Nobre R, de Castro SM, Ponces MJ, Lopes JD, Ferreira AP. The relation between mandibular symphysis and the Angle class in orthodontic treatment.
Med Pharm Rep 2022;
95:446-454. [PMID:
36506613 PMCID:
PMC9694742 DOI:
10.15386/mpr-2416]
[Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/27/2021] [Revised: 04/07/2022] [Accepted: 05/19/2022] [Indexed: 11/06/2022] Open
Abstract
Objectives
Facial perception depends on the different components of the face. The chin is a striking anatomical structure in the individual's identity and mandibular symphysis (MS) shape influences the adjacent soft tissue, determining facial harmony. In lateral cephalometry, the MS corresponds to the image of the mandibular body in its anterior curvature. It shape, inclination and thickness provide valuable information for orthodontic diagnosis and prognosis. Since facial features are associated with malocclusions, the present investigation aims to relate the height, thickness and inclination of the MS using Angle's Class.
Methods
495 lateral incidence cephalograms of an orthodontic population were analyzed using a previously developed and tested software. The sample was randomly selected and the height, thickness and inclination of the MS were measured. The values were statistically analyzed (p ≤ 0.05).
Results
The distribution according to Angle's Class was 48.9% for Class I, 34.7% for Class II Division 1, 7.4% for Class II Division 2 and 8.9% for Class III. The MS height did not't show significant differences between the three dental classes. The MS thickness was significantly increased in Class II Division 2 and Class I subjects (p = 0,037). The MS inclination was significantly less in Class III subjects when compared to Class I and Class II Division 1 (p ≤ 0.001).
Conclusions
The MS presented variations, which may be associated with a natural compensation against malocclusion, influencing the position of the teeth and their relationship with the other dento-craniofacial structures and with consequences on the facial harmony.
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