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Dentofacial transverse development in Koreans according to skeletal maturation: A cross-sectional study

  • Hwang, Soonshin (Department of Orthodontics, Gangnam Severance Dental Hospital, Institute of Craniofacial Deformity, College of Dentistry, Yonsei University) ;
  • Noh, Yoonjeong (Department of Orthodontics, Gangnam Severance Dental Hospital, Institute of Craniofacial Deformity, College of Dentistry, Yonsei University) ;
  • Choi, Yoon Jeong (Department of Orthodontics, Institute of Craniofacial Deformity, College of Dentistry, Yonsei University) ;
  • Chung, Chooryung (Department of Orthodontics, Gangnam Severance Dental Hospital, Institute of Craniofacial Deformity, College of Dentistry, Yonsei University) ;
  • Lee, Hye Sun (Biostatistics Collaboration Unit, College of Medicine, Yonsei University) ;
  • Kim, Kyung-Ho (Department of Orthodontics, Gangnam Severance Dental Hospital, Institute of Craniofacial Deformity, College of Dentistry, Yonsei University)
  • Received : 2017.03.03
  • Accepted : 2017.06.12
  • Published : 2018.01.25

Abstract

Objective: The aim of this study was to establish the normative data of dentofacial transverse dimensions according to the skeletal maturation stage in Korean adolescents with good occlusion, assess gender differences and determine correlations between transverse variables. Methods: A total of 577 Korean subjects between ages 7 to 19 years and exhibiting skeletal Class I occlusion were categorized by skeletal maturation index (SMI) of Fishman using hand-wrist radiographs. Dentofacial transverse dimensions were assessed using posteroanterior cephalograms. Independent two-sample t-tests were used to analyze differences between genders. Pearson correlation coefficient was used to determine the correlation between transverse measurements. Results: Dentofacial transverse norms relevant to skeletal maturation stages were established. The average maxillomandibular width difference and ratio at growth completion was 22.16 mm and 77.01% for males; 23.70 mm and 74.06% for females, respectively. Males had greater facial, maxillary and mandibular widths compared to females at every SMI stage. The maxillary and mandibular intermolar widths showed the strongest correlation for both sexes (r = 0.826 for males, r = 0.725 for females). Conclusions: Dentofacial transverse norms of Korean adolescents were established according to developmental stage. All dentofacial widths were greater in males at growth completion. Maxillary and mandibular intermolar widths were strongly correlated. This study may serve as a guideline for the assessment of dentofacial transverse growth according to skeletal maturation stage in Korean adolescents with good occlusion.

