Skip to main content
Top
Published in: Surgical and Radiologic Anatomy 3/2017

01-03-2017 | Original Article

Prevalence of ponticulus posticus among patients with different dental malocclusions by digital lateral cephalogram: a comparative study

Authors: Mehmet Zahit Adisen, Melda Misirlioglu

Published in: Surgical and Radiologic Anatomy | Issue 3/2017

Login to get access

Abstract

Purpose

The aim of the present study was to investigate the prevalence of ponticulus posticus among patients with dental Angle class I, II, and III malocclusions in Middle Anatolian population.

Methods

A total of 1246 cephalometric radiographs were examined in a 6 months period. Each patient was assigned an identification number, and demographic information, absence/presence of PP, if present, type of PP and type of dental malocclusion were recorded by two observers. In cases where there was any disagreement, a third observer was consulted. Distributions of obtained values were analysed using Pearson’s Chi-square test.

Results

The mean age of subjects was 20.98 ± 6.95 years (range 10–39). In the analysed sample, PP had a prevalence of 18.8 % (complete form 9.6 %, incomplete form 9.2 %). There was a significant difference between genders (p = 0.002) (more prevalent in male patients: 119/522; 23 %). No significant difference was found between age groups (p > 0.05). PP was most frequently detected in Angle class III patients (78/351; 22.2 %) but there was no significant difference between malocclusion groups (p > 0.05).

