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PubMed1991

[A study of sagittal jaw relationships in patients with Klinefelter's syndrome].

Lateral cephalometric radiographs were used to study sagittal jaw relationships in 22 cases with Klinefelter's syndrome. The following angles were measured: SNA, SNB and ANB. Depending on the size of SNA and SNB angles, all cases investigated were classified in the following groups: bimaxillary prognathism, bimaxillary orthognathism or retrognathism; maxillary prognathism combined with mandibular orthognathism; maxillary orthognathism combined with mandibular prognathism or retrognathism; maxillary retrognathism combined with mandibular prognathism, orthognathism, or retrognathism. The mean value of the ANB angle of the whole group was -0.20 degrees indicating the skeletal class III jaw relationship. Out of 22 cases investigated, 45.4% showed bimaxillary prognathism, and 27.3% had a combination of the maxillary orthognathism and mandibular prognathism. 27.3% of all cases investigated belonged to the remaining groups.

Cephalometry↗
PubMed1984

The plan of the human face: a test of three general concepts.

In The Handbook of Facial Growth, Enlow proposes a series of anatomic concepts that account for "the plan of the human face." Three of those concepts are examined in this article, which presents measurements of 253 adult female primates from thirty-two species. As part of a system of craniofacial counterparts, Enlow proposes that the breadth of the mandibular ramus should equal the breadth of the pharynx. The relationship between ramus breadth and PNS-Ba in the primates studied strongly supports this hypothesis. A second concept tested concerns the relationship between prognathism and maxillary arch length. The relationship is not as strong as in the previous case, and some species are more prognathic than required for the size of their dentition. It is concluded that arch length and prognathism have an important biologic relationship but that the two features can vary with some independence. The third concept tested is the relationship between prognathism and interorbital breadth. Here the relationship is weak, and it is concluded that the interorbital breadth is not significant in setting a structural limit to the amount of facial prognathism.

Animals↗
PubMed1990

[The influence of playing the clarinet on the dentomaxillofacial morphology and function].

The purpose of this experiment is to understand the influence of playing the clarinet on the dentomaxillofacial morphology and function. The 12 subjects, selected at random (all adults, 4 men and 8 women) had played the clarinet for more than 10 years. The subjects had anamnesis, oral photo pictures, facial photo pictures, cast model, lateral cephalograms (lateral cephalo) and frontal cephalograms (frontal cephalo) taken when they were in centric occlusion and playing the clarinet. The results were as follows: 1. The facial profile and occlusal relation depend on the subjects. (2 mandibular retrognathism. 4 prognathism and 6 crowding.) 2. No characteristic skeletal pattern was found compared with controls in angle measurement but subjects had a tendency to have large facial height in linear measurement of lateral cephalo. And in denture pattern the lower incisors were linguoclination. 3. Concerning the lateral cephalo, we noticed that the angle of the clarinet in relation to the body axis increased in accordance with the prognathism and decreased with the retrognathism. 4. The subjects don't have identical midline, comparing lower midline to dentofacial midline, when playing, the angle of clarinet to the body was eccentric according to maxillary incisors in frontal cephalo. 5. Anterial and posterial length was short in mandibular arch, analyzing the cast model. 6. The pressure on mouthpiece increased in accordance with the prognathism and decreased with retrognathism. 7. The results of the EMG analysis indicated that the muscle activity of oral sphincter was described as 1). upper lip, 2). lower lip, 3). commisure of lips and differences were found depending on the parts being studied and the sound played on the clarinet. In conclusion, the skeletal and denture problem influence the holding position of the clarinet, embouchure and the way of playing it. In case of mandibular prognathism, when playing, the subjects pressed on their teeth with the clarinet. So B instrument won't do for prognathism because lower incisors are pushed inward as a result.

Adult↗
PubMed2005

A retrospective analysis of the stability and relapse of soft and hard tissue change after bilateral sagittal split osteotomy for mandibular setback of 64 Taiwanese patients.

