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Open Access 01-12-2023 | Computed Tomography | Research

Tridimensional assessment of the mandibular angle in patients with different skeletal patterns by cone-beam computed tomography scans: a retrospective study

Authors: Murilo Miranda-Viana, Gabriel Mosso Moreira, Larissa Moreira de Souza, Yuri Nejaim, Francisco Haiter-Neto, Deborah Queiroz Freitas

Published in: BMC Oral Health | Issue 1/2023

Abstract

Background

Since the muscles of chewing are involved in the region of the mandibular angle, important structures in surgical and orthodontic procedures, to study its morphological aspects and the possible influence of different patterns of skeletal development would be of interest. Thus, this study aimed to assess the influence of patient characteristics - such as sex, skeletal malocclusion (Class I, Class II, and Class III) and facial type (brachycephalic, mesocephalic, and dolichocephalic) - on the width, height, thickness, and volume of the mandibular angle, using cone-beam computed tomography (CBCT) scans.

Methods

CBCT scans were assessed − 144 men and 154 women, total of 298 - and classified according to skeletal patterns (skeletal malocclusions and facial types). Width, height, and thickness of the mandibular angle were measured using OnDemand 3D software. The volumetric measures of the mandibular angle were obtained using the ITK-SNAP software. Analysis of Variance (multiway ANOVA) with Tukey’s post-hoc test compared the data, with a 5% significance level.

Results

Among the factors studied, sex significantly influenced all the analyzed variables (height, width, thickness, and volume of the mandibular angle) (p < 0.05); in general, male individuals presented higher values than females. In some cases, the skeletal malocclusion and facial type factors influenced only the width and height variables (p < 0.05); in general, the Class III and dolichocephalic individuals presented higher values in relation to the other types of skeletal malocclusions and facial types.

Conclusions

Variations in the craniofacial growth pattern, considering the different skeletal malocclusions and facial types, had some influence in the width and height dimensions of the mandibular angle. Furthermore, sex influenced all the studied variables.

Ghosh S, Vengal M, Pai KM, Abhishek K. Remodeling of the antegonial angle region in the human mandible: a panoramic radiographic cross-sectional study. Med Oral Patol Oral Cir Bucal. 2010;15(5):5–10. https://doi.org/10.4317/medoral.15.e802.CrossRef

Cianferotti L, Brandi ML. Muscle-bone interactions: basic and clinical aspects. Endocrine. 2014;45(2):165–77. https://doi.org/10.1007/s12020-013-0026-8.CrossRefPubMed

Oettlé AC, Ehlers R, Steyn M. Changes in the mandibular angle during adulthood in South Africans. Am J Hum Biol. 2016;28(5):681–6. https://doi.org/10.1002/ajhb.22850.CrossRefPubMed

Lee HJ, Kim SJ, Lee KJ, Yu HS, Baik HS. Repeated injections of botulinum toxin into the masseter muscle induce bony changes in human adults: a longitudinal study. The Korean Journal of Orthodontics. 2017;47(4):222–8. https://doi.org/10.4041/kjod.2017.47.4.222.CrossRefPubMed

Lo LJ, Mardini S, Chen YR. Volumetric change of the muscles of mastication following resection of mandibular angles: a long-term follow-up. Ann Plast Surg. 2005;54(6):615–21. https://doi.org/10.1097/01.sap.0000157879.22779.3.CrossRefPubMed

Brasil DM, Kurita LM, Groppo FC, Haiter-Neto F. Relationship of craniofacial morphology in 3-dimensional analysis of the pharynx. Am J Orthod Dentofac Orthop. 2016;149(5):683–91. https://doi.org/10.1016/j.ajodo.2015.11.021.CrossRef

Mendoza LV, Bellot-Arcís C, Montiel-Company JM, García-Sanz V, Almerich-Silla JM, Paredes-Gallardo V. Linear and volumetric mandibular asymmetries in adult patients with different skeletal classes and vertical patterns: a cone-beam computed tomography study. Sci Rep. 2018;17(1):12319. https://doi.org/10.1038/s41598-018-30270-7.CrossRef

