• Title/Summary/Keyword: Class I malocclusion

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A STUDY ON CALCIFICATION OF THE SECOND MOLARS IN ANGLE CLASS I MALOCCLUSION (Angle I 급 부정교합자의 제2대구치 석회화 과정에 관한 연구)

  • Suhr, Cheong Hoon
    • The korean journal of orthodontics
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    • v.13 no.2
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    • pp.201-204
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    • 1983
  • To study the calcification of second molars in Class I malocclusion with normal craniofacial structure, the author examined cephalograms, orthopantomograms, periapical films of 538 children from 7 y 0 m to 15y 11m old who had Class I malocclusion with normal craniofacial structure, and observed the calcification stage of upper and lower second molars. The results are as follows. 1. The mean ages of crown completion of upper and lower second molars are $8.82{\pm}1.14,\;8.72{\pm}0.75$ in boys, and $8.60{\pm}1.46,\;8.22{\pm}0.92$ in girls. 2. The mean ages of root completion of upper and lower second molars are $14.25{\pm}1.46,\;14.15{\pm}0.83$ in boys, and $14.12{\pm}0.93,\;14.15{\pm}0.83$ in girls. 3. There are no difference between the calcification stages of upper second molars and those of lower second molars in both sexes.

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Five-year investigation of a large orthodontic patient population at a dental hospital in South Korea

  • Piao, Yongxu;Kim, Sung-Jin;Yu, Hyung-Seog;Cha, Jung-Yul;Baik, Hyoung-Seon
    • The korean journal of orthodontics
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    • v.46 no.3
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    • pp.137-145
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    • 2016
  • Objective: The purpose of this study was to investigate the characteristics of orthodontic patients at Yonsei Dental Hospital from 2008 to 2012. Methods: We evaluated Angle's classification from molar relationships, classification of skeletal malocclusion from the A point-nasion-B point angle, facial asymmetry, and temporomandibular joint disorders (TMDs) from the records of 7,476 patients who received an orthodontic diagnosis. The orthognathic surgery rate, extraction rate, and extraction sites were determined from the records of 4,861 treated patients. Results: The patient number increased until 2010 and gradually decreased thereafter. Most patients were aged 19-39 years, with a gradual increase in patients aged ${\geq}40years$. Angle's Class I, Class II divisions 1 and 2, and Class III malocclusions were observed in 27.7%, 25.6%, 10.6%, and 36.1% patients, respectively, with a gradual decrease in the frequency of Class I malocclusion. The proportion of patients with skeletal Class I, Class II, and Class III malocclusions was 34.3%, 34.3%, and 31.4%, respectively, while the prevalence of facial asymmetry and TMDs was 11.0% and 24.9%, respectively. The orthognathic surgery rate was 18.5%, with 70% surgical patients exhibiting skeletal Class III malocclusion. The overall extraction rate among nonsurgical patients was 35.4%, and the maxillary and mandibular first premolars were the most commonly extracted teeth. Conclusions: The most noticeable changes over time included a decrease in the patient number after 2010, an increase in the average patient age, and a decrease in the frequency of Angle's Class I malocclusion. Our results suggest that periodic characterization is necessary to meet the changing demands of orthodontic patients.

Three-dimensional evaluation of the mandibular condyle in adults with various skeletal patterns

  • Ahmed Maher Mohsen;Junjie Ye;Akram Al-Nasri;Catherine Chu;Wei-Bing Zhang;Lin-Wang
    • The korean journal of orthodontics
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    • v.53 no.2
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    • pp.67-76
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    • 2023
  • Objective: Morphometric and morphological evaluation of the mandibular condyle in adults and to identify its correlation with skeletal malocclusion patterns. Methods: Cone-beam computed tomography scans of 135 adult patients were used in this study and classified into groups according to four criteria: (1) sex (male and female); (2) sagittal skeletal discrepancy (Class I, Class II, and Class III); (3) vertical skeletal discrepancy (hyperdivergent, normodivergent, and hypodivergent); and age (group 1 ≤ 20 years, 21 ≤ group 2 < 30, and group 3 ≥ 30 years). The morphometrical variables were mandibular condyle height and width, and the morphological variable was the mandibular condyle shape in coronal and sagittal sections. Three-dimensional standard tessellation language files were created using itk-snap (open-source software), and measurements were performed using Meshmixer (open-source software). Results: The mandibular condyle height was significantly greater (p < 0.05) in patients with class III malocclusion than in those with class I or II malocclusion; the mandibular condyle width was not significantly different among different sexes, age groups, and sagittal and vertical malocclusions. There were no statistical associations between various mandibular condyle shapes and the sexes, age groups, and skeletal malocclusions. Conclusions: The condylar height was greatest in patients with class III malocclusion. The condylar height and width were greater among males than in females. The mandibular condyle shapes observed in sagittal and coronal sections did not affect the skeletal malocclusion patterns.

