China ; Humans ; Orthodontics ; trends

Adult ; Computer-Aided Design ; Humans ; Male ; Malocclusion ; diagnostic imaging ; therapy ; Orthodontic Appliance Design ; Orthodontic Brackets ; Orthodontic Wires ; Radiography, Panoramic

Objective:To compare soft-tissue morphology changes by cephalometric measurements be-tween extraction and non-extraction orthodontic treatment in borderline cases.Methods:The samplesconsisted of 33 cases selected as borderline cases by 5 orthodontic specialists.They were divided into 21extraction cases(including 13 four first premolar extraction cases and 8 four second premolar extractioncases)and 12 non-extraction cases by checking patients' treatment records.Conventional cephalometricanalysis was made to compare soft tissue structures before and after orthodontic treatments and the samecomparison was made between two different extraction patterns.Results:No statistical difference wasfound in pretreatment soft-tissue morphology between extraction and non-extraction groups divided fromborderline cases.The PosBs/FH of the four first premolars extraction group was smaller than that of non-extraction group,and the Ns-Sn-Pos of the four first premolars extraction group was smaller than that offour second premolar extraction group.None of the post-treatment soft-tissue measures showed significantstatistical differences between four first premolars extraction group and non-extraction group,but therewere 6 items showed significant statistical differences between four second premolars extraction group andnon-extraction group.Compared with extraction and non-extraction treatments,the most significant soft-tissue changes were:PosBs/FH,LL-SnPos,and Bs-EP.Conclusion:Although pre-treatment soft-tissuemorphology of second premolar extraction group was close to that of non-extraction group,the post-treat-ment soft-tissue morphology of first premolar extraction group became closer to that of non-extractiongroup.Compared with non-extraction treatment,the more significant changes caused by extraction treat-ment were located in the lower lip and chin,but not the upper lips.

OBJECTIVETo analyze effects of non-surgical treatment on subjects of 12-20 years old with severe skeletal Class III deformity and to directly evaluate dental and facial profile changes.

METHODSEighteen patients with severe skeletal Class III malocclusion (male 5, female 13), diagnosed as indication for orthognathic surgery, were included in the study. The average age was 14.6 +/- 2.5 years old., with age range from 12 years old to 20 years old. 12 cases were treated with Tip-Edge straight-wire technique and 6 cases with Begg light wire technique. The average treatment time was 2.5 +/- 0.8 years. The selection criteria included: (1) mesial or superior mesial Class III molar relationship, with maxillary first molar occlude the buccal groove of the mandibular second molars (2) no mandibular shift (3) ANB < -1.5 degrees (4) high angle cases with average value of SN-MP 34.9 degrees +/- 5.9 degrees, 4 cases present with openbite (5) concave facial profile (6) originally classified as surgery cases. Lateral cephalometric films taken at the beginning and the end of the treatment were analyzed with traditional cephalometric analysis. The arithmetic mean (Mean) and standard deviation (SD) were calculated for each variable. Paired t-test was performed to evaluate the significant treatment change.

RESULTSNormal overjet and overbite were established with proclination of upper incisors and retroclination of lower incisors. Inclination of upper incisors was increased 5.9 degrees when measured with the angle of upper incisor to SN plane (P < 0.01). Inclination of lower incisors was decreased 6.6 degrees when measured with the angle of lower incisor to mandibular plane (P < 0.001). Negative value of the distance difference of upper lip and lower lip to Sn-Pg' at the beginning of treatment changed to positive value with significant difference (P < 0.001).

CONCLUSIONSuccessful treatment effects could be obtained with non-surgical therapy in severe skeletal Class III malocclusion in permanent dentition. Remarkable soft-tissue change was noted after the treatment and concave facial profile changed to straight profile.

Adolescent ; Adult ; Child ; Female ; Humans ; Male ; Malocclusion, Angle Class III ; therapy ; Orthodontics, Corrective

OBJECTIVEThe alveolar bone density quantitative measuring system was established on the basis of grey level measuring on standardized-exposed direct digital periapical radiograph by referring to an aluminum step wedge with the aid of computer technique. We tested it's accuracy and sensibility by measuring a series of specimens and made it possible to estimate the area density of hydroxyl-phosphorite (HP) in the alveolar bone with the system.

