Top

Published in:

Open Access 01-12-2024 | Digital Volume Tomography | Research

CBCT analysis of mandibular position and bilateral symmetry in adult female patients with a deep overbite before and after flat bite plate treatment: a retrospective study

Authors: Huiqi Pang, Xiaoxia Che

Published in: European Journal of Medical Research | Issue 1/2024

Abstract

Aim

To determine whether three-dimensional measurements can assess symmetry and mandibular position with greater accuracy than traditional two-dimensional measurements.

Methods

Mimics 19 software was used for three-dimensional measurements of 20 adult female patients’ cone-beam computed tomography with deep overbite before and after flat bite plate treatment. Differences in mandible position and bilateral symmetry were assessed using the paired t test.

Results

Three-dimensional measurements showed that the condylar distance in the pogonion–Frankfort horizontal, pogonion–coronal, right and left gonion–coronal planes was significantly higher after flat bite plate treatment. However, flat bite treatment did not affect the distance between the vertex of the condyles and the gonion of each measurement reference plane. After flat bite plate treatment, the mandibles of adult female patients had rotated backward and downward, with the condyle as the centre; the chin had been backward. Bilateral symmetry remained unchanged.

Conclusions

Flat bite plate treatment in adult female patients resulted in a downward and downward rotation of the mandible, with the condyle as the centre, chin backward, and no significant change in bilateral symmetry.

Wu TY, Chang TF, Wu CH. True vertical changes in patients with skeletal class III malocclusion after nonsurgical orthodontic treatment-a retrospective study comparing different vertical facial patterns. J Dent Sci. 2022;17:1096–101. https://doi.org/10.1016/j.jds.2022.02.008.CrossRefPubMedPubMedCentral

Nanda R. Correction of deep overbite in adults. Dent Clin North Am. 1997;41:67–87. https://doi.org/10.1016/S0011-8532(22)00101-X.CrossRefPubMed

Al-Zoubi EM, Al-Nimri KS. A comparative study between the effect of reverse curve of Spee archwires and anterior bite turbos in the treatment of deep overbite cases. Angle Orthod. 2022;92:36–44. https://doi.org/10.2319/020921-117.1.CrossRefPubMed

Hourfar J, Kinzinger GSM, Frye L, et al. Effects of fixed functional orthodontic treatment in hypodivergent and hyperdivergent class II patients—a retrospective cephalometric investigation. Clin Oral Investig. 2023;27:4773–84. https://doi.org/10.1007/s00784-023-05105-z.CrossRefPubMedPubMedCentral

Elbarnashawy SG, Keesler MC, Alanazi SM, et al. Cephalometric evaluation of deep overbite correction using anterior bite turbos. Angle Orthod. 2023;93:507–12. https://doi.org/10.2319/061622-432.1.CrossRefPubMedPubMedCentral

Alkis HT, Pekince KA. Comparison of the asymmetry index determined on digital panoramic radiographic images and on posteroanterior cephalometric images: a retrospective cross-sectional study. J Orofac Orthop. 2023. https://doi.org/10.1007/s00056-022-00442-2.CrossRefPubMed

Perez PI, Hendershot K, Teixeira JC, et al. Analysis of cephalometric points in male and female mandibles: an application to gender-affirming facial surgery. J Craniofac Surg. 2023;34:1278–82. https://doi.org/10.1097/SCS.0000000000009189.CrossRefPubMed

Rask H, English JD, Colville C, et al. Cephalometric evaluation of changes in vertical dimension and molar position in adult non-extraction treatment with clear aligners and traditional fixed appliances. Dental Press J Orthod. 2021;26: e2119360. https://doi.org/10.1590/2177-6709.26.4.e2119360.oar.CrossRefPubMedPubMedCentral

Broadbent BH. A new X-ray technique and its application to orthodontia. Angle Orthod. 1931;1:45–66. https://doi.org/10.1043/0003-3219(1931)001%3c0045:ANXTAI%3e2.0.CO;2.CrossRef

10.

Tassoker M, Akin D, Aydin Kabakci AD, et al. Comparison of cone-beam computed tomography and panoramic radiography for mandibular morphometry. Folia Morphol (Warsz). 2019;78:862–70. https://doi.org/10.5603/FM.a2019.0031.CrossRefPubMed

11.

