Impact of different cephalometric skeletal configurations on anatomic midface parameters in adults
Objectives Skull morphology and growth patterns are essential for orthodontic treatment, impacting clinical decision making. We aimed to determine the association of different cephalometric skeletal configurations on midface parameters as measured in 3D CT datasets. Materials and methods After sampl...
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| Autor*in: |
Willershausen, Ines [verfasserIn] |
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| Format: |
E-Artikel |
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| Sprache: |
Englisch |
| Erschienen: |
2023 |
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| Schlagwörter: |
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| Anmerkung: |
© The Author(s) 2023 |
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| Übergeordnetes Werk: |
Enthalten in: Clinical Oral Investigations - Springer-Verlag, 2001, 28(2023), 1 vom: 29. Dez. |
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| Übergeordnetes Werk: |
volume:28 ; year:2023 ; number:1 ; day:29 ; month:12 |
| Links: |
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| DOI / URN: |
10.1007/s00784-023-05472-7 |
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SPR054204054 |
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| 245 | 1 | 0 | |a Impact of different cephalometric skeletal configurations on anatomic midface parameters in adults |
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| 520 | |a Objectives Skull morphology and growth patterns are essential for orthodontic treatment, impacting clinical decision making. We aimed to determine the association of different cephalometric skeletal configurations on midface parameters as measured in 3D CT datasets. Materials and methods After sample size calculation, a total of 240 fully dentulous patients between 20 and 79 years of age (mean age: 42 ± 15), who had received a CT of the skull within the scope of trauma diagnosis or intracranial bleeding, were retrospectively selected. On the basis of cephalometric analysis, using MPR reconstructions, patients were subdivided into three different vertical skull configurations (brachyfacial, mesofacial, dolichofacial) and the respective skeletal Class I, II, and III relationships. Anatomic parameters were measured using a three-dimensional post-processing console: the thickness of the maxillary and palatine bones as well as the alveolar crest, maxillary body and sutural length, width and height of the hard palate, maxillary facial wall thickness, and masseter muscle thickness and length. Results Individuals with brachyfacial configurations had a significantly increased palatal and alveolar ridge thicknesses compared to those with dolichofacial- or mesofacial configurations. Brachyfacial configurations presented a significantly increased length and thickness of the masseter muscle (4.599 cm; 1.526 cm) than mesofacial (4.431 cm; 1.466 cm) and dolichofacial configurations (4.405 cm; 1.397 cm) (p < 0.001). Individuals with a skeletal Class III had a significantly shorter palatal length (5.313 cm) than those with Class I (5.406 cm) and Class II (5.404 cm) (p < 0.01). Sutural length was also significantly shorter in Class III (p < 0.05). Conclusions Skeletal configurations have an impact on parameters of the bony skull. Also, measurable adaptations of the muscular phenotype could result. Clinical relevance The association between viscerocranial morphology and midface anatomy might be beneficial for tailoring orthodontic appliances to individual anatomy and planning cortically anchored orthodontic appliances. | ||
| 650 | 4 | |a Midface |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Anatomy |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Computed tomography |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Cephalometry |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Orthodontics |7 (dpeaa)DE-He213 | |
| 650 | 4 | |a Ultra-high-resolution datasets |7 (dpeaa)DE-He213 | |
| 700 | 1 | |a Ehrenfried, Amelie |4 aut | |
| 700 | 1 | |a Krautkremer, Franziska |4 aut | |
| 700 | 1 | |a Ströbel, Armin |4 aut | |
