Document Detail


Skeletal anteroposterior discrepancy and vertical type effects on lower incisor preoperative decompensation and postoperative compensation in skeletal Class III patients.
MedLine Citation:
PMID:  20936956     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: To determine the initial compensation, preoperative decompensation, and postoperative compensation of the lower incisors according to the skeletal anteroposterior discrepancy and vertical type in skeletal Class III patients.
MATERIALS AND METHODS: The samples consisted of 68 skeletal Class III patients treated with two-jaw surgery and orthodontic treatment. Lateral cephalograms were taken before preoperative orthodontic treatment (T0) and before surgery (T1) and after debonding (T2). According to skeletal anteroposterior discrepancy/vertical type (ANB, criteria  =  -4°; SN-GoMe, criteria  =  35°) at the T0 stage, the samples were allocated into group 1 (severe anteroposterior discrepancy/hypodivergent vertical type, N  =  17), group 2 (moderate anteroposterior discrepancy/hypodivergent vertical type, N  =  17), group 3 (severe anteroposterior discrepancy/hyperdivergent vertical type, N  =  17), or group 4 (moderate anteroposterior discrepancy/hyperdivergent vertical type, N  =  17). After measurement of variables, one-way analysis of variance with Duncan's multiple comparison test, crosstab analysis, and Pearson correlation analysis were performed.
RESULTS: At T0, groups 3 and 2 exhibited the most and least compensated lower incisors. In group 2, good preoperative decompensation and considerable postoperative compensation resulted in different values for T0, T1, and T2 (IMPA, T0 < T2 < T1; P < .001). However, group 3 did not show significant changes in IMPA between stages. Therefore, groups 2 and 3 showed different decompensation achievement ratios (P < .05). Group 3 exhibited the worst ratios of decompensation and stability (24% and 6%, respectively, P < .001). Anteroposterior discrepancy/vertical type (ANB: P < .01 at T0 and T1, P < .001 at T2; SN-GoMe: P < .01, all stages) were strongly correlated with relative percentage ratio of IMPA to norm value.
CONCLUSIONS: Skeletal anteroposterior discrepancy/vertical type results in differences in the amount and pattern of initial compensation, preoperative decompensation, and postoperative compensation of lower incisors in Class III patients.
Authors:
Hyo-Won Ahn; Seung-Hak Baek
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Angle orthodontist     Volume:  81     ISSN:  1945-7103     ISO Abbreviation:  Angle Orthod     Publication Date:  2011 Jan 
Date Detail:
Created Date:  2010-10-12     Completed Date:  2011-02-01     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0370550     Medline TA:  Angle Orthod     Country:  United States    
Other Details:
Languages:  eng     Pagination:  64-74     Citation Subset:  D; IM    
Affiliation:
Department of Orthodontics, Seoul National University, South Korea.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Analysis of Variance
Asian Continental Ancestry Group
Cephalometry
Female
Humans
Incisor / physiopathology*
Male
Malocclusion, Angle Class III / pathology,  physiopathology*,  surgery,  therapy*
Mandible / physiopathology
Orthodontic Anchorage Procedures / instrumentation,  utilization
Orthodontics, Corrective / methods
Orthognathic Surgical Procedures
Osteotomy, Le Fort
Overbite
Postoperative Care
Preoperative Care
Republic of Korea
Retrospective Studies
Statistics, Nonparametric
Treatment Outcome
Young Adult

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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