Abstract Background Management of class II division 1 subdivision malocclusion has consistently offered an important challenge for orthodontic professionals. This problem arises not only from the complexities associated with its treatment but also from the complex nature of its asymmetric characteristics. Understanding the properties of asymmetry in this particular malocclusion has significant importance. Objectives Evaluate the features of temporomandibular joint and dental asymmetries in angle class II division 1 subdivision malocclusion by using cone-beam computed tomography (CBCT). Patients and methods Forty CBCT scans of adult patients were analyzed and divided into two groups: 20 CBCT for each group skeletal and dental measurements were measured and compared among both groups to evaluate the features temporomandibular joint and dental asymmetries in class II division 1 subdivision malocclusion. Results Dental parameters were significantly different (P < 0.01) between right and left sides in maxillary sagittal position (mandibular first), maxillary and mandibular canine. A comparison of condyle and glenoid fossa concerning right, and left sides showed together significant an differences (P < 0.01) in coronal position of GFI, GlS, Poi, and posterior wall angle of the articular tubercle. Conclusion In class II division 1 subdivision malocclusion the mandibular first molar was distal and lingual in position, while the maxillary first molar was mesial in class II side. In class ii subdivision malocclusion, glenoid fossa position and condylar morphology asymmetries caused skeletal asymmetry.
Read full abstract