An automated landmark method to describe geometric changes in the human mandible during growth

OBJECTIVE

The principal aim of this study was to assess an automatic landmarking approach to human mandibles based on the atlas method. The secondary aim was to identify the areas of greatest variation in the mandibles of middle-aged to older adults.

DESIGN

Our sample consisted of 160 mandibles from computed tomography scans of 80 men and 80 women aged between 40 and 79 years. Eleven anatomical landmarks were placed manually on mandibles. The automated landmarking through point cloud alignment and correspondence (ALPACA) method implemented in 3D Slicer was used to automatically place landmarks to all meshes. Euclidean distances, normalized centroid size, and Procrustes ANOVA were calculated for both methods. A pseudo-landmarks approach was followed using ALPACA to identify areas of changes among our sample.

RESULTS

The ALPACA method showed significant differences in Euclidean distances for all landmarks compared to the manual method. A mean Euclidean distance of 1.7 mm was found for the ALPACA method and 0.99 mm for the manual method. Both methods found that sex, age, and size had a significant effect on mandibular shape. The greatest variations were observed in the condyle, ramus, and symphysis regions.

CONCLUSION

The results obtained using the ALPACA method are acceptable and promising. This approach can automatically place landmarks with an average accuracy of less than 2 mm, which may be sufficient in most anthropometric analyses. In the light of our results, however, odontological application such as occlusal analysis is not recommended.

Reassessment of the human mandible from Banyoles (Girona, Spain)

Since the discovery of a human mandible in 1887 near the present-day city of Banyoles, northeastern Spain, researchers have generally emphasized its archaic features, including the lack of chin structures, and suggested affinities with the Neandertals or European Middle Pleistocene (Chibanian) specimens. Uranium-series and electron spin resonance dating suggest the mandible dates to the Late Pleistocene (Tarantian), approximately ca. 45-66 ka. In this study, we reassessed the taxonomic affinities of the Banyoles mandible by comparing it to samples of Middle Pleistocene fossils from Africa and Europe, Neandertals, Early and Upper Paleolithic modern humans, and recent modern humans. We evaluated the frequencies and expressions of morphological features and performed a three-dimensional geometric morphometric analysis on a virtual reconstruction of Banyoles to capture overall mandibular shape. Our results revealed no derived Neandertal morphological features in Banyoles. While a principal component analysis based on Euclidean distances from the first two principal components clearly grouped Banyoles with both fossil and recent Homo sapiens individuals, an analysis of the Procrustes residuals demonstrated that Banyoles did not fit into any of the comparative groups. The lack of Neandertal features in Banyoles is surprising considering its Late Pleistocene age. A consideration of the Middle Pleistocene fossil record in Europe and southwest Asia suggests that Banyoles is unlikely to represent a late-surviving Middle Pleistocene population. The lack of chin structures also complicates an assignment to H. sapiens, although early fossil H. sapiens do show somewhat variable development of the chin structures. Thus, Banyoles represents a non-Neandertal Late Pleistocene European individual and highlights the continuing signal of diversity in the hominin fossil record. The present situation makes Banyoles a prime candidate for ancient DNA or proteomic analyses, which may shed additional light on its taxonomic affinities.

Correlation of Pharyngeal Airway Dimensions with Maxillomandibular Skeletal Relation and Mandibular Morphology in Subjects with Skeletal Class I and Class II Malocclusions and Different Growth Patterns: A Cephalometric Study in Selected Local Population

OBJECTIVES

To test the hypothesis that there is no positive correlation between skeletal Class II and mandibular morphology with pharyngeal dimensions in subjects with different growth patterns.

MATERIALS AND METHODS

Lateral cephalograms of 60 patients were collected and divided into 2 groups, comprising of 30 in each group. Group 1 consisted of cephalograms of patients having Class I malocclusion, and was further divided into subgroups. 1a) Class I with normal growth 1b) Class I with vertical growth. Group 2 consisted of cephalograms of patients having class II malocclusion and was further divided into subgroups 2a) Class II with normal growth, 2b) Class II with vertical growth.

