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Evaluation of the infrazygomatic crest and mandibular buccal shelf in different sagittal skeletal patterns: a cone-beam computed tomography study Cover

Evaluation of the infrazygomatic crest and mandibular buccal shelf in different sagittal skeletal patterns: a cone-beam computed tomography study

Open Access
|Feb 2024

Figures & Tables

Figure 1.

A, Bone thickness measurement in the infrazygomatic crest at the apex of the root at 70° angulation. B, Total bucco-lingual bone thickness measurement in the mandibular buccal shelf. Two different horizontal reference lines positioned apically at 6 mm and 11 mm from the cemento-enamel junction were used. Total thickness at 6 mm; bucco-lingual thicknesses of bone on a horizontal reference line positioned apically at 6 mm from the cemento-enamel junction, Total thickness at 11 mm; total bucco-lingual thicknesses of bone on horizontal reference lines positioned apically at 11 mm from the cemento-enamel junction. C, Total inciso-apical bone height measurement in the mandibular buccal shelf. Two different vertical reference lines buccally positioned at 4 mm and 6 mm from the cemento-enamel junction, were used. Total height at 4 mm; total inciso-apical height thicknesses of bone on vertical reference line buccally positioned at 4 mm from the cemento-enamel junction, Total height at 6 mm; total inciso-apical height thicknesses of bone on a vertical reference line buccally positioned at 6 mm from the cemento-enamel junction.

Figure 2.

Bone density measurements (mean value of Hounsfield units-HU) from outside the 2 mm isometric voxel.

Demographic data of the patients

Class IIClass IClass III post-hoc p-value
Variablesmean ± sdmean ± sdmean ± sdp-valueI-IIII-IIII-III
Age30.08 ± 5.926.46 ± 6.126.21 ± 5.30.18
Sex
Female28 (90.3 %)24 (85.7 %)22 (84.6 %)0.63
Male3 (9.6 %)4 (14.2 %)4 (15.3 %)
Upper Third Molar
Present2018160.72
Absent111010
Lower Third Molar
Present1816200.81
Absent13126
SNA°82.7 ± 4.682.8 ± 5.679.3 ± 3.40.09
SNB°75.8 ± 4.680.6 ± 5.983.3 ± 3.50.0010.040.001NS
ANB°6.8 ± 2.42.1 ± 1.1-4 ± 3.5<0.001<0.001<0.001<0.001
SN-GoMe°35.2 ± 7.531.2 ± 4.432.5 ± 5.50.26

Comparison of the quantitative bone characteristics between different sites in IZC and MBS on right side for each group

M1mr (I)M1dr (II)M2mr (III)M2dr (IV) post hoc pvalue
Class IImean ± sdmean ± sdmean ± sdmean ± sdp-valueI-III-IIII-IVII-IIIII-IVIII-IV
IZC (mm)
Total thickness at 70°2.5 ± 1.52.6 ± 1.52.2 ± 1.32.4 ±1.50.85
MBS (mm)
Total thickness at 6 mm4.2 ± 3.25 ± 3.46.5 ± 2.27.5 ±2.3<0.001NS0.040.001NS0.01NS
Total thickness at 11 mm5.2 ± 2.96.3 ± 3.17.2 ± 1.98 ±2.20.002NS0.040.002NSNSNS
Total height at 4 mm18.4 ±7.119.9 ± 6.522.7 ± 2.923.8 ±2.90.002NS0.030.003NSNSNS
Total height at 6 mm14.6 ±7.416.5 ± 6.420.4 ± 3.622.1 ±3.7<0.001NS0.003<0.001NS0.005NS
Class I
IZC (mm)
Total thickness at 70°3.5 ± 1.93.2 ± 1.73.3 ± 1.83.71 ±1.90.75
MBS (mm)
Total thickness at 6 mm2.6 ± 24 ± 3.15.8 ± 2.37.2 ±2.3<0.001NS<0.001<0.0010.04<0.001NS
Total thickness at 11 mm4.2 ± 2.66 ± 2.56.6 ± 2.47.4 ±2.4<0.0010.030.002<0.001NSNSNS
Total height at 4 mm17.7 ±9.720 ± 7.719.8 ± 7.320.9 ±6.10.46
Total height at 6 mm15.3 ±9.417.2 ± 8.517.6 ± 8.119 ±7.60.4
Class III
IZC (mm)
Total thickness at 70°3 ± 2.12.9 ± 1.93 ± 1.53.3 ± 1.90.89
MBS (mm)
Total thickness at 6 mm2.8 ± 24.4 ± 2.47.1 ±1.98.5 ± 2<0.0010.03<0.001<0.001<0.001<0.001NS
Total thickness at 11 mm5 ± 2.66.7 ± 1.87.9 ± 1.68.6 ± 1.9<0.0010.01<0.001<0.001NS0.004NS
Total height at 4 mm17 ± 5.119.6 ±420.1 ± 3.120.4 ± 2.90.007NS0.020.01NSNSNS
Total height at 6 mm13.1 ± 6.717 ± 5.117.9 ± 3.919.7 ± 3.8<0.0010.020.003<0.001NSNSNS