AMiranda-Viana M. Classification and morphological analysis of the hard palate in Cone-Beam Computed Tomography Scans: a retrospective study. J Oral Maxillofac Surg. 2021;79(3):695. https://doi.org/10.1016/j.joms.2020.11.024. .e1-695.e13.CrossRef

BMiranda-Viana M. Do the dimensions of the hard palate have a relationship with the volumes of the upper airways and maxillary sinuses? A CBCT study. BMC Oral Health. 2021;21(1):356. https://doi.org/10.1186/s12903-021-01724-8.CrossRef

10.

Tecco S, Saccucci M, Nucera R, Polimeni A, Pagnoni M, Cordasco G, Festa F, Iannetti G. Condylar volume, and surface in caucasian young adult subjects. BMC Med Imaging. 2010;31(10):28. https://doi.org/10.1186/1471-2342-10-28.CrossRef

11.

Saccucci M, Polimeni A, Festa F, Tecco S. Do skeletal cephalometric characteristics correlate with condylar volume, surface, and shape? A 3D analysis. Head Face Med. 2012;15(8):15. https://doi.org/10.1186/1746-160X-8-15.CrossRef

12.

Celik S, Celikoglu M, Buyuk SK, Sekerci AE. Mandibular vertical asymmetry in adult orthodontic patients with different vertical growth patterns: a cone beam computed tomography study. Angle Orthod. 2016;86(2):271–7. https://doi.org/10.2319/030515-135.1.CrossRefPubMed

13.

González MF, Pedersen TK, Dalstra M, Herlin T, Verna C. 3D evaluation of mandibular skeletal changes in juvenile arthritis patients treated with a distraction splint: a retrospective follow-up. Angle Orthod. 2016;86(5):846–53. https://doi.org/10.2319/081715-549.1.CrossRefPubMed

14.

Nakawaki T, Yamaguchi T, Tomita D, Hikita Y, Adel M, Katayama K, Maki K. Evaluation of mandibular volume classified by vertical skeletal dimensions with cone-beam computed tomography. Angle Orthod. 2016;86(6):949–54. https://doi.org/10.2319/103015-732.1.CrossRefPubMedPubMedCentral

15.

Steiner CC. Cephalometrics for you and me. Am J Orthod. 1953;39(10):729–55. https://doi.org/10.1016/0002-9416(53)90082-7.CrossRef

16.

Plaza SP, Reimpell A, Silva J, Montoya D. Relationship between skeletal class II and Class III malocclusions with vertical skeletal pattern. Dent Press J Orthod. 2019;24(4):63–72. https://doi.org/10.1590/2177-6709.24.4.063-072.oar.CrossRef

17.

Costa ED, Peyneau PD, Bolzan GP, Nejaim Y, Caruso JM, Roque-Torres GD. Guideline for manual classification of the facial profiles by CBCT image. Rev Odontol Bras Central. 2021;30(89):154–61. https://doi.org/10.36065/robrac.v30i89.1490.CrossRef

18.

Koo TK, Li MY. A Guideline of selecting and reporting Intraclass correlation coefficients for Reliability Research. J Chiropr Med. 2016;15(2):155–63. https://doi.org/10.1016/j.jcm.2016.02.012.CrossRefPubMedPubMedCentral

19.

Gomes AF, Nejaim Y, Brasil DM, Groppo FC, Ferreira Caria PH, Haiter-Neto F. Assessment of volume and height of the coronoid process in patients with different facial types and skeletal classes: a cone beam computed tomography study. J Oral Maxillofacial Surg. 2015;73(7). https://doi.org/10.1016/j.joms.2015.02.020.

20.

Reis ABR, Capelozza Filho L, de Almeida Cardoso M, Scanavini MA. Características cefalométricas dos indivíduos Padrão I. R Dent Press Ortodon Ortop Facial. 2005;10(1):67–78. https://doi.org/10.1590/S1415-54192005000100008.CrossRef

21.