| 700 | 1 | |a Seidel, Corinna Lesley |4 aut | |
| 700 | 1 | |a Paulsen, Friedrich |4 aut | |
| 700 | 1 | |a Kopp, Markus |4 aut | |
| 700 | 1 | |a Uder, Michael |4 aut | |
| 700 | 1 | |a Gölz, Lina |4 aut | |
| 700 | 1 | |a May, Matthias Stefan |4 aut | |
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10.1007/s00784-023-05472-7 doi (DE-627)SPR054204054 (SPR)s00784-023-05472-7-e DE-627 ger DE-627 rakwb eng Willershausen, Ines verfasserin aut Impact of different cephalometric skeletal configurations on anatomic midface parameters in adults 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2023 Objectives Skull morphology and growth patterns are essential for orthodontic treatment, impacting clinical decision making. We aimed to determine the association of different cephalometric skeletal configurations on midface parameters as measured in 3D CT datasets. Materials and methods After sample size calculation, a total of 240 fully dentulous patients between 20 and 79 years of age (mean age: 42 ± 15), who had received a CT of the skull within the scope of trauma diagnosis or intracranial bleeding, were retrospectively selected. On the basis of cephalometric analysis, using MPR reconstructions, patients were subdivided into three different vertical skull configurations (brachyfacial, mesofacial, dolichofacial) and the respective skeletal Class I, II, and III relationships. Anatomic parameters were measured using a three-dimensional post-processing console: the thickness of the maxillary and palatine bones as well as the alveolar crest, maxillary body and sutural length, width and height of the hard palate, maxillary facial wall thickness, and masseter muscle thickness and length. Results Individuals with brachyfacial configurations had a significantly increased palatal and alveolar ridge thicknesses compared to those with dolichofacial- or mesofacial configurations. Brachyfacial configurations presented a significantly increased length and thickness of the masseter muscle (4.599 cm; 1.526 cm) than mesofacial (4.431 cm; 1.466 cm) and dolichofacial configurations (4.405 cm; 1.397 cm) (p < 0.001). Individuals with a skeletal Class III had a significantly shorter palatal length (5.313 cm) than those with Class I (5.406 cm) and Class II (5.404 cm) (p < 0.01). Sutural length was also significantly shorter in Class III (p < 0.05). Conclusions Skeletal configurations have an impact on parameters of the bony skull. Also, measurable adaptations of the muscular phenotype could result. Clinical relevance The association between viscerocranial morphology and midface anatomy might be beneficial for tailoring orthodontic appliances to individual anatomy and planning cortically anchored orthodontic appliances. Midface (dpeaa)DE-He213 Anatomy (dpeaa)DE-He213 Computed tomography (dpeaa)DE-He213 Cephalometry (dpeaa)DE-He213 Orthodontics (dpeaa)DE-He213 Ultra-high-resolution datasets (dpeaa)DE-He213 Ehrenfried, Amelie aut Krautkremer, Franziska aut Ströbel, Armin aut Seidel, Corinna Lesley aut Paulsen, Friedrich aut Kopp, Markus aut Uder, Michael aut Gölz, Lina aut May, Matthias Stefan aut Enthalten in Clinical Oral Investigations Springer-Verlag, 2001 28(2023), 1 vom: 29. Dez. (DE-627)SPR007794231 nnns volume:28 year:2023 number:1 day:29 month:12 https://dx.doi.org/10.1007/s00784-023-05472-7 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER AR 28 2023 1 29 12 |
| spelling |
10.1007/s00784-023-05472-7 doi (DE-627)SPR054204054 (SPR)s00784-023-05472-7-e DE-627 ger DE-627 rakwb eng Willershausen, Ines verfasserin aut Impact of different cephalometric skeletal configurations on anatomic midface parameters in adults 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2023 Objectives Skull morphology and growth patterns are essential for orthodontic treatment, impacting clinical decision making. We aimed to determine the association of different cephalometric skeletal configurations on midface parameters as measured in 3D CT datasets. Materials and methods After sample size calculation, a total of 240 fully dentulous patients between 20 and 79 years of age (mean age: 42 ± 15), who had received a CT of the skull within the scope of trauma diagnosis or intracranial bleeding, were