Craniofacial Growth in Adolescence and its Influence on the Mandibular Incisor Crowding

Background: To analyze craniofacial growth during adolescence from the ages of 12 to 21 years and its relation to late mandibular incisor crowding. Methods: The study included 61 orthodontically untreated subjects (49% males). Lateral cephalograms were used to assess the jaw growth and inclination o...

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Main Authors: Danira Miloš, Andrej Pavlić, Vaska Vandevska-Radunović, Martina Žigante, Alana Matthewson, Stjepan Špalj
Format: Article
Language:English
Published: University of Zagreb. School of Dental Medicine 2021-01-01
Series:Acta Stomatologica Croatica
Subjects:
Online Access:https://hrcak.srce.hr/file/369347
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author Danira Miloš
Andrej Pavlić
Vaska Vandevska-Radunović
Martina Žigante
Alana Matthewson
Stjepan Špalj
author_facet Danira Miloš
Andrej Pavlić
Vaska Vandevska-Radunović
Martina Žigante
Alana Matthewson
Stjepan Špalj
author_sort Danira Miloš
collection DOAJ
description Background: To analyze craniofacial growth during adolescence from the ages of 12 to 21 years and its relation to late mandibular incisor crowding. Methods: The study included 61 orthodontically untreated subjects (49% males). Lateral cephalograms were used to assess the jaw growth and inclination of the incisors. Little’s Irregularity Index and the anterior mandibular dental arch depth of mandibular dentition were measured. Results: A reduction of the skeletal class angle (ANB) was observed in both genders, although it was significant only in males (η2=0.188; p=0.015). The growth of the mandible was more prominent compared to that of the maxilla, and it was more prominent in males than in females. The skeletal vertical dimension, however, demonstrated a significant reduction in both genders (η2=0.527-0.593, p<0.001). The mandibular incisors tended to retrocline in both genders, while the maxillary ones tended to procline in males, and slightly retrocline in females. A decrease in the mandibular dental arch depth occurred in both genders (η2=0.259; p<0.05). An increase in the irregularity of incisors for 1.8±1.7 mm on average (95% CI 1.3-2.2; η2=0.520; p<0.001) was observed in both genders. A logistic regression revealed that less sagittal growth of maxilla (increase of SNA angle ≤2°) and reduction of convexity in skeletal sagittal interjaw relationship (reduction of ANB ≥1°) were significant predictors of the occurrence of crowding (Δ Little Irregularity Index ≥1mm) yielding odds ratios of 4.9 and 4.8. Conclusions: The differential growth of the maxilla and mandible is related to the occurrence of late crowding, mostly in smaller amounts in maxillary sagittal growth compared to the mandible.
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spelling doaj.art-2f7eb6cc368847e19bef44c4c3cd4b4a2024-04-15T16:51:05ZengUniversity of Zagreb. School of Dental MedicineActa Stomatologica Croatica0001-70191846-04102021-01-01551374410.15644/asc55/1/5Craniofacial Growth in Adolescence and its Influence on the Mandibular Incisor CrowdingDanira Miloš0Andrej Pavlić1Vaska Vandevska-Radunović2Martina Žigante3Alana Matthewson4Stjepan Špalj5Public Health Centre Ogulin, CroatiaDepartment of Orthodontics, Faculty of Dental Medicine, University of Rijeka, Croatia; Department of Pediatric Dentistry, Faculty of Dental Medicine, University of Rijeka, CroatiaDepartment of Orthodontics Institute of Clinical Dentistry, University of Oslo, NorwayDepartment of Orthodontics, Faculty of Dental Medicine, University of Rijeka, CroatiaDepartment of Orthodontics Maxillofacial Unit Morriston Hospital, Swansea, United KingdomDepartment of Orthodontics, Faculty of Dental Medicine, University of Rijeka, Croatia; Department of Dental Medicine, Faculty of Dental Medicine and Health, Josip Juraj Strossmayer University of Osijek, CroatiaBackground: To analyze craniofacial growth during adolescence from the ages of 12 to 21 years and its relation to late mandibular incisor crowding. Methods: The study included 61 orthodontically untreated subjects (49% males). Lateral cephalograms were used to assess the jaw growth and inclination of the incisors. Little’s Irregularity Index and the anterior mandibular dental arch depth of mandibular dentition were measured. Results: A reduction of the skeletal class angle (ANB) was observed in both genders, although it was significant only in males (η2=0.188; p=0.015). The growth of the mandible was more prominent compared to that of the maxilla, and it was more prominent in males than in females. The skeletal vertical dimension, however, demonstrated a significant reduction in both genders (η2=0.527-0.593, p<0.001). The mandibular incisors tended to retrocline in both genders, while the maxillary ones tended to procline in males, and slightly retrocline in females. A decrease in the mandibular dental arch depth occurred in both genders (η2=0.259; p<0.05). An increase in the irregularity of incisors for 1.8±1.7 mm on average (95% CI 1.3-2.2; η2=0.520; p<0.001) was observed in both genders. A logistic regression revealed that less sagittal growth of maxilla (increase of SNA angle ≤2°) and reduction of convexity in skeletal sagittal interjaw relationship (reduction of ANB ≥1°) were significant predictors of the occurrence of crowding (Δ Little Irregularity Index ≥1mm) yielding odds ratios of 4.9 and 4.8. Conclusions: The differential growth of the maxilla and mandible is related to the occurrence of late crowding, mostly in smaller amounts in maxillary sagittal growth compared to the mandible.https://hrcak.srce.hr/file/369347MeSH terms: JawGrowthMalocclusionIncisorAdolescent. Author keywords: Growing subjectsMalocclusion
spellingShingle Danira Miloš
Andrej Pavlić
Vaska Vandevska-Radunović
Martina Žigante
Alana Matthewson
Stjepan Špalj
Craniofacial Growth in Adolescence and its Influence on the Mandibular Incisor Crowding
Acta Stomatologica Croatica
MeSH terms: Jaw
Growth
Malocclusion
Incisor
Adolescent. Author keywords: Growing subjects
Malocclusion
title Craniofacial Growth in Adolescence and its Influence on the Mandibular Incisor Crowding
title_full Craniofacial Growth in Adolescence and its Influence on the Mandibular Incisor Crowding
title_fullStr Craniofacial Growth in Adolescence and its Influence on the Mandibular Incisor Crowding
title_full_unstemmed Craniofacial Growth in Adolescence and its Influence on the Mandibular Incisor Crowding
title_short Craniofacial Growth in Adolescence and its Influence on the Mandibular Incisor Crowding
title_sort craniofacial growth in adolescence and its influence on the mandibular incisor crowding
topic MeSH terms: Jaw
Growth
Malocclusion
Incisor
Adolescent. Author keywords: Growing subjects
Malocclusion
url https://hrcak.srce.hr/file/369347
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