Keywords

References

  1. Vanarsdall RL Jr. Transverse dimension and longterm stability. Semin Orthod 1999;5:171-80. https://doi.org/10.1016/S1073-8746(99)80008-5
  2. Snodell SF, Nanda RS, Currier GF. A longitudinal cephalometric study of transverse and vertical craniofacial growth. Am J Orthod Dentofacial Orthop 1993;104:471-83. https://doi.org/10.1016/0889-5406(93)70073-W
  3. Betts NJ, Vanarsdall RL, Barber HD, Higgins-Barber K, Fonseca RJ. Diagnosis and treatment of transverse maxillary deficiency. Int J Adult Orthodon Orthognath Surg 1995;10:75-96.
  4. Lim HM, Park YC, Kee KJ, Kim KH, Choi YJ. Stability of dental, alveolar, and skeletal changes after miniscrew-assisted rapid palatal expansion. Korean J Orthod 2017;47:313-22. https://doi.org/10.4041/kjod.2017.47.5.313
  5. Park JJ, Park YC, Lee KJ, Cha JY, Tahk JH, Choi YJ. Skeletal and dentoalveolar changes after miniscrewassisted rapid palatal expansion in young adults: A cone-beam computed tomography study. Korean J Orthod 2017;47:77-86. https://doi.org/10.4041/kjod.2017.47.2.77
  6. Yavuz I, Ikbal A, Baydas B, Ceylan I. Longitudinal posteroanterior changes in transverse and vertical craniofacial structures between 10 and 14 years of age. Angle Orthod 2004;74:624-9.
  7. Cortella S, Shofer FS, Ghafari J. Transverse development of the jaws: norms for the posteroanterior cephalometric analysis. Am J Orthod Dentofacial Orthop 1997;112:519-22. https://doi.org/10.1016/S0889-5406(97)70079-9
  8. Lux CJ, Conradt C, Burden D, Komposch G. Transverse development of the craniofacial skeleton and dentition between 7 and 15 years of age--a longitudinal postero-anterior cephalometric study. Eur J Orthod 2004;26:31-42. https://doi.org/10.1093/ejo/26.1.31
  9. Hagg U, Taranger J. Maturation indicators and the pubertal growth spurt. Am J Orthod 1982;82:299-309. https://doi.org/10.1016/0002-9416(82)90464-X
  10. Hunter CJ. The correlation of facial growth with body height and skeletal maturation at adolescence. Angle Orthod 1966;36:44-54.
  11. Johnston FE, Hufham HP Jr, Moreschi AF, Terry GP. Skeletal maturation and cephalofacial development. Angle Orthod 1965;35:1-11.
  12. Fishman LS. Maturational patterns and prediction during adolescence. Angle Orthod 1987;57:178-93.
  13. Fishman LS. Radiographic evaluation of skeletal maturation. A clinically oriented method based on hand-wrist films. Angle Orthod 1982;52:88-112.
  14. Scammon RE. A summary of the anatomy of the infant and child. In: Abt IA, ed. Pediatrics. Philadelphia: W.B. Saunders; 1923. p. 89.
  15. Ricketts RM. Perspectives in the clinical application of cephalometrics. The first fifty years. Angle Orthod 1981;51:115-50.
  16. Woods GA Jr. Changes in width dimensions between certain teeth and facial points during human growth. Am J Orthod 1950;36:676-700. https://doi.org/10.1016/0002-9416(50)90049-2
  17. Enoki K, Hioki K, Motohashi Y, Kikuchi S, Kwakami N, Kobayashi K, et al. Normal standards for facial growth analysis. J Jap Orthodont Soc 1958;17:21-30.
  18. Wei SH. Craniofacial width dimensions. Angle Orthod 1970;40:141-7.
  19. Edwards CB, Marshall SD, Qian F, Southard KA, Franciscus RG, Southard TE. Longitudinal study of facial skeletal growth completion in 3 dimensions. Am J Orthod Dentofacial Orthop 2007;132:762-8. https://doi.org/10.1016/j.ajodo.2006.01.038
  20. Melsen B. Palatal growth studied on human autopsy material. A histologic microradiographic study. Am J Orthod 1975;68:42-54.
  21. Savara BS, Singh IJ. Norms of size and annual increments of seven anatomical measures of maxillae in boys from three to sixteen years of age. Angle Orthod 1968;38:104-20.
  22. Wagner DM, Chung CH. Transverse growth of the maxilla and mandible in untreated girls with low, average, and high MP-SN angles: a longitudinal study. Am J Orthod Dentofacial Orthop 2005;128: 716-23; quiz 801. https://doi.org/10.1016/j.ajodo.2004.09.028
  23. Athanasiou AE, Droschl H, Bosch C. Data and patterns of transverse dentofacial structure of 6- to 15-yearold children: a posteroanterior cephalometric study. Am J Orthod Dentofacial Orthop 1992;101:465-71. https://doi.org/10.1016/0889-5406(92)70121-P
  24. Gu Y, McNamara JA Jr, Sigler LM, Baccetti T. Comparison of craniofacial characteristics of typical Chinese and Caucasian young adults. Eur J Orthod 2011;33:205-11. https://doi.org/10.1093/ejo/cjq054
  25. Miyajima K, McNamara JA Jr, Kimura T, Murata S, Iizuka T. Craniofacial structure of Japanese and European-American adults with normal occlusions and well-balanced faces. Am J Orthod Dentofacial Orthop 1996;110:431-8. https://doi.org/10.1016/S0889-5406(96)70047-1
  26. Huertas D, Ghafari J. New posteroanterior cephalometric norms: a comparison with craniofacial measures of children treated with palatal expansion. Angle Orthod 2001;71:285-92.
  27. Meredith HV. Growth in bizygomatic face breadth during childhood. Growth 1954;18:111-34.
  28. Baik HS, Yu HS, Lee KJ. A posteroanterior cephalometric study on craniofacial proportions of Koreans with normal occlusion. Korean J Orthod 1997; 27:643-59.
  29. Gandini LG Jr, Buschang PH. Maxillary and mandibular width changes studied using metallic implants. Am J Orthod Dentofacial Orthop 2000;117:75-80. https://doi.org/10.1016/S0889-5406(00)70251-4
  30. Sawchuk D, Currie K, Vich ML, Palomo JM, Flores-Mir C. Diagnostic methods for assessing maxillary skeletal and dental transverse deficiencies: a systematic review. Korean J Orthod 2016;46:331-42. https://doi.org/10.4041/kjod.2016.46.5.331

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