Cephalometric features of Angle class III malocclusion with different dentoalveolar compensation (retrospective study)

Document Type : Original Article

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Department of Orthodontics, Faculty of Dentistry, Alexandria University, Egypt

Abstract

Introduction: This study was to investigate dentoalveolar compensation in untreated skeletal Class III patients. Methods:This retrospective study was conducted on 102 untreated Class III malocclusion patients. They were divided into group 1 (overjet<0mm, n=51) and group 2 (overjet ≥ 0mm, n=51). Twenty-six cephlometric readings were compared between the two groups. Correlation analysis was performed between the overjet with skeletal and dental measurements and Regression analysis was performed to determine the overjet. Results: The results showed a significantly higher SNB, S-N-Pg, gonial angle and L1-NB mm in the negative overjet group. While, the ANB angle, angle of convexity, Wits appraisal, bony chin and U1- A-Pg mm were significantly higher in the positive overjet group. However, no statistically significant difference was found in the rest of the readings. Correlational analyses showed that the overjet has significant negative correlation with SNB, S-N-Pg, L1-Frankfort, gonialangles. On the other hand, it had significant positivecorrelation with ANB angle, angle of convexity, Wits appraisal, bony chin, L1-MP angle and U1-A-Pg mm. Nine regression equations for the overjet were calculated with the highest coeffcient of determination of 0.33. Conclusion: Dentoalveolar compensation was seen in Class III cases with less skeletal discrepancy, lower mandibular prominence, larger bony chin, greater angle of convexity and smaller gonial angle. Moreover, the position of the maxillary and mandibular incisors on the basal bone, rather than their inclination, contributed in dentoalveolar compensation

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