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PubMed1998

Atopic eczema and domestic water hardness.

BACKGROUND: The environment plays an important part in the aetiology of atopic eczema, but specific causes are unknown. Exposure to hard water is thought to be a risk factor for eczema. We undertook an ecological study of the relation between domestic water hardness and the prevalence of eczema among Nottinghamshire schoolchildren. METHODS: Questionnaire details of 1-year period and lifetime prevalence of eczema were obtained from parents of 4141 randomly selected primary-school children and 3499 secondary-school children in southern Nottinghamshire. Geographical information systems (GIS) were used to link the geographical distribution of eczema prevalence with domestic water-hardness data (four categories). Adjustment was made for potential confounding by sex, age, socioeconomic status, and access to health care. FINDINGS: Among the primary-school children there was a significant direct relation between both 1-year period and lifetime prevalence of eczema and water hardness, both before and after adjustment for confounders. The 1-year period prevalence was 17.3% (261/1509) in the highest water-hardness category and 12.0% (94/786) in the lowest (adjusted odds ratio 1.54 [95% CI 1.19-1.99] p for trend <0.001). The corresponding values for lifetime prevalence were 25.4% (384/1509) and 21.2% (167/786; adjusted odds ratio 1.28 [1.04-1.58], p for trend=0.02). Eczema prevalence trends in the secondary-school population were not significant (adjusted odds ratio for highest compared with lowest hardness category for 1-year prevalence 1.03 [0.79-1.33], p for trend=0.46; for lifetime prevalence 0.99 [0.83-1.23], p for trend=0.93). Eczema prevalence in primary-school children increased in relation to chlorine content of water, but the trend across four chlorine-content categories was not independently significant after adjustment for confounders. INTERPRETATION: Exposure to hard water in the home may increase the risk of eczema in children of primary-school age.

Adolescent↗
PubMed1998

Changes in surface hardness of conventional restorative glass ionomer cements.

The effect of a contact with an aqueous solution on the surface hardness of glass ionomers has been investigated in a few studies and for a limited number of formulations. As there is no information on the long-term changes of the surface hardness in this respect, the aim of this study was to determine these long-term changes in 10 conventionally setting glass ionomer formulations after storage in water as compared to maturation in a humid atmosphere (85% RH). After setting for 15 min different series of glass ionomer specimens were stored at 37 degrees C in both experimental media for 1, 7, 28 and 140 days. At the end of the specific maturation times, the mean surface hardness was determined on the basis of Knoop Hardness (KHN). Data were analyzed using ANOVA. In a humid atmosphere the surface hardness generally increases rapidly initially, followed after 1 day by a more gradual increase. In contact with water, the hardness also increases up to one day but not to the same extent. The surface hardness then remains constant or slightly decreases. Evidence of a detrimental softening of the surface ascribed previously to the loss of matrix forming ions was not found. A surface erosion is not likely to occur.

Acrylic Resins↗
PubMed2002

The effect of water hardness on the toxicity of uranium to a tropical freshwater alga Chlorella sp.

Uranium (U) derived from mining activities is of potential ecotoxicological concern to freshwater biota in tropical northern Australia. Few data are available on the effects of water hardness (Ca and/or Mg), which is elevated in U mine wastewaters, on the toxicity and bioavailability of U to freshwater biota, particularly algae. This study determined the effect of water hardness (8, 40, 100 and 400 mg CaCO(3) x l(-1), added as calcium (Ca) and magnesium (Mg) sulphate) on the toxicity (72 h growth rate inhibition) of U to the unicellular green alga, Chlorella sp., in synthetic freshwater, at constant pH (7.0) and alkalinity (8 mg CaCO(3) x l(-1)), similar in chemical composition to sandy coastal streams in tropical northern Australia. A 50-fold increase in water hardness resulted in a 5-fold decrease (P 0.05) differences in the predicted speciation (% distribution) of U amongst the four water hardness levels. The reduction in U toxicity with increasing water hardness was most likely due to competition between U and Ca and/or Mg for binding sites on the algal cell surface. The minimum detectable effect concentrations of U were approximately 3 and 24 times higher (at 8 and 400 mg CaCO(3)x l(-1) hardness, respectively) than the national interim U guideline value (0.5 micro g x l(-1)) for protecting aquatic ecosystems. Overall, the results reinforce the need for a more flexible U guideline based on a hardness-dependent algorithm, which may allow environmental managers to relax the national guideline for U on a site-specific basis.