Correlation between cephalometric parameters and quantitative bone characteristics

SNASNBMaxillary LengthMandibular Length
rp-Valuerp-Valuerp-Valuerp-Value
M1mr
Total thickness at 70°0.0700.660.0480.76-0.1860.240.2380.13
Total thickness at 6 mm0.2020.2-0.0340.830.2950.060.2070.19
Total thickness at 11 mm0.3010.050.3280.030.2120.180.3310.03
Total height at 4 mm0.1740.270.1400.380.1240.440.4400.004
Total height at 6 mm0.2840.070.2460.120.2200.160.3570.02
M1dr
Total thickness at 70°0.0320.840.0350.83-0.1200.450.2670.09
Total thickness at 6 mm0.1310.410.0310.840.1640.30.2680.09
Total thickness at 11 mm0.2930.060.3460.020.0300.850.3750.01
Total height at 4 mm0.0280.860.0590.710.0180.900.5040.001
Total height at 6 mm0.1390.380.2110.180.0870.580.4500.003
M2mr
Total thickness at 70°-0.0880.580.0890.57-0.0010.990.2100.08
Total thickness at 6 mm0.1890.230.3580.02-0.0590.710.5080.001
Total thickness at 11 mm0.0850.590.3580.02-0.0230.880.3460.02
Total height at 4 mm0.0590.71-0.0920.560.1550.330.3840.01
Total height at 6 mm0.0890.570.0020.990.1240.440.5080.001
M2dr
Total thickness at 70°-0.1900.23-0.0440.78-0.0690.660.2330.14
Total thickness at 6 mm0.0420.790.3550.02-0.0430.790.523<0.001
Total thickness at 11 mm0.1500.340.2810.070.0510.730.4310.005
Total height at 4 mm0.0350.82-0.2080.190.1320.410.2930.03
Total height at 6 mm-0.0120.94-0.1150.470.0810.610.4300.005

Comparison of the quantitative bone characteristics in IZC and MBS among Class I, II and III groups

M1mr M1dr M2mr M2dr
Class IIClass IClass III Class IIClass IClass III Class IIClass IClass III post-hoc pvalue Class IIClass IClass III post-hoc p-value
mean ± sdmean ± sdmean ± sdp-valuemean ± sdmean ± sdmean ± sdp-valuemean ± sdmean ± sdmean ± sdp-valueI-IIII-IIII-IIImean ± sdmean ± sdmean ± sdp-valueI-IIII-IIII-III
IZC Thickness (rnrnļ
Total_thick at 70°2.5 ± 1.53.5 ± 1.93 ± 2.1NS2.6 ± 1.53.2 ± 1.72.9 ± 1.9NS2.2 ± 1.33.3 ± 1.83 ± 1.50.040.04NSNS2.4 ± 1.53.7 ± 1.93.3 ± 1.90.040.03 NS NS
MBS Thickness (mm)
Total thickness at 6 mm4.2 ± 3.22.6 ± 22.8 ± 2NS5 ± 3.44 ± 3.14.4 ± 2.4NS6.5 ± 2.25.8 ± 2.37.1 ± 1.9NS 7.5 ±2.37.2 ±2.38.5 ± 2NS
Total thickness at 11 mm5.2 ± 2.64.2 ± 2.65 ± 2.6NS6.3 ± 3.16 ± 2.56.7 ± 1.8NS7.2 ± 1.96.6 ± 2.47.9 ± l.6NS 8 ±2.27.4 ±2.48.6 ± 1.9NS
Total height at 4 mm18.4 ± 7.117.7 ± 9.717 ± 5.1NSl9.9± 6.520 ± 7.719.6 ± 4NS22.7 ± 2.919.8 ±7.320.1 ± 3.1NS 23.8 ± 2.920.9 ±6.l20.4 ± 2.90.010.040.01NS
Total height at 6 mm14.6 ± 7.415.3 ± 9.413.1 ± 6.7NS16.5 ± 6.417.2 ± 8.517 ± 5.1NS20.4 ± 3.617.6 ± 8.117.9 ± 3.9NS 22.1 ± 3.719 ± 7.619.7 ± 3.80.040.01NSNS
HU Value
Class IIClass IClass III
mean ± sdmean ± sdmean ± sdp-value
Maxilla681.7± 221.3676 ± 185.6728 ± 127.8NS
Mandible1187.5 ± 400.6902.2 ± 473.3902.7 ± 294.5NS
DOI: https://doi.org/10.2478/aoj-2024-0002 | Journal eISSN: 2207-7480 | Journal ISSN: 2207-7472
Language: English
Page range: 1 - 12
Submitted on: Sep 1, 2023
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Accepted on: Jan 1, 2024
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Published on: Feb 19, 2024
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2024 Elif Dilara Seker, Elif Kaymakcioglu, Serife Sahin, Gokmen Kurt, published by Australian Society of Orthodontists Inc.
This work is licensed under the Creative Commons Attribution 4.0 License.