Journal of the Korean Association of Oral and Maxillofacial Surgeons

The Korean Association of Oral and Maxillofacial Surgeons (대한구강악안면외과학회)
권호 표지

COMPARISON OF CRANIAL BASE MORPHOLOGY BETWEEN THE MANDIBULAR PROGNATHISM AND MAXILLARY RETROGNATHISM IN SKELETAL CLASS III PATIENTS

하악과성장형과 상악열성장형 골격성 Ⅲ급 부정교합군간의 두개저 형태 비교

  • Kang, Dong-Hwa (Department of Oral and Maxillofacial Surgery, School of Dentistry, Kyungpook National University) ;
  • Kwon, Tae-Geon (Department of Oral and Maxillofacial Surgery, School of Dentistry, Kyungpook National University) ;
  • Lee, Sang-Han (Department of Oral and Maxillofacial Surgery, School of Dentistry, Kyungpook National University) ;
  • Kim, Hyun-Soo (Department of Dentistry & Oral Surgery, College of Medicine, Pochon Cha University)
  • 강동화 (경북대학교 치과대학 구강악안면외과학교실) ;
  • 권대근 (경북대학교 치과대학 구강악안면외과학교실) ;
  • 이상한 (경북대학교 치과대학 구강악안면외과학교실) ;
  • 김현수 (포천중문의과대학 치과 구강외과학교실)
  • Published : 2007.06.30
Download PDF
⟨ Previous Next ⟩

Abstract

This study was intended to compare the cranial base morphology between the mandibular prognathism and maxillary retrognathism in skeletal class III patients. The subject of the present study was composed of 88 patients divided into two groups; Group 1 (Skeletal Class III with mandibular prognathism. SNA within normal range, SNB over normal range, n=54) and Group 2(Skeletal Class III with maxillary retrognathism. SNA below normal range, SNB within normal range, n=34). Lateral cephalogram were taken immediate before surgery and 18 landmarks were used to analyze the characteristics of cranial base and maxillomandibular skeleton. The result revealed that cranial base angle is significantly smaller in Group 1 than Group 2, which implies the influence of the cranial base angulation on the mandibular position. However the posterior cranial base length did not influence the mandibular horizontal position and anterior cranial base length did not influence the maxillary horizontal position. As the anterior cranial base length was closely related with ramal height, it is recommendable to investigate the regulatory mechanism of chondrogenesis of cranial base and condyle cartilage in the future research.