Biological Availability↗
PubMed2000

Hardness and ultrasonic characteristics of the human crystalline lens.

PURPOSE: To evaluate the relationship between hardness of the human crystalline lens and its acoustic characteristics. SETTING: St. George's Hospital Medical School, University of London, London, United Kingdom. METHODS: Cataractous lenses from patients who had extracapsular cataract surgery were studied for hardness and ultrasonic characteristics. Lens hardness was assessed with an automated guillotine. Ultrasound velocity and attenuation were measured with a scanning acoustic macroscope using the pulse transmission reflection method. RESULTS: Thirty-seven lenses from 37 patients (mean age 75.5 years) were evaluated. Lens hardness was associated with ultrasound attenuation (r = 0.65, P <.0001) and attenuation frequency gradient (r = 0.67, P <.0001). The correlation of hardness with mean ultrasound velocity was not significant (r = 0.22, P =.2). CONCLUSIONS: The attenuation of ultrasound waves by the human crystalline lens correlated with its hardness. Ultrasonography can be used to evaluate lens hardness.

Aged↗
PubMed2000

Reconstruction of human hard-palate mucosal epithelium on de-epidermized dermis.

Artificial hard-palate mucosa equivalents were reconstructed using keratinocytes derived from normal human hard-palate and de-epidermized dermis. Reconstructed hard-palate mucosal epithelium formed in three-dimensional culture was compared to native hard-palate mucosal epithelium and reconstructed oral buccal mucosal epithelium with regard to keratin expression. Artificial hard-palate mucosal epithelium reconstructed in medium with delipidized serum showed a differentiation pattern similar to that of hard-palate epithelium in vivo. The present study also confirmed that keratinocytes derived from hard-palate mucosa are intrinsically different from those of nonkeratinizing oral surfaces.

Cell Communication↗
PubMed2000

Surface hardness changes induced by O-, Ca- or P-ion implantation into titanium.

Titanium or titanium alloys are very attractive biomedical materials. Biocompatible elements of oxygen, calcium and phosphorus were implanted into titanium and changes of surface hardness were measured using an ultra micro indenter (UMIS-2000). A multiple load-partial unload procedure that can reveal a hardness versus depth profile was adopted. Depth profiles of concentration of implanted ions were obtained by SIMS measurement. For O and P implantation, it is observed that the hardness increases with the increases in the dose. O implantation produced the largest increase in hardness, up to 2.2 times higher than the unimplanted titanium. On the other hand, Ca implantation produced only a small increase in the hardness that was independent of the ion dose. The surface oxide layer of a Ca implanted titanium sample was much thicker than the unimplanted samples or those implanted with O and P ions. The depth of maximum hardness increases with increasing energy of implanted ions. The depths of the maximum hardness occur at indentation depths of one-third to one-eighth of the mean ranges of implanted ions.

Journal Article↗
PubMed1994

Water content, lens hardness and cataract appearance.

Hardening of a cataractous lens is associated with the clinical appearance of brunescence and advancing age. Alterations in the nature and concentration of proteins, lens fibre compaction and other biochemical changes may all be contributing factors towards increased hardness. As the nucleus confers most of the rigidity to the lens and water content decreases towards the centre of the nucleus, the hardness might be thought to be related to total water content. To study the relationship between water content, hardness and the clinical appearance of cataract, 135 lenses were obtained from eyes undergoing extracapsular cataract surgery. The cataracts were assessed and classified pre-operatively. Lens hardness was determined by a specially designed guillotine and water content was measured by weighing the lens before and after desiccation. A regression analysis was carried out to look at the variation of lens water content with hardness, degree of nuclear sclerosis, extent of cortical and posterior subcapsular cataract, vacuolation and age. Multivariate analysis of data demonstrated a relationship between lens hardness and lens water content, degree of nuclear sclerosis and age (R2 = 0.59). An association could not be detected between lens water content and age, degree of nuclear sclerosis, extent of cortical and posterior subcapsular cataract and vacuoles. This study suggests that hardening of the lens is reflected by a respective decrease in water content. Increased hardness is associated with coloration and advancing age.

Adult↗
PubMed2005

Soft and hard tissue changes after bimaxillary surgery in Chinese Class III patients.

