Comparison between Characteristics of Maxillary Right and Left Central Incisors: A Cone-beam Computed Tomography Study

Abstract

To compare the angulation of maxillary left (UL) and right (UR) incisors and the width of alveolar bone. This study was conducted using archived cone-beam computed tomography (CBCT) images of 50 male and 50 female patients. The UL and UR incisors were compared in terms of incisor/palatal plane angle, collum angle, labiopalatal crown-root position, and alveolar bone width (ABW). The comparison, with reference to gender and age, was analyzed using one-way analysis of variance and independent sample t test. There is no substantial variance in the average differences of the assessed variables for UR and UL central incisors (p > 0.05). No significant association was found between crown labial to root and root labial to crown positions for both central incisors (p > 0.05). Statistical analyses revealed that tooth type has no significant association with the central incisors-related variables. Alveolar bone width, at various areas assessed, showed significant relation to gender. On the other hand, incisor/palatal plane angle and ABW at the cementoenamel junction and at level of Point A (subnasale) were significantly affected by age. Gender can significantly affect the development of ABW. Also, incisor/palatal plane angle and ABW at certain areas are correlated with age. Understanding the similarities or differences between right and left maxillary central incisors may give better indication if cephalometric images are accurate in attaining such measurements. This in turn will also help orthodontist to choose the proper tool for treatment decision-making related to incisor tooth movement.