Does nasal morphology gets affected by growth pattern, skeletal malocclusion and gender dimorphism in an individual in north Indian population
A cephalometric study
Keywords:
nasal parameters, malocclusion, sexual dimorphism, growth patterns, paradigm shiftAbstract
Background: Orthodontic patients primarily seek treatment for aesthetic reasons and due to paradigm shift from hard tissue to soft tissue, nasal morphology with associated structure present in the middle third of face has drawn attention. Hence the retrospective study compared and correlated parameters between nasal morphology and gender dimorphism, skeletal pattern and skeletal malocclusion. Preorthodontic cephalograms of 180 patients were randomly selected following exclusion and inclusion criteria from North Indian population. Cephalograms were divided into three different groups according to various skeletal growth pattern, gender dimorphism and skeletal malocclusion and were further correlated with nasal parameters of each sample groups. Results: The results stated that there was a statistically significant correlation and differences were found between nasal parameters such as NLth(p=0.005), NTP(p=0.004) and skeletal parameters in males and females The results also explained that nasal parameters showed significant correlation with skeletal parameters among various growth pattern. There was statistically significant difference found NLth(p=0.035) and NTP (p=0.029) among growth pattern. On comparing nasal parameters in different classes of malocclusion, nasal parameter LNLA seems to be affected in all the three classes. Conclusion: The study concluded that nasal parameters get affected by growth pattern, skeletal malocclusion and sexual dimorphism in an individual.
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Skinazi, GLS. Chin, nose, and lips. Normal ratios in young men and women. Am J Orthod and dentofac Orthop. 1988; 106(5): 518-23. https://doi.org/10.1016/s0889-5406(94)70075-3.
Khare, V, Niwlikar, KB. Effect of Vertical Maxillary Skelatal Pattern on Nasal Morphology in High and Low Angle Cases. Int J Oral Health Med Res. 2017; 3(6): 75-79. https://doi.org/10.1177%2F0301574221992189.
Gulsen, A, Okay, C, Aslan, BI, Uner, O, Yavuzer, R. The relationship between craniofacial structures and the nose in Anatolian Turkish adults: a cephalometric evaluation. Am J Orthod Dentofacial Orthop. 2006; 130(1): e15–e25. https://doi.org/10.1016/j.ajodo.2006.01.020.
Posen, JM. A longitudinal study of the growth of the nose. Am J Orthod. 1957; 53(10): 746–56. https://doi.org/10.1016/0002-9416(67)90119-4.
Chaconas, SJ, Bartroff, JD. Prediction of normal soft tissue facial changes. Angle Orthod. 1975; 45(1): 12–25. https://doi.org/10.1043/00033219(1975)045%3C0012:ponstf%3E2.0.co;2.
Bishara, SE, Peterson, LC. Changes in facial dimensions and relationships between the ages of 5 and 25 years. Am J Orthod. 1984; 85(3): 238–51. https://doi.org/10.1016/0002-9416(84)90063-0.
Scott, JH. The cartilage of the nasal septum (a contribution to the study of facial growth). Br Dent J. 1988; 95(1): 37-43. https://doi.org/10.1111%2Fjoa.12596.
Nehra, K, Sharma, V. Nasal morphology as an indicator of vertical maxillary skeletal pattern. Journal of Orthodontics. 2009; 36(3): 160-66. https://doi.org/10.1179/14653120723148.
Bhardawaj, A, Maurya, R, Nehra, K, Mitra, R, Kamat, U, Nakra, O. Comparative evaluation of various nasal parameters in different malocclusion and growth patterns: A cross-sectional study Journal of Indian Orthodontic Society. 2018; 52(24): 3-7. https://doi.org/10.1177/0974909820180404.
Hershey, HG. Incisor tooth retraction and subsequent profile change in post adolescent female patients. Am J Orthod and Dent Orthopaedics. 1972; 61(1): 45–53. https://doi.org/10.1016/0002-9416(72)90175-3.
Farkas, LG, Kolar, JC, Munro, IR. Geography of the nose: a morphometric study. Aesthetic Plast Surg. 1986; 10(1): 191–223. https://doi.org/10.1007/bf01575292.
Arshad, T, Shaikh, A, Fida, M. Comparison of nasal profiles in various skeletal patterns. J Ayub Med Coll Abbottabad. 2013; 25(1-2): 31-35. PMID: 25098048
Michael, D, Nanda, RS. Soft-tissue changes associated with, maxillary incisor retraction. Am J Orthod. 1982; 81(6): 481- 88. https://doi.org/10.1016/0002-9416(82)90427-4.
Arnett, GW, McLaughlin, RP. Facial and dental planning for orthodontists and oral surgeons. Am J Orthod and Dentofacial Orthopedics. 2004; 126(3): 290-95. https://doi.org/10.1016/j.ajodo.2004.06.006.
Subtelny, JD. A longitudinal study of soft tissue facial structures and their profile characteristics, defined in relation to underlying skeletal structures. Am J Orthod. 1959; 45: 481–507. http://meridian.allenpress.com/angle-orthodontist/article-pdf/60/3/190/1371906/0003-3219(1990)060_0190_c_2_0_co_2.pdf.