Keywords

References

  1. Jacobson A, Evans WG, Preston CB, Sadowsky PL: Mandibular prognathism. Am J Orthod 1974;66:140-171 https://doi.org/10.1016/0002-9416(74)90233-4
  2. Ellis III E, McNamara FA: Components of adults Class III open-bite malocclusion. Am J Orthod 1984;86:277-290 https://doi.org/10.1016/0002-9416(84)90138-6
  3. Kerr WJ, Adams CP: Cranial base and jaw relationship. Am J Phts Anthropol 1988;77:213-220 https://doi.org/10.1002/ajpa.1330770209
  4. Rak D, Muretic Z, Slaj M: Relation between cranial base flexure and position of jaws. Collegium Antropologicum 1997;21:539-547
  5. Sato S: Case report: development characterization of skeletal class III malocclusion. Angle Orthod 1994;64:105-111
  6. Hopkin GB, Houston WJ, James GA: The cranial base as an aetiological factor in malocclusion. Angle Orthod 1968;38:250-255
  7. Kasai K, Moro T, Kanazawa E, Iwasawa T: Relationship between cranial base and maxillofacial morphology. Eur J orthod 1995; 17:403-410 https://doi.org/10.1093/ejo/17.5.403
  8. Kerr WJ, Hirst D: Craniofacial characteristics of subjects with normal and post normal occlusions-a longitudinal study. Am J Orthod Dentofac Orthop 1987;92:207-212 https://doi.org/10.1016/0889-5406(87)90413-6
  9. Dhopatkar A, Bhatia S, Rock P: An investigation into the relationship between the cranial base angle and malocclusion. Angle Orthod 2002;72:456-463
  10. Menezes DM: Comparison of craniofacial features of English children with Angle class II division 1 and Angle class I occlusions. J Dent 1974;2:250-254 https://doi.org/10.1016/0300-5712(74)90027-X
  11. Anderson D, Popovich F: Relation of cranial base flexure to cranial form and mandibular position. Am F Phys Anthropol 1983;61:181-187 https://doi.org/10.1002/ajpa.1330610206
  12. 우순섭, 최용수, 박원희, 유임학, 이영수, 심광섭: 진성 골격성 III 급 부정교합에서 두개저, 상악, 하악의 위치 및 크기에 관한 연구. 대한구강악안면외과학회지 2002;28:24-30
  13. 부정교합백서 발간위원회: 한국 성인 정상교합자의 측모 두부규 격방사선사진 계측연구 결과보고서. 대한치과교정학회 1997
  14. Singh GD: Morphologic determinants in the etiology of class III malocclusions: a review. Clin Anat 1999;12:382-405 https://doi.org/10.1002/(SICI)1098-2353(1999)12:5<382::AID-CA9>3.0.CO;2-0
  15. Enlow DH, Kuroda T, Lewis AB: The morphological and morphogenetic basis for craniofacial form and pattern. Angle Orthod 1971;41:161-188
  16. Scott JH: Dento-facial development and growth. Oxford:Pergamon Press, 1967
  17. Scott JH: The analysis of facial growth. I. The anteroposterior and vertical dimensions. Am J Orthod 1958;44:507-512 https://doi.org/10.1016/0002-9416(58)90083-6
  18. Moss ML: Correlation of cranial base angulation with cephalic malformations and growth disharmonies of dental interest New York State. Dent J 1955;24:452-454
  19. Isaacson JR, Isaacson RJ, Speidel TM, Worms FW: Extreme variation in vertical facial growth and associated variation in skeletal and dental relations. Angle Orthod 1971;41:219-229
  20. Droel R, Isaacson RJ: Some relationships between the glenoid fossa position and various skeletal discrepancies. Am J Orthod 1972;61:64-78 https://doi.org/10.1016/0002-9416(72)90177-7
  21. Mackay F, Jones JA, Thompson R, Simpson W: Craniofacial form in class III cases. Br J Orthod 1992;28:15-20
  22. Andria LM, Leite LP, Prevatte TM, King LB: Correlation of the cranial base angle and its components with other dental/skeletal variables and treatment time. Angle Orthod 2004;74:361-366
  23. 홍순재, 이충국: 병인론에 근거한 성인 골격성 3급 부정교합자의 분류와 그 prototype 제시를 위한 연구. 대한악안면성형재건외과학회지 2000;22:397-411
  24. Bjork A: Cranial base development. Am J Orthod 1955;41:198-225 https://doi.org/10.1016/0002-9416(55)90005-1
  25. Nie X: Cranial base in craniofacial development: developmental features, influence on facial growth, anomaly, and molecular basis. Acta odontol Scand 2005;63:127-135 https://doi.org/10.1080/00016350510019847
  26. Hoyte DAN: A critical analysis of the growth in length of the cranial base. In: Bergsma D, editor. Morphogenesis and malformations of the face and brain. New York: Alan R. Liss. Birth Defects Original Article Series 1975;11:255-282
  27. Melsen B: Time and mode of closure of the spheno-occipital synchondrosis determined on human autopsy material. Acta Anat 1972;83:112-112 https://doi.org/10.1159/000143852
  28. Singh GD, McNamara JA Jr, Lozanoff S: Allometry of the cranial base in prepubertal Korean subjects with class III malocclusions: finite element morphometry. Angle Orthod 1999;69:507-514
  29. Enlow DH: Th prenatal and postnatal growth of the human basicranium.In:Bosma JF, eds.Symposium on development of basicranium. DHEW publication no. NIH 76-989. Bethesda: DHEW 1976. p192-205
  30. van Erum R, Mulier M, Carels C, Verbeke G, de Zegher F: Craniofacial growth in short children born small for gestational age: effect of growth hormone treatment. J Dent Res 1997;76:1579-86 https://doi.org/10.1177/00220345970760091001
  31. Adab K, Sayne JR, Carlson DS, Opperman LA: Tgf-beta1, Tgf-beta2, Tgf-beta3 and Msx2 expression is elevated during frontonasal suture morphogenesis and during active postnatal facial growth. Orthod Craniofac Res 2002;5:227-37 https://doi.org/10.1034/j.1600-0544.2002.02227.x