Chung EJ, Yang BE, Park IY, et al. Effectiveness of cone-beam computed tomography-generated cephalograms using artificial intelligence cephalometric analysis. Sci Rep. 2022;12:20585. https://doi.org/10.1038/s41598-022-25215-0.CrossRefPubMedPubMedCentral

12.

Albarakati SF, Kula KS, Ghoneima AA. The reliability and reproducibility of cephalometric measurements: a comparison of conventional and digital methods. Dentomaxillofac Radiol. 2012;41:11–7. https://doi.org/10.1259/dmfr/37010910.CrossRefPubMedPubMedCentral

13.

Ertty E, Méndez-Manjón I, Haas OL, et al. Definition of new three-dimensional cephalometric analysis of maxillomandibular sagittal relationship for orthodontics and orthognathic surgery: normative data based on 700 CBCT scans. J Craniofac Surg. 2023;34:1291–5. https://doi.org/10.1097/SCS.0000000000009267.CrossRefPubMed

14.

Kapila SD, Nervina JM. CBCT in orthodontics: assessment of treatment outcomes and indications for its use. Dentomaxillofac Radio. 2015;44:20140282. https://doi.org/10.1259/dmfr.20140282.CrossRef

15.

Maspero C, Farronato M, Bellincioni F, et al. Assessing mandibular body changes in growing subjects: a comparison of CBCT and reconstructed lateral cephalogram measurements. Sci Rep. 2020;10:11722. https://doi.org/10.1038/s41598-020-68562-6.CrossRefPubMedPubMedCentral

16.

Duangsuwan J, Raocharernporn S, Thiradilok S, et al. Computerized three-dimensional cephalometric template for Thai adults. Heliyon. 2023;9: e15077. https://doi.org/10.1016/j.heliyon.2023.e15077.CrossRefPubMedPubMedCentral

17.

Loiola MEA, Fuziy A, Higa RH, et al. In vivo three-dimensional cephalometric landmarks using CBCT for assessment of condylar volume and surface in individuals with Class I, II, and III malocclusions. Cranio. 2023;41:348–53. https://doi.org/10.1080/08869634.2020.1857616.CrossRefPubMed

18.

Liang SR, Gao WM, Bai YX, et al. Repeatability of three-dimensional measurements based on cone-beam CT images. Zhonghua Kou Qiang Yi Xue Za Zhi. 2013;48:248–52. https://doi.org/10.3760/cma.j.issn.1002-0098.2013.04.014.CrossRefPubMed

19.

Shi D, Yang X, Wu J. Research progress of reference coordinate system for three-dimensional cephalometric based on cone beam computed tomography. Int J Stomatol. 2021;48:398–404. https://doi.org/10.7518/gjkq.2021068.CrossRef

20.

Yang X. Three-dimensional visualization of soft tissue profile in the mid and lower face of patients with deep overbite. Beijing: Capital Medical University; 2018.

21.

Zhong T. Relationship between occlusal vertical dimension and mandibular morphology among different vertical facial types. Nanjing: Nanjing University; 2019.

22.

Zhang N, Liang S, Gao W, et al. A pilot study on three-dimensional mandible asymmetry in adolescents with normal occlusion in Beijing. Chin J Orthod. 2015;22:73–7. https://doi.org/10.3760/CMA.J.ISSN.1674-5760.2015.02.004.CrossRef

23.

Fu AS, Mehta NR, Forgione AG, et al. Maxillomandibular relationship in TMD patients before and after short-term flat plane bite plate therapy. Cranio. 2003;21:172–9. https://doi.org/10.1080/08869634.2003.11746247.CrossRefPubMed

24.

Ansari G, Showkatbakhsh R, Malekshah S, et al. The effect of anterior bite plate on deep bite correction during early mixed dentition. Avicenna J Dent Res. 2018;10:63–6. https://doi.org/10.34172/ajdr.2018.14.CrossRef

25.

Dai F, Wang L, Chen G, et al. Three-dimensional modeling of an individualized functional masticatory system and bite force analysis with an orthodontic bite plate. Int J Comput Assist Radiol Surg. 2016;11:217–29. https://doi.org/10.1007/s11548-015-1248-4.CrossRefPubMed

26.

Xu JG, Wang XX, Ren XS, et al. Myoelectricity study on wearing flat bite plate under different raised distances in deep overbite therapy. Hua Xi Kou Qiang Yi Xue Za Zhi (West China J Stomatol). 2019;27:301–4.

27.