PURPOSE: This study was an analysis of the soft and hard tissue changes of the facial profile after bilateral sagittal splitting osteotomy for mandibular setback of Taiwanese patients. PATIENTS AND METHODS: We collected pre- and postsurgical lateral cephalographs of 64 patients (28 males, 36 females) with skeletal Class III malocclusion who received combined orthodontic-surgical treatment with bilateral sagittal splitting osteotomy mandibular setback at Taipei Veterans General Hospital between 1994 and 2000. Nineteen cephalometric parameters of (14 linear, 4 angular, and the BS index) soft and hard tissues were measured at 1 week before treatment, and 2 months and 1 year after surgery, and analyzed by paired t test. RESULTS: Mean patient age was 20.0 +/- 1.6 years. The patients underwent an average of 7 mm mandibular setback at the osseous pogonion (Pog). Average setbacks at Pog and soft tissue pogonion (pog) were 5.54 mm and 4.85 mm, respectively, at 1 year after surgery. The setback ratio of Pog/pog was 1:0.88. The hard tissue relapse at Pog was 21% at 1 year after surgery. Improvement in prognathic profile was demonstrated by significant changes in the positions of Pog and pog, ANB angle, the distance from lower lip to esthetic line (E-L lip), and the BS index after surgery. However, compared with parameters obtained from a normal Taiwanese population, the cephalometric data of Pog, pog, and BS index still indicated mild prognathism. CONCLUSION: Although mandibular prognathism could be grossly improved by bilateral sagittal splitting osteotomy mandibular setback, a significant amount of relapse occurred within 1 year after surgery. The extent of the postoperatively preserved features showing mandibular prognathism should be a concern for both patients and physicians.

Adult↗
PubMed1998

Changes in the dimensions of milled mandibular models after mandibular sagittal split osteotomies.

Three-dimensional models created by milling machines and stereolithography from the three-dimensional computed tomograms (CTs) have become important in the diagnosis and preoperative planning of some craniomaxillofacial irregularities. In this study three-dimensional milled models were used to verify operative results after patients had undergone bilateral sagittal split osteotomies of the mandible. Fifteen models of patients with mandibular prognathism and 31 with retrognathism were created preoperatively and 6 weeks postoperatively to examine the changes of the osseous anatomical structures in three dimensions. There was a forward shift in the mandibular corpus of between 1 and 3 mm in patients with retrognathism and a backward shift to the same extent in the group with prognathism. In the latter group the intercondylar distance increased by a mean of 2.0 (SD 1.2) mm and by 2.9 (SD 1.0) mm in patients who had had a mandibular advancement operation. Furthermore the distance between the coronoid processes increased by 6.6 (SD 1.8) mm in the retrognathic group and decreased by 1.6 (SD 1.4) mm in the prognathic group. The Bonewill angle increased by 1.7 (SD 0.4) degrees in the prognathic group and decreased by 1.6 (SD 0.3) degrees in the retrognathic group. Both increase and decrease of the homolateral gonion angle were accompanied by a contrarotary movement of the contralateral gonion angle. We conclude that remarkable changes in condylar position and anatomy take place after bilateral ramus sagittal split osteotomy.

Bone Screws↗
PubMed2006

Comparison of the headgear activator and Herbst appliance--effects and post-treatment changes.

The aim of this study was to evaluate the effects of the headgear activator (HGA) and Herbst appliance during active treatment and retention and at follow-up in children with a skeletal Class II malocclusion. The two groups comprised 16 consecutive male patients (mean age 11.6 +/- 1.42 years) treated with a HGA and 16 male patients (mean age 12.6 +/- 1.13 years) treated with a Herbst appliance and Andresen activator (HAA) sampled from a larger pool using similar selection criteria. Growth data were obtained for the two groups. Lateral cephalograms taken at the start, after 6 months of treatment, after 12 months of active treatment or 6 months of retention, and at the 24-month follow-up were analysed. The total changes over the whole observation period (T0-T3) did not differ significantly between the groups; there was, however, a statistically significant increase in jaw prognathism (P < 0.05) and improvement of the molar relationship (P < 0.05) in the HAA group as compared with the HGA group. During the initial treatment phase (T0-T1), the overall treatment effects were statistically more pronounced in the HAA group than in the HGA group. Despite significant differences in treatment effects and changes between the two devices, there were no significant overall changes at follow-up except for the prognathism, i.e. maxillary prognathism decreased with treatment with the HGA while mandibulars prognathism continued to increase with HAA treatment.

Cephalometry↗
PubMed1997

Cephalometric comparisons of Chinese and Caucasian surgical Class III patients.