Size and forms of the mandibular dental arch in Korean malocclusion patients (한국인 부정교합자의 하악 치열궁의 크기와 형태)

  • Lee, Sung-Jun;Baek, Seung-Hak;Kim, Sang-Cheol;Kook, Yoon-An
    • The korean journal of orthodontics
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    • v.35 no.1 s.108
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    • pp.15-22
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    • 2005
  • The Purpose of this study was to clarity morphological differences among mandibular dental arch forms in Korean malocclusion patients. The sample in this study consisted of 114 Class I. 119 Class II, and 135 Class III malocclusion cases. The most facial portions of 13 proximal contact areas were digitized from photocopied images of the mandibular dental arches. Clinical bracket points were calculated for each tooth based on the data on the mandibular tooth thickness. Four linear and two proportional measurements were undertaken The dental arches were classified into square. ovoid, and tapered forms to compare the frequency distributions. Our results suggested that there was no single arch form specific to any particular Angle classification or sex. It appeared to be the frequency of a particular arch form that varies among the Angle classifications. In comparison of arch measurements between male and female. there was no statistical difference except in the intermolar width. In comparison of arch size measurements among the different Angle classifications, there were statistically significant differences between Class I and Class III malocclusion groups and between Class II and Class III malocclusion groups. In comparison oi frequency distribution of arch forms in Class I and III malocclusion groups, the square form demonstrated the highest distribution followed by the ovoid and tapered forms in that order. In the Class II malocclusion group, the square form showed the highest distribution. followed by the tapered and ovoid forms in that order There was no statistical difference in the frequency distribution of arch forms between male and female groups.

A study on horizontal reference planes in lateral cephalogram in Korean adults (한국 성인의 측모두부 수평기준선에 관한 연구)

  • Kim, Kyung-Ho;Baik, Hyoung-Seon;Kim, Gin-Kap
    • The korean journal of orthodontics
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    • v.28 no.5 s.70
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    • pp.865-875
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    • 1998
  • The purpose of this study was to investigate the angle formed by the Sella-Nasion(SN) plane and Frankfort-Horizontal(FH) plane and evaluate the correlation and difference of the FH plane to other horizontal reference planes. Through this study we hope to present a basis for selecting a horizontal reference plae which can be implemented in cephalometric studies and in surgical orthodontic treatment planning. 600 subjects were chosen following a clinical examination md lateral cephlometric X-rays were taken. According to cephalometric analysis the subjects were classified into 3 groups , Skeletal Class I malocclusion or normal occlusion group(male 50, female 50), Skeletal Class II malocclusion group(male 50, female 65) and Skeletal Class III malocclusion group(male 50, female 50). The results were as follows. 1. The angle formed by the SN plane and FH plane showed no difference among the malocclusion groups, but there was a significant sex difference. For males the angle measured was $7.47^{\circ}{\pm}2.40^{\circ}$ whereas for females it was $8.93^{\circ}{\pm}2.72^{\circ}$. 2. The angle formed by the SN plane or FH plane and Mandibular plane was higher in females for all malocclusion groups. This angle in the Skeletal Class I malocclusion group was lower than in the other two groups. 3. There was no difference among the sexes or malocclusion groups considering the angle formed by the FH plane and Palatal plane. 4. The genial angle in the Skeletal Class III malocclusion group was higher than in the Skeletal Class I and Class II malocclusion groups in both sexes.