Franchi L, Baccetti T, Giuntini V, et al. Outcomes of two-phase orthodontic treatment of deepbite malocclusions. Angle Orthod. 2011;81:945–52. https://doi.org/10.2319/033011-229.1.CrossRefPubMedPubMedCentral

28.

Thurman MM, King GJ, Ramsay DS, et al. The effect of an anterior biteplate on dental and skeletal Class II correction using headgears: a cephalometric study. Orthod Craniofac Res. 2011;14:213–21. https://doi.org/10.1111/j.1601-6343.2011.01526.x.CrossRefPubMed

29.

Shi W. CBCT research on Tmj morphological changes before and after orthodontic treatment of skeletal class II deep-overbite adult patients. Dalian: Dalian Medical University; 2019.

30.

Essrar D, Fayed MS, Abouelezz AMA, et al. Effect of using anterior bite plane in the treatment of growing orthodontic patients with deep over bite malocclusion. Acta Sci Dent Sci. 2021;5:24–36. https://doi.org/10.31080/ASDS.2020.05.1037.CrossRef

31.

Zhang X, Liu N, Wang Z, et al. Changes of condylar position in joint fossa of Angle class II deep overbite malocclusion adult patients treated by removable bite plate. Acad J Chin PLA Med Sch. 2017;038:831–3.

32.

Lisboa CO, Masterson D, da Motta AF, et al. Reliability and reproducibility of three-dimensional cephalometric landmarks using CBCT: a systematic review. J Appl Oral Sci. 2015;23:112–9. https://doi.org/10.1590/1678-775720140336.CrossRefPubMedPubMedCentral

33.

Liu N, Jia Q. Effect of bite plate on dentofacial structures in adult orthodontic patients. Chin J Orthod. 2017;24:151–4. https://doi.org/10.3760/cma.j.issn.1674-5760.2017.03.007.CrossRef

34.

Ganugapanta VR, Ponnada SR, Gaddam KP, et al. Computed tomographic evaluation of condylar symmetry and condyle-fossa relationship of the temporomandibular joint in subjects with normal occlusion and malocclusion: a comparative study. J Clin Diagn Res. 2017;11:Z29–33. https://doi.org/10.7860/JCDR/2017/21678.9328.CrossRef

35.

Huang C, Xu XL, Sun YC, et al. A preliminary study on the three-dimensional trajectory of condyle. Zhonghua Kou Qiang Yi Xue Za Zhi. 2018;53:669–73. https://doi.org/10.3760/cma.j.issn.1002-0098.2018.10.005.CrossRefPubMed

36.

Fu AS, Mehta NR, Forgione AG, Al-Badawi EA, Zawawi KH. Maxillomandibular relationship in TMD patients before and after short-term flat plane bite plate therapy. Cranio. 2003;21(3):172–9. https://doi.org/10.1080/08869634.2003.11746247.CrossRefPubMed

37.

Hamdan AM, Lewis SM, Kelleher KE, Elhady SN, Lindauer SJ. Does overbite reduction affect smile esthetics? Angle Orthod. 2019;89(6):847–54. https://doi.org/10.2319/030819-177.1.CrossRefPubMedPubMedCentral

38.

Wang J, Sun YF, Lu Q, Pang ST. Comparison of the application of micro-implant screw support and flat guide plate in the treatment of excessive deep overbite of lower anterior teeth. Shanghai Kou Qiang Yi Xue. 2024;33(3):301–5.PubMed

39.

Balasubramanian B, Sundaram NR, Boovaraghavan S, Gali RS, Venkatachalapathy S, Natarajan K. Management of class II hyperdivergent mandible by surgically altering occlusal plane pattern through counterclockwise rotation of mandible. J Contemp Dent Pract. 2021;22(9):1048–54.CrossRefPubMed

40.

Ceratti C, Maspero C, Consonni D, et al. Cone-beam computed tomographic assessment of the mandibular condylar volume in different skeletal patterns: a retrospective study in adult patients. Bioengineering (Basel). 2022;9:102. https://doi.org/10.3390/bioengineering9030102.CrossRefPubMed

41.

Li CX, Liu H, Gong ZC, et al. Effects of osseous structure based on three-dimensional reconstructive imaging evaluation in the assessment of temporomandibular joint disc position. Clin Oral Investig. 2023;27:1449–63. https://doi.org/10.1007/s00784-023-04936-0.CrossRefPubMed

42.