Pretreatment cephalometric radiographs of 30 Chinese and 30 Caucasian surgical Class III patients were studied to determine if there were skeletal and soft tissue morphology differences between the groups. Nineteen hard tissue and 13 soft tissue measurements were traced and digitized. A two-sample t test was used to analyze sex and ethnic differences between groups. A significant difference between sexes was found in the linear skeletal measurements but not in the angular measurements for both ethnic groups. Ethnic differences were found in the anterior cranial base measurement, which was significantly shorter in the Chinese sample. In addition, a larger posterior cranial base, a smaller gonial angle, and an increase in mandibular length contributed to the increase in mandibular prognathism found in the Chinese sample. Few differences between sexes were found in the soft tissue measurements. However, ethnic differences were found in maxillary and mandibular soft tissue prognathism, upper and lower lip protrusion, and nasolabial angle, which reflected the more severe underlying skeletal disharmony in the Chinese sample. When the surgical samples were compared to a reference population, an increase in skeletal measurements was found with the Chinese sample in maxillary and mandibular prognathism and dentoalveolar protrusion. Soft tissue maxillary prognathism and upper lip protrusion were found to be smaller than the reference population in the Caucasian sample but greater in the Chinese sample.

Adolescent↗
PubMed1987

The significance of the integumentary profile.

Profile analysis was performed on 180 Thai female subjects with ages ranging from 16 to 21 years. Seventy were of Chinese origin. The determination of the profile analysis mean values was based on the methods of Schwarz, Subtelny, Ricketts, Burstone, and Schwartz. The results were compared to Caucasian standards and to the findings of our previous study on a Javanese population. For the profile forms, our investigated groups showed mainly prognathic faces (75% to 84%). A "shift backward" profile flow dominated. We found a "prognathic face" combined with a "shift backward" in 50% to 60% of the Asian subjects analyzed. Our soft-tissue profile results (approximately 165 +/- 6 degrees) showed less convexity than that of the Caucasians and there was no significant difference in overall profile between the 2 Thai groups (approximately 134 +/- 5 degrees); this is in the range given by Subtelny (141 degrees to 131 degrees) except for that of the Javanese subjects. For the lip analysis, we listed a posterior position or a lip position upon the esthetic line between 60% to 70% of both Thai groups with respect to the upper lip and only 28% to 33% for the lower lip. The Javanese group, however, showed 90% anterior position of the upper lip and 93% of the lower lip to this line. It is significant that proper blending of the integumentary profile produces an esthetically pleasing face and this varies in different ethnic groups. A good combination could even make a "prognathic face shift backward" very acceptable as illustrated by a profile analysis of Miss Thailand, 1984.(ABSTRACT TRUNCATED AT 250 WORDS)

Adolescent↗
PubMed1985

Linear evaluation of the development of sagittal jaw relationship.

In cephalometrics both angular and linear variables have been proposed in the analysis of sagittal jaw relationship and jaw position. Angular measurements can be erroneous as a result of changes in facial height, jaw inclination, and total jaw prognathism; linear variables can be affected by the inclination of the reference line. In the present article, a method of geometric correction of linear analysis of sagittal jaw relationship and jaw prognathism (based on a standardized occlusal plane) is described. The method is applied to radiographic material (from King's College Hospital, London) of 33 children who, at the age of 19, exhibited Class I occlusal patterns. While uncorrected linear measurement suggested stability of the sagittal jaw relationship from the age of 11 to 19 years, the geometrically corrected value demonstrated a marked reduction in sagittal jaw relationship. The method is developed further to demonstrate the increase in jaw prognathism measured as lined parameters with origin at point sella, the results illustrating again the advisability of correction of geometric errors.

Adolescent↗
PubMed1977

Effect of tongue reduction on the orthodontic and surgical treatment of dysgnathia.

The results of reduction of tongue size in connection with orthodontic and surgical correction of prognathic anomalies of the jaws are presented. It is shown that reduction of the tongue size combined with orthodontic treatment arrests of tendency to prognathic growth when it is performed early. The results further indicate that the effect of prophylactic reduction of tongue size to check relapse following surgical correction of prognathism or open bite can only be confirmed in cases of genuine macroglossia. Since there was only one relapse in our cases without reduction of tongue size, the indication for preoperative prophylactic reduction of the tongue is limited. Personal results and experience have been compared with the findings published in the current literature.

Female↗