Cephalometric studies have shown that the Chinese race tends to have a greater preponderance of skeletal Class III malocclusion. It has also been reported that the soft tissue response to hard tissue movement varies among racial types. The aims of this retrospective cephalometric study were to assess the results of bimaxillary surgery on Chinese subjects presenting with Class III malocclusions and to evaluate the correlation between soft and hard tissue change. The sample consisted of 34 Chinese patients treated with bilateral sagittal split osteotomy and Le Fort I advancement. Lateral cephalograms were taken immediately before surgery and at least six months after surgery. Soft and hard tissue changes were recorded by computer-supported measurements of presurgical and postsurgical lateral cephalograms. Linear regression procedures were used to assess the degree of correlation in terms of soft to hard tissue changes between the two cephalograms. The results showed that there was normalization of the cephalometric variables after surgery. Mandibular soft and hard tissue movements showed a strong correlation in the horizontal direction and a moderate correlation in the vertical direction. Maxillary soft and hard tissue movement showed a moderate to weak correlation in both the horizontal and vertical directions. The ratios of soft to hard tissue movements derived from this study would contribute to the database for planning prediction.

Adult↗
PubMed2004

Structures and correlation functions of multicomponent and polydisperse hard-sphere mixtures from a density functional theory.

The structures of nonuniform binary hard-sphere mixtures and the correlation functions of uniform ternary hard-sphere mixtures were studied using a modified fundamental-measure theory based on the weight functions of Rosenfeld [Rosenfeld, Phys. Rev. Lett. 63, 980 (1989)] and Boublik-Mansoori-Carnahan-Starling-Leland equation of state [Boublik, J. Chem. Phys. 53, 471 (1970); Mansoori et al., J. Chem. Phys. 54, 1523 (1971)]. The theoretical predictions agreed very well with the molecular simulations for the overall density profiles, the local compositions, and the radial distribution functions of uniform as well as inhomogeneous hard-sphere mixtures. The density functional theory was further extended to represent the structure of a polydisperse hard-sphere fluid near a hard wall. Excellent agreement was also achieved between theory and Monte Carlo simulations. The density functional theory predicted oscillatory size segregations near a hard wall for a polydisperse hard-sphere fluid of a uniform size distribution.

Journal Article↗
PubMed2005

Voronoi cell volume distribution and configurational entropy of hard-spheres.

The Voronoi cell volume distributions for hard-disk and hard-sphere fluids have been studied. The distribution of the Voronoi free volume vf, which is the difference between the actual cell volume and the minimal cell volume at close packing, is well described by a two-parameter (2gamma) or a three-parameter (3gamma) gamma distribution. The free parameter m in both the 2gamma and 3gamma models is identified as the "regularity factor." The regularity factor is the ratio of the square of the mean and the variance of the free volume distribution, and it increases as the cell volume distribution becomes narrower. For the thermodynamic structures, the regularity factor increases with increasing density and it increases sharply across the freezing transition, in response to the onset of order. The regularity factor also distinguishes between the dense thermodynamic structures and the dense random or quenched structures. The maximum information entropy (max-ent) formalism, when applied to the gamma distributions, shows that structures of maximum information entropy have an exponential distribution of vf. Simulations carried out using a swelling algorithm indicate that the dense random-packed states approach the distribution predicted by the max-ent formalism, though the limiting case could not be realized in simulations due to the structural inhomogeneities introduced by the dense random-packing algorithm. Using the gamma representations of the cell volume distribution, we check the numerical validity of the Cohen-Grest expression [M. H. Cohen and G. S. Grest, Phys. Rev. B 20, 1077 (1979)] for the cellular (free volume) entropy, which is a part of the configurational entropy. The expression is exact for the hard-rod system, and a correction factor equal to the dimension of the system, D, is found necessary for the hard-disk and hard-sphere systems. Thus, for the hard-disk and hard-sphere systems, the present analysis establishes a relationship between the precisely defined Voronoi free volume (information) entropy and the thermodynamic entropy. This analysis also shows that the max-ent formalism, when applied to the free volume entropy, predicts an exponential distribution which is approached by disordered states generated by a swelling algorithm in the dense random-packing limit.

Journal Article↗
PubMedDate not supplied

Primary intravitreal triamcinolone acetonide for diabetic massive macular hard exudates.

