity

A patient with a repaired upper lip cleft may acquire a deformity in the lower lip. Records of 63 cleft lip patients who exhibited lower-lip abnormalities were analyzed in order to characterize the soft-tissue and skeletal configuration. The typical deformity was a hypertrophied, superiorly displaced, and anteriorly rotated lower lip. Skeletal analysis of the mandible revealed a variable and inconsistent degree of vertical elongation with posterior displacement of the chin. Operative correction of the cleft lip lower-lip deformity required evaluation of both the soft-tissue and skeletal abnormalities. Soft-tissue procedures gave permanent correction, provided there was a normal maxillary-mandibular relationship. Skeletal correction alone did not completely rectify the abnormal lower-lip posture.     

Duplication of stomatodeal structures: report of three cases with literature review and suggestion for classification

Three cases of duplications of stomatodeal structures are reported. One had an accessory mouth that could move simultaneously with his mouth at sternal notch. Another had a teeth-bearing bony mass at left maxilla with excessive upper lip and a false pouch. The third had an excessive upper lip, upper jaw with teeth, and hard and soft palate. The literature is reviewed, and a classification is suggested: type I, a duplicated mouth; type II, duplication of maxilla-upper lip or mandible-lower lip complex; and type III, centrally located, poorly developed lip-jaw duplication.     

The chronology of third molar eruption in the Croatian population

Dental age estimation is common in orthodontics, paedodontics, paleodontology and forensic dentistry. The aim of this study was to assess chronological course of eruptive developmental phases of third molar and to establish parameters for the Croatian population. Sample of this study consisted of 1249 orthopantomograms of 530 (42.4%) male and 719 (57.6%) female subjects, aged 10 to 25 years. Eruptive phases were classified in 4 stages. No significant sex difference was found. Established chronology of the third molar eruption can be used as a standard for the assessment of dental age in clinical and forensic research on samples of Croatian population.     

Familial correlations of variables from the craniofacial complex in a Venezuelan isolate of African origin

Familial aggregation for 33 different variables from the craniofacial complex was estimated through intraclass correlation coefficients for four different relationships: parent-offspring paris, sibs, cousins and unrelated pairs. The population chosen for the study was La Sabana, D.F., a Venezuelan isolate of Negroid origin. The general tendency observed among the different correlations was as anticipated: sibs show higher correlations than cousins and these were higher than for unrelated pairs. Parent-offspring correlations were lower than expected. The significant correlations observed among sibs for 17 of the variables indicate aggregation due to genetic and/or common environmental factors. On the other hand, little genetic determination was detected for sella-C point distance or for upper dental arch depth both of which show intraclass sib correlations ≤0.1.     

Human prenatal palatal closure related to skeletal maturity of the jaws

The purpose of the present study was to elucidate the stages of skeletal maturation of the maxilla and the mandible at the time of soft tissue palatal closure. Similar studies were not found in the literature. This investigation was based on maxillae and mandibles from 19 human embryos/fetuses selected by visual inspection of palatal structures, eight fetuses "just before palatal closure," and 11 fetuses "just after palatal closure." The findings are related to formerly described skeletal developmental stages in the maxilla, to stages in the symphysis menti region, and to development in the mandibular condylar region. The present study revealed that elevation of the palatal shelves takes place at a specific stage of maxillary skeletal maturity (stage Max III), at a time of mandibular development characterized by absence of condylar cartilage and by constancy in symphysis menti maturity (stage SM I). Knowledge of the normal sequence of prenatal skeletal development is considered essential for understanding the abnormal sequence of skeletal development.     

Human tooth wear, tooth function and cultural variability

Among primitive peoples dental attrition appears to be a natural phenomenon. Often the degrees and kinds of tooth wear vary from population to population. This variability is possibly related to certain material aspects of culture such as diet, food preparation techniques and tool usage. In order to learn more about these relationships, extensive cross cultural comparisons must be made. This paper reports on a study of dental attrition among skeletal remains of North American Indians from three areas: California, the Southwest and the Valley of Mexico. A method of comparing worn teeth of these populations was devised so several characteristics of the teeth and supporting bone could be examined by population. This study showed significant differences in type and degree of wear among the three groups as well as differences between sexes within each population. A positive correlation between tooth wear and cultural factors was found. Dietary specialization and division of labor appear to be responsible for the degree and type of wear found in this sample. Further studies of this type are planned to expand the sample size and, if the new data support these correlations, valuable information about human–environmental relationships can be gained.     

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.     