retrospectively selected. On the basis of cephalometric analysis, using MPR reconstructions, patients were subdivided into three different vertical skull configurations (brachyfacial, mesofacial, dolichofacial) and the respective skeletal Class I, II, and III relationships. Anatomic parameters were measured using a three-dimensional post-processing console: the thickness of the maxillary and palatine bones as well as the alveolar crest, maxillary body and sutural length, width and height of the hard palate, maxillary facial wall thickness, and masseter muscle thickness and length. Results Individuals with brachyfacial configurations had a significantly increased palatal and alveolar ridge thicknesses compared to those with dolichofacial- or mesofacial configurations. Brachyfacial configurations presented a significantly increased length and thickness of the masseter muscle (4.599 cm; 1.526 cm) than mesofacial (4.431 cm; 1.466 cm) and dolichofacial configurations (4.405 cm; 1.397 cm) (p < 0.001). Individuals with a skeletal Class III had a significantly shorter palatal length (5.313 cm) than those with Class I (5.406 cm) and Class II (5.404 cm) (p < 0.01). Sutural length was also significantly shorter in Class III (p < 0.05). Conclusions Skeletal configurations have an impact on parameters of the bony skull. Also, measurable adaptations of the muscular phenotype could result. Clinical relevance The association between viscerocranial morphology and midface anatomy might be beneficial for tailoring orthodontic appliances to individual anatomy and planning cortically anchored orthodontic appliances. Midface (dpeaa)DE-He213 Anatomy (dpeaa)DE-He213 Computed tomography (dpeaa)DE-He213 Cephalometry (dpeaa)DE-He213 Orthodontics (dpeaa)DE-He213 Ultra-high-resolution datasets (dpeaa)DE-He213 Ehrenfried, Amelie aut Krautkremer, Franziska aut Ströbel, Armin aut Seidel, Corinna Lesley aut Paulsen, Friedrich aut Kopp, Markus aut Uder, Michael aut Gölz, Lina aut May, Matthias Stefan aut Enthalten in Clinical Oral Investigations Springer-Verlag, 2001 28(2023), 1 vom: 29. Dez. (DE-627)SPR007794231 nnns volume:28 year:2023 number:1 day:29 month:12 https://dx.doi.org/10.1007/s00784-023-05472-7 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER AR 28 2023 1 29 12 |
| allfields_unstemmed |
10.1007/s00784-023-05472-7 doi (DE-627)SPR054204054 (SPR)s00784-023-05472-7-e DE-627 ger DE-627 rakwb eng Willershausen, Ines verfasserin aut Impact of different cephalometric skeletal configurations on anatomic midface parameters in adults 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2023 Objectives Skull morphology and growth patterns are essential for orthodontic treatment, impacting clinical decision making. We aimed to determine the association of different cephalometric skeletal configurations on midface parameters as measured in 3D CT datasets. Materials and methods After sample size calculation, a total of 240 fully dentulous patients between 20 and 79 years of age (mean age: 42 ± 15), who had received a CT of the skull within the scope of trauma diagnosis or intracranial bleeding, were retrospectively selected. On the basis of cephalometric analysis, using MPR reconstructions, patients were subdivided into three different vertical skull configurations (brachyfacial, mesofacial, dolichofacial) and the respective skeletal Class I, II, and III relationships. Anatomic parameters were measured using a three-dimensional post-processing console: the thickness of the maxillary and palatine bones as well as the alveolar crest, maxillary body and sutural length, width and height of the hard palate, maxillary facial wall thickness, and masseter muscle thickness and length. Results Individuals with brachyfacial configurations had a significantly increased palatal and alveolar ridge thicknesses compared to those with dolichofacial- or mesofacial configurations. Brachyfacial configurations presented a significantly increased length and thickness of the masseter muscle (4.599 cm; 1.526 cm) than mesofacial (4.431 cm; 1.466 cm) and dolichofacial configurations (4.405 cm; 1.397 cm) (p < 0.001). Individuals with a skeletal Class III had a significantly shorter palatal length (5.313 