Objectives
To evaluate the effects of tooth‐borne and tooth‐bone‐borne rapid maxillary expansion (RME) on soft tissue with stereophotogrammetry.
Setting and sample population
Thirty two patients (15 males and 17 females) who met inclusion criteria were divided into two groups. In the first group, tooth‐borne RME appliance (hyrax) was applied to 16 patients (9 males and 7 females mean age 13.4 ± 1.3 years), and in the second group, tooth‐bone‐borne RME appliance (hybrid hyrax) was applied to 16 patients (6 males and 10 females, mean age 13.05 ± 1.24 years).
Materials and methods
Changes in soft tissues before RME (T0) and post‐retention (T1) period were evaluated by stereophotogrammetry. Linear and angular measurements were performed. Independent‐ and dependent‐sample t tests were used to compare intra‐ and inter‐group differences at P < .05 significance level.
Results
The data revealed statistically significant changes in nasal width, mid‐face width, upper lip vermillion length/lower lip vermillion length ratio and upper lip angle in hyrax group. (P < .05) Also nasal width, lower lip length, lower lip vermillion length, anterior face height, lower face height, convexity angle and mandibular angle showed statistically significant changes in hybrid hyrax group. (P < .05) In the inter‐group evaluation, no significant differences were found except upper lip and mandible angle. (P < .05).
Conclusion
Both hyrax and hybrid hyrax expanders had effects on soft tissue profile. Anterior face height and lower face height increased in both groups. Upper lip length increased by 0.36 mm in the hybrid group and 0.10 mm in the hyrax group.
Trial Registration
This trial was registered at Clinicaltrials.gov (Identifier: NCT04828213).
Objectives:
The aim of this study was to assess the role of impacted third molar angulation on the severity of anterior crowding.
Materials and Methods:
Panoramic radiographs and three-dimensional (3D) digital models of 45 patients satisfying the following inclusion criteria were selected for this study. To calculate the irregularity index of Little, the sum of the contact point displacements from the anatomical contact point to the contact point among the lower canine teeth was measured on 3D digital models. Little’s irregularity index was used to classify patients as having mild, moderate, or severe crowding. For intragroup variance, comparisons T test was used. The Spearman single rank correlation coefficients were used to analyze any correlation among degree of crowding and (a) third molar inclination to base of mandible, (b) third molar inclination to occlusal plane, and (c) third molar inclination to second molar inclination respectively.
Results:
There were no statistical differences found in all tested parameters (i.e., third molar inclination to mandibular plane, inclination of the third molars to occlusal plane, and inclination of the third molars to second molars) among three groups (P > 0.005).
Conclusion:
It can be deduced that no relationship obtains among the third molar inclination to base of mandible, third molar inclination to occlusal plane, third molar inclination to second molar inclination, and the level of anterior crowding.
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