Relationships among pharyngeal airway morphology, craniocervical posture and anterior teeth position in hyperdivergent skeletal Class Ⅱ female adults

Objective To explore the relationships among pharyngeal airway morphology, craniocervical posture, and anterior teeth position in hyperdivergent skeletal Class Ⅱ female adults and provide a reference for orthodontic clinical diagnosis and treatment. Methods Lateral cephalometric radiographs of 104 u...

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Main Authors: XING Ke, ZHOU Jiawei, ZHANG Guanning, MEI Hongxiang, LI Juan
Format: Article
Language:zho
Published: Editorial Department of Journal of Prevention and Treatment for Stomatological Diseases 2023-02-01
Series:口腔疾病防治
Subjects:
Online Access:http://www.kqjbfz.com/CN/10.12016/j.issn.2096-1456.2023.02.004
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author XING Ke
ZHOU Jiawei
ZHANG Guanning
MEI Hongxiang
LI Juan
author_facet XING Ke
ZHOU Jiawei
ZHANG Guanning
MEI Hongxiang
LI Juan
author_sort XING Ke
collection DOAJ
description Objective To explore the relationships among pharyngeal airway morphology, craniocervical posture, and anterior teeth position in hyperdivergent skeletal Class Ⅱ female adults and provide a reference for orthodontic clinical diagnosis and treatment. Methods Lateral cephalometric radiographs of 104 untreated skeletal Class Ⅱ (ANB ≥ 4.7°) female adults were included and divided into a hyperdivergent group (MP-SN ˃ 37°) (n = 52) and a normodivergent group (29° ≤ MP-SN ≤ 37°) (n = 52) by mandibular plane angle. The pharyngeal airway sagittal size, craniocervical angulation and anterior teeth position of the two groups were measured. Results Compared to the normodivergent group, hyperdivergent subjects exhibited narrower nasopharyngeal, velopharyngeal, and glossopharyngeal airways (P<0.05) and larger craniocervical angulations (P<0.05). In the hyperdivergent group, the nasopharyngeal airway sagittal size was negatively correlated with craniocervical angulations (P<0.05), while the hypopharyngeal airway sagittal size was positively correlated with craniocervical angulations in the hyperdivergent group and normodivergent group (P<0.05). In both groups, craniocervical angulations were negatively related to the labiolingual inclination of the upper incisors (P<0.05) but positively related to the inclination of the occlusal plane (P<0.05). Conclusion Hyperdivergent skeletal Class Ⅱ female adults had narrower upper airways and more extended craniocervical posture, which was correlated with pharyngeal airway morphology and anterior teeth position simultaneously. These results suggested that there were correlations among respiratory efficiency, craniocervical posture and dentofacial morphology.
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spelling doaj.art-cc58cd585a0145209ea9a757e7beb7c12022-12-22T04:36:36ZzhoEditorial Department of Journal of Prevention and Treatment for Stomatological Diseases口腔疾病防治2096-14562023-02-0131210410910.12016/j.issn.2096-1456.2023.02.004Relationships among pharyngeal airway morphology, craniocervical posture and anterior teeth position in hyperdivergent skeletal Class Ⅱ female adultsXING Ke0ZHOU Jiawei1ZHANG Guanning2MEI Hongxiang3LI Juan4State Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, Department of Orthodontics, West China Hospital of Stomatology, Sichuan UniversityState Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, Department of Orthodontics, West China Hospital of Stomatology, Sichuan UniversityState Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, Department of Orthodontics, West China Hospital of Stomatology, Sichuan UniversityState Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, Department of Orthodontics, West China Hospital of Stomatology, Sichuan UniversityState Key Laboratory of Oral Diseases, National Clinical Research Center for Oral Diseases, Department of Orthodontics, West China Hospital of Stomatology, Sichuan UniversityObjective To explore the relationships among pharyngeal airway morphology, craniocervical posture, and anterior teeth position in hyperdivergent skeletal Class Ⅱ female adults and provide a reference for orthodontic clinical diagnosis and treatment. Methods Lateral cephalometric radiographs of 104 untreated skeletal Class Ⅱ (ANB ≥ 4.7°) female adults were included and divided into a hyperdivergent group (MP-SN ˃ 37°) (n = 52) and a normodivergent group (29° ≤ MP-SN ≤ 37°) (n = 52) by mandibular plane angle. The pharyngeal airway sagittal size, craniocervical angulation and anterior teeth position of the two groups were measured. Results Compared to the normodivergent group, hyperdivergent subjects exhibited narrower nasopharyngeal, velopharyngeal, and glossopharyngeal airways (P<0.05) and larger craniocervical angulations (P<0.05). In the hyperdivergent group, the nasopharyngeal airway sagittal size was negatively correlated with craniocervical angulations (P<0.05), while the hypopharyngeal airway sagittal size was positively correlated with craniocervical angulations in the hyperdivergent group and normodivergent group (P<0.05). In both groups, craniocervical angulations were negatively related to the labiolingual inclination of the upper incisors (P<0.05) but positively related to the inclination of the occlusal plane (P<0.05). Conclusion Hyperdivergent skeletal Class Ⅱ female adults had narrower upper airways and more extended craniocervical posture, which was correlated with pharyngeal airway morphology and anterior teeth position simultaneously. These results suggested that there were correlations among respiratory efficiency, craniocervical posture and dentofacial morphology.http://www.kqjbfz.com/CN/10.12016/j.issn.2096-1456.2023.02.004pharyngeal airway morphologycraniocervical postureanterior teeth positionskeletal class ⅱhyperdivergentfemale adultslateral cephalometric radiographssoft-tissue stretchingorthodontic treatment
spellingShingle XING Ke
ZHOU Jiawei
ZHANG Guanning
MEI Hongxiang
LI Juan
Relationships among pharyngeal airway morphology, craniocervical posture and anterior teeth position in hyperdivergent skeletal Class Ⅱ female adults
口腔疾病防治
pharyngeal airway morphology
craniocervical posture
anterior teeth position
skeletal class ⅱ
hyperdivergent
female adults
lateral cephalometric radiographs
soft-tissue stretching
orthodontic treatment
title Relationships among pharyngeal airway morphology, craniocervical posture and anterior teeth position in hyperdivergent skeletal Class Ⅱ female adults
title_full Relationships among pharyngeal airway morphology, craniocervical posture and anterior teeth position in hyperdivergent skeletal Class Ⅱ female adults
title_fullStr Relationships among pharyngeal airway morphology, craniocervical posture and anterior teeth position in hyperdivergent skeletal Class Ⅱ female adults
title_full_unstemmed Relationships among pharyngeal airway morphology, craniocervical posture and anterior teeth position in hyperdivergent skeletal Class Ⅱ female adults
title_short Relationships among pharyngeal airway morphology, craniocervical posture and anterior teeth position in hyperdivergent skeletal Class Ⅱ female adults
title_sort relationships among pharyngeal airway morphology craniocervical posture and anterior teeth position in hyperdivergent skeletal class ii female adults
topic pharyngeal airway morphology
craniocervical posture
anterior teeth position
skeletal class ⅱ
hyperdivergent
female adults
lateral cephalometric radiographs
soft-tissue stretching
orthodontic treatment
url http://www.kqjbfz.com/CN/10.12016/j.issn.2096-1456.2023.02.004
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