cm) than those with Class I (5.406 cm) and Class II (5.404 cm) (p < 0.01). Sutural length was also significantly shorter in Class III (p < 0.05). Conclusions Skeletal configurations have an impact on parameters of the bony skull. Also, measurable adaptations of the muscular phenotype could result. Clinical relevance The association between viscerocranial morphology and midface anatomy might be beneficial for tailoring orthodontic appliances to individual anatomy and planning cortically anchored orthodontic appliances. Midface (dpeaa)DE-He213 Anatomy (dpeaa)DE-He213 Computed tomography (dpeaa)DE-He213 Cephalometry (dpeaa)DE-He213 Orthodontics (dpeaa)DE-He213 Ultra-high-resolution datasets (dpeaa)DE-He213 Ehrenfried, Amelie aut Krautkremer, Franziska aut Ströbel, Armin aut Seidel, Corinna Lesley aut Paulsen, Friedrich aut Kopp, Markus aut Uder, Michael aut Gölz, Lina aut May, Matthias Stefan aut Enthalten in Clinical Oral Investigations Springer-Verlag, 2001 28(2023), 1 vom: 29. Dez. (DE-627)SPR007794231 nnns volume:28 year:2023 number:1 day:29 month:12 https://dx.doi.org/10.1007/s00784-023-05472-7 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER AR 28 2023 1 29 12 |
| allfieldsGer |
10.1007/s00784-023-05472-7 doi (DE-627)SPR054204054 (SPR)s00784-023-05472-7-e DE-627 ger DE-627 rakwb eng Willershausen, Ines verfasserin aut Impact of different cephalometric skeletal configurations on anatomic midface parameters in adults 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2023 Objectives Skull morphology and growth patterns are essential for orthodontic treatment, impacting clinical decision making. We aimed to determine the association of different cephalometric skeletal configurations on midface parameters as measured in 3D CT datasets. Materials and methods After sample size calculation, a total of 240 fully dentulous patients between 20 and 79 years of age (mean age: 42 ± 15), who had received a CT of the skull within the scope of trauma diagnosis or intracranial bleeding, were retrospectively selected. On the basis of cephalometric analysis, using MPR reconstructions, patients were subdivided into three different vertical skull configurations (brachyfacial, mesofacial, dolichofacial) and the respective skeletal Class I, II, and III relationships. Anatomic parameters were measured using a three-dimensional post-processing console: the thickness of the maxillary and palatine bones as well as the alveolar crest, maxillary body and sutural length, width and height of the hard palate, maxillary facial wall thickness, and masseter muscle thickness and length. Results Individuals with brachyfacial configurations had a significantly increased palatal and alveolar ridge thicknesses compared to those with dolichofacial- or mesofacial configurations. Brachyfacial configurations presented a significantly increased length and thickness of the masseter muscle (4.599 cm; 1.526 cm) than mesofacial (4.431 cm; 1.466 cm) and dolichofacial configurations (4.405 cm; 1.397 cm) (p < 0.001). Individuals with a skeletal Class III had a significantly shorter palatal length (5.313 cm) than those with Class I (5.406 cm) and Class II (5.404 cm) (p < 0.01). Sutural length was also significantly shorter in Class III (p < 0.05). Conclusions Skeletal configurations have an impact on parameters of the bony skull. Also, measurable adaptations of the muscular phenotype could result. Clinical relevance The association between viscerocranial morphology and midface anatomy might be beneficial for tailoring orthodontic appliances to individual anatomy and planning cortically anchored orthodontic appliances. Midface (dpeaa)DE-He213 Anatomy (dpeaa)DE-He213 Computed tomography (dpeaa)DE-He213 Cephalometry (dpeaa)DE-He213 Orthodontics (dpeaa)DE-He213 Ultra-high-resolution datasets (dpeaa)DE-He213 Ehrenfried, Amelie aut Krautkremer, Franziska aut Ströbel, Armin aut Seidel, Corinna Lesley aut Paulsen, Friedrich aut Kopp, Markus aut Uder, Michael aut Gölz, Lina aut May, Matthias Stefan aut Enthalten in Clinical Oral Investigations Springer-Verlag, 2001 28(2023), 1 vom: 29. Dez. (DE-627)SPR007794231 nnns volume:28 year:2023 number:1 day:29 month:12 https://dx.doi.org/10.1007/s00784-023-05472-7 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER AR 28 2023 1 29 12 |