PURPOSE: To evaluate the efficacy of intravitreal triamcinolone acetonide as treatment for massive macular hard exudates in diabetic patients. METHODS: The study was a prospective, noncomparative, interventional case series of 12 eyes (12 patients) with massive hard exudates involving the fovea that had no previous focal laser treatment. A single intravitreal injection of 4 mg of triamcinolone acetonide in 0.1 mL was performed. Visual acuity and evolution of hard exudates and fluorescein leakage were assessed. Potential complications were monitored, including ocular hypertension and endophthalmitis. RESULTS: The follow-up period ranged from 6 to 12 months (mean, 8.25 months). Visual acuity improved significantly at examinations performed 7 days (P = 0.036), 1 month (P = 0.008), 3 months (P = 0.008), and 6 months (P = 0.003) after the injection. Visual acuity improved by at least 2 Snellen lines in 4 patients (33%). However, no eyes with initial visual acuity worse than 20/100 improved to better than 20/100. Foveal hard exudates resolved completely in 6 eyes (50%) and partially in 6 eyes (50%). Fluorescein leakage decreased and a variable proportion of microaneurysms disappeared in all cases. Intraocular pressure elevation occurred in 3 eyes (25%) and was successfully treated by topical medication. No other complications, such as endophthalmitis, were recorded. CONCLUSION: Intravitreal injection of triamcinolone acetonide appears to be beneficial for reducing hard exudates, decreasing fluorescein leakage, and significantly improving visual acuity in patients with diabetic massive hard exudates. Visual improvement may not be important due to profound anatomical impairment caused by hard exudate deposition. Further studies with a larger number of patients are required to assess the long-term efficacy and safety and the need for retreatment.

Adult↗
PubMed2004

Time correlation functions of hard sphere and soft sphere fluids.

We explore the transition between soft particle fluids of increasing steepness to the hard sphere limit. We analyze the analytic forms of the time correlation functions used in determining transport coefficients in Green-Kubo formulas for fluids composed of particles interacting through a repulsive r(-n) potential. We focus on the steeply repulsive n--> infinity limit where the potential tends to the hard sphere interaction. Dufty [Mol. Phys. 100, 2331 (2002)] developed a theoretical framework that can be used to characterize the transition from a steeply repulsive continuous potential toward the hard sphere potential for the shear stress time correlation function. This function was shown to consist of a rapidly decaying contribution (which is singular in the steeply repulsive limit) and a slowly decaying nonsingular part which can be reasonably well represented by Enskog's prediction on times of order and in excess of the mean collision time. We extend this treatment to the bulk viscosity and thermal conductivity. We focus on the bulk viscosity (pressure) correlation function as it is purely singular for hard spheres, and has no kinetic or cross term contributions in this limit. There is no relaxation of this correlation function on the mean collision or Enskog time scale for hard spheres. We show that it is not possible to represent the steeply repulsive behavior of this function entirely in terms of a sech function, i.e., C(B)(t)=sech(a(n)t/tau(n)), where a(n) is a numerical factor, t is time, and tau(n) is a relaxation time proportional to n(-1). An additional singular function, which we call w(t), is required to obtain the correct short-time behavior of C(B)(t) and the Enskog value for the bulk viscosity. With this additional function, the value of a(n) in the n--> infinity limit is a(n)=square root of 2 which is consistent with the second moment of the time expansion of the time correlation function. We compute this function for large n and extrapolate it to n--> infinity, determining one possible analytic form. The shear stress correlation function also gives a(n)=square root of 2 in the hard sphere limit for the singular part when the sech and w functions are used. This function has a nonsingular component, even in the hard sphere limit. We explore various forms for the crossover function X(t/tau(n)) introduced by Dufty, which weights the limiting singular and nonsingular contributions to C(S)(t) particularly at intermediate times. The qualitative behavior for the heat flux time correlation function (used to obtain the thermal conductivity) is much the same as the shear case. The w(t) derived by several self-consistent extrapolations appears, within the simulation statistics, to be the same for the bulk and shear viscosity, and for the thermal conductivity cases.

Journal Article↗
PubMed1996

The influence of hard water (calcium) and surfactants on irritant contact dermatitis.

