Dental arch widths and mandibular-maxillary base width in Class III malocclusions with low, average and high MP-SN angles.

摘要

OBJECTIVE: To analyze the development of the dental arches and skeletal mandibular-maxillary bases in untreated Class III malocclusions with low averages and high mandibular plane angles in subjects aged 10 to 14. MATERIALS AND METHODS: The records of 50 untreated Japanese girls with Class III malocclusions at age 10 were selected from the files of patients pending orthodontic surgery. The patients included those with low (< or 27 degrees), average (27 degrees through 37 degrees) and high (>37 degrees) mandibular plane angles. The maxillary skeletal base width, biantegonial width, and maxillary and mandibular intermolar width were determined on posteroanterior cephalograms obtained at annual intervals when subjects were between 10 and 14 years of age. The difference between the maxillary and mandibular intermolar width was also calculated and reported. RESULTS: All skeletal and dental transverse widths in the high-angle group were significantly smaller than those in the low-angle group (P < .05) from ages 10 to 14. On the other hand, the maxillary to mandibular molar difference was the same for the three groups (P > .05) at each age. The deviations in molar differences did increase from age 10 to age 14 in all three groups. CONCLUSION: Mandibular plane angles might play a stronger role in the transverse skeletal growth of the maxilla and the mandible than the transverse dental growth of the maxilla and the mandible.