geometric morphometric evaluation of hard and soft tissue profile changes in borderline extraction versus non-extraction patients.

Autor: Kouli, Afroditi, Papagiannis, Alexandros, Konstantoni, Nikoleta, Halazonetis, Demetrios J, Konstantonis, Dimitrios
Předmět:
Zdroj: European Journal of Orthodontics; Jun2019, Vol. 41 Issue 3, p264-272, 9p, 2 Color Photographs, 2 Illustrations, 4 Charts, 3 Graphs
Abstrakt: Objectives To evaluate the hard tissue and facial profile changes in matched extraction and non-extraction Class I patients by the use of geometric morphometrics. Subjects and Methods From a parent sample of 542 Class I patients, previously subjected to discriminant analysis, a subsample of 68 borderline cases was obtained, 34 treated with extraction and 34 without extraction of 4 first premolars. Geometric morphometric methods (Procrustes superimposition and Principal Component Analysis) were applied on cephalometric tracings to assess the validity of the discriminant analysis in successfully identifying a morphologically homogeneous group and to evaluate inter- and intra-group skeletal and facial profile shape changes. Results No significant pre-treatment shape difference between the two groups was found, thus validating the discriminant analysis. The non-extraction group showed increase in hard tissue facial height (P < 0.001), with slight lower lip retrusion and upper lip protrusion (P = 0.027). The extraction group showed retraction of the hard tissue and facial profile outline (P < 0.001). Permutation tests for post-treatment inter-group differences resulted in P = 0.054 for the soft tissue outline and P = 0.078 for the hard tissue skeletal component. Conclusions The evidence indicates that borderline cases treated with four premolar extractions will exhibit lip retrusion compared to non-extraction treatment. [ABSTRACT FROM AUTHOR]
Databáze: Complementary Index