A longitudinal study of normal asymmetric mandibular growth and its relationship to skeletal maturation
Our aims in this investigation were to assess asymmetric mandibular growth relative to skeletal maturation and to determine whether asymmetric growth occurs during a period of high growth velocity.
We evaluated lateral oblique and hand-wrist radiographs of 30 male and 30 female Class I participants in the Burlington Growth Study who were assessed at 3 time periods with the skeletal maturation index (SMI). The body, the ramus, the effective length, and the gonial angle on each side of the mandible were measured. Asymmetry between the right and left sides was analyzed with the SMI and for sex dependency.
The left ramus was consistently longer than the right in all evaluation periods (P <.05). The right body was consistently longer than the left in all evaluation periods (P <.05). The effective length showed no asymmetry until the last maturation group, when the right side was longer (P <.05). The gonial angle had no significant differences. Tests to determine differences between the sexes showed no significance in asymmetry, but the body, the ramus, and the effective length were longer in males than in females (P <.05).
Asymmetry does not occur or increase during any specific growth period.
Available from: Lesbia Rosa Tirado Amador
- "Por consiguiente, es importante considerar la postura corporal y, de ser necesario, con consentimiento informado del paciente , hacer la palpación de áreas del cuello y del omoplato, en donde se encuentran músculos que podrían presentar dolor como consecuencia de la fibromialgia u otros desórdenes , o que pudieran ser zonas de dolor referido. El examen clínico local extraoral  estará constituido por la observación que permitirá la valoración de la simetría facial, la medición de los tercios y el estado de la dimensión vertical. Con respecto al examen clínico intraoral, se considerará la evaluación de la oclusión con impresiones de cera y de papel de articular en oclusión céntrica y en excéntricas . "
Available from: German Ramirez-Yanez
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ABSTRACT: The aim of the present study was to determine the prevalence of mandibular asymmetries during the mixed dentition in growing children. For this purpose, a retrospective study was designed where various measurements were performed on the right and left sides of the mandible of panoramic radiographs of 327 children (males: 169; females: 158), 8-12 years old. Four linear measurements, mandibular ramus height, ramus width, corpus height, and corpus length, and two angles, mandibular gonial (Go) and mandibular condyle (Co), and the developmental stage of the permanent lower second molar were analysed. All measurements were adjusted for the magnification factor. The final data were then processed for the asymmetry index (AI) to determine the severity of the asymmetries and statistically analysed by Wilcoxon paired tests at the 95 per cent level of confidence. A moderate-to-severe mandibular asymmetry for the linear dimensions when both sides of the mandible were contrasted was found in more than a half of the sample. There was also a high prevalence of moderate and severe asymmetries when comparing Go and Co angles on both sides of the mandible. No differences were observed in the developmental stage of the lower permanent second molar between either side. There was a high prevalence of both dimensional and angular mandibular asymmetries in the studied population.
Available from: Susiane Allgayer
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ABSTRACT: INTRODUCTION: Facial asymmetries consist
of an imbalance between the homologous skeletal structures of the face. Most
people present some degree of facial asymmetry, since a state of perfect symmetry
is rare. This common asymmetry only becomes relevant when it is perceivable
by the patient. In this situation, either orthodontic surgical correction or
orthodontic treatment is normally chosen.OBJECTIVE: This study, based on literature review, has been illustrated
by a case report comprising Le Fort I orthognathic surgery for maxillary advancement
and rotation, with conservative treatment for the mandible.CONCLUSION: Knowledge of the patient's chief complaint and expectations,
as well as proper diagnostic exams, are important factors to decide the treatment
plan and for the final treatment outcome.
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