RESULTS

The results showed that the estimated marginal mean for upper pharyngeal width in class I malocclusion group was 8.56 mm, for class II malocclusion group was 7.80 mm, for normal growth individuals was 9.73 mm and that for vertical growth individuals was 6.63 mm. The estimated marginal mean for lower pharyngeal width in class I malocclusion group was 9.62 mm, in class II malocclusion group was 9.10 mm, in normal growth individuals was 8.95 mm and that in vertical growth individuals was 9.77 mm. The estimated marginal mean for pharyngeal area in class I malocclusion group is 330.13 sq.mm, in class II malocclusion group is 308.17 sq.mm, in normal growth individuals is 328.47sq.mm and that in vertical growth individuals is 309.83 sq.mm.

CONCLUSIONS

The null hypothesis for this study, as per the statistical analysis, has been rejected.

Robin Sequence: Neonatal Mandibular Distraction

Pierre Robin sequence is defined by the clinical triad: mandibular hypoplasia, glossoptosis, and airway obstruction. Mandibular distraction osteogenesis (MDO) is a standard treatment of Robin sequence associated with severe airway obstruction and is the only intervention that directly corrects the underlying anatomic pathologic condition. Compared with tongue-lip adhesion, MDO has demonstrated more success in treating airway obstruction in infants with Pierre Robin sequence, including patients with syndromic diagnoses and concomitant anomalies. This article provides a current, comprehensive review of neonatal mandibular distraction and offers treatment guidelines based on a combined surgical experience of more than 400 patients.

Comparison of mandibular cross-sectional morphology between Class I and Class II subjects with different vertical patterns: based on CBCT images and statistical shape analysis

Background

This study is aimed to (1) investigate the influence of sagittal and vertical patterns on mandibular cross-sectional morphology and to (2) provide visualized mandibular cross-sectional morphology in different groups with General Procrustes Analysis (GPA), canonical variance analysis (CVA) and discriminant function analysis (DFA).

Methods

324 cone-beam computed tomography (CBCT) images were collected to analyze mandibular cross-sectional morphology and were categorized into 12 groups according to sagittal and vertical pattern and gender. One-way analysis of variance (ANOVA) was used to compare the difference among the groups. Thirty equidistant points were marked along the contour of mandibular cross-section and GPA, CVA and DFA were applied.

Results

(1) Mandibular height in hyperdivergent groups was significantly higher than that in normodivergent and hypodivergent groups (P < 0.05). (2) Hypodivergent groups showed significantly wider upper third of mandibular width from symphysis to molar region than that in hyperdivergent group (P < 0.05), except for the premolar and molar regions in male groups (P > 0.05). (3) Class II hyperdivergent group showed narrowest lower third width in the molar region, with the mean value of 12.03 mm in females and 11.98 mm in males. (4) For males and females, the ratio between height and lower third width at symphysis was significantly higher in Class II hyperdivergent group than that in Class I hyperdivergent group (P < 0.05).

Conclusions

(1) The influence of vertical facial patterns on mandibular cross-sectional morphology is more obvious than that of sagittal skeletal pattern. (2) Subjects with increased vertical dimension presented with a remarkable “slimer” mandibular cross-sectional morphology at symphysis. (3) A deeper curve along the anterior contour of symphysis in Class II hyperdivergent group was noted with GPA.

Supplementary Information

The online version contains supplementary material available at 10.1186/s12903-021-01591-3.

Nasomaxillary and mandibular bone growth in primary school girls aged 7 to 12 years

Background/purpose

Facial bone growth manifests in primary school-aged children, especially girls. This study investigated the changes in nasomaxillary and mandibular morphology of primary school girls.

Materials and methods

Cephalograms of 60 primary school girls were divided into 3 groups (group I, aged 7–8 years; group II, aged 9–10 years; and group III, aged 11–12 years). The dimensions of the nasomaxilla (nasal bone length, nasal ridge length, nasal depth, palatal length, and maxillary height) and mandible (condylar length, condylar width, coronoid length, coronoid width, ramus length, body length, symphysis length, and entire mandibular length) were measured. One-way ANOVA and Pearson's correlation coefficient were used for statistical analysis.

Results

Nasal ridge length, nasal depth, and maxillary height were significantly greater in group III than in group I and group II. Condylar width and body length were significantly greater in group III than in group I and group II. Pearson's correlation revealed significant positive correlations between age and nasal ridge length, nasal depth, or maxillary height. There were also significant positive correlations between age and ramus length, body length, or entire length of the mandible.

