Title: Association of Anterior and Posterior occlusal planes with skeletal class I, class II and class III malocclusion

Authors: Rosha Shrestha, Suvit Maskey, Gaurav Acharya

 DOI: https://dx.doi.org/10.18535/jmscr/v11i8.07

Abstract

Introduction: The occlusal plane is a very vital in stomatognathic system and the association between anterior occlusal planes and posterior occlusal plane plays an important role during orthodontic treatments.

Methods: Lateral cephalometric radiographs of 270 adult patients of the different classes of malocclusion were used. Several angular measurements were measured and compared among all study groups to evaluate the existence of relationship between AOP and POP with skeletal and vertical patterns.

Results: The skeletal patterns showed a significant difference in anterior occlusal plane  angle relative to both SN plane and FH plane among all classes of malocclusion (p-value =0.001**) having a steeper inclined plane in Class II and flat inclined plane in Class III. POP in relation to FH plane and SN plane showed lowest angle in skeletal Class III and highest in Skeletal Class I patients.

Conclusion: The occlusal planes were found to have an impact on the jaw base where the variation in its angulation of different occlusal planes had affected both sagittal and vertical facial patterns. AOP relative to SN and FH were steeper in Class II and flat in Class III, while the POP relative to FH showed the same value in Classes II and III.

Keywords: Anterior occlusal plane, Posterior occlusal plane, Malocclusion, Skeletal patterns, Vertical pattern, Lateral cephalometric radiograph.

References

  1. Fushima K, Kitamura Y, Mita H, Sato S, Suzuki Y, Kim Y (1996) Significance of the cant of the posterior occlusal plane in Class II division 1 malocclusions. Eur J Orthod 18:27–40
  2. Anwar N, Fida M. Compensation for vertical dysplasia and its clinical Eur J Orthod. 2009; 31:516–522.
  3. Kim, J. I.; Hiyama, T.; Akimoto, S. & Shinji, H. Longitudinal study regarding relationship among vertical dimension of occlusion, cant of occlusal plane and antero-posterior occlusal relation. Bull. Kanagawa Coll., 41(1):31-42, 2006
  4. Ju BE, Kwon HJ, Kwon O. Changes in longitudinal craniofacial growth in subjects with normal occlusions using the rickets Korean J Orthod. 2014;44(2):77–87. doi:10.4041/kjod. 2014.44.2.77
  5. Ngan P, Moon W. Evolution of class III treatment in orthodontics. AmJ Orthod Dentofacial Orthop. 2015;4(12):22–
  6. Jin-le L, Chen F, Chen S. Changes of occlusal plane inclination after orthodontic treatment in different dentoskeletal Prog Orthod.2014;15:41. doi:10.1186/s40510-014-0041-1
  7. Aleš Čelar, Ekrem Tafaj, Alexandra Graf, and Stefan Lettner.Association of anterior and posterior occlusal planes with skeletal class I, class II and class III malocclusion. J Orofac Orthop. 2018; 79(4): 267–276. doi: 1007/s00056- 018-0139-z
  8. Eliana Midori Tanaka , Sadao SatoLongitudinal alteration of the occlusal plane and development of different dentoskeletal frames during growth.American Journal of Orthodontics and Dentofacial Orthopedics Volume 134, Issue 5, November 2008, Pages 602.e1-602.e11
  9. Freudenthaler J, Celar A, Ritt C, Mitteroecker P (2017) Geometric morphometrics of different malocclusions in lateral skull radio- graphs. J Orofac Orthop 78:11–20
  10. Tanaka EM, Sato S (2008) Longitudinal alteration of the occlusal plane and development of different dentoskeletal frames during Am J Orthod Dentofacial Orthop 134:602.e1–602.e11
  11. Susan P. McGorray Relationship of maxillary 3-dimensional posterior occlusal plane to mandibular spatial position and morphology,AJODO,July 2016
  12. Hassouna, Y., El Mehy, G., & Yousif, A. (2021). Relationship of anterior and posterior occlusal planes with different sagittal and vertical patterns in adults. Alexandria Dental Journal, 46(2), 205-209.
  13. Ardani IGWA, Wicaksona A, Hamid T. The occlusal plane inclination analysis for determining skeletal class III malocclusion Clin Cosmet Investing Dent.2020:163171
  14. Li JL, Kau CH, Wang M. Changes of occlusal plane inclination after orthodontic treatment in different dentoskeletal Progress in Orthodontics. 2014 Dec;15(1):1-0.
  15. Eppard, Holly, "The occlusal plane inclination relative to craniofacial form: A cephalometric investigation" (2012). Graduate Theses, Dissertations, and Problem Reports.

Corresponding Author

Rosha Shrestha

Department of Orthodontics, KIST Medical College and Teaching Hospital, Imadol, Kathmandu, Nepal