Although the induction of irritant contact dermatitis has been extensively studied for surfactants, the role of the environmental factor water hardness (i.e., calcium content) on the induction process has not received attention. Our objective was to investigate differences in surfactant-induced irritant skin reactions from cumulative exposure to 3 different personal cleansing agents and determine whether the irritation potential can be affected by the hardness of the water. 2 commonly used exaggerated washing procedures were variously employed to evaluate representative sodium soap, triethanolamine-soap, or synthetic detergent cleansers under conditions where the water hardness varied from 0-grain to 11-grain (gr). Subjects were clinically evaluated for skin dryness, skin redness, and instrumentally for hydration. Soap binding to skin was quantified using Fourier transform infrared reflectance spectroscopy. Using the more mild wash procedure, skin sites treated under conditions of hard, 11 gr water were significantly drier, had more erythema, and were less hydrated than corresponding sites treated with deionized 0 gr water. All 3 surfactant cleanser behaved similarly. We also found the hardness of the rinse water to be the more significant factor versus that of the wash water. Effect of water hardness on soap binding to skin revealed a similar outcome. Under a more exaggerated wash condition the relationship between water hardness and irritation broke down.

Adolescent↗
PubMed2000

Two novel genes induced by hard-surface contact of Colletotrichum gloeosporioides conidia.

Germinating conidia of many phytopathogenic fungi must differentiate into an infection structure called the appressorium in order to penetrate into their hosts. This differentiation is known to require contact with a hard surface. However, the molecular basis for this requirement is not known. Induction of this differentiation in the avocado pathogen, Colletotrichum gloeosporioides, by chemical signals such as the host's surface wax or the fruit-ripening hormone, ethylene, requires contact of the conidia with a hard surface for about 2 h. To study molecular events triggered by hard-surface contact, we isolated several genes expressed during the early stage of hard-surface treatment by a differential-display method. The genes that encode Colletotrichum hard-surface induced proteins are designated chip genes. In this study, we report the characterization of CHIP2 and CHIP3 genes that would encode proteins with molecular masses of 65 and 64 kDa, respectively, that have no homology to any known proteins. The CHIP2 product would contain a putative nuclear localization signal, a leucine zipper motif, and a heptad repeat region which might dimerize into coiled-coil structure. The CHIP3 product would be a nine-transmembrane-domain-containing protein. RNA blots showed that CHIP2 and CHIP3 are induced by a 2-h hard-surface contact. However, disruption of these genes did not affect the appressorium-forming ability and did not cause a significant decrease in virulence on avocado or tomato fruits suggesting that C. gloeosporioides might have genes functionally redundant to CHIP2 and CHIP3 or that these genes induced by hard-surface contact control processes not directly involved in pathogenesis.

Amino Acid Sequence↗
PubMed2004

The effects of low hardness and pH on copper toxicity to Daphnia magna.

The majority of metal toxicity data available for freshwater organisms have been generated in laboratory water at pH > 6.5 and hardness > 50 mg/L as CaCO3. Extrapolation of these results to soft surface waters (i.e., hardness < or = 40 mg/L as CaCO3), similar to predominant conditions in the southeastern United States, may prove challenging. For example, South Carolina has surface waters that average 20 mg/L as CaCO3, and exist at extremes of 1 and 600 mg/L as CaCO3. This research characterized the acute toxicity of Cu to Daphnia magna in waters with low hardness and low pH. The 48-h total Cu median lethal concentrations were related to water hardness over a hardness range of 8 to 51 mg/L as CaCO3. Although toxicological differences existed between water hardness of 7 and 20 mg/L as CaCO3 (p = 0.0001), differences in pH (range 5.5-8.5) did not influence acute Cu toxicity. Results of these laboratory studies will provide the data needed to more accurately predict organism response to Cu in waters with low pH and low hardness.

Animals↗
PubMed1999

Soft-copy versus hard-copy interpretation of voiding cystourethrography in neonates, infants, and children.

OBJECTIVE: Our aim is to determine whether agreement occurs between soft-copy (at a review workstation) and hard-copy (on laser-printed film) interpretations of fluoroscopic voiding cystourethrograms in neonates, infants, and children. SUBJECTS AND METHODS: Voiding cystourethrography was performed on 74 children (range, 2 weeks to 11 years old; mean, 3 years 6 months) for the evaluation of vesicoureteral reflux. The right and left ureters were scored separately by two observers on a scale of 0-5 using the international grading standard. Differences were tested for statistical significance with a marginal homogeneity test, and the strength of agreement was assessed using the kappa statistic. RESULTS: Of the 148 ureters evaluated, 39 showed vesicoureteral reflux and 109 showed no vesicoureteral reflux on both soft copy and hard copy. For 128 of 148 evaluations, interpretations of soft copy and hard copy produced agreement as to the grade of vesicoureteral reflux. For 11 of the 20 ureters with divergent interpretations, hard copy was scored one grade lower than soft copy; for the remaining nine ureters, hard copy was scored one grade higher than soft copy. No score differed by more than one grade. We found no statistically significant difference between soft-copy and hard-copy scores (p = .65), and agreement using the kappa statistic was substantial (.68). CONCLUSION: Soft-copy interpretation of voiding cystourethrograms is similar to hard-copy interpretation for vesicoureteral reflux.

