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CC BY 4.0 · Journal of Health and Allied Sciences NU 2024; 14(03): 368-373
DOI: 10.1055/s-0043-1775575
Original Article

Correlation between Cranial Base, Mandible, and Hyoid Bone Position in Different Anteroposterior Skeletal Malocclusions: A Cephalometric Study

Jaffer Sadik 
1   Department of Orthodontics and Dentofacial Orthopaedics, AB Shetty Memorial Institute of Dental Sciences (ABSMIDS), Nitte (Deemed to be University), Mangalore, Karnataka, India
,
Akhil Shetty 
1   Department of Orthodontics and Dentofacial Orthopaedics, AB Shetty Memorial Institute of Dental Sciences (ABSMIDS), Nitte (Deemed to be University), Mangalore, Karnataka, India
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Abstract

Background Development of malocclusion can be promptly recognized through an understanding of the optimal position of the bone structures in the orofacial system and their relationship to the cranial base and jaw base. The aim of this study was to assess the relationship between the cranial base, mandible, and hyoid bone in different anteroposterior skeletal malocclusions.

Materials and Methods This retrospective study evaluated 120 lateral cephalometric radiographs of individuals aged between 15 and 30 years. The subjects were classified using Burstone's analysis into three groups based on the N perpendicular to point A and N perpendicular to point B. The collected lateral cephalograms of the selected individuals were analyzed using Nemoceph v.12 software (Nemotec, Spain). The nasion-sella-articulare (NSAr), hyoidale angle (C3HyD), sella-articulare-hyoid angle (SArHy), and nasion-sella-hyoid (NSHy) angles were measured and compared among all the three groups.

Results In the present study, considering the various angles among the three study groups, a statistically significant difference was observed for the SArHy angle (p < 0.05). However, the saddle angle (NSAr) and hyoidale angle (C3HyD) showed no statistically significant difference between the three study groups. Post hoc Bonferroni test was applied to compare the differences between two groups. A statistically significant difference (p < 0.05) was observed between class I and class II and between class II and class III groups.

Conclusion Though the findings of the present study concluded that there is no variation in saddle angle among the three groups, the significant association of SArHy angle among class I, class II, and class III skeletal relationships, suggests an adaptation of the hyoid bone position in various skeletal patterns. We also suggest that the posterior positioning of the hyoid bone is related to skeletal class II malocclusion, whereas a forward positioning of the hyoid bone is related to skeletal class III malocclusion.

Keywords

cranial base - mandible - hyoid bone - saddle angle - malocclusion

Ethical Approval

The study was approved by the Institutional Ethics and Research committee, AB Shetty Memorial Institute of Dental Sciences, Constituent college of NITTE (Deemed to be University), Mangalore (protocol number: ABSM/EC/67/2021, date: 09.01.2021).


Authors' Contributions

All authors contributed at different stages of the project, read and approved the final manuscript.




Publikationsverlauf

Artikel online veröffentlicht:
05. Oktober 2023

© 2023. The Author(s). This is an open access article published by Thieme under the terms of the Creative Commons Attribution License, permitting unrestricted use, distribution, and reproduction so long as the original work is properly cited. (https://creativecommons.org/licenses/by/4.0/)

