Dentoalveolar bone height in Class I adults with different vertical patterns: A cross-sectional study.

Int Orthod

Department of Dentofacial Medicine, American University of Beirut Medical Center, Beirut, Lebanon; Department of Orthodontics, Centre Hospitalier Universitaire, Dijon, France.

Published: September 2024

Background: Facial divergence during growth and development affects both the anterior and posterior alveolar bone dimensions in the maxilla and mandible, and the dentoalveolar compensation mechanism in severe vertical skeletal discrepancies remains unclear.

Aims: To evaluate the: (1) difference in dentoalveolar heights among subjects with different vertical facial patterns; (2) association between the dentoalveolar bone height and other cephalometric variables; (3) effect of sex on dentoalveolar height measurements.

Material And Methods: Non-growing subjects with skeletal Class I (0°
Results: Measurements on a total of 204 patients (81 males, 123 females) were analysed. At the level of the incisor and premolar regions, both dentoalveolar and alveolar bone heights were significantly larger in hyperdivergent group when compared to hypodivergent group, whereas at the level of the molar region, no difference was found among groups. Moderate to strong correlations were found between dentoalveolar bone and vertical skeletal measurements.

Conclusions: In the maxilla and mandible, the dentoalveolar compensation mechanism in skeletal Class I subjects results in an increased vertical height in the anterior dentoalveolar segment in hyperdivergent subjects and a reduced one in hypodivergent subjects.

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http://dx.doi.org/10.1016/j.ortho.2024.100894DOI Listing

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