Dutra V, Yang J, Devlin H, Susin C. Mandibular bone remodelling in adults: evaluation of panoramic radiographs. Dentomaxillofac Radiol. 2004;33:323–8. https://doi.org/10.1259/dmfr/17685970.CrossRefPubMed

22.

Kasai K, Richards LC, Kanazawa E, Ozaki T, Iwasawa T. Relationship between attachment of the superficial masseter muscle and craniofacial morphology in dentate and edentulous humans. J Dent Res 1994 Jun;73(6):1142–9. https://doi.org/10.1177/00220345940730060301.

23.

Arieta-Miranda JM, Silva-Valencia M, Flores-Mir C, Paredes-Sampen NA, Arriola-Guillen LE. Spatial analysis of condyle position according to sagittal skeletal relationship, assessed by cone beam computed tomography. Prog Orthod. 2013;18(14):1–9. https://doi.org/10.1186/2196-1042-14-36.CrossRef

24.

Lemes CR, Tozzi CF, Gribel S, Gribel BF, Venezian GC, do Carmo Menezes C, Custodio W. Mandibular ramus height and condyle distance asymmetries in individuals with different facial growth patterns: a cone-beam computed tomography study. Surg Radiol Anat. 2021;43(2):267–74. https://doi.org/10.1007/s00276-020-02577-6.CrossRefPubMed

25.

Katayama K, Yamaguchi T, Sugiura M, Haga S, Maki K. Evaluation of mandibular volume using cone-beam computed tomography and correlation with cephalometric values. Angle Orthod. 2014;84(2):337–42. https://doi.org/10.2319/012913-87.1.CrossRefPubMed

26.

Alhawasli RY, Ajaj MA, Hajeer MY, Al-Zahabi AMR, Mahaini L. Volumetric analysis of the Jaws in skeletal class I and III patients with different facial divergence using CBCT Imaging. Radiol Res Pract. 2022. https://doi.org/10.1155/2022/2416555.CrossRefPubMedPubMedCentral

27.

Olbrisch C, Santander P, Moser N, Klenke D, Meyer-Marcotty P, Quast A. Three-dimensional mandibular characteristics in skeletal malocclusion: a cross-sectional study. J Orofac Orthop. 2022. https://doi.org/10.1007/s00056-022-00419-1.CrossRefPubMed

28.

Rani S, Ravi MS. Masseter muscle thickness in different skeletal morphology: an ultrasonographic study. Indian J Dent Res. 2010;21(3):402–7. https://doi.org/10.4103/0970-9290.70812.CrossRefPubMed

29.

Kiliaridis S, Georgiakaki I, Katsaros C. Masseter muscle thickness and maxillary dental arch width. Eur J Orthod. 2003;25(3):259–63. https://doi.org/10.1093/ejo/25.3.259.CrossRefPubMed

30.

Katsaros C. Masticatory muscle function and transverse dentofacial growth. Swed Dent J Suppl. 2001; (151):1–47.

Title: Tridimensional assessment of the mandibular angle in patients with different skeletal patterns by cone-beam computed tomography scans: a retrospective study
Authors: Murilo Miranda-Viana
Gabriel Mosso Moreira
Larissa Moreira de Souza
Yuri Nejaim
Francisco Haiter-Neto
Deborah Queiroz Freitas
Publication date: 01-12-2023
Publisher: BioMed Central
Keywords: Computed Tomography
Computed Tomography
Published in: BMC Oral Health / Issue 1/2023
Electronic ISSN: 1472-6831
DOI: https://doi.org/10.1186/s12903-023-03074-z

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Springer Medicine

Tridimensional assessment of the mandibular angle in patients with different skeletal patterns by cone-beam computed tomography scans: a retrospective study

Abstract

Background

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Background

Methods

Results

Conclusions

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