Changes In Mandibular Morphology Research Articles

A radiomorphometric evaluation of age-related changes in mandibular morphology

AIMS: The main aim of this study was to determine, compare and differentiate the morphologically related changes of the mandible in dentate males and females among different age groups on digital panoramic images and to assess their authenticity in age estimations to provide evidence in forensics.
 MATERIALS AND METHODS: Digital panoramic images were made of 620 subjects, belonging to into four groups of ages ranging between 1218 years, 1940 years, 4160 years, and older than 60 years. Measurements such as gonial angle, condylar length, ramus length, cortical bone thickness, and ramal notch width were measured and evaluated. The data obtained was then subjected to descriptive statistical analysis followed by a Paired t-test and a Two-way ANOVA test to arrive at the results.
 RESULTS: On measuring an angular and four linear measurements a statistically significant differences were found among all the age groups with p 0.05 and also increased on aging except for the gonial angle. Among all the parameters, the gonial angle, ramus length, and ramal notch width depicted a statistically significant difference between the right and left sides and with p 0.05.
 CONCLUSION: Age estimation with linear and angular measurements of the mandible was possible among the study population. It is found that all parameters except gonial angle are reliable for age determination. It was found that as age increased, the mean value of all the parameters increased and showed a significant difference between all age groups except the gonial angle. Hence, this study positively recommends the use of all parameters except gonial angle for the purpose of age estimation in the field of forensics.

A Non-Linear Osteometric Modeling Method for Three-Dimensional Mandibular Morphological Changes During Growth: One-Year Monitoring of Miniature Pigs Using Cone-Beam Computed Tomography.

Knowledge of mandibular growth and development is essential for diagnosis of malformation and early interception. A previous method of quantifying mandibular growth using the distances between selected anatomical landmarks over the growth period does not provide a complete, quantitative description of the continuous growth patterns. The current study aimed to bridge the gap by measuring the 3D continuous growth of the mandible in miniature pigs using cone-beam computerized tomography (CBCT). The mandibles of the pigs were CBCT-scanned monthly over 12 months, and the 3D mandibular models were reconstructed. A new non-linear, time-dependent osteometric modeling approach was developed to register two consecutive mandible models by searching for the corresponding points with the highest likelihood of matching the anatomical and morphological features so that the morphological changes patterns for each month could be described using color maps on the models. The morphological changes of the mandible were found to decrease anteriorly, with the condyle region and the posterior part of the ramus growing faster than the rest of the mandible. The condyle region showed the fastest growth rate and the posterior ramus the second during the growth period, while the middle and anterior corpus regions showed the slowest growth rates. In conclusion, the current results revealed the non-linear patterns and rates of morphological changes in different growth regions and the whole mandible. The new approach may also be useful for future studies on the growth of the mandible in other animals.

3D assessment of mandibular skeletal effects produced by the Herbst appliance

BackgroundA functional appliance is commonly used to optimize the development of the facial skeleton in the treatment of Class II malocclusion. Recent three-dimensional(3D) image-based analysis offers numerous advantages in quantitative measurement and visualization in orthodontics. The aim of this study was to localize in 3D the skeletal effect produced by the Herbst appliance on the mandible using the geometric morphometric technique.MethodsTwenty patients treated with a Herbst appliance and subsequent fixed appliances were included. Cone-beam computed tomography (CBCT) images were taken before treatment (T1), 8 weeks after Herbst appliance removal (T2), and after subsequent fixed appliance treatment (T3). Spatially dense morphometric techniques were used to establish the corresponding points of the mandible. The mandibular morphological changes from T1-T2, T2-T3, and T1-T3 were calculated for each patient by superimposing two mandibular models at two time points with robust Procrustes superimposition. These changes were then compared to the morphological changes estimated from normative mandibular growth curves over the same period. The proportion of cases exceeding the growth expression for controls was compared to a normal population using a one tailed binomial test.ResultsApproximately 1.5–2 mm greater condylar changes and 0.5 mm greater changes in the chin occurred from Tl to T2. This effect lasted until the completion of treatment (T1-T3), but there was no obvious skeletal effect during the orthodontic phase (T2-T3). Approximately 40–50% of the patient sample exceeded condylar growth by > 1.5 mm compared to untreated controls (p < .05). However, changes at the chin were not statistically significant.ConclusionsThe principal skeletal effect of Herbst appliance treatment was additional increase in condylar length for about half of the sample. This inconsistency may relate to the degree of mandibular growth suppression associated with a specific malocclusion.