| allfieldsSound |
10.1007/s00784-023-05472-7 doi (DE-627)SPR054204054 (SPR)s00784-023-05472-7-e DE-627 ger DE-627 rakwb eng Willershausen, Ines verfasserin aut Impact of different cephalometric skeletal configurations on anatomic midface parameters in adults 2023 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © The Author(s) 2023 Objectives Skull morphology and growth patterns are essential for orthodontic treatment, impacting clinical decision making. We aimed to determine the association of different cephalometric skeletal configurations on midface parameters as measured in 3D CT datasets. Materials and methods After sample size calculation, a total of 240 fully dentulous patients between 20 and 79 years of age (mean age: 42 ± 15), who had received a CT of the skull within the scope of trauma diagnosis or intracranial bleeding, were retrospectively selected. On the basis of cephalometric analysis, using MPR reconstructions, patients were subdivided into three different vertical skull configurations (brachyfacial, mesofacial, dolichofacial) and the respective skeletal Class I, II, and III relationships. Anatomic parameters were measured using a three-dimensional post-processing console: the thickness of the maxillary and palatine bones as well as the alveolar crest, maxillary body and sutural length, width and height of the hard palate, maxillary facial wall thickness, and masseter muscle thickness and length. Results Individuals with brachyfacial configurations had a significantly increased palatal and alveolar ridge thicknesses compared to those with dolichofacial- or mesofacial configurations. Brachyfacial configurations presented a significantly increased length and thickness of the masseter muscle (4.599 cm; 1.526 cm) than mesofacial (4.431 cm; 1.466 cm) and dolichofacial configurations (4.405 cm; 1.397 cm) (p < 0.001). Individuals with a skeletal Class III had a significantly shorter palatal length (5.313 cm) than those with Class I (5.406 cm) and Class II (5.404 cm) (p < 0.01). Sutural length was also significantly shorter in Class III (p < 0.05). Conclusions Skeletal configurations have an impact on parameters of the bony skull. Also, measurable adaptations of the muscular phenotype could result. Clinical relevance The association between viscerocranial morphology and midface anatomy might be beneficial for tailoring orthodontic appliances to individual anatomy and planning cortically anchored orthodontic appliances. Midface (dpeaa)DE-He213 Anatomy (dpeaa)DE-He213 Computed tomography (dpeaa)DE-He213 Cephalometry (dpeaa)DE-He213 Orthodontics (dpeaa)DE-He213 Ultra-high-resolution datasets (dpeaa)DE-He213 Ehrenfried, Amelie aut Krautkremer, Franziska aut Ströbel, Armin aut Seidel, Corinna Lesley aut Paulsen, Friedrich aut Kopp, Markus aut Uder, Michael aut Gölz, Lina aut May, Matthias Stefan aut Enthalten in Clinical Oral Investigations Springer-Verlag, 2001 28(2023), 1 vom: 29. Dez. (DE-627)SPR007794231 nnns volume:28 year:2023 number:1 day:29 month:12 https://dx.doi.org/10.1007/s00784-023-05472-7 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER AR 28 2023 1 29 12 |
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Enthalten in Clinical Oral Investigations 28(2023), 1 vom: 29. Dez. volume:28 year:2023 number:1 day:29 month:12 |
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We aimed to determine the association of different cephalometric skeletal configurations on midface parameters as measured in 3D CT datasets. Materials and methods After sample size calculation, a total of 240 fully dentulous patients between 20 and 79 years of age (mean age: 42 ± 15), who had received a CT of the skull within the scope of trauma diagnosis or intracranial bleeding, were retrospectively selected. On the basis of cephalometric analysis, using MPR reconstructions, patients were subdivided into three different vertical skull configurations (brachyfacial, mesofacial, dolichofacial) and the respective skeletal Class I, II, and III relationships. Anatomic parameters were measured using a three-dimensional post-processing console: the thickness of the maxillary and palatine