OBJECTIVE: The aim of this longitudinal study, comprising young adults without orthodontic
treatment, was to assess spontaneous changes in lower dental arch alignment and
dimensions. METHODS: Twenty pairs of dental casts of the lower arch, obtained at different time
intervals, were compared. Dental casts obtained at T1 (mean age =
20.25) and T2 (mean age = 31.2) were compared by means of paired t-test
(p < 0.05). RESULTS: There was significant reduction in arch dimensions: 0.43 mm for intercanine (p =
0.0089) and intermolar (p = 0.022) widths, and 1.28 mm for diagonal arch length (p
< 0.001). There was a mild increase of approximately 1 mm in the irregularity
index used to assess anterior alignment (p < 0.001). However, regression
analysis showed that changes in the irregularity index revealed no statistically
significant association with changes in the dental arch dimensions (p > 0.05).
Furthermore, incisors irregularity at T2 could not be predicted due to
the severity of this variable at T1 (p = 0.5051). CONCLUSION: Findings suggest that post-growth maturation of the lower dental arch leads to a
reduction of dental arch dimensions as well as to a mild, yet significant,
increase in dental crowding, even in individuals without orthodontic treatment.
Furthermore, dental alignment in the third decade of life cannot be predicted
based on the severity of dental crowding at the end of the second decade of
life.
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