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PubMed1989

[A morphological study of the cranial base and dentofacial structure of Japanese with Angle Class II, div. 1 malocclusion--as compared with American white with Angle Class II, div. 1 malocclusion].

The purpose of this study was to clarify the morphological differences of Angle class II, div. 1 malocclusion between Japanese and American Caucasians by comparing their cranial base and dentofacial morphology. Materials were lateral cephalograms of 61 Japanese (30 males: mean age 12y3m and 31 females: mean age 12y10m) and 67 American Caucasians (27 males: mean age 13y6m and 40 females: mean age 13y) with Angle class II, div. 1 permanent dentition. Results were as follows: 1. The anterior cranial base length in Japanese with Angle class II, div. 1 malocclusion was significantly shorter than that of American Caucasians. 2. The maxillary length in Japanese with Angle class II, div. 1 malocclusion was significantly shorter than that of American Caucasians. 3. Less than SNA, less than SNB and less than ANB showed no significant difference between Japanese and American Caucasians with Angle class II, div. 1 malocclusion. 4. The whole mandibular length in Angle class II, div. 1 malocclusion of Japanese males and American males showed no significant difference. But the mandibular body length of Angle class II, div. 1 malocclusion in Japanese females was significantly shorter than that of American ones. 5. No significant difference was observed in gonial angle when the two groups were studied. 6. As compared with American Caucasians, the backward rotation of the mandible was evidently observed in Japanese with Angle class II, div. 1 malocclusion.

Adolescent↗

PubMed1998

Malocclusion traits and symptoms and signs of temporomandibular disorders in children with severe malocclusion.

The present study reports the prevalence of the various traits of malocclusion, as well as the occurrence of associations between malocclusion, and symptoms and signs of temporomandibular disorders (TMD) in children selected for orthodontic treatment by the new Danish procedure for screening the child population for severe malocclusions entailing health risks. The sample comprised 104 children (56 F, 48 M) aged 7-13. Malocclusion traits were recorded at the time of selection, symptoms and signs of TMD were recorded at recall. The most prevalent malocclusion traits were distal molar occlusion (Angle Class II; 72 per cent), crowding (57 per cent), extreme maxillary overjet (37 per cent) and deep bite (31 per cent). Agenesis or peg-shaped lateral teeth were observed in 14 per cent of the children. The most prevalent symptom of TMD was weekly headache (27 per cent); the most prevalent signs of TMD were tenderness in the anterior temporal, occipital, trapezius, and superficial and profound masseter muscles (39-34 per cent). Seven per cent of the children were referred for TMD treatment. The Danish TMD screening procedure was positive in 26 per cent, while 20 per cent had severe symptoms (Aill), and 30 per cent had moderate signs (Dill) according to Helkimo (1974). Symptoms and signs of TMD were significantly associated with distal molar occlusion, extreme maxillary overjet, open bite, unilateral crossbite, midline displacement, and errors of tooth formation. The analysis suggests that there is a higher risk of children with severe malocclusions developing TMD. Errors of tooth formation in the form of agenesis or peg-shaped lateral teeth showed the largest number of associations with symptoms and signs of TMD; these associations have not previously been reported in the literature.

Adolescent↗

PubMed1999

Cephalometric differentiation between vertical and horizontal malocclusions in 122 Europeans using the Denture Frame Analysis and standard measurements. Differentiation between vertical and horizontal malocclusion.

This study evaluated the ability of some cephalometric measurements to differentiate between horizontal and vertical malocclusions and normal occlusion. Based upon the Angle classification and the vertical incisor overbite, 122 randomly selected subjects were assigned to 3 horizontal and 3 vertical groups: neutrocclusion, distocclusion, mesiocclusion as well as open bite, normal overbite, and deep bite. Evaluation of the lateral cephalograms was based on Denture Frame Analysis and cephalometric standard measurements (SNA, SNB, ANB, Wits appraisal, Björk polygon, overbite depth indicator, incisor inclination, incisor protrusion, facial height ratio). The statistical evaluation assessed the ability of the measurements to show significant differences between the individual horizontal and vertical groups. Using Denture Frame Analysis, all vertical groups could be differentiated by the occlusomandibular angle (OP-MP) and all horizontal groups by the angle between the A-B plane and the mandibular plane as well as by the inclination of the upper incisors to the A-B plane with statistical significance (p < 0.05). Among the standard measurements, the Wits appraisal was the only one to show differences between all horizontal groups with statistical significance. None of the standard measurements could fully differentiate the vertical groups. The above measurements from the Denture Frame Analysis distinguished the types of malocclusion in anteroposterior and vertical direction including significant distinction between the neutrocclusion group and the malocclusion groups. Therefore a cephalometric classification was feasible in terms of hyper- and hypodivergence as well as of a mesial or distal dentofacial relationship.

Adolescent↗

PubMed1992

Malocclusion and masticatory muscle activity: a comparison of four types of malocclusion.

Electromyographic activities of the temporalis and masseter muscles during mastication were measured in patients who visited this clinic for orthodontic treatment of progenia. The results obtained were compared with those previously obtained in patients with other types of malocclusion and relationships between types of malocclusion and activities of the masticatory muscles were examined. Several interesting results were obtained, including: 1) the muscle activities were significantly higher in patients with deep bite than in patients with any other types of malocclusion and 2) inefficient mastication patterns, evidenced by higher temporalis muscle activities on the balancing side than on the working side, were most frequently observed in patients with edge bite. These results indicate that the clinical evaluation of masticatory muscle activities may be useful in improving orthodontic treatment and in determining a proper retention period after the treatment. The results also suggest that orthodontic treatment should include some type of dynamic myofunctional therapy in addition to the correction of static structural abnormalities.

Child↗

PubMed1999

The heritability of malocclusion: part 2. The influence of genetics in malocclusion.

The relative influence of genetics and environmental factors in the aetiology of malocclusion has been a matter for discussion, debate and controversy in the orthodontic literature. This paper reviews the literature and summarises the evidence for the influence of genetics in dental anomalies and malocclusion. Among the conclusions are that, while phenotype is inevitably the result of both genetic and environmental factors, there is irrefutable evidence for a significant genetic influence in many dental and occlusal variables. The influence of genetics however varies according to the trait under consideration and in general remains poorly understood. More precise research tools and methods are required to improve knowledge and understanding, which in turn is a prerequisite to the appreciation of the potential for genetic and/or environmental manipulation in orthodontic therapy.

Dental Occlusion↗

PubMed1980

Differential diagnosis of class II malocclusions. Part 1. Facial types associated with class II malocclusions.

By means of computer-based statistical methods, several types of Class II malocclusion have been discovered with defining horizontal and vertical characteristics. Of the six horizontal types, four are severe syndromes, one is a loose, ill-defined grouping of cases with mild skeletal features, and one has only the dental features of Class II. Five vertical types associates with Class II were also revealed, although each vertical is not associated with all horizontal types. A simplified simulation of the computerized procedures has been developed for routine use in clinical practice.

Child↗

PubMed1996

A Class II, Division 1 malocclusion: A malocclusion with a significant mandibular arch length deficiency.

The malocclusion had a dental asymmetry that was corrected with the extraction of the maxillary right and left premolars and the mandibular left first premolar. Treatment objectives included: alleviation of maxillary and mandibular arch length deficiencies, maintenance of the maxillary midline conincident with the facial midline, correction of the mandibular midline which was off to the right, overbite and overjet correction, and attainment of a Class I canine relationship on the right side. [This case was presented to the American Board of Orthodontics in partial fulfillment of the requirement for the certification process conducted by the Board.]

Adolescent↗

PubMed1977