Liu LJ, Mao J, Long H, et al. Research progress on two-dimensional and three-dimensional cephalometric automatic landmarking. Int J Stomatol. 2022;49:100–8. https://doi.org/10.7518/gjkq.2022006.CrossRef

43.

Lang Y, Lian C, Xiao D, et al. Localization of craniomaxillofacial landmarks on CBCT images using 3D mask R-CNN and local dependency learning. IEEE Trans Med Imaging. 2022;41:2856–66. https://doi.org/10.1109/TMI.2022.3174513.CrossRefPubMedPubMedCentral

44.

Lu G, Shu H, Bao H, et al. CMF-Net: craniomaxillofacial landmark localization on CBCT images using geometric constraint and transformer. Phys Med Biol. 2023;68:095020. https://doi.org/10.1088/1361-6560/acb483.CrossRef

45.

Ahn J, Nguyen TP, Kim YJ, et al. Automated analysis of three-dimensional CBCT images taken in natural head position that combines facial profile processing and multiple deep-learning models. Comput Methods Programs Biomed. 2022;226: 107123. https://doi.org/10.1016/j.cmpb.2022.107123.CrossRefPubMed

Title: CBCT analysis of mandibular position and bilateral symmetry in adult female patients with a deep overbite before and after flat bite plate treatment: a retrospective study
Authors: Huiqi Pang
Xiaoxia Che
Publication date: 01-12-2024
Publisher: BioMed Central
Keywords: Digital Volume Tomography
Digital Volume Tomography
Published in: European Journal of Medical Research / Issue 1/2024
Electronic ISSN: 2047-783X
DOI: https://doi.org/10.1186/s40001-024-02130-w

Poria cocos inhibits the invasion, migration, and epithelial–mesenchymal transition of gastric cancer cells by inducing ferroptosis in cells

Open Access
Gastric Cancer
Research

Long-term outcomes of spinal fusion in adolescent idiopathic scoliosis: a literature review

Open Access
Adolescent Idiopathic Scoliosis
Research

Biomedical literature mining: graph kernel-based learning for gene–gene interaction extraction

Open Access
Addiction
Research

Predicting tumor invasion depth in gastric cancer: developing and validating multivariate models incorporating preoperative IVIM-DWI parameters and MRI morphological characteristics

Open Access
Gastric Cancer
Research

Effect of low-purine diet on the serum uric acid of gout patients in different clinical subtypes: a prospective cohort study

Open Access
Gout
Research

O-GlcNAcylation: a pro-survival response to acute stress in the cardiovascular and central nervous systems

Open Access
Review

Keynote series | Spotlight on menopause

Springer Medicine

CBCT analysis of mandibular position and bilateral symmetry in adult female patients with a deep overbite before and after flat bite plate treatment: a retrospective study

Abstract

Aim

Methods

Results

Conclusions

Other articles of this Issue 1/2024

Poria cocos inhibits the invasion, migration, and epithelial–mesenchymal transition of gastric cancer cells by inducing ferroptosis in cells

Long-term outcomes of spinal fusion in adolescent idiopathic scoliosis: a literature review

Biomedical literature mining: graph kernel-based learning for gene–gene interaction extraction

Predicting tumor invasion depth in gastric cancer: developing and validating multivariate models incorporating preoperative IVIM-DWI parameters and MRI morphological characteristics

Effect of low-purine diet on the serum uric acid of gout patients in different clinical subtypes: a prospective cohort study

O-GlcNAcylation: a pro-survival response to acute stress in the cardiovascular and central nervous systems

Keynote series | Spotlight on menopause

Springer Medicine

Abstract

Aim

Methods

Results

Conclusions

Please log in to get access to this content

Poria cocos inhibits the invasion, migration, and epithelial–mesenchymal transition of gastric cancer cells by inducing ferroptosis in cells

Long-term outcomes of spinal fusion in adolescent idiopathic scoliosis: a literature review

Biomedical literature mining: graph kernel-based learning for gene–gene interaction extraction

Predicting tumor invasion depth in gastric cancer: developing and validating multivariate models incorporating preoperative IVIM-DWI parameters and MRI morphological characteristics

Effect of low-purine diet on the serum uric acid of gout patients in different clinical subtypes: a prospective cohort study

O-GlcNAcylation: a pro-survival response to acute stress in the cardiovascular and central nervous systems