Skeletal malocclusions are common phenotypes in humans and have a strong influence on genetic factors. Transforming growth factor beta (TGF) controls numerous functions of the human body, including cell proliferation, differentiation, and migration. Thus, this study is aimed at evaluating whether genetic polymorphisms in and its receptor are associated with mandibular retrognathism in German children and adolescents. Children and teenagers older than 8 years in the mixed or permanent dentition were included in this study. Patients with syndromes and facial trauma and patients with congenital alterations were excluded. Digital cephalometric tracings were performed using the anatomical landmarks point A, point B, sella (S), and nasion (N). Patients that have a retrognathic mandible (SNB < 78°) were selected as case group, and the patients with an orthognathic mandible (SNB = 78°- 82°) were selected as the control group. Genomic deoxyribonucleic acid (DNA) from saliva was used to evaluate four genetic polymorphisms in (rs1800469 and rs4803455) and (rs3087465 and rs764522) using real-time PCR. Chi-square or Fisher exact tests were used to compare gender, genotype, and allele distribution among groups. Genotype distribution was calculated in an additive and recessive model. Haplotype analysis was also performed. The established alpha of this study was 5%. A total of 146 patients (age ranging from 8 to 18 years) were included in this epidemiological genetic study. The genetic polymorphism rs3087465 in was associated with mandibular retrognathism. Carrying the AA genotype in the rs3087465 polymorphism decreased the chance of having mandibular retrognathism (odds ratio = 0.25, confidence interval 95% = 0.06 to 0.94, = 0.045). None of the haplotypes was associated with mandibular retrognathism ( > 0.05). In conclusion, we found that the genetic polymorphism rs3087465 in the promoter region of the was associated with mandibular retrognathism in Germans.
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http://dx.doi.org/10.1155/2022/1503052 | DOI Listing |
J Orthod Sci
November 2024
Department of Orthodontics and Pediatric Dentistry, College of Dentistry, Qassim University, Buraydah 52571, Saudi Arabia.
This case report details the treatment of a 23-year-old female patient with Class II division 2 malocclusion with a Class II skeletal base due to a retrognathic mandible. The condition was further complicated by a complete overbite, absence of tooth #36, and a gummy smile. The Forsus appliance has shown to be effective in correcting Class II malocclusion in adult patients, with significant improvements in bite and facial esthetics.
View Article and Find Full Text PDFJ Orthod Sci
November 2024
Assistant Professor, SRM Dental College, Bharathi Salai, SRM Institute of Science and Technology, Chennai, Tamil Nadu, India.
Background And Objective: Skeletal Class II malocclusion patients frequently exhibit an extended craniocervical position. The study's objective was to evaluate how the craniocervical posture has changed following skeletal class II correction using the Forsus fatigue-resistant device (FFRD).
Methodology: A retrospective analysis was undertaken using the pre- and post-treatment records of 35 skeletal class II patients who used the FFRD to achieve class II correction.
Clin Oral Investig
December 2024
Hospital of Stomatology, Sun Yat-sen University, Guangzhou, Guangdong, 510055, China.
Objectives: To compare the variations in the upper airway of children with skeletal Class II mandibular retrognathism treated with van Beek Headgear-Activator (vBHGA) and Twin-Block (TB) appliances.
Materials And Methods: 40 children were involved in this retrospective study and divided into two intervention groups: the vBHGA group and the TB group, each comprising 20 individuals with an average age of 11.13 years.
J Craniofac Surg
December 2024
Department of Oral and Maxillofacial Surgery, Showa University School of Dentistry, 2-1-1 Kitasenzoku, Ota-ku, Tokyo.
The new orthognathic treatment strategy of non-segmental fixation (non-fix) sagittal split ramus osteotomy (SSRO) with jaw exercise initiation on the second postoperative day, the so-called physiological positioning strategy (PPS), induces good skeletal stability with few temporomandibular joint (TMJ) symptoms after surgery in skeletal class III. This study aimed to clarify whether non-fix SSRO with modified PPS can be applied to skeletal class II. This retrospective study included skeletal class II patients who underwent non-fix SSRO to correct mandibular retrognathia.
View Article and Find Full Text PDFPlast Reconstr Surg Glob Open
December 2024
From the Department of Oral & Maxillofacial Surgery, São Leopoldo Mandic, São Paulo, Brazil.
Craniometaphyseal dysplasia is a rare congenital sclerosing skeletal dysplasia that presents with facial dimorphism and is clinically described by prominent supraorbital bridges, severe retrognathia, and respiratory problems. Fronto-orbital cranioplasty is necessary to achieve satisfactory aesthetic outcomes. The supraorbital arches were exposed to the nasal bone through coronal access, with the help of a saw and a wear drill, and osteotomy of the frontal and orbital regions with hyperostosis was performed.
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