bones as well as the alveolar crest, maxillary body and sutural length, width and height of the hard palate, maxillary facial wall thickness, and masseter muscle thickness and length. Results Individuals with brachyfacial configurations had a significantly increased palatal and alveolar ridge thicknesses compared to those with dolichofacial- or mesofacial configurations. Brachyfacial configurations presented a significantly increased length and thickness of the masseter muscle (4.599 cm; 1.526 cm) than mesofacial (4.431 cm; 1.466 cm) and dolichofacial configurations (4.405 cm; 1.397 cm) (p < 0.001). Individuals with a skeletal Class III had a significantly shorter palatal length (5.313 cm) than those with Class I (5.406 cm) and Class II (5.404 cm) (p < 0.01). Sutural length was also significantly shorter in Class III (p < 0.05). Conclusions Skeletal configurations have an impact on parameters of the bony skull. Also, measurable adaptations of the muscular phenotype could result. 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Impact of different cephalometric skeletal configurations on anatomic midface parameters in adults Midface (dpeaa)DE-He213 Anatomy (dpeaa)DE-He213 Computed tomography (dpeaa)DE-He213 Cephalometry (dpeaa)DE-He213 Orthodontics (dpeaa)DE-He213 Ultra-high-resolution datasets (dpeaa)DE-He213 |
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Willershausen, Ines Ehrenfried, Amelie Krautkremer, Franziska Ströbel, Armin Seidel, Corinna Lesley Paulsen, Friedrich Kopp, Markus Uder, Michael Gölz, Lina May, Matthias Stefan |
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impact of different cephalometric skeletal configurations on anatomic midface parameters in adults |
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Impact of different cephalometric skeletal configurations on anatomic midface parameters in adults |
| abstract |
Objectives Skull morphology and growth patterns are essential for orthodontic treatment, impacting clinical decision making. We aimed to determine the association of different cephalometric skeletal configurations on midface parameters as measured in 3D CT datasets. Materials and methods After sample size calculation, a total of 240 fully dentulous patients between 20 and 79 years of age (mean age: 42 ± 15), who had received a CT of the skull within the scope of trauma diagnosis or intracranial bleeding, were retrospectively selected. On the basis of cephalometric analysis, using MPR reconstructions, patients were subdivided into three different vertical skull configurations (brachyfacial, mesofacial, dolichofacial) and the respective skeletal Class I, II, and III relationships. Anatomic parameters were measured using a three-dimensional post-processing console: the thickness of the maxillary and palatine bones as well as the alveolar crest, maxillary body and sutural length, width and height of the hard palate, maxillary facial wall thickness, and masseter muscle thickness and length. Results Individuals with brachyfacial configurations had a significantly increased palatal and alveolar ridge thicknesses compared to those with dolichofacial- or mesofacial configurations. Brachyfacial configurations presented a significantly increased length and thickness of the masseter muscle (4.599 cm; 1.526 cm) than mesofacial (4.431 cm; 1.466 cm) and dolichofacial configurations (4.405 cm; 1.397 cm) (p < 0.001). Individuals with a skeletal Class III had a significantly shorter palatal length (5.313 cm) than those with Class I (5.406 cm) and Class II (5.404 cm) (p < 0.01). Sutural length was also significantly shorter in Class III (p < 0.05). Conclusions Skeletal configurations have an impact on parameters of the bony skull. Also, measurable adaptations of the muscular phenotype could result. Clinical relevance The association between viscerocranial morphology and midface anatomy might be beneficial for tailoring orthodontic appliances to individual anatomy and planning cortically anchored orthodontic appliances. © The Author(s) 2023 |
| abstractGer |