Advanced squamous cell carcinoma involving both upper and lower lips and oral commissure with simultaneous reconstruction by local flap: a case report

Introduction

Squamous cell carcinoma is one of the most common malignant tumors of the skin and oral mucosa. However, squamous cell carcinoma involving near total upper and lower lip and oral commissure is rarely seen in the English literature. Simultaneous reconstruction of the upper and lower lips has been inconclusive and presents a challenge to the surgeon. We report such a case and outline our simultaneous reconstruction with local flaps. To the best of our knowledge this has never been reported.

Case presentation

A 73-year-old Thai woman presented with a large rapidly growing squamous cell carcinoma involving the upper lip, lower lip, left oral commissure and left cheek. En bloc resection of upper lip, lower lip, left oral commissure and buccal region was performed. Left radical neck dissection and right modified neck dissection were performed. Reconstruction of the upper lip with a left nasolabial-cheek cervicofacial rotational-advancement flap and right cheek advancement with perialar crescent flap was performed. The lower lip was reconstructed with bilateral labiomental advancement flaps.

Conclusions

Squamous cell carcinoma can grow rapidly and spread along the orbicularis oris muscle and across the oral commissure to the opposite lip. In advanced cancer, multimodal treatment is necessary. No gold standard in the reconstruction of both upper and lower lips has been established. We report the case of an advanced squamous cell carcinoma involving both the upper lip, lower lip, left oral commissure and buccal area and simultaneous reconstruction with local flap coverage that, to the best of our knowledge, has never been reported.     

Components of soft tissue deformations in subjects with untreated angle's Class III malocclusions: thin-plate spline analysis

While the dynamics of maxillo-mandibular allometry associated with treatment modalities available for the management of Class III malocclusions currently are under investigation, developmental aberration of the soft tissues in untreated Class III malocclusions requires specification. In this study, lateral cephalographs of 124 prepubertal European-American children (71 with untreated Class III malocclusion; 53 with Class I occlusion) were traced, and 12 soft-tissue landmarks digitized. Resultant geometries were scaled to an equivalent size and mean Class III and Class I configurations compared. Procrustes analysis established statistical difference (P < 0.001) between the mean configurations. Comparing the overall untreated Class III and Class I configurations, thin-plate spline (TPS) analysis indicated that both affine and non-affine transformations contribute towards the deformation (total spline) of the averaged Class III soft tissue configuration. For non-affine transformations, partial warp 8 had the highest magnitude, indicating large-scale deformations visualized as a combination of columellar retrusion and lower labial protrusion. In addition, partial warp 5 also had a high magnitude, demonstrating upper labial vertical compression with antero-inferior elongation of the lower labio-mental soft tissue complex. Thus, children with Class III malocclusions demonstrate antero-posterior and vertical deformations of the maxillary soft tissue complex in combination with antero-inferior mandibular soft tissue elongation. This pattern of deformations may represent gene-environment interactions, resulting in Class III malocclusions with characteristic phenotypes, that are amenable to orthodontic and dentofacial orthopedic manipulations.     

安氏I类错合拔牙与非拔牙矫治对口唇形态影响的研究

目的:研究安氏Ⅰ类错合拔牙与非拔牙矫治对口唇形态的影响.方法:从直丝弓矫治的Angle Ⅰ类错合患者治疗前后的X线侧位片中随机选取拔除4个第一前磨牙患者15例(A组),非拔牙矫治患者15例(B组),经X线头影软组织测量分析比较矫治前后拔牙组与非拔牙组口唇形态的变化,对所得数据进行统计学处理.结果:拔牙矫治后上下唇的突度有明显改善,平均减少1.42和2.03 mm;上下唇的长度也平均增加0.51和1.58 mm;非拔牙矫治患者治疗后鼻唇角、下唇突度、上下唇长度均有增加,但矫治前后无统计学差异.结论:拔牙矫治有利于减小上下唇突度从而改善软组织侧貌.

Abstract：

Objictive: To investigate the effect of Angle Class Ⅰ malocclusion after orthodontic treatment, with and without extractions on lip position changes. Methods: 30 patients with Angle Class Ⅰ malocclusion were chosen. 15 patients were treated by 4 first-premolars extraction (Group A) and 15 patients were treated without extraction (Group B). The soft tissue X-ray cephalometric of the patients were measured before and after the treatment and compared statistically. Results: After the extraction treatment, the upper and lower projecting lip reduced by 1.42 mm and 2.03, mmrespectively. The length of the upper and lower lips increased by 0.51mm and 1.58mm, respectively. For the group B, the nasolabial angle, the lower lip protrusion, the length of upper and lower lips had been increased, though there had no statistical significance before and after treatment. Conclusions: After extraction treatment the upper and lower projecting lips decreased. The patients with extractment treatment had the facial aesthelics.