Conclusion

We found that nasal ridge length, nasal depth, maxillary height, condylar width and body length were significantly greater in group III than in group I or in group II. Moreover, there were significant correlations between age and the nasal ridge length, nasal depth, maxillary height, ramus length, body length, or entire length of the mandible.

Evaluation of condylar cortical bone thickness in patient groups with different vertical facial dimensions using cone-beam computed tomography

The aim of this study is to evaluate through computed tomography differences in cortical plate thickness of condyle in patients with a different facial vertical skeletal pattern. The final sample of this retrospective study included CBCT exams of 60 adult subjects (mean age 33.2 ± 5.6), selected from the digital archive of a private practice. The subjects were assigned to 3 different groups according to the values of the Frankfurt-mandibular plane angle: hyper-, normo-, and hypodivergent groups. The volume rendering of the mandible was obtained and three condylar points were marked on it: median pole, lateral pole and the most cranial point. For each considered reference point, the minimum distance between external and internal cortical surface was measured, obtaining three different outcomes: condylar cortical bone thickness of median pole (CCBToMP), lateral pole (CCBToLP) and cranial pole (CCBToCP). The measurements were executed by means of Mimics software by the same expert operator in specific scan views. The cortical bone thickness of hyperdivergent patients was found to be statistically thicker than normodivergent patients and hypodivergent patients. Cortical bone thickness of normodivergent patients was found thicker than hypodivergent patients. All the differences were statistically significant (p < 0.05). The Pearson correlation coefficient showed a statistically significant correlation (p < 0.001) between the Frankfurt-mandibular plane angle and the evaluated cortical bone thickness outcomes. Facial biotype characteristics that define vertical facial skeletal pattern affect the cortical bone thickness of mandibular condyle.

Comprehending the three-dimensional mandibular morphology of facial asymmetry patients with mandibular prognathism

Background

The purpose of this study was to elucidate the factors that cause facial asymmetry by comparing the characteristics of the mandibular morphology in patients with mandibular prognathism with or without facial asymmetry using three-dimensional computed tomography (3D-CT).

Methods

We studied 28 mandibular prognathism patients whose menton deviated by ≥ 4 mm from the midline (FA group, n = 14) and those with a < 4-mm deviation (NA group, n = 14). DICOM data from multislice CT images were reconstructed and analysed using 3D image analysing software. Mandibular structures were assessed via linear, angular, or volumetric measurements and analysed statistically.

Results

The lengths of the ramal and body components and condylar volume in the FA group were significantly greater on the nondeviated side than those on the deviated side. The mandibular body length of the nondeviated side in the FA group was significantly longer than that of the NA group. Other components of the FA group did not significantly differ from those of the NA group.

Conclusions

Imbalances in the sizes of the ramal and body components as well as the increased body length of the nondeviated side in the FA group compared with that of the NA group may contribute to facial asymmetry in patients with mandibular prognathism.

PLEIOTROPIC EFFECTS OF INDIVIDUAL GENE LOCI ON MANDIBULAR MORPHOLOGY

The genotypic basis of morphological variation is largely unknown. In this study we examine patterns of pleiotropic effects on mandibular morphology at individual gene loci to determine whether the pleiotropic effects of individual genes are restricted to functionally and developmentally related traits. Mandibular measurements were obtained from 480 mice from the F₂ generation of an intercross between the LG/J and SM/J mouse strains. DNA was also extracted from these animals, and 76 microsatellite loci covering the autosomes were scored. Interval mapping was used to detect chromosomal locations with significant effects on various mandibular measurements. Sets of traits mapping to a common chromosomal region were considered as being affected by a single quantitative trait locus (QTL) for mandibular morphology. Thirty-seven such chromosomal regions were identified spread throughout the autosomes. Gene effects were small to moderate with the allele derived from the LG/J strain typically leading to larger size. When dominance was present, the LG/J allele was typically dominant to the SM/J allele. Most loci affected restricted functional and developmental regions of the mandible. Of the 26 chromosomal regions affecting more than two traits, 50% affect the muscular processes of the ascending ramus, 27% affect the alveolar processes carrying the teeth, and 23% affect the whole mandible. Four additional locations affecting two traits had effects significantly associated with alveolar regions. Pleiotropic effects are typically restricted to morphologically integrated complexes.

