ASSOCIATION OF MAXILLARY AND MANDIBULAR BASE LENGTHS WITH DENTAL CROWDING IN DIFFERENT SKELETAL MALOCCLUSIONS
Abstract
Background: Dental crowding is the one of the most frequently encountered problem for an orthodontist. The relationship between crowding and various skeletal, dental and soft tissue parameters is important to establish and consider during the overall orthodontic treatment planning. This study aimed to determine the correlation of maxillary and mandibular base lengths with dental arch crowding in different malocclusions and to evaluate the gender dimorphism for these variables. Methods: A sample of 120 subjects divided into three skeletal malocclusions was further subdivided based on amount of mandibular arch crowding. Maxillary and mandibular base lengths and dental arch crowding were measured on pre-treatment lateral cephalograms and initial casts using vernier calliper respectively. Inter-group comparisons were assessed by univariate analysis of variance. Correlation between base lengths and dental crowding was assessed by Pearson’s correlation (p≤0.05). Results: Statistically significant differences were found for maxillary (p=0.008) and mandibular base lengths (p=0.000) between different skeletal malocclusions. Mandibular base length was significantly larger in males (p=0.000). Mandibular crowding was highest in class-II and lowest in class-III (p=0.01). A significant but weak negative correlation was found between dental crowding and maxillary (r=-0.28, p=0.02) and mandibular (r=-0.20, p=0.02) base lengths, significant but moderate positive correlation between maxillary and mandibular base lengths (r=0.566, p=0.000) and between maxillary and mandibular crowding (r=0.408, p=0.000). Conclusions: Maxillary and mandibular base lengths are largest in skeletal class-II and class-III malocclusions respectively. Mandibular base length is larger in males as compared to females. An increase in amount of dental crowding is weakly associated with smaller skeletal base lengthsReferences
Janson G, Goizueta OE, Garib DG, Janson M. Relationship between maxillary and mandibular base lengths and dental crowding in patients with complete Class II malocclusions. Angle Orthod 2011;81(2):217–21.
Türkkahraman H, Sayin M. Relationship between mandibular anterior crowding and lateral dentofacial morphology in the early mixed dentition. Angle Orthod 2004;74(6):759–64.
Mills LF. Arch width, arch length, and tooth size in young adult males Angle Orthod 1964;34(2):124–9.
Sayin MO, Turkkahraman H. Factors contributing to mandibular anterior crowding in the early mixed dentition. Angle Orthod 2004;74:754–8.
Radnzic D. Dental crowding and its relationship to mesio-distal crown diameters and arch dimensions. Am J Orthod Dentofacial Orthop 1988;94:50–6.
Bernabe E, Flores-Mir C. Dental morphology and crowding. A multivariate approach. Angle Orthod 2006;76:20–5
Sanin C, Savara BS. Factors that affect the alignment of the mandibular incisors: a longitudinal study. Am J Orthod 1973;64:248–57.
Bernabe E, del Castillo CE, Flores-Mir C. Intra-arch occlusal indicators of crowding in the permanent dentition. Am J Orthod Dentofacial Orthop 2005;128(2):220–5.
Howe RP, McNamara JA, O'Connor KA. An examination of dental crowding and its relationship to tooth size and arch dimension. Am J Orthod Dentofacial Orthop 1983;83:363–73.
Shigenobu N, Hisano M, Shima S, Matsubara N, Soma K. Patterns of dental crowding in the lower arch and contributing factors. A statistical study. Angle Orthod 2007;77(2):303–10.
Lundstrom A. The etiology of crowding of teeth (based on studies of twins and on morphological investigations) and its bearing on orthodontic treatment (expansion or extraction). Trrans Eur Orthod Soc 1951;176–89.
Hooten EA. Up from the ape, New York. The Macmillan Compancy. 1947.
Barber TK. The crowded arches. J South Calif Dent Assoc 1967;35:232–40.
Harvold EP. The role of function in the etiology and treatment of malocclusion. Am J Orthod 1968;54:883–98
Leighton BC, Hunter WS. Relationship between lower arch spacing/crowding and facial height and depth. Am J Orthod 1982;82:418–25
Sakuda M, Kuroda Y, Wada K, Matsumoto M. Changes in crowding of the teeth during adolescense and their relation to growth of the facial skeleton. Trans Eur Orthod Soc 1976;93–104
Dhopatkar A, Bhatia S, Rock P. An investigation into the relationship between the cranial base angle and malocclusion. Angle Orthod 2002;72:456–63
Baccetti T, Reyes BC, McNamara JA Jr. Gender differences in Class III malocclusion. Angle Orthod 2005;75:510–20.
Ursi WJ, Trotman CA, McNamara JA Jr, Behrents RG. Sexual dimorphism in normal craniofacial growth. Angle Orthod 1993;63:46–56.
Doris JM, Bernard BW, Kuftinec MM, Stomd. A biometric study of tooth size and dental crowding. Angle Orthod 1981;79:326–36.
Lavelle CL, Foster TD. Crowding and spacing of the teeth in an adult British population. Dent Pract 1969;19:239–42.
Strujic M, Anic-Milosevic S, Mestrovic S, Slaj M. Tooth size discrepancy in orthodontic patients among different malocclusion groups. Eur J Orthod 2009;31:584–9.
Fastlicht J. Crowding of mandibular incisors. Am J Orthod 1970;58:156–63.
Foster TD, Hamilton MC, Lavelle CL. A study of dental arch crowding in four age groups. Dent Prac Dent Rec 1970;21:9–12
Sperry TP, Worms FW, Isaacson RJ, Spiedel TM. Tooth-size discrepancy in mandibular prognathism. Am J Orthod 1977;72:183–90.
Crosby DR, Alexander CG. The occurrence of tooth-size discrepancies among different malocclusion groups. Am J Orthod Dentofacial Orthop 1989;95:457–61
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