Objectives Skull morphology and growth patterns are essential for orthodontic treatment, impacting clinical decision making. We aimed to determine the association of different cephalometric skeletal configurations on midface parameters as measured in 3D CT datasets. Materials and methods After sample size calculation, a total of 240 fully dentulous patients between 20 and 79 years of age (mean age: 42 ± 15), who had received a CT of the skull within the scope of trauma diagnosis or intracranial bleeding, were retrospectively selected. On the basis of cephalometric analysis, using MPR reconstructions, patients were subdivided into three different vertical skull configurations (brachyfacial, mesofacial, dolichofacial) and the respective skeletal Class I, II, and III relationships. Anatomic parameters were measured using a three-dimensional post-processing console: the thickness of the maxillary and palatine bones as well as the alveolar crest, maxillary body and sutural length, width and height of the hard palate, maxillary facial wall thickness, and masseter muscle thickness and length. Results Individuals with brachyfacial configurations had a significantly increased palatal and alveolar ridge thicknesses compared to those with dolichofacial- or mesofacial configurations. Brachyfacial configurations presented a significantly increased length and thickness of the masseter muscle (4.599 cm; 1.526 cm) than mesofacial (4.431 cm; 1.466 cm) and dolichofacial configurations (4.405 cm; 1.397 cm) (p < 0.001). Individuals with a skeletal Class III had a significantly shorter palatal length (5.313 cm) than those with Class I (5.406 cm) and Class II (5.404 cm) (p < 0.01). Sutural length was also significantly shorter in Class III (p < 0.05). Conclusions Skeletal configurations have an impact on parameters of the bony skull. Also, measurable adaptations of the muscular phenotype could result. Clinical relevance The association between viscerocranial morphology and midface anatomy might be beneficial for tailoring orthodontic appliances to individual anatomy and planning cortically anchored orthodontic appliances. © The Author(s) 2023 |
| abstract_unstemmed |
Objectives Skull morphology and growth patterns are essential for orthodontic treatment, impacting clinical decision making. We aimed to determine the association of different cephalometric skeletal configurations on midface parameters as measured in 3D CT datasets. Materials and methods After sample size calculation, a total of 240 fully dentulous patients between 20 and 79 years of age (mean age: 42 ± 15), who had received a CT of the skull within the scope of trauma diagnosis or intracranial bleeding, were retrospectively selected. On the basis of cephalometric analysis, using MPR reconstructions, patients were subdivided into three different vertical skull configurations (brachyfacial, mesofacial, dolichofacial) and the respective skeletal Class I, II, and III relationships. Anatomic parameters were measured using a three-dimensional post-processing console: the thickness of the maxillary and palatine bones as well as the alveolar crest, maxillary body and sutural length, width and height of the hard palate, maxillary facial wall thickness, and masseter muscle thickness and length. Results Individuals with brachyfacial configurations had a significantly increased palatal and alveolar ridge thicknesses compared to those with dolichofacial- or mesofacial configurations. Brachyfacial configurations presented a significantly increased length and thickness of the masseter muscle (4.599 cm; 1.526 cm) than mesofacial (4.431 cm; 1.466 cm) and dolichofacial configurations (4.405 cm; 1.397 cm) (p < 0.001). Individuals with a skeletal Class III had a significantly shorter palatal length (5.313 cm) than those with Class I (5.406 cm) and Class II (5.404 cm) (p < 0.01). Sutural length was also significantly shorter in Class III (p < 0.05). Conclusions Skeletal configurations have an impact on parameters of the bony skull. Also, measurable adaptations of the muscular phenotype could result. Clinical relevance The association between viscerocranial morphology and midface anatomy might be beneficial for tailoring orthodontic appliances to individual anatomy and planning cortically anchored orthodontic appliances. © The Author(s) 2023 |
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