Mandibular alveolar bone thickness in untreated Class I subjects with different vertical skeletal patterns: a cone-beam computed tomography study

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School of Dental Medicine::Departmental Papers (Dental)
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Dentistry
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Alveolar bone
CBCT
Mandible
Skeletal vertical pattern
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2023-11-01
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Formosa, Joseph
Zou, Min
Chung, Chun-Hsi
Boucher, Normand S.
Li, Chenshuang
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Abstract

Objective: To evaluate the mandibular alveolar bone thickness in untreated skeletal Class I subjects with different vertical skeletal patterns. Materials and Methods: A total of 50 preorthodontic treatment cone-beam computed tomography (CBCT) images of a skeletal Class I Chinese population with near-normal occlusion were selected. The buccal and lingual alveolar bone thicknesses of mandibular canines to second molars were measured at 2 mm below the cementoenamel junction (CEJ), mid-root, and root apex levels. Differences in the measurements were analyzed with Mann-Whitney U-test. The correlation between alveolar bone thickness and the sella-nasion–mandibular plane (SN-MP) angle was calculated using Pearson correlation coefficients and linear regression analysis. Results: Buccal alveolar bone was thinner on all mandibular canines to first molars but thicker on second molars in comparison with lingual alveolar bone. Buccal alveolar bone was within 1 mm at the levels of 2 mm below CEJ and mid-root for the canines and first premolars. Significant differences were detected among subjects with different vertical patterns, with a negative correlation between the SN-MP angle and alveolar thickness, especially in the canine and premolar regions. The thinnest buccal and lingual alveolar bone were detected in the high-angle group canine region (0.50 mm at the levels of 2 mm below CEJ and mid-root for the buccal side, 0.90 mm at the level of 2 mm below the CEJ for the lingual side). Conclusions: To avoid periodontal complications, buccal-lingual movement of the mandibular canines and first premolars should be limited, especially in high-angle patients. Ó 2023 by The EH Angle Education and Research Foundation, Inc.

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2023-11-01
Journal title
Angle Orthodontist
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EH Angle Education and Research Foundation Inc
Publisher DOI
10.2319/030523-151.1
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