Evaluation of three-dimensional reconstructed palatal morphology in skeletal class III subjects with different vertical patterns using cone beam computed tomography

Abstract Background This study aims to evaluate the difference of three-dimensional (3D) reconstructed palatal morphology between subjects with skeletal Class III and skeletal Class I in different vertical patterns using cone beam computed tomography (CBCT). Methods In this study, 89 subjects with s...

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Main Authors: Xiaoyi Huang, Wenbin Huang, Tao Pei, Yijiao Zhao, Yong Wang, Yan Gu, Xueqin Bai
Format: Article
Language:English
Published: BMC 2024-01-01
Series:Head & Face Medicine
Subjects:
Online Access:https://doi.org/10.1186/s13005-024-00408-2
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author Xiaoyi Huang
Wenbin Huang
Tao Pei
Yijiao Zhao
Yong Wang
Yan Gu
Xueqin Bai
author_facet Xiaoyi Huang
Wenbin Huang
Tao Pei
Yijiao Zhao
Yong Wang
Yan Gu
Xueqin Bai
author_sort Xiaoyi Huang
collection DOAJ
description Abstract Background This study aims to evaluate the difference of three-dimensional (3D) reconstructed palatal morphology between subjects with skeletal Class III and skeletal Class I in different vertical patterns using cone beam computed tomography (CBCT). Methods In this study, 89 subjects with skeletal Class III (49 females, 40 males; 25.45 ± 3.81 years) and 85 subjects with skeletal Class I (45 females, 40 males; 23.95 ± 4.45 years) were collected retrospectively and divided into hyperdivergent, normodivergent and hypodivergent groups. Dolphin software was used to reorient the CBCT images of these subjects. After segmenting 3D object of maxilla from the 3D skull by ProPlan software, Geomagic Studio was used to reconstruct 3D palatal morphology and establish an average 3D palatal morphology for each group. The differences of 3D palatal morphology between different groups were compared by deviation patterns on 3D colored map analysis. Results 3D colored map analysis showed the posterior part of male’s palate was higher and wider than that of female’s palate in skeletal Class III subjects. In skeletal Class III subjects, males with hyperdivergent pattern had a higher and narrower palate compared with hypodivergent subjects, while females with hyperdivergent had a higher but not obviously narrower palate compared with hypodivergent subjects. In the similar vertical patterns, skeletal Class III subjects had a flatter but not narrower palate compared with skeletal Class I subjects, along with a smaller palate volume. Conclusions This method allows more intuitive between-group comparisons of the differences of 3D palatal morphology. In skeletal Class III subjects, as the vertical dimension increased, the palate tends to be higher and narrower. Therefore, the influence of vertical patterns on the palatal morphology should be fully considered in the orthodontic and orthognathic treatment of skeletal Class III subjects.
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spelling doaj.art-281db9d4367c4ebbabda76f5f1ecde9c2024-03-05T17:06:55ZengBMCHead & Face Medicine1746-160X2024-01-0120111110.1186/s13005-024-00408-2Evaluation of three-dimensional reconstructed palatal morphology in skeletal class III subjects with different vertical patterns using cone beam computed tomographyXiaoyi Huang0Wenbin Huang1Tao Pei2Yijiao Zhao3Yong Wang4Yan Gu5Xueqin Bai6Department of Orthodontics, Stomatological Center, Guangdong Provincial High-level Clinical Key Specialty & Guangdong Province Engineering Research Center of Oral Disease Diagnosis and Treatment, Peking University Shenzhen HospitalDepartment of Orthodontics, Stomatological Center, Guangdong Provincial High-level Clinical Key Specialty & Guangdong Province Engineering Research Center of Oral Disease Diagnosis and Treatment, Peking University Shenzhen HospitalDepartment of Orthodontics, Stomatological Center, Guangdong Provincial High-level Clinical Key Specialty & Guangdong Province Engineering Research Center of Oral Disease Diagnosis and Treatment, Peking University Shenzhen HospitalCenter of Digital Dentistry, Center for Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Research Center of Oral Biomaterials and Digital Medical Devices & Beijing Key Laboratory of Digital Stomatology & NHC Research Center of Engineering and Technology for Computerized Dentistry, Peking University School and Hospital of Stomatology & NationalCenter of Digital Dentistry, Center for Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Research Center of Oral