Article Data

  • Views 1125
  • Dowloads 227

Original Research

Open Access

A Retrospective CBCT Study of the Relationship between Mandibular Symphysis Bone Density and Mandibular Growth Direction

  • Jong-Moon Chae1,2
  • Jay Gousman2
  • Jung Won Seo3
  • R Curtis Bay4
  • Seong-Suk Jue5
  • Jae Hyun Park2,6,*,

1Department of Orthodontics, School of Dentistry, University of Wonkwang, Wonkwang Dental Research Institute, Iksan, Korea

2Postgraduate Orthodontic Program, Arizona School of Dentistry & Oral Health, A.T. Still University, Mesa, AZ 85206 USA

3Dental Solutions of Cedarbrook 1000 Easton Road, Suite 465, Wyncote, PA USA

4Biostatistics, Department of Interdisciplinary Health Sciences, A.T. Still University, Mesa, AZ 85206 USA

5Department of Oral Anatomy and Developmental Biology, School of Dentistry, Kyung Hee University, Seoul, Korea

6Graduate School of Dentistry, Kyung Hee University, Seoul, Korea

DOI: 10.17796/1053-4625-44.5.11 Vol.44,Issue 5,September 2020 pp.356-363

Published: 01 September 2020

*Corresponding Author(s): Jae Hyun Park E-mail: JPark@atsu.edu

Abstract

Objective: The objective of this retrospective study was to investigate the relationship between mandibular symphysis bone density (BD) and mandibular growth direction in adolescent patients by facilitating the measurement of cortical and cancellous BDs at the mandibular symphysis using cone beam computed tomography (CBCT). Study Design: 224 adolescent patients (98 males and 126 females) were categorized by sex, age, and mandibular growth direction. Cortical and cancellous BDs were measured along with a sagittal slice at multiple locations. Results: Females exhibited higher cortical BD than males at menton (Me, P =0.002). Patients with a posterior growth direction exhibited a higher cortical BD than those with anterior and normal growth direction at Me (P <0.021, P <0.001, respectively), pogonion (Pog, P =0.037, P =0.037, respectively) and genion (Ge, P =0.007, P =0.008, respectively). Patients with a posterior growth direction exhibited a higher cortical BD than those with anterior growth direction at B point (P =0.009). Conclusions: Significant differences in BD were identified across anthropometric categories. These findings may be useful in determining mandibular growth direction in adolescents.


Keywords

Mandibular symphysis; Growth Direction; Bone Density; CBCT

Cite and Share

Jong-Moon Chae,Jay Gousman,Jung Won Seo,R Curtis Bay,Seong-Suk Jue,Jae Hyun Park. A Retrospective CBCT Study of the Relationship between Mandibular Symphysis Bone Density and Mandibular Growth Direction. Journal of Clinical Pediatric Dentistry. 2020. 44(5);356-363.

References

1. Skieller V, Björk A, Linde-Hansen T. Prediction of mandibular growth rotation evaluated from a longitudinal implant sample. Am J Orthod 86:359-70, 1984.

2. Aki T, Nanda RS, Currier GF, Nanda SK. Assessment of symphysis morphology as a predictor of the direction of mandibular growth. Am J Orthod Dentofacial Orthop 106:60-9, 1994.

3. Björk A. Prediction of mandibular growth rotation. Am J Orthod 55:585- 99, 1969.

4. Miller RJ, Edwards WC, Boudet C, Cohen JH. Maxillofacial anatomy: the mandibular symphysis. J Oral Implantol 37:745-53, 2011.

5. Lam EW, Ruprecht A, Yang J. Comparison of two-dimensional orthoradially reformatted computed tomography and panoramic radiography for dental implant treatment planning. J Prosthet Dent 74:42-6, 1995.

6. Araki K, Maki K, Seki K, Sakamaki K, Harata Y, Sakaino R, Okano T, Seo K. Characteristics of a newly developed dentomaxillofacial X-ray cone beam CT scanner (CB MercuRay): system configuration and physical properties. Dentomaxillofac Radiol 33:51-9, 2004.