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  • References

  • 1 Elgadir Ahmed AA, Abuaffan AH. Correlation between cranial base morphology and skeletal maloclusion in a sample of Sudanese orthodontic patients. J Dent Probl Solut 2020; 7 (02) 90-95
    Suche in Google Scholar
  • 2 Ferros I, Mora MJ, Obeso IF, Jimenez P, Martinez-Insua A. Relationship between the cranial base and the mandible in artificially deformed skulls. Orthod Craniofac Res 2016; 19 (04) 222-233
    CrossrefPubMedSuche in Google Scholar
  • 3 Monirifard M, Sadeghian S, Afshari Z, Rafiei E, Sichani AV. Relationship between cephalometric cranial base and anterior-posterior features in an Iranian population. Dent Res J (Isfahan) 2020; 17 (01) 60-65
    CrossrefPubMedSuche in Google Scholar
  • 4 Dileep S, Khader MA, Ali H, Paul K D, Narayan M, Jayan A. Cranial base parameters in adults with skeletal class I and class II skeletal pattern. J Orthod Sci 2022; 11: 41
    CrossrefPubMedSuche in Google Scholar
  • 5 Plachiyska KT, Krasteva S, Zlatev S, Krasteva S. Cephalometric evaluation of the cranial base in the Bulgarian population. Scr Sci Med Dent 2017; 3 (01) 41-46
    Suche in Google Scholar
  • 6 Almeida KCM, Raveli TB, Vieira CIV, Santos-Pinto AD, Raveli DB. Influence of the cranial base flexion on Class I, II and III malocclusions: a systematic review. Dental Press J Orthod 2017; 22 (05) 56-66
    CrossrefPubMedSuche in Google Scholar
  • 7 Jose NP, Shetty S, Mogra S, Shetty VS, Rangarajan S, Mary L. Evaluation of hyoid bone position and its correlation with pharyngeal airway space in different types of skeletal malocclusion. Contemp Clin Dent 2014; 5 (02) 187-189
    CrossrefPubMedSuche in Google Scholar
  • 8 Mortazavi S, Asghari-Moghaddam H, Dehghani M. et al. Hyoid bone position in different facial skeletal patterns. J Clin Exp Dent 2018; 10 (04) e346-e351
    PubMedSuche in Google Scholar
  • 9 Firwana A, Wang H, Sun L, Wang J, Zhang WB. Relationship of the airway size to the mandible distance in Chinese skeletal Class I and Class II adults with normal vertical facial pattern. Indian J Dent Res 2019; 30 (03) 368-374
    CrossrefPubMedSuche in Google Scholar
  • 10 Noorani MK, Adarsh K, Mishra K, Seth KG, Kalburgi MN, Sharan S. Comparative evaluation of different measurements of hyoid bone in different malocclusion in North Indian population. J Adv Med Dent Scie Res 2020; 8 (11) 123-126
    Suche in Google Scholar
  • 11 Amayeri M, Saleh F, Saleh M. The position of hyoid bone in different facial patterns: a lateral cephalometric study. Eur Sci J 2014; 10 (15) 19-34
    Suche in Google Scholar
  • 12 Dhopatkar A, Bhatia S, Rock P. An investigation into the relationship between the cranial base angle and malocclusion. Angle Orthod 2002; 72 (05) 456-463
    PubMedSuche in Google Scholar
  • 13 Rothstein T, Phan XL. Dental and facial skeletal characteristics and growth of females and males with Class II Division 1 malocclusion between the ages of 10 and 14 (revisited). Part II. Anteroposterior and vertical circumpubertal growth. Am J Orthod Dentofacial Orthop 2001; 120 (05) 542-555
    CrossrefPubMedSuche in Google Scholar
  • 14 Polat OO, Kaya B. Changes in cranial base morphology in different malocclusions. Orthod Craniofac Res 2007; 10 (04) 216-221
    CrossrefPubMedSuche in Google Scholar
  • 15 Klocke A, Nanda RS, Kahl-Nieke B. Role of cranial base flexure in developing sagittal jaw discrepancies. Am J Orthod Dentofacial Orthop 2002; 122 (04) 386-391
    CrossrefPubMedSuche in Google Scholar
  • 16 Nie X. Cranial base in craniofacial development: developmental features, influence on facial growth, anomaly, and molecular basis. Acta Odontol Scand 2005; 63 (03) 127-135
    CrossrefPubMedSuche in Google Scholar
  • 17 Bibby RE, Preston CB. The hyoid triangle. Am J Orthod 1981; 80 (01) 92-97
    CrossrefPubMedSuche in Google Scholar
  • 18 Chauhan R, Bagga DK, Agrawal P, Kalra H, Kumar P, Singh A. Radiographic evaluation of the hyoid bone position and pharyngeal airway depth in anteroposterior dysplasia. Int J Clin Pediatr Dent 2019; 12 (02) 101-106
    CrossrefPubMedSuche in Google Scholar
  • 19 Bilal R. Position of the hyoid bone in anteroposterior skeletal patterns. J Healthc Eng 2021; 2021: 7130457
    CrossrefPubMedSuche in Google Scholar