Changes in mandibular ramus shape from the Neolithic to modern periods in Korea

AbstractThe purpose of this study is to assess the mandibular ramus shape using geometric morphometrics, in order to examine secular changes in the shape from the Neolithic to modern period Koreans. Morphological data were collected from 151 adult mandibles representing four temporally different populations. Five landmarks on the mandibular ramus were subjected to a generalized Procrustes analysis. For statistical analysis, canonical variate analysis was conducted using shape coordinates. The Neolithic skeletal group had broader and shorter mandibular ramus shape, whereas the other archaeological and modern skeletal groups showed gracilization in mandibular ramus morphology. Possible causes for the observed secular changes are function‐induced variation and/or morphological integration in skull elements due to brachycephalization. This study can contribute to the discussion on temporal changes in mandibular morphology in relation to masticatory stress and/or morphological integration in skull elements.

Influence of tooth loss on mandibular morphology: A cone-beam computed tomography study.

BackgroundTooth loss adversely affects patients’ health and psychosocial wellbeing. In addition, it changes mandibular morphology. Objective: To evaluate the effect of tooth loss, age, and gender on mandibular morphology.Material and MethodsCone-beam computed tomographic (CBCT) scans of 101 patients were examined to measure the gonial angle (GA), ramus height (RH) and condylar height (CH). Patients’ age, gender, and dental status were recorded. Repeated measures analysis of variance (ANOVA) was used to assess the impact of gender, age, and tooth loss on the GA, RH and CH. The mean measurements of the GA, RH and CH were compared between dentate/edentulous patients after splitting by gender.ResultsThe GA was larger in edentulous patients compared to dentate ones, in females than in males, and in older than in younger. RH on the right side was significantly longer than on the left side (P< 0.0001), and also longer in males and younger patients. CH was shorter in younger than in older patients and in dentate than in edentulous patients.ConclusionsTooth loss is associated with changes in mandibular morphology and its prevention would avoid these irreversible changes. Key words:Tooth loss, mandibular morphology, Cone-Beam computed tomography, gender, age.

Condylar positions before and after bilateral mandibular distraction osteogenesis in children with Pierre Robin sequence

This study aimed to analyze the changes in mandibular morphology after bilateral mandibular distraction osteogenesis (BMDO) in children with Pierre Robin sequence. The positions of the condyles were analyzed in reconstructed three-dimensional craniomaxillofacial images obtained for 18 children before and 8–12 weeks after BMDO. Differences between pre- and postoperative parameters were assessed using paired t-tests. After surgery, a significant decrease in superior joint space was detected (P<0.05), but no change in anterior joint space or posterior joint space was observed. The ratio of the distance between gonia and distance between condylion points (GoL–GoR/CoL–CoR) (P<0.001) and the distances between the condyle and midsagittal plane (P<0.001) increased after surgery, while the condylar horizontal angle decreased (P<0.05). No change in condylar vertical angle was noted. After BMDO, the condyle displayed an outward and upward shift, as well as outward rotation along the proximal segment. The mandible body exhibited forward movement with a more significant opening range. These changes were consistent with the extent of the newly formed bone tissue and the improvement in coordination and appearance of the children’s facial structures. The long-term effects of changes in condylar position on the development of the maxillofacial structures needs to be studied further.

Distraction Osteogenesis Normalizes Mandibular Body-Symphysis Morphology in Infants With Robin Sequence

To evaluate changes in mandibular morphology in infants with Robin sequence (RS) after mandibular distraction osteogenesis (MDO) and compare the post-distraction morphology with that in infants without RS and infants with RS who had not undergone MDO. Infants with RS treated with MDO were retrospectively evaluated over a 12-year period. All patients had pre-distraction and end-consolidation maxillofacial computed tomograms. Morphologic features of the mandible were divided into ramus and condyle, body and symphysis, and composite measurements. Post-distraction RS mandibular morphology was compared with pre-distraction morphology, as well as to age-matched infants without RS and age-matched infants with RS who had not undergone MDO. Comparisons were done using nonparametric paired-samples analyses. During the study period, 17 patients with RS treated with MDO met the inclusion criteria for the study. The mean ages at distraction and end-consolidation were 1.95±3.24 and 8.46±5.99months, respectively. The post-MDO mandible was significantly different from the pre-MDO mandible with regard to the ramps-condyle unit and body-symphysis measurements, including development of a more parabolic mandibular arch form (P≤.001). Compared with age-matched non-RS infant mandibles, the post-distraction RS mandibles had similar morphologies. Compared with age-matched non-MDO RS mandibles, the post-distraction mandibles had significantly different morphologies anterior to the gonial angle, including a more parabolic arch form (P≤.006). MDO normalized mandibular morphology in infants with RS, with the greatest effect on measurements anterior to the gonial angle.

