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Basal and dentoalveolar transverse parameters in different sagittal and vertical malocclusions in adults: a comparative study

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Abstract

Objective

This study sought to three-dimensionally (3D) evaluate the maxillomandibular basal bone and dentoalveolar widths using cone-beam computed tomography (CBCT) scans in adult Chinese populations with different vertical and sagittal facial skeletal patterns whilst no apparent posterior dental crossbite.

Materials and methods

The retrospective cross-sectional comparative study enrolled CBCT images of 259 adult patients (125 males and 134 females). The subjects were divided into the hyperdivergent(n = 82), hypodivergent(n = 88), and normodivergent(n = 89) groups based on the Jarabak ratio (S-GO/N-Me), which were further divided into three subgroups of skeletal Class I, II and III, based on both the ANB angle and AF-BF parameters. ANOVA was used to analyze the extracted data of the studied groups. The intra- and inter-observer reliability was analyzed using the intra-class correlation coefficient (ICC).

Results

In all three vertical facial skeletal patterns, the skeletal Class II had significantly smaller mandibular basal bone width compared to skeletal Class I and Class III, both at the first molar and first premolar levels. The skeletal Class III seemed to have smaller maxillary basal bone width compared to skeletal Class I and Class II malocclusions; however, a significant difference was found only in the normodivergent pattern. As for the dentoalveolar compensation, it was most notable that in the hypodivergent growth pattern, the skeletal Class II had significantly smaller maxillary dentoalveolar width compared to the Class I and Class III groups, both at the first molar and first premolar levels.

Conclusions

Based on the sample in the present study, skeletal Class II has the narrowest mandibular basal bone regardless of the vertical facial skeletal pattern.

Clinical relevance

For Chinese adults with no apparent transverse discrepancy, the maxillomandibular basal bone and dentoalveolar widths are revealed in specific categories based on different vertical and sagittal facial skeletal patterns. In diagnosis and treatment planning, particular attention should be paid to skeletal Class II for possibly existing mandibular narrowing.

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Funding

author(s) disclosed receipt of the following fnancial support for the research, authorship, and/or publication of this article: This study is supported by Major Special Science and Technology Project of Sichuan Province (grant no. 2022ZDZX0031). And the National Natural Science Foundation of China (no. 82371003).

Author information

Authors and Affiliations

  1. State Key Laboratory of Oral Diseases, National Center for Stomatology, National Clinical Research Center for Oral Diseases, Department of Orthodontics, West China Hospital of Stomatology, Sichuan University, Chengdu, China

    Ehab A. Abdulghani

  2. Department of Orthodontics and Dentofacial Orthopedics, College of Dentistry, Thamar University, Dhamar, Yemen

    Ehab A. Abdulghani

  3. Department of Periodontology, School of Stomatology, Zhejiang University School of Medicine, Zhejiang Provincial Clinical Research Center for Oral Diseases, Key Laboratory of Oral Biomedical Research of Zhejiang Province, Cancer Center of Zhejiang University, Zhejiang University, Hangzhou, 310000, China

    Abeer A. Al-Sosowa

  4. Department of Periodontics, Faculty of Dentistry, Thamar University, Dhamar, Yemen

    Abeer A. Al-Sosowa

  5. Unit and Divisional Chief Orthodontics at Hamad Medical Corporation and associate professor at College of Dental Medicine, Qatar University, Doha, Qatar

    Najah Alhashimi

  6. Department of Orthodontics and Dentofacial Orthopedics, College of Dentistry, Lanzhou University, Lanzhou, China

    BaoCheng Cao

  7. State Key Laboratory of Oral Diseases, National Center for Stomatology, National Clinical Research Center for Oral Diseases, Department of Oral and Maxillofacial Surgery, West China Hospital of Stomatology, Sichuan University, Chengdu, 610041, China

    Wei Zheng

  8. State Key Laboratory of Oral Diseases, National Center for Stomatology，National Clinical Research Center for Oral Diseases, Department of Orthodontics, West China Hospital of Stomatology, Sichuan University, Chengdu, 610041, China

    Yu Li

  9. Division of Orthodontics and Dentofacial Orthopedics, Department of Preventive Dental Sciences, College of Dentistry, Jazan University, Jazan, Saudi Arabia

    Maged S. Alhammadi

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  1. Ehab A. Abdulghani
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  2. Abeer A. Al-Sosowa
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  3. Najah Alhashimi
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  4. BaoCheng Cao
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  5. Wei Zheng
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  6. Yu Li
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  7. Maged S. Alhammadi
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Contributions

Conceptualization, Ehab A. Abdulghani, Abeer A. Al-Sosowa, and Maged S. Alhammadi, Wei Zheng, and Yu Li.; Data curation, Ehab A. Abdulghani, BaoCheng Cao,and Najah Alhashimi; Formal analysis, Ehab A. Abdulghani,and Abeer A. Al-Sosowa; Investigation, Ehab A. Abdulghani, BaoCheng Cao; Methodology, Ehab A. Abdulghani and Abeer A. Al-Sosowa; Project administration, Ehab A. Abdulghani, Wei Zheng and Yu Li.; Resources, Ehab A. Abdulghani ,and Abeer A. Al-Sosowa.; Software, Ehab A. Abdulghani; Supervision, Yu Li ,and Wei Zheng; Validation, Ehab A. Abdulghani and Maged S. Alhammadi; Visualization, Ehab A. Abdulghani, and BaoCheng Cao; Writing – original draft, Maged S. Alhammadi, and Najah Alhashimi; Writing – review & editing, Ehab A. Abdulghani, Abeer A. Al-Sosowa. Wei Zheng and Yu Li. All authors have read and agreed to the published version of the manuscript.

Corresponding authors

Correspondence to Wei Zheng or Yu Li.

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Ethics approval

This is a retrospective cross-sectional study approved by the Institutional Ethical Committee (WCHSIRB-CT-2021-331) at the West China Hospital of Stomatology, Sichuan University, China.

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The requirement for informed consent was waived due to the retrospective nature of the study.

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The authors declare no competing interests.

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Abdulghani, E.A., Al-Sosowa, A.A., Alhashimi, N. et al. Basal and dentoalveolar transverse parameters in different sagittal and vertical malocclusions in adults: a comparative study. Clin Oral Invest 28, 276 (2024). https://doi.org/10.1007/s00784-024-05630-5

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