Effective mandibular and maxillary base length in developing Class III malocclusions with high and low mandibular plane angles

Mourad Elhefnawy, M. AL-Shennawy, M. Ellaithy
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Abstract

Introduction Skeletal Class III is one of a complex sagittal interjaw relationship. It is the result of malrelation in sagittal position of one or both jaw bones or disproportionate ratio of their length. Objective This study was carried out to assess the effective mandibular and maxillary bases length in developing Class III malocclusion with high and low mandibular plane angles. Materials and methods Cross-sectional study was carried out on a selected sample of 75 lateral cephalometric radiographs of orthodontic patients of both sexes with age ranged from 6 to 12 years old. They were divided into three equal groups. Group 1: normal ANB and mandibular plane angles as a control group, group 2: skeletal Class III with low mandibular plane angles, and group 3: skeletal Class III with high mandibular plane angles. The sample was collected from patient record files at the clinic of the Orthodontic Department, Faculty of Dentistry, Tanta University, Egypt. Results A statistically significant difference was found in the effective maxillary length between group 1 and group 2 and 3. While effective mandibular length showed no statistically significant differences between the three groups. Conclusion Short maxillary base length is the main etiological factor for skeletal Class III malocclusion. While prominent mandibular base length has minimal effect in development of skeletal Class III malocclusion.
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下颌和上颌基底长度对下颌平面角高低的III类错颌发育的影响
骨骼III类是一种复杂的矢状颌间关系。它是由于一个或两个颌骨矢状位置的不相关或它们的长度比例不成比例的结果。目的探讨下颌平面角高低型III类错颌畸形的有效颌基长度。材料与方法选取年龄在6 ~ 12岁的正畸患者,男女共75张侧位头颅x线片进行横断面研究。他们被分成三个相等的组。组1:正常ANB和下颌平面角为对照组,组2:下颌平面角低的骨骼III类,组3:下颌平面角高的骨骼III类。样本来自埃及坦塔大学牙科学院正畸科诊所的患者记录文件。结果1组与2、3组有效上颌长度比较,差异均有统计学意义。而有效下颌长度在三组间差异无统计学意义。结论上颌基底长度短是导致骨性ⅲ类错颌畸形的主要原因。而突出的下颌基底长度对骨骼III类错牙合的发展影响最小。
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