Changes in mandibular dimensions during the mediaeval to post-mediaeval transition in London: A possible response to decreased masticatory load

ObjectivesBiomechanical forces, such as those produced during mastication, are considered a primary agent in stimulating craniofacial growth and development. There appears to be a strong connection between the strength of the masticatory muscles and the dimensions of the craniofacial complex, with changes in biomechanical force and muscular strength influencing and altering the underlying bony tissues. This is markedly apparent in the mandible and it is possible to infer that changes to mandibular form are due in part to dietary changes. This study aims to investigate this idea by using an archaeological sample from a period that experienced important dietary changes as a result of the Industrial Revolution. Design279 skeletons from the mediaeval and post-mediaeval periods in London were selected for analysis, and a detailed metric examination of each mandible was carried out. ResultsMales and females were analysed separately and statistically significant reductions were observed in nearly all post-mediaeval measurements. This effect was most pronounced in the areas of the mandible associated with masticatory muscles attachment, including the gonial angle, ramus height and width, bi-gonial breadth and bi-condylar breadth. ConclusionsThese recorded changes in mandibular morphology of mediaeval and post-mediaeval Londoners are most likely the result of a shift in diet (and associated decrease in masticatory function) observed in the period surrounding the Industrial Revolution.

Thin-plate spline analysis of mandibular morphological changes induced by early class III treatment: a long-term evaluation

To evaluate the long-term mandibular morphological changes induced by early treatment of class III malocclusion with rapid maxillary expansion (RME) and facial mask (FM). Twenty-five subjects [10 boys, 15 girls; mean age at T1 (start of treatment) 9.3±1.6 years] with class III disharmony were treated with RME and FM therapy followed by fixed appliances. The patients were re-evaluated at the end of growth (T2), about 8.5 years after the end of the treatment (mean age, 18.6±2.0 years). Sixteen subjects with untreated class III malocclusion comprised the control group. Mandibular shape changes were analysed on the lateral cephalograms of the subjects of both groups by means of thin-plate spline (TPS) analysis. Procrustes average mandibular configurations were subjected to TPS analysis by means of both cross-sectional between-group comparisons at T1 and at T2 and longitudinal within-group comparisons. Statistical analysis of shape differences was performed using a generalized Goodall F test. In the long term, the treated group exhibited a significant upward and forward direction of condylar growth. On the contrary, untreated class III subjects showed an upward and backward direction of condylar growth associated with a downward and forward deformation of the mandibular symphysis. Limitations are related to the small sample size of both treated and control groups and to the retrospective nature of the study. Early treatment of class III malocclusion with RME and FM is able to produce significant and favourable long-term mandibular shape changes characterized by an anterior morphogenetic rotation.

Changes in the sexual dimorphism of the human mandible during the last 1200 years in Central Europe

According to many investigations, changes in mandibular morphology can occur synchronously with changes in the environment, and sexual dimorphism of the mandible can be influenced by the environment. Sexual dimorphism during the last 1200 years was evaluated using geometric morphometric analysis of virtual cranial models. The method of geometric morphometrics allows differences in size and shape to be assessed separately. We analyzed groups of adult individuals dating to Early Middle Ages, High Middle Ages, Early Modern Ages and from a modern Czech population (21st century). Significant sexual dimorphism in mandibular size was found in all populations. A trend in the sexual dimorphism of size was seen, with differences between the sexes increasing gradually over time. Size changes in female mandibles were a better reflection of environmental conditions and climate than size changes in male mandibles. Regarding changes in the sexual dimorphism of shape, significant dimorphism was found in all four samples. However, the pattern of mandibular shape dimorphism was different and varied considerably between samples. There was only one stable shape trait showing sexual dimorphism across all four samples in our study: the gonion lies more laterally in male than in female mandibles and male mandibles are relatively wider than female mandibles. Sexual dimorphism of shape is not influenced by the climate; instead sexual selection might play a role. This research supports earlier studies that have found that the degree and pattern of sexual dimorphism is population-specific and the factors regulating sexual dimorphism today may not be the same as those in the past.

Panoramic radiographic evaluation of the mandibular morphological changes in elderly dentate and edentulous subjects

Objective. The aim of the present study was to analyze the changes in the gonial angle, ramus height, condyle height and cortical bone thickness in relation to gender and dental status in elderly patients. Materials and methods. The study population comprised 240 patients (age ranged from 60–69 years) who had digital panoramic radiographs taken for various purposes. One group consisted of 120 patients, 60 men and 60 women, who had all natural teeth present except for third molars. The second group consisted of the remaining 120 patients (60 men and 60 women) who were in a completely edentulous state (maxilla and mandible). The gonial angle, ramus height, condylar height and cortical bone thickness of the mandible were measured by computer software on their panoramic radiographs. Results. Women showed larger gonial angles than men, while men had greater cortical bone thickness and ramus height (p < 0.05). However, no significant difference in condylar height was found between both genders (p > 0.05). Edentulous subjects had a larger gonial angle than dentate subjects, while dentate subjects had greater cortical bone thickness on both sides and left side of condylar height (p < 0.05). The gonial angle had statistically negative correlations with cortical bone thickness and ramus height, regardless of gender. Conclusions. The outcomes of the present study indicate that the edentulous women undergo morphological changes of the mandible influenced by the