Cephalometric features of Angle class III malocclusion with different dentoalveolar compensation (retrospective study)

Dina Elfouly, E. Marzouk, Hanan A. Ismail
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Abstract

Introduction: This study was to investigate dentoalveolar compensation in untreated skeletal Class III patients. Methods:This retrospective study was conducted on 102 untreated Class III malocclusion patients. They were divided into group 1 (overjet<0mm, n=51) and group 2 (overjet ≥ 0mm, n=51). Twenty-six cephlometric readings were compared between the two groups. Correlation analysis was performed between the overjet with skeletal and dental measurements and Regression analysis was performed to determine the overjet. Results: The results showed a significantly higher SNB, S-N-Pg, gonial angle and L1-NB mm in the negative overjet group. While, the ANB angle, angle of convexity, Wits appraisal, bony chin and U1- A-Pg mm were significantly higher in the positive overjet group. However, no statistically significant difference was found in the rest of the readings. Correlational analyses showed that the overjet has significant negative correlation with SNB, S-N-Pg, L1-Frankfort, gonialangles. On the other hand, it had significant positivecorrelation with ANB angle, angle of convexity, Wits appraisal, bony chin, L1-MP angle and U1-A-Pg mm. Nine regression equations for the overjet were calculated with the highest coeffcient of determination of 0.33. Conclusion: Dentoalveolar compensation was seen in Class III cases with less skeletal discrepancy, lower mandibular prominence, larger bony chin, greater angle of convexity and smaller gonial angle. Moreover, the position of the maxillary and mandibular incisors on the basal bone, rather than their inclination, contributed in dentoalveolar compensation
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不同牙槽代偿的Angle III类错牙合的头颅测量特征(回顾性研究)
本研究旨在探讨未治疗的骨骼III类患者的牙槽代偿。方法:对102例未经治疗的III类错颌畸形患者进行回顾性研究。分为1组(覆盖层<0mm, n=51)和2组(覆盖层≥0mm, n=51)。比较两组间26个脑电图读数。将复喷量与骨骼和牙齿测量值进行相关分析,并进行回归分析以确定复喷量。结果:阴性复喷组SNB、S-N-Pg、角、L1-NB mm均显著升高。阳性复喷组的ANB角、凸角、Wits评价、骨下巴和U1- A-Pg mm均显著高于阳性复喷组。然而,在其余的读数中没有发现统计学上的显著差异。相关分析表明,上喷流与SNB、S-N-Pg、L1-Frankfort、角锥呈显著负相关。另一方面,与ANB角、凸角、Wits评价、骨下巴、L1-MP角和U1-A-Pg mm呈显著正相关,计算出9个复喷回归方程,最高决定系数为0.33。结论:III类患者具有牙槽代偿,骨性差异小,下颌下突,骨下巴较大,凸角较大,角角较小。此外,上颌和下颌切牙在基骨上的位置,而不是它们的倾斜度,有助于牙槽代偿
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