METHODSThe average grey level intensity of 19 specimens containing different amount of HP within certain area was measured with the system. The equivalent aluminum thickness (EAT) and corrected grey level intensity (CGL) of each specimen were calculated according to known grey level intensity of the aluminum step wedge and it's corresponding thickness. The liner regression equations between EAT, CGL and HP density (mg/mm2) were established. We put the values of EAT and CGL into the equations and calculated the corresponding values of estimated HP density. The bias ratios of estimation were then calculated. We measured two randomly chosen specimens 10 times respectively to calculate the system's measurement error range, then the sensibility of the system for measuring HP density was calculated according to the regression equations.

RESULTSEAT and CGL were significantly correlated with HP density. When EAT was larger than 0.67 mm or CGL larger than 41, the system's bias ratio of estimated HP density was lower than 5%. When we estimated the HP density with the use of EAT, the system could effectively check out a HP density change larger than 0.17 mg/mm2, with the use of CGL, a HP density change larger than 0.18 mg/mm2 could be effectively checked out.

CONCLUSIONThe accuracy and sensibility of the quantitative alveolar bone density measuring system are acceptable, it can be widely used to compare alveolar bone density longitudinally and cross-sectionally.

Alveolar Process ; Bone Density ; Humans ; Minerals ; Phosphates

OBJECTIVETo establish the normal MESH diagrams of Chinese in Beijing, and to build a computerized MESH analysis system for orthodontic practice.

METHODSTwenty-eight subjects with normal occlusion were selected in Beijing and their lateral cephalograms were taken at the age of thirteen and eighteen, respectively. Individual MESH diagrams were then established for each subject mainly according to Moorrees' method from the cephalograms orientated in estimated natural head position. Male and female normal MESH diagrams were created. A computerized MESH analysis system was also developed.

RESULTSThe normal MESH diagrams of Chinese in Beijing, thirteen and eighteen years old respective, were established. The computerized MESH analysis system was constructed and used in orthodontic patients.

CONCLUSIONSMESH analysis is a proportional analysis method. It can show the results directly, succinctly and holistically. It is also a favorable complement and amendment to the commonly used angle and linear X-ray analysis methods.

Adolescent ; Asian Continental Ancestry Group ; Cephalometry ; methods ; Dental Occlusion ; Female ; Humans ; Image Processing, Computer-Assisted ; methods ; Male ; Radiography ; Skull ; anatomy & histology ; diagnostic imaging

OBJECTIVETo study the characteristics of soft-tissue integument and the differences between soft-tissue and hard-tissue topography in malocclusions.

METHODS144 female patients, 12-15 years old, were selected. They were divided into class I, class II and class III groups according to the value of angle ANB which was measured on the pre-treatment cephalographs. Each group had 48 patients. Each patient had same type of skeletal pattern and occlusal pattern, full set of permanent teeth and none of cranofacial soft-tissue and hard-tissue diseases. 4 pairs of measurements describing soft-tissue and hard-tissue sagittal facial pattern and the prominence of lips and incisors were measured on each cephalograph. They were angle SnNsB', angle ANB, angle NsSnPos, angleNAPo, UL-SnPos, UI-APo, LL-SnPos and LI-APo. The distribution of soft-tissue sagittal facial pattern in each skeletal group was analyzed. The differences between angle SnNsB' and angle ANB, angle NsSnPos and angle NAPo, UL-SnPos and UI-APo, LL-SnPos and LI-APo were calculated in each patient. Then we calculated the means and the ranges of these differences in each group, the probability of positive and negative difference between each pair of measurements in each group were calculated too. Chi2 test on those probabilities were performed between the three groups. The mean difference between each pair of measurements was then analyzed by ANOVA between the three groups.

RESULTSThe disharmony between soft-tissue and hard-tissue sagittal facial pattern was found in 20%-30% of malocclusion patients. There were more or less differences between soft-tissue and hard-tissue topography and the ranges of their variation were quite wide. The soft-tissue integument increasingly tended to augment the convexity of soft-tissue facial profile when skeletal pattern varied from class II to class I to class III, at the same time, tended to increase upper lip prominence and decrease lower lip prominence.

CONCLUSIONOn the average, soft-tissue integument tends to camouflage the abnormality of hard-tissue topography. But as to individual, the relative independence of soft-tissue integument makes it important to notice the influence of soft tissue on treatment planning and results.

Cephalometry ; Face ; Female ; Humans ; Incisor ; Lip ; Male ; Malocclusion

OBJECTIVETo study the growth characters of the craniofacial widths and then perusing its growth pattern.