7. Sukovic P. Cone beam computed tomography in craniofacial imaging. Orthod Craniofac Res 6 Suppl 1:31-6, 2003.

8. Stratemann SA, Huang JC, Maki K, Hatcher DC, Miller AJ. Evaluating the mandible with cone-beam computed tomography. Am J Orthod Dentofacial Orthop 137; S58-70, 2010.

9. Maki K, Miller AJ, Okano T, Shibasaki Y. A three-dimensional, quantitative computed tomographic study of changes in distribution of bone mineralization in the developing human mandible. Arch Oral Biol 46:667-78, 2001.

10. Korioth TW, Hannam AG. Deformation of the human mandible during simulated tooth clenching. J Dent Res 73:56-66, 1994.

11. Korioth TW, Romilly DP, Hannam AG. Three‐dimensional finite element stress analysis of the dentate human mandible. Am J Phys Anthropol 88:69- 96, 1992.

12. Cattaneo PM, Kofod T, Dalstra M, Melsen B. Using the finite element method to model the biomechanics of the asymmetric mandible before, during and after skeletal correction by distraction osteogenesis. Comput Methods Biomech Biomed Engin 8:157-65, 2005.

13. Usui T, Maki K, Toki Y, Shibasaki Y, Takanobu H, Takanishi A, Hatcher D, Miller A. Measurement of mechanical strain on mandibular surface with mastication robot: influence of muscle loading direction and magnitude. Orthod Craniofac Res 6:163-7, 2003.

14. World Health Organization. Young people’s health-a challenge for society: report of a WHO Study Group on Young People and” Health for All by the Year 2000”[meeting held in Geneva from 4 to 8 June 1984]. World Health Organization; 1986.

15. Morris JM, Park JH. Correlation of dental maturity with skeletal maturity from radiographic assessment: a review. J Clin Pediatr Dent 36:309-14, 2012.

16. Scarfe WC, Farman AG, Sukovic P. Clinical applications of cone-beam computed tomography in dental practice. J Can Dent Assoc 72:75-80, 2006.

17. Lee MY, Park JH, Kim SC, Kang KH, Cho JH, Cho JW, Chang NY, Chae JM. Bone density effects on the success rate of orthodontic microimplants evaluated with cone-beam computed tomography. Am J Orthod Dentofacial Orthop 149:217-24, 2016.

18. Han S, Bayome M, Lee J, Lee YJ, Song HH, Kook YA. Evaluation of palatal bone density in adults and adolescents for application of skeletal anchorage devices. Angle Orthod 82:625-31, 2012.

19. Kim KJ, Park JH, Bay RC, Lee MY, Chang NY, Chae JM. Mandibular condyle bone density in adolescents with varying skeletal patterns evaluated using cone-beam computed tomography: A potential predictive tool. Am J Orthod Dentofacial Orthop 154:382‐89, 2018.

20. Lerner UH. Bone remodeling in post-menopausal osteoporosis. J Dent Res 85:584-95, 2006.

21. Bresin A. Effects of masticatory muscle function and bite-raising on mandibular morphology in the growing rat. Swed Dent J Suppl 150:1-49, 2001.

22. Kiliaridis S. The importance of masticatory muscle function in dentofacial growth. Semin Orthod 12:110-9, 2006.

23. Tsunori M, Mashita M, Kasai K. Relationship between facial types and tooth and bone characteristics of the mandible obtained by CT scanning. Angle Orthod 68:557-62, 1998.

24. Al-Masri MM, Ajaj MA, Hajeer MY, Al-Eed MS. Evaluation of bone thickness and density in the lower incisors’ region in adults with different types of skeletal malocclusion using cone-beam computed tomography. J Contemp Dent Pract;16:630-7, 2015.

25. Saito D, Mikami T, Oda Y, Hasebe D, Nishiyama H, Saito I, Kobayashi T. Relationships among maxillofacial morphologies, bone properties, and bone metabolic markers in patients with jaw deformities. Int J Oral Maxillofac Surg 45:985-91, 2016.