Chewed out: an experimental link between food material properties and repetitive loading of the masticatory apparatus in mammals

Using a model organism (rabbits) that resembles a number of mammalian herbivores in key aspects of its chewing behaviors, we examined how variation in dietary mechanical properties affects food breakdown during mastication. Such data have implications for understanding phenotypic variation in the mammalian feeding apparatus, particularly with respect to linking jaw form to diet-induced repetitive loading. Results indicate that chewing frequency (chews/s) is independent of food properties, whereas chewing investment (chews/g) and chewing duration(s), which are proportional to repetitive loading of the jaws, are positively related to food stiffness and toughness. In comparisons of displacement-limited and stress-limited fragmentation indices, which respectively characterize the intraoral breakdown of tough and stiff foods, increases in chewing investment and duration are linked solely to stiffness. This suggests that stiffer foods engender higher peak loads and increased cyclical loading. Our findings challenge conventional wisdom by demonstrating that toughness does not, by itself, underlie increases in cyclical loading and loading duration. Instead, tough foods may be associated with such jaw-loading patterns because they must be processed in greater volumes owing to their lower nutritive quality and for longer periods of time to increase oral exposure to salivary chemicals.

Morphological features of the mandible as predictors for neurosensory disturbances after bilateral sagittal split osteotomy

This retrospective study aimed to identify anatomical predictors of neurosensory disturbance (NSD) after bilateral sagittal split ramus osteotomy (BSSO) by evaluating the morphology of the mandible on lateral cephalograms (LCs) and orthopantomograms (OPTs). The LCs and OPTs of 142 patients who underwent BSSO were reviewed. The influence of the mandibular angle was assessed on LCs, while the following morphological landmarks and subsequent measurements were analysed on OPTs: vertical and horizontal positions of the lingula, ramus width, mandibular body height, mandibular canal position and mandibular angle length. Post-operative NSD (hypoaesthesia) was considered permanent when objective tests or subjective evaluations indicated altered sensation one year after BSSO. Generalised linear mixed models were used to take into account the repeated measurement design (left and right measurements within one patient). Hypoaesthesia was present in 10.6% of the patients (5.6% of sites). After adjusting for age, a small mandibular body height was found to significantly increase the risk of hypoaesthesia. The other measurements showed no significant association with hypoaesthesia. These findings show a relationship between mandibular morphology and hypoaesthesia after BSSO and can aid surgeons in pre-operative assessments of the risk of NSD. Further research is needed to identify risk factors for NSD based on mandibular morphology.

Food mechanical properties, feeding ecology, and the mandibular morphology of wild orangutans

Bornean orangutan mandibular morphology has been functionally linked to the exploitation of hard and tough foods, based on evidence that Pongo pygmaeus wurmbii spends a greater percentage of time feeding on bark, seeds and vegetation compared with Pongo abelii (Sumatran orangutans) and the assumption that these tissues are more challenging to process than fruit pulp. We measured and compared toughness (R) and Young's modulus (E) of ripe and unripe foods exploited by P. abelii and P. p. wurmbii. Additionally, we recorded and compared the percentage of time these orangutans fed on plants/plant parts of varying degrees of R and E. Compared with P. abelii, P. p. wurmbii consumed significantly tougher and more displacement limited (R/E)(0.5) fruit parts, leaves and inner bark, and spent a significantly greater percentage of time feeding on immature leaves, unripe fruit and other vegetation. Modulus did not vary as expected between species, likely because we failed to capture the high-end range of modulus values for tissues consumed by P. p. wurmbii. Notably, P. p. wurmbii spent ∼40% of its feeding time on the toughest foods consumed (between 1000 and 4000 J m(-2)). Thus, the hypothesis that mandibular robusticity in P. p. wurmbii is functionally linked to feeding on tough foods is supported and is likely related to countering relatively larger external forces and/or repetitive loads required to process the toughest tissues. The importance of elastic modulus on morphological divergence awaits future studies capturing the full range of this material property for P. p. wurmbii. Finally, phenophase and fruit availability influence orangutan species differences in food material properties and percentage of time spent feeding on various foods, emphasizing the importance of incorporating these variables in future studies of feeding ecology and craniodental morphology in extant taxa.