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...
Main Authors: | , , , , , |
---|---|
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 |
_version_ | 1797206988302581760 |
---|---|
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. |
first_indexed | 2024-04-24T09:15:45Z |
format | Article |
id | doaj.art-2f7eb6cc368847e19bef44c4c3cd4b4a |
institution | Directory Open Access Journal |
issn | 0001-7019 1846-0410 |
language | English |
last_indexed | 2024-04-24T09:15:45Z |
publishDate | 2021-01-01 |
publisher | University of Zagreb. School of Dental Medicine |
record_format | Article |
series | Acta Stomatologica Croatica |
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 |
work_keys_str_mv | AT daniramilos craniofacialgrowthinadolescenceanditsinfluenceonthemandibularincisorcrowding AT andrejpavlic craniofacialgrowthinadolescenceanditsinfluenceonthemandibularincisorcrowding AT vaskavandevskaradunovic craniofacialgrowthinadolescenceanditsinfluenceonthemandibularincisorcrowding AT martinazigante craniofacialgrowthinadolescenceanditsinfluenceonthemandibularincisorcrowding AT alanamatthewson craniofacialgrowthinadolescenceanditsinfluenceonthemandibularincisorcrowding AT stjepanspalj craniofacialgrowthinadolescenceanditsinfluenceonthemandibularincisorcrowding |