26. Kawaguchi H, Matsumoto T, Kurokawa T, Orimo H, Mizunashi K, Takuwa Y, et al. Measurement of serum BGP levels by two site immunoradiometric assay (IRMA) using monoclonal antibodies. Horumon To Rinsho Clin Endocrinol 38:1291-6, 1990.

27. Jarabak JR, Fizzell JA. Technique and treatment with light-wire edgewise appliances, 2nd Ed., St. Louis, MO: Elsevier Mosby; 1972.

28. da Silva Campos MJ, de Souza TS, Júnior SL, Fraga MR, Vitral RW. Bone mineral density in cone beam computed tomography: only a few shades of gray. World J Radiol 6:607-12, 2014.

29. Arisan V, Karabuda ZC, Avsever H, Özdemir T. Conventional multi‐slice computed tomography (CT) and cone‐beam CT (CBCT) for computer‐ assisted implant placement. Part I: Relationship of radiographic gray density and implant stability. Clin Implant Dent Relat Res 15:893-906, 2013.

30. Cassetta M, Stefanelli LV, Pacifici A, Pacifici L, Barbato E. How accurate Is CBCT in measuring bone density? A comparative CBCT‐CT in vitro study. Clin Implant Dent Relat Res 16:471-8, 2014.

31. Grünheid T, Larson CE, Larson BE. Midpalatal suture density ratio: A novel predictor of skeletal response to rapid maxillary expansion. Am J Orthod Dentofacial Orthop 151:267-76, 2017.

32. England GM, Moon ES, Roth J, Deguchi T, Firestone AR, Beck FM, Kim DG. Conditions and calibration to obtain comparable grey values between different clinical cone beam computed tomography scanners. Dentomaxillofac Radiol 46:20160322, 2017.

33. Cozza P, Baccetti T, Franchi L, De Toffol L, McNamara JA Jr. Mandibular changes produced by functional appliances in Class II malocclusion: a systematic review. Am J Orthod Dentofacial Orthop 129:599.e1-12, 2006.

Abstracted / indexed in

Science Citation Index Expanded (SciSearch) Created as SCI in 1964, Science Citation Index Expanded now indexes over 9,500 of the world’s most impactful journals across 178 scientific disciplines. More than 53 million records and 1.18 billion cited references date back from 1900 to present.

Biological Abstracts Easily discover critical journal coverage of the life sciences with Biological Abstracts, produced by the Web of Science Group, with topics ranging from botany to microbiology to pharmacology. Including BIOSIS indexing and MeSH terms, specialized indexing in Biological Abstracts helps you to discover more accurate, context-sensitive results.

Google Scholar Google Scholar is a freely accessible web search engine that indexes the full text or metadata of scholarly literature across an array of publishing formats and disciplines.

JournalSeek Genamics JournalSeek is the largest completely categorized database of freely available journal information available on the internet. The database presently contains 39226 titles. Journal information includes the description (aims and scope), journal abbreviation, journal homepage link, subject category and ISSN.

Current Contents - Clinical Medicine Current Contents - Clinical Medicine provides easy access to complete tables of contents, abstracts, bibliographic information and all other significant items in recently published issues from over 1,000 leading journals in clinical medicine.

BIOSIS Previews BIOSIS Previews is an English-language, bibliographic database service, with abstracts and citation indexing. It is part of Clarivate Analytics Web of Science suite. BIOSIS Previews indexes data from 1926 to the present.

Journal Citation Reports/Science Edition Journal Citation Reports/Science Edition aims to evaluate a journal’s value from multiple perspectives including the journal impact factor, descriptive data about a journal’s open access content as well as contributing authors, and provide readers a transparent and publisher-neutral data & statistics information about the journal.

Scopus: CiteScore 1.8 (2023) Scopus is Elsevier's abstract and citation database launched in 2004. Scopus covers nearly 36,377 titles (22,794 active titles and 13,583 Inactive titles) from approximately 11,678 publishers, of which 34,346 are peer-reviewed journals in top-level subject fields: life sciences, social sciences, physical sciences and health sciences.

Submission Turnaround Time

Conferences

Top