Biomaterials and Digital Medical Devices & Beijing Key Laboratory of Digital Stomatology & NHC Research Center of Engineering and Technology for Computerized Dentistry, Peking University School and Hospital of Stomatology & NationalNational Center for Stomatology & National Clinical Research Center for Oral Disease & National Engineering Research Center of Oral Biomaterials and Digital Medical Devices, Beijing Key Laboratory of Digital Stomatology, Key Laboratory of Digital Stomatology & Research Center of Engineering and Technology for Computerized Dentistry Ministry of Health & NMPA Key Laboratory for Dental Materials, Department of Orthodontics, Peking University School and Hospital of StomatologyDepartment of Orthodontics, Stomatological Center, Guangdong Provincial High-level Clinical Key Specialty & Guangdong Province Engineering Research Center of Oral Disease Diagnosis and Treatment, Peking University Shenzhen HospitalAbstract Background This study aims to evaluate the difference of three-dimensional (3D) reconstructed palatal morphology between subjects with skeletal Class III and skeletal Class I in different vertical patterns using cone beam computed tomography (CBCT). Methods In this study, 89 subjects with skeletal Class III (49 females, 40 males; 25.45 ± 3.81 years) and 85 subjects with skeletal Class I (45 females, 40 males; 23.95 ± 4.45 years) were collected retrospectively and divided into hyperdivergent, normodivergent and hypodivergent groups. Dolphin software was used to reorient the CBCT images of these subjects. After segmenting 3D object of maxilla from the 3D skull by ProPlan software, Geomagic Studio was used to reconstruct 3D palatal morphology and establish an average 3D palatal morphology for each group. The differences of 3D palatal morphology between different groups were compared by deviation patterns on 3D colored map analysis. Results 3D colored map analysis showed the posterior part of male’s palate was higher and wider than that of female’s palate in skeletal Class III subjects. In skeletal Class III subjects, males with hyperdivergent pattern had a higher and narrower palate compared with hypodivergent subjects, while females with hyperdivergent had a higher but not obviously narrower palate compared with hypodivergent subjects. In the similar vertical patterns, skeletal Class III subjects had a flatter but not narrower palate compared with skeletal Class I subjects, along with a smaller palate volume. Conclusions This method allows more intuitive between-group comparisons of the differences of 3D palatal morphology. In skeletal Class III subjects, as the vertical dimension increased, the palate tends to be higher and narrower. Therefore, the influence of vertical patterns on the palatal morphology should be fully considered in the orthodontic and orthognathic treatment of skeletal Class III subjects.https://doi.org/10.1186/s13005-024-00408-2Skeletal class IIIThree-dimensionPalatal morphologyVertical pattern
spellingShingle Xiaoyi Huang
Wenbin Huang
Tao Pei
Yijiao Zhao
Yong Wang
Yan Gu
Xueqin Bai
Evaluation of three-dimensional reconstructed palatal morphology in skeletal class III subjects with different vertical patterns using cone beam computed tomography
Head & Face Medicine
Skeletal class III
Three-dimension
Palatal morphology
Vertical pattern
title Evaluation of three-dimensional reconstructed palatal morphology in skeletal class III subjects with different vertical patterns using cone beam computed tomography
title_full Evaluation of three-dimensional reconstructed palatal morphology in skeletal class III subjects with different vertical patterns using cone beam computed tomography
title_fullStr Evaluation of three-dimensional reconstructed palatal morphology in skeletal class III subjects with different vertical patterns using cone beam computed tomography
title_full_unstemmed Evaluation of three-dimensional reconstructed palatal morphology in skeletal class III subjects with different vertical patterns using cone beam computed tomography
title_short Evaluation of three-dimensional reconstructed palatal morphology in skeletal class III subjects with different vertical patterns using cone beam computed tomography
title_sort evaluation of three dimensional reconstructed palatal morphology in skeletal class iii subjects with different vertical patterns using cone beam computed tomography
topic Skeletal class III
Three-dimension
Palatal morphology
Vertical pattern
url https://doi.org/10.1186/s13005-024-00408-2
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