Behrents, RG. Growth in the aging craniofacial skeleton. Craniofacial growth series. Ann Arbor MI: Needham; 1985. http://www.worldcat.org/oclc/12305477.
Meng, HP, Goorhuis, J, Kapila, S, Nanda, RS. Growth changes in nasal profile. Am J Orthod dentofac Orthop. 1988; 94(4): 317-26. https://doi.org/10.1016/0889-5406(88)90057-1.
Fernandez, RP, Smyth, CE, Suarez, QD, Suarez, CM. Angular photogrammametric analysis of soft tissue profile. Eur J Orthod. 2003; 25(4): 393–99. https://doi.org/10.1093/ejo/25.4.393.
Robison, JM, Rinchuse, DJ, Zullo, TG. Relationship of skeletal pattern and nasal form. Am J Orthod. 1988; 89(6): 499-506. https://doi.org/10.1016/0002-9416(86)90008-4.
Gulsen, A, Okay, C, Aslan, BI, Uner, O, Yavuzer, R. The relationship between craniofacial structures and the nose in Anatolian Turkish adults: a cephalometric evaluation. Am J Orthod Dentofacial Orthop. 2006; 130(131): e15–e25. https://doi.org/10.1016/j.ajodo.2006.01.020.
Anic, MS, Mestrovic, S, Lapter, VM, Dumancic, J, Slaj, M. Analysis of soft tissue profile in Croatians with normal occlusions and well-balanced faces. Eur J Orthod. 2010; 5(3): 124–28. https://doi.org/10.1093/ejo/cjq072.
Scavone, H, Jr, Trevisan, H, Jr, Gari, DG, Ferreira, FV. Facial profile evaluation in Japanese- Brazilian adults with normal occlusions. Am J Orthod Dentofacial Orthop. 2010; 129(721): e1–5. https://doi.org/10.1016/j.ajodo.2005.10.018.
Fitzgerald, JP, Nanda, RS, Currier, GF. An evaluation of the nasolabial angle and the relative inclinations of the nose and upper lip. Am J Orthod Dentafacial orthopedics. 1992; 102(4): 328-34. https://doi.org/10.1016/0889-5406(92)70048-f.
Genecov, JS, Sinclair, PM, Dechow, PC. Development of the nose and soft tissue profile. Angle Orthod. 1990; 60(3): 191–98. https://doi.org/10.1043/0003-3219(1990)060%3C0191:dotnas%3E2.0.co;2.
Starck, WJ, Epker, BN. Cephalometric analysis of profile nasal esthetics. Part 1. Method and normative data. Int J Orthod Orthognath Surg. 1996; 11(2): 91–104. PMID: 9046631.
Taha, AA, Ahmed, AS. A comprehensive assessment of the nasal profile among Iraqi adults with different skeletal classes: A retrospective study. J. Oral Biol. Craniofac. Res. 2020; 10(2): 175–79. https://doi.org/10.1016/j.jobcr.2020.04.003.
Perovic, TM, Blažej, Z, Jovanovic, I. The influence of antero-posterior dentoskeletal pattern on the value of nasal soft tissue angles: A cephalometric study. Folia Morphol. 2020; 80(3): 657-64. https://doi.org/10.5603/fm.a2020.0087.
Alhuwaizi, FA, Mohammed, AS, Al-Laban, RY. The evaluation of the nasolabial angle in Iraqi subjects with skeletal class I, II and III relationships. Iraqi Orthodontic Journal. 2013; 9(1): 1-4. https://www.researchgate.net/publication/299556282.
Dua, V, Gupta, S, Singh, C. Evaluation of the nasolabial angle in the Indian population. Contemp. Clin. Dent. 2010; 1(2): 79–82. https://doi.org/10.4103%2F0976-237X.68595.
Hwang, HS, Kim, WS, McNamara, JA, Jr. Ethnic differences in Soft Tissue Profile of Korean and European-American adults with normal occlusions and well-balanced faces. Angle Orthod. 2002; 72(1): 72–80. https://doi.org/10.1043/0003-3219(2002)072%3C0072:editst%3E2.0.co;2.
Aljabaa, AH. Lateral cephalometric analysis of the nasal morphology among Saudi adults. Dove Medical press Journal, Clinical, Cosmetic and Investigational Dentistry. 2019; 11: 9-17. https://doi.org/10.2147/CCIDE.S190230.
Bagwan, AA, Alshennawy, M, Alskhawy, MM. Evaluation of soft tissue parameters for adults with accepted occlusion using Legan and Burstone analysis. Tanta Dent. J. 2015; 12(1): 1–6. http://dx.doi.org/10.1016/j.tdj.2014.06.004.
Nyandra, M., Kartiko, B.H., Susanto, P.C., Supriyati, A., Suryasa, W. (2018). Education and training improve quality of life and decrease depression score in elderly population. Eurasian Journal of Analytical Chemistry, 13(2), 371-377.
Nyandra, M., Suryasa, W. (2018). Holistic approach to help sexual dysfunction. Eurasian Journal of Analytical Chemistry, 13(3), pp. 207–212.
Sarada, V., & Mallikarjuna, T. (2018). Socio-economic and psychological problems of third gender people living with HIV/AIDS: A study in A.P. International Journal of Health & Medical Sciences, 1(1), 10-17. https://doi.org/10.31295/ijhms.v1n1.34
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