Cervical vertebral column morphology and head posture in preorthodontic patients with anterior open bite
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Cervical vertebral column morphology and head posture in preorthodontic patients with anterior open bite. / Kim, Phong; Sarauw, Martin Toft; Sonnesen, Liselotte.
In: American journal of orthodontics and dentofacial orthopedics : official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics, Vol. 145, No. 3, 03.2014, p. 359-66.Research output: Contribution to journal › Journal article › Research › peer-review
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TY - JOUR
T1 - Cervical vertebral column morphology and head posture in preorthodontic patients with anterior open bite
AU - Kim, Phong
AU - Sarauw, Martin Toft
AU - Sonnesen, Liselotte
N1 - Copyright © 2014 American Association of Orthodontists. Published by Mosby, Inc. All rights reserved.
PY - 2014/3
Y1 - 2014/3
N2 - INTRODUCTION: Cervical vertebral column morphology and head posture were examined and related to craniofacial morphology in preorthodontic children and adolescents with anterior open bite.METHODS: One hundred eleven patients (ages, 6-18 years) with an anterior open bite of more than 0 mm were divided into 2 groups of skeletal or dentoalveolar open bite. The skeletal open-bite group comprised 38 subjects (19 girls, 19 boys). The dentoalveolar open-bite group comprised 73 subjects (43 girls, 30 boys). Visual assessment of the cervical column and measurements of craniofacial morphology and head posture were made on profile radiographs.RESULTS: Deviations in the cervical vertebral column morphology occurred in 23.7% of the subjects in the skeletal open-bite group and in 19.2% in the dentoalveolar open-bite group, but the difference was not significant. Head posture was significantly more extended in the skeletal open-bite group compared with the dentoalveolar open-bite group (craniovertical angle [Mx/VER], P <0.05; craniocervical angles [Mx/OPT, Mx/CVT], P <0.01. Only head posture was associated with craniofacial morphology: extended posture was associated with a large cranial base angle (P <0.01, P <0.001), large vertical craniofacial dimensions (P <0.05; P <0.01; P <0.001), and retrognathia of the jaws (P <0.001).CONCLUSIONS: Cervical column morphology is described for the first time in children and adolescents with open bite. No significant differences in the cervical vertebral column's morphologic deviations were found between the skeletal and the dentoalveolar open-bite groups. Significant differences were found in head posture between the groups and with regard to associations with craniofacial dimensions. This might indicate a respiratory etiologic component in children with anterior open bite.
AB - INTRODUCTION: Cervical vertebral column morphology and head posture were examined and related to craniofacial morphology in preorthodontic children and adolescents with anterior open bite.METHODS: One hundred eleven patients (ages, 6-18 years) with an anterior open bite of more than 0 mm were divided into 2 groups of skeletal or dentoalveolar open bite. The skeletal open-bite group comprised 38 subjects (19 girls, 19 boys). The dentoalveolar open-bite group comprised 73 subjects (43 girls, 30 boys). Visual assessment of the cervical column and measurements of craniofacial morphology and head posture were made on profile radiographs.RESULTS: Deviations in the cervical vertebral column morphology occurred in 23.7% of the subjects in the skeletal open-bite group and in 19.2% in the dentoalveolar open-bite group, but the difference was not significant. Head posture was significantly more extended in the skeletal open-bite group compared with the dentoalveolar open-bite group (craniovertical angle [Mx/VER], P <0.05; craniocervical angles [Mx/OPT, Mx/CVT], P <0.01. Only head posture was associated with craniofacial morphology: extended posture was associated with a large cranial base angle (P <0.01, P <0.001), large vertical craniofacial dimensions (P <0.05; P <0.01; P <0.001), and retrognathia of the jaws (P <0.001).CONCLUSIONS: Cervical column morphology is described for the first time in children and adolescents with open bite. No significant differences in the cervical vertebral column's morphologic deviations were found between the skeletal and the dentoalveolar open-bite groups. Significant differences were found in head posture between the groups and with regard to associations with craniofacial dimensions. This might indicate a respiratory etiologic component in children with anterior open bite.
KW - Adolescent
KW - Age Factors
KW - Axis
KW - Cephalometry
KW - Cervical Vertebrae
KW - Child
KW - Chin
KW - Female
KW - Head
KW - Humans
KW - Incisor
KW - Male
KW - Mandible
KW - Maxilla
KW - Nasal Bone
KW - Open Bite
KW - Overbite
KW - Posture
KW - Retrognathia
KW - Sex Factors
KW - Skull Base
KW - Spinal Diseases
KW - Vertical Dimension
U2 - 10.1016/j.ajodo.2013.11.017
DO - 10.1016/j.ajodo.2013.11.017
M3 - Journal article
C2 - 24582027
VL - 145
SP - 359
EP - 366
JO - American Journal of Orthodontics and Dentofacial Orthopedics
JF - American Journal of Orthodontics and Dentofacial Orthopedics
SN - 0889-5406
IS - 3
ER -
ID: 120389463