METHODS26 adolescents with normal occlusions were selected. A posteroanterior cephalogram was taken for every subject at the same time each year for 6 successive years. Computer-aided cephalometrics was carried out.

RESULTS(1) From age 13 to 18, most items of the craniofacial widths were bigger in male than in female. With the increase of age, the items with gender differences keep stable, except the width of L-Anter, L-Ore and L-Nas. (2) Compare with the growth completion of the craniofacial widths in 18 years old, they had completed more than 92% in 13 years old, and the L-Eur, L-Anter, L-Lo, L-Max, L-UM and L-LM were almost complete as well. The growth completion quantity of L-Ore, L-Zyg, and L-Nas in female was larger than that in male. (3) The growth of L-Mas, L-Nas, and L-Zyg could keep on to the age of 18. The L-Max maitained stable in female after 13 years old, while there was a growth from age 13 to 17 in male. (4) From age 13 to 18, the tooth arch width kept stable, while the cusp of the lower canine tends to be converging.

CONCLUSIONThe present findings may aid orthodontists to make rational diagnosis and treatment planning.

Adolescent ; Cephalometry ; Dental Occlusion ; Facial Bones ; anatomy & histology ; growth & development ; Female ; Humans ; Longitudinal Studies ; Male ; Malocclusion ; Mandible ; anatomy & histology ; growth & development ; Maxilla ; anatomy & histology ; growth & development ; Maxillofacial Development ; Reference Values ; Skull ; anatomy & histology ; growth & development

OBJECTIVETo analyze the mechanics in correction of skeletal class III malocclusion with Multiloop Edgewise Arch Wire (MEAW).

METHODS15 patients with skeletal class III malocclusion were treated with MEAW technique. Cephalometric analysis was performed with pre-treatment and post-treatment cephalograms. Paired t-test was conducted to assess the treatment effects.

RESULTSL6-XI decreased by 2.87 mm, L6/MP increased by 8.60 degrees, L1-XI decreased by 2.60 mm, OP/MP increased by 2.33 degrees. Skeleton changed a little. There was no significant change in the soft tissue.

CONCLUSION(1) Dento-alveolar compensation is the main change after the treatment by MEAW technique; (2) The improvement in molar relationship and overjet is achieved with upright and distal movement of the lower posterior teeth; (3) The lower anterior teeth moved lingually and protracted. Occlusal plane is flattened.

Adolescent ; Adult ; Cephalometry ; Dentition, Permanent ; Female ; Humans ; Male ; Malocclusion, Angle Class III ; therapy ; Orthodontic Wires ; Orthodontics, Corrective ; methods

OBJECTIVETo investigate the different changes after maxillary protraction between the cleft and non-cleft patients with anterior crossbite.

METHODSProspective controlled clinical trial was carried out. Eighteen patients (aged 9.6 +/- 1.2 years) with unilateral cleft lip and palate (UCLP) were chosen as the experimental group. Eighteen non-cleft patients (aged 9.8 +/- 1.4 years) with similar malocclusions were selected as control group. All the patients were before puberty according to the evaluation of the hand wrist radiograms. Hyrax appliance and reverse headgear were used in both experimental and control groups. Lateral cephalometric radiographs were taken before and after treatment. Computerized cephalometric analysis was carried out. Paired t tests or t test were performed using software package SAS 8.1.

RESULTSAfter treatment, the main changes in experimental group were: SNA +1.45 degrees , A-TFH +2.19 mm, SNB -2.18 degrees , ANB +3.64 degrees , MP/SN +2.78 degrees , LL-EP +0.88 mm in UCLP group. And in control group were: SNA +1.42 degrees , A-TFH +2.12 mm, SNB -1.32 degrees , ANB +2.68 degrees , MP/SN +1.47 degrees , LL-EP -1.37 mm.

CONCLUSIONSBefore puberty, maxillary protraction could accelerate maxillary forward growth in UCLP patients and the changes were similar to non-cleft patients. The occlusal relationship and soft tissue profile were improved significantly in both patients with or without cleft. The amount of mandibular posterior rotation in patients with UCLP was larger than in those with no cleft.

Cephalometry ; Child ; Cleft Lip ; surgery ; therapy ; Cleft Palate ; surgery ; therapy ; Female ; Humans ; Jaw Relation Record ; Male ; Malocclusion ; therapy ; Maxilla ; growth & development ; Osteogenesis, Distraction