Conclusion

In the present study, PP is found to be a relatively common anomaly in patients with dental malocclusions. Although Angle class III patients showed a higher frequency of PP, statistically no significant difference was found among dental malocclusion groups.
Literature
2.
go back to reference Bayrakdar IS, Miloglu O, Altun O, Gumussoy I, Durna D, Yilmaz AB (2014) Cone beam computed tomography imaging of ponticulus posticus: prevalence, characteristics, and a review of the literature. Oral Surg Oral Med Oral Pathol Oral Radiol 118:e210–e219. doi:10.1016/j.oooo.2014.09.014 CrossRefPubMed Bayrakdar IS, Miloglu O, Altun O, Gumussoy I, Durna D, Yilmaz AB (2014) Cone beam computed tomography imaging of ponticulus posticus: prevalence, characteristics, and a review of the literature. Oral Surg Oral Med Oral Pathol Oral Radiol 118:e210–e219. doi:10.​1016/​j.​oooo.​2014.​09.​014 CrossRefPubMed
3.
go back to reference Bui C, King T, Proffit W, Frazier-Bowers S (2006) Phenotypic characterization of Class III patients. Angle Orthod 76:564–569. doi:10.1043/0003-3219(2006)076[0564:PCOCIP]2.0.CO;2 Bui C, King T, Proffit W, Frazier-Bowers S (2006) Phenotypic characterization of Class III patients. Angle Orthod 76:564–569. doi:10.1043/0003-3219(2006)076[0564:PCOCIP]2.0.CO;2
4.
go back to reference Cederberg RA, Benson BW, Nunn M, English JD (2000) Arcuate foramen: prevalence by age, gender and degree of calcification. Clin Orthod Res 3:162–167CrossRef Cederberg RA, Benson BW, Nunn M, English JD (2000) Arcuate foramen: prevalence by age, gender and degree of calcification. Clin Orthod Res 3:162–167CrossRef
7.
go back to reference D’Attilio M, Epifania E, Ciuffolo F, Salini V, Filippi MR, Dolci M, Festa F, Tecco S (2004) Cervical lordosis angle measured on lateral cephalograms. Findings in skeletal class II female subjects with and without TMD: a cross sectional study. Cranio-the J Craniomandib Pract 22:27–44 D’Attilio M, Epifania E, Ciuffolo F, Salini V, Filippi MR, Dolci M, Festa F, Tecco S (2004) Cervical lordosis angle measured on lateral cephalograms. Findings in skeletal class II female subjects with and without TMD: a cross sectional study. Cranio-the J Craniomandib Pract 22:27–44
8.
go back to reference Elliott RE, Tanweer O (2014) The prevalence of the ponticulus posticus (arcuate foramen) and its importance in the Goel-Harms procedure: meta-analysis and review of the literature. World Neurosurg 82:e335–e343CrossRefPubMed Elliott RE, Tanweer O (2014) The prevalence of the ponticulus posticus (arcuate foramen) and its importance in the Goel-Harms procedure: meta-analysis and review of the literature. World Neurosurg 82:e335–e343CrossRefPubMed
9.
go back to reference Eriksen K (2003) Upper cervical subluxation complex: a review of chiropractic and medical literature. In: Eriksen K (ed) Vertebral arteries. Lippincott Williams and Wilkins, Philadelphia, p 57 Eriksen K (2003) Upper cervical subluxation complex: a review of chiropractic and medical literature. In: Eriksen K (ed) Vertebral arteries. Lippincott Williams and Wilkins, Philadelphia, p 57
10.
go back to reference Festa F, Tecco S, Dolci M, Ciufolo F, Di Meo S, Filippi MR, Ferritto AL, D’Attillio M (2003) Relationship between cervical lordosis and facial morphology in Caucasian women with a skeletal class II malocclusion: a cross-sectional study. Cranio-the J Craniomandib Pract 21:121–129 Festa F, Tecco S, Dolci M, Ciufolo F, Di Meo S, Filippi MR, Ferritto AL, D’Attillio M (2003) Relationship between cervical lordosis and facial morphology in Caucasian women with a skeletal class II malocclusion: a cross-sectional study. Cranio-the J Craniomandib Pract 21:121–129
12.
go back to reference Gibelli D, Cappella A, Cerutti E, Spagnoli L, Dolci C, Sforza C (2015) Prevalence of ponticulus posticus in a Northern Italian orthodontic population: a lateral cephalometric study. Surg Radiol Anat 38:309–312. doi:10.1007/s00276-015-1554-0 CrossRefPubMed Gibelli D, Cappella A, Cerutti E, Spagnoli L, Dolci C, Sforza C (2015) Prevalence of ponticulus posticus in a Northern Italian orthodontic population: a lateral cephalometric study. Surg Radiol Anat 38:309–312. doi:10.​1007/​s00276-015-1554-0 CrossRefPubMed
14.
