Abstract
Purpose
The purpose of the study was to investigate the mandible shape dimorphism between males and females both on conventional panoramic radiographs (cPR) and reconstructed panoramic radiographs obtained from cone beam computed tomography (rPR) with geometric morphometric method.
Methods
Panoramic radiographs and cone beam computed tomography scans were performed on 33 males and 35 females with median age 23.0 (13.0–57.0) years old. The mandibular shape comparisons between genders were examined with Procrustes analysis, mandible shape classification analysis was made with principal component analysis and shape deformations were concluded from thin plate spline (TPS) analysis.
Results
Age had no statistically significant difference between gender (p = 0.580). For the shape of mandible on cPR and rPR, there were statistically significant differences between males and females (p = 0.002, p = 0.032, respectively). The shape variabilities of mandible on cPR for females were 0.054 and for males 0.053. The shape variabilities of mandible on rPR for females were 0.051 and for males 0.049. Both on cPR and rPR, the shape variability of the females’ mandible was similar within their group, the shape variability of the males’ mandible was similar within their group. In the examination of mandibular dimorphism in cPR, maximal deformations were seen in the region between the mandibular notch, posterior ramus, anterior ramus, gonion, in both sides, in TPS graphs. On the other hand, a high level of deformations was observed in all landmarks that define the mandibular shape on rPR.
Conclusions
The mandible dimorphism can be detected in the examination performed with geometric morphometric methods on cPR and rPR. While mandible shape differences according to gender are seen most in the ramus region in cPR, differences can be detected in all landmarks in rRP.
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Acknowledgements
All procedures followed were in accordance with the ethical standards of the responsible committee on human experimentation (institutional and national) and with the Helsinki Declaration of 1975, as revised in 2008. Informed consent was obtained from all patients for being included in the study. All authors are responsible for the design, data analysis/ interpretation, drafting, article, critical revision of article and statics.
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RS: project development, data collection, and manuscript writing. IE: data analysis, project development, and manuscript editing. GO: manuscript editing and data collection. OT: Data analysis, Protocol development.
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This study was approved by The Non-Interventional Research Ethics Committee of Bezmi Alem Vakif University (no. 42/2022).
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Sessiz, R., Ercan, I., Özkan, G. et al. Evaluation of sex dimorphism of the mandible with geometric morphometric analysis: conventional and reconstructed panoramic radiography study. Surg Radiol Anat 45, 1497–1504 (2023). https://doi.org/10.1007/s00276-023-03201-z
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DOI: https://doi.org/10.1007/s00276-023-03201-z