No correlation between primary mandibular anterior crowding and vertical craniofacial configuration or lower incisor inclination.

Abstract

The aim of the present study was to evaluate the correlation between primary mandibular anterior crowding and vertical craniofacial configuration or sagittal lower incisor inclination. The collective comprised 100 consecutive patients (50 males, 50 females) subject to 4 selection criteria: mandibular anterior crowding > or = 1.0 mm, no previous orthodontic therapy, completely preserved deciduous canines and molars, and lateral cephalograms of good diagnostic quality before initiation of orthodontic treatment. Study casts of all patients were used to measure the mesiodistal width of the incisors and deciduous canines as well as the anterior arch circumference. The difference between the 2 represented the amount of crowding. On all cephalograms 16 parameters of vertical craniofacial configuration and 9 parameters of lower incisor inclination were measured. For error evaluation all measurements were repeated independently on 10 randomly selected study casts and cephalograms. This error amounted for the combined tooth width to 0.51% +/- 0.81, for arch circumference to 0.03% +/- 0.68, and for all cephalometric parameters to 0.38% +/- 4.81. For all parameters, arithmetic means, standard deviations and ranges were calculated. Further, correlation coefficients were calculated between anterior crowding and all 25 cephalometric parameters. The arithmetic mean of crowding was m = 2.0 +/- 1.3 mm with a range of 1.0 to 6.6 mm. The values of all cephalometric parameters were close to well accepted norms in the literature. The correlation coefficients between crowding and all cephalometric parameters varied from r = 0.0 to 0.3. According to this study there is no correlation between primary mandibular anterior crowding and vertical craniofacial configuration or sagittal lower incisor inclination.