go back to reference Hong JT, Lee SW, Son BC, Sung JH, Yang SH, Kim IS, Park CK (2008) Analysis of anatomical variations of bone and vascular structures around the posterior atlantal arch using three-dimensional computed tomography angiography. J Neurosurg-Spine 8:230–236. doi:10.3171/Spi/2008/3/3/230 CrossRefPubMed Hong JT, Lee SW, Son BC, Sung JH, Yang SH, Kim IS, Park CK (2008) Analysis of anatomical variations of bone and vascular structures around the posterior atlantal arch using three-dimensional computed tomography angiography. J Neurosurg-Spine 8:230–236. doi:10.​3171/​Spi/​2008/​3/​3/​230 CrossRefPubMed
16.
go back to reference Kendrick GS, Biggs NL (1963) Incidence of the ponticulus posticus of the first cervical vertebra between ages six to seventeen. Anat Rec 145:449–453CrossRefPubMed Kendrick GS, Biggs NL (1963) Incidence of the ponticulus posticus of the first cervical vertebra between ages six to seventeen. Anat Rec 145:449–453CrossRefPubMed
18.
go back to reference Leonardi R, Santarelli A, Barbato E, Ciavarella D, Bolouri S, Harle F, Palazzo G, Lo Muzio L (2010) Atlanto-occipital ligament calcification: a novel sign in nevoid basal cell carcinoma syndrome. Anticancer Res 30:4265–4267PubMed Leonardi R, Santarelli A, Barbato E, Ciavarella D, Bolouri S, Harle F, Palazzo G, Lo Muzio L (2010) Atlanto-occipital ligament calcification: a novel sign in nevoid basal cell carcinoma syndrome. Anticancer Res 30:4265–4267PubMed
19.
go back to reference Lippold C, Danesh G, Hoppe G, Drerup B, Hackenberg L (2006) Sagittal spinal posture in relation to craniofacial morphology. Angle Orthod 76:625–631. doi:10.1043/0003-3219(2006)076[0625:SSPIRT]2.0.CO;2 Lippold C, Danesh G, Hoppe G, Drerup B, Hackenberg L (2006) Sagittal spinal posture in relation to craniofacial morphology. Angle Orthod 76:625–631. doi:10.1043/0003-3219(2006)076[0625:SSPIRT]2.0.CO;2
20.
go back to reference Mudit G, Srinivas K, Satheesha R (2014) Retrospective analysis of ponticulus posticus in Indian orthodontic patients—a lateral cephalometric study. Ethiop J Health Sci 24:285–290CrossRefPubMedPubMedCentral Mudit G, Srinivas K, Satheesha R (2014) Retrospective analysis of ponticulus posticus in Indian orthodontic patients—a lateral cephalometric study. Ethiop J Health Sci 24:285–290CrossRefPubMedPubMedCentral
22.
go back to reference Proffit WR (2000) Contemporary orthodontics, 3rd edn. Mosby, St.Louis, pp 2–3 Proffit WR (2000) Contemporary orthodontics, 3rd edn. Mosby, St.Louis, pp 2–3
23.
go back to reference Sabir H, Kumbhare S, Rout P (2014) Evaluation of ponticulus posticus on digital lateral cephalograms and cone beam computed tomography in patients with migraine and healthy individuals: a comparative study. Oral Surg Oral Med Oral Pathol Oral Radiol 118:348–354. doi:10.1016/j.oooo.2014.04.016 CrossRefPubMed Sabir H, Kumbhare S, Rout P (2014) Evaluation of ponticulus posticus on digital lateral cephalograms and cone beam computed tomography in patients with migraine and healthy individuals: a comparative study. Oral Surg Oral Med Oral Pathol Oral Radiol 118:348–354. doi:10.​1016/​j.​oooo.​2014.​04.​016 CrossRefPubMed
27.
go back to reference Takaaki M, Masanori O, Hidenori U, Eikazu H, Seisuke T, Sotaro I (1979) Ponticulus ponticus: its clinical significance. Acta Med Kinki Univ 4:427–430 Takaaki M, Masanori O, Hidenori U, Eikazu H, Seisuke T, Sotaro I (1979) Ponticulus ponticus: its clinical significance. Acta Med Kinki Univ 4:427–430
29.
go back to reference Wight S, Osborne N, Breen AC (1999) Incidence of ponticulus posterior of the atlas in migraine and cervicogenic headache. J Manip Physiol Ther 22:15–20CrossRef Wight S, Osborne N, Breen AC (1999) Incidence of ponticulus posterior of the atlas in migraine and cervicogenic headache. J Manip Physiol Ther 22:15–20CrossRef
30.
go back to reference Young JP, Young PH, Ackermann MJ, Anderson PA, Riew KD (2005) The ponticulus posticus: implications for screw insertion into the first cervical lateral mass. J Bone Jt Surg Am 87:2495–2498. doi:10.2106/Jbjs.E.00184 Young JP, Young PH, Ackermann MJ, Anderson PA, Riew KD (2005) The ponticulus posticus: implications for screw insertion into the first cervical lateral mass. J Bone Jt Surg Am 87:2495–2498. doi:10.​2106/​Jbjs.​E.​00184
Metadata
Title
Prevalence of ponticulus posticus among patients with different dental malocclusions by digital lateral cephalogram: a comparative study
Authors
Mehmet Zahit Adisen
Melda Misirlioglu
Publication date
01-03-2017
Publisher
Springer Paris
Published in
Surgical and Radiologic Anatomy / Issue 3/2017
Print ISSN: 0930-1038
Electronic ISSN: 1279-8517
DOI
https://doi.org/10.1007/s00276-016-1728-4

Other articles of this Issue 3/2017

Surgical and Radiologic Anatomy 3/2017 Go to the issue