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A CEPHALOMETRIC STUDY ON THE AIRWAY SIZE ACCORDING TO THE TYPES OF THE MALOCCLUSION (부정교합 유형에 따른 기도의 크기)

  • Lee, Yong-Seung;Kim, Jong-Chul
    • The korean journal of orthodontics
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    • v.25 no.1 s.48
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    • pp.19-29
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    • 1995
  • This study was performed to compare the size of soft palate, tongue and airway according to the types of the malocclusion and evaluate the correlation between the size of soft palate, tongue, airway and dentofacial skeleton respectively. The sample of this study was 98 malocclusion female patients between the ages 12 and 17 years. The lateral cephalometric radiographs were taken and the distance, angle, ratio and area of the dentofacial skeleton, soft palate, tongue and airway were measured and evaluated statistically. The results obtained were as follows: 1. There was significant difference in SNB, ANB, facial angle, facial convexity, A-B plane angel, Y axis to FH, SN-MP, Wits appraisal, ODI and APDI according to the types of malocclusion. 2. The hyoid bone was more posteriorly positioned in Class II malocclusion group than other two groups and superio-inferior position of the hyoid bone was not different according to the malocclusion types. 3. The nasopharyngeal area of Class II and Class III malocclusion group was smaller than that of Class I malocclusion group, and the pharyngeal area of Class II malocclusion group was smaller than that of Class I and Class III maocclusion group. There was no difference of the area of the soft palate, tongue, oropharynx and hypopharynx according to malocclusion types. 4. The ramal height and mandibular body length(Go-Me) showed positive correlation with the area of tongue, nasopharynx, oropharynx, and pharynx. SNA did not correlated with the area of tongue and airway but SNB showed positive correlation with the area of hypopharynx and pharynx. The anterior, posterior facial height, upper and lower central incisor position to facial plane showed positive correlation with tongue area.

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A STUDY ON THE PREVALENCE OF MALOCCLUSION IN 2,378 YONSEI UNIVERSITY STUDENTS (연세대학생 2,378명을 대상으로 한 부정교합빈도에 관한 연구)

  • Yoo, Young Kyu;Kim, Nam ill;Lee, Hyo Kyoung
    • The korean journal of orthodontics
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    • v.2 no.1
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    • pp.35-40
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    • 1971
  • Since malocclusion affects a large segment of the population, it is by definition a public health problem. The etiology ana treatment of malocclusions have been studied by clinicians; however epidemioloic aspect of tile problem have been neglected. This study was undertaken using Angle's classification to obtain and to evaluate epidemiologic data on the prevalence of malocclusion in a group of 2,378 Yonsei University students, 17 to 23 years of age. All freshmen were selected, except for those students receiving orthodontic treatment and those few with too many missing teeth which prohibits classification by Angle's method. The following results were obtained: 1) Almost $91\%$ of students had malocclusion of the teeth severe enough to require correction. 2) There was a statistically significant difference in malocclusion between males and females($93.66\%$ malocclusion in males, $79.13\%$ malocclusioa in females). 3) Crowding was most pravalent in class I malocclusion. 4) There appeared to be a specific association between the number of lost first molars and Angle's classification. 5) In this study, more class II, Div.2 malocclusion appeared than in Massier's and Frankel's study of Caucasians, which used similar criteria. Class III malocclusion was more prevalent than normal occlusion in the Korean students studied, but in Caucasians' normal occlusion was more prevalent.

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SKELETAL MATURITY AND MANDIBULAR THIRD MOLAR DEVELOPMENT IN CLASS III MALOCCLUSION (III급 부정교합 어린이의 수완부 골성숙과 하악 제3대구치 발육에 대한 연구)

  • Kang, Keun-Young;Yang, Kyu-Ho;Choi, Nam-Ki;Kim, Seon-Mi
    • Journal of the korean academy of Pediatric Dentistry
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    • v.35 no.2
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    • pp.235-242
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    • 2008
  • The purpose of this study was to investigate the relationship of the skeletal maturity of hand-wrist and the development of mandibular third molar in subjects with class I and class III malocclusion. The subjects used in this study were 304 children(149 boys, 155 girls) with class I malocclusions and 308 children( 153 boys, 155 girls) with class III malocclusions, ranged from 8 to 15 years of age. Hand-wrist radiographs and panoramic radiographs were used to evaluate the stage of skeletal maturity and teeth development. Fishman's method for the skeletal maturity stages of the hand-wrist and new six-developmental-stage method for the calcification stages of mandibular third molars were analyzed. The results were as follows : 1. In subjects with class I and class III malocclusion, skeletal maturity of the hand-wrist occured earlier in females than in males(p<0.05), while the calcification stages of mandibular third molars were no significant gender differences. 2. There were no significant differences between the groups, when comparing the skeletal maturity stages of the hand-wrist and the calcification stages of mandibular third molars between subjects with the class I and the class III malocclusion. 3. The correlation coefficients between the calcification stages of mandibular third molars and the skeletal maturity stages of the hand-wrist in subjects with class I and class III malocclusion showed a high interrelationship(p<0.01). 4. The correlation coefficients between the calcification stages of mandibular third molars and chronological age in subjects with class I and class III malocclusion showed a high interrelationship (p<0.01). As a result, there were no significant differences between class I and class III malocclusion group for skeletal maturity of the hand-wrist and third molar development.

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Cephalometric study on the profile differences in adult Class I malocclusion relative to overbite (피개교합(overbite)양상에 따른 성인 I급 부정교합자의 측모특성)

  • Oh, Kwon-hong;Nahm, Dong-seok
    • The korean journal of orthodontics
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    • v.30 no.5 s.82
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    • pp.521-533
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    • 2000
  • This study was investigated to evaluate the morphologic characteristics of openbite and deep bite in Class I malocclusion patients and to find skeletodental factors which contributed to vertical discrepancy in Class I malocclusion. The subjects were consisted of 40 control subjects (male 20, female 20) and 40 Class I openbite patients and 40 Class I deep bite patients. Lateral cephalograms in centric occlusion were taken, traced and digitized lot each subjects. The computerized statistical analysis were carried out with SPSS program. The results were as follows. 1. The pattern of vortical discrepancy in Class I malocclusion is mainly influenced by the skeletodental factors under palatal plane. 2. In openbite group, vortical discrepancy is prominent on anterior lower face and is closely related with skeletal factors such as mandibular form and inclination. 3. In deep bite group, dental factors such as ewe of Spee, vertical height of maxillary molar and skeletal factor such as articular angle were contributed to the vertical discrepancy. 4. The multiple regression analysis showed that overbite in Class I molar relationship was determined mainly by dental factors such as lower incisor to occlusal plane angle, curve of Spee, interincisal angle, and ODI.

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A Study on Various Sizes and Volumes of the Palate among the Korean Population in Mixed Dentition (한국 인구집단에서 부정교합 환아의 구개의 크기 및 용적에 관한 연구)

  • Jimyung, Choi;Jisun, Shin;Miran, Han;Junhaeng, Lee;Jongsoo, Kim;Jongbin, Kim
    • Journal of the korean academy of Pediatric Dentistry
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    • v.49 no.3
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    • pp.329-339
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    • 2022
  • The purpose of this study was to compare the palatal dimensions (volume, width, length, and height) in different malocclusions (Class I, II, and III) in mixed dentition using a three-dimensional digital scanner. The study was performed on 30 selected casts from 1400 casts that were taken at the Department of Pediatric Dentistry at Dankook University. Casts consisted of Class I, II, and III malocclusion groups in Hellman's dental age IIIA. The mean age was 8 years and 6 months ± 11 months. Each cast was scanned by three-dimensional digital scanner, Medit T710 (Medit, Seoul, Korea), and shaped into the three-dimensional image and calculated palatal dimensions using the Plan T program (SMD solution, Seoul, Korea). The values were statistically compared and evaluated by Kruskal-Wallis followed by the Mann-Whitney test. According to our results, subjects with Class II malocclusion showed lower palatal width and longer palatal length compared to those with Class I and Class III. For palatal height, Class III malocclusion subjects in mixed dentition exhibited a larger number than Class II and Class I. Lastly, for palatal volume, compared to other malocclusions, Class III showed higher results; however, there were no significant differences. The form of the palate differs in types of malocclusions and understanding of these differences is important in clinical significance. Based on this study, the understanding of the relationship between the shape of the palate and the skeletal pattern provides useful information about orthodontic treatment plans, early diagnosis of malocclusion, and morphological integration mechanisms. Orthopedic treatment in the maxilla should be performed during early and intermediate mixed dentition to enhance treatment efficiency.