Child↗
PubMed1990

Microvascular architecture of the hard palatine mucosa in the rabbit.

SEM studies on the microvascular architecture of the hard palatine mucosa, especially the transverse palatine plicae, and the morphological relations between the microvasculature and layers of the hard palate mucosa of the rabbit, were carried out by the acryl plastic injection method. The findings were compared with those obtained previously in the cat and Japanese monkey. Morphological differences and similarities between the papillae in the lamina propria and the capillary loops in the papillae were elucidated by SEM. A boneless area was found in the hard palate since the palatine fissures occupied a large area between the diastemata. The transverse palatine plicae numbered 14-16 symmetrically in the hard palate, and were more developed than those in the cat and Japanese monkey. In sagittal sections of the hard palate, the transverse palatine plicae were observed to be serrated, since they were located close to each other with small narrow interplical regions. The plical branches were usually derived from the major and minor hard palatine arteries, and formed the primary arterial network in the submucous layer of the hard palate. Twigs diverging from this network formed the second arterial plexus in the lamina propria, and furthermore, a subepithelial capillary network was formed immediately beneath the epithelium. From this network, capillary loops sprouted into papillae. Similarities were found between the papillae and capillary loops with locational differences. The descending crus of the capillary loop drained into the venous site of the subepithelial capillary network which flowed into the primary venous plexus in the lamina propria, which finally poured into the second venous plexus in the submucous layer. This plexus was termed the palatine venous plexus, and was especially well-developed in the area covering the palatine fissures. The capillary loops in the plica displayed characteristic features according to the portions within it and the interplical regions.

Animals↗
PubMed2000

[A study on the intrinsic compensative mechanism of craniofacial soft and hard tissue structures of Uygur adults with normal occlusion].

OBJECTIVE: To study the intrinsic compensative mechanism of craniofacial soft and hard tissue structures of Uygur adults with normal occlusion and establish standard cephalometric values to evaluate craniofacial soft and hard tissue structures of normal Uygur adults. METHODS: Lateral cephalometric radiographs of 93 Uygur adults with normal occlusion (43 men and 50 women) were evaluated with the same standard. Their age ranged from 18 to 25 years old, and they had normal and well-balanced faces without receiving any orthodontic treatment. Based on the study of craniofacial soft and hard tissue structures with normal occlusion, the horizontal tendency, the vertical tendency pattern and the medial pattern of craniofacial soft and hard tissue structures were compared, and the intrinsic compensative mechanism in the inner structures of the horizontal and the vertical tendency patterns was investigated. Finally 21 indexes were analysed by mean squar deviation and Newman-Keuls test. RESULTS: The obvious compensative changes in the horizontal and vertical tendency patterns were found in teeth, skeleton and soft-tissues. 1. When the horizontal tendency was compared with the medial pattern, the value of ODI and angles of FH-NA and FH-NB increased (P < 0.01), while the angle of SN-PP decreased (P < 0.01). It showed that the anterior maxilla rotated in the counter-clockwise direction, and the anterior mandible rotated in the clockwise direction. The angle of U1-L1 increased (P < 0.01), which meant that the inclination of anterior teeth decreased. 2. When the vertical tendency was compared with the medial pattern, the value of ODI decreased (P < 0.01), while the height of ANS-Me, U1-PP, L1-MP, and the thickness of LL-SnPg increased (P < 0.01); The angle of L1-MP decreased (P < 0.05), while the length of Sn-Stms increased (P < 0.05). These results showed that there was an obvious positive relationship between hard and soft tissues. The soft tissue thickness could compensate the changes of hard tissues to keep the facial patterns harmony. CONCLUSION: Normal occlusion depends on the homeostasis of teeth, skeleton and soft tissues, but doesn't only depend on the normal craniofacial soft and hard tissue structures respectively. The intrinsic compensative mechanism plays an important role in forming normal occlusion, therefore, doctors should choose the best treatment to obtain optimal individual intrinsic compensative mechanism and achieve an optimal balance between the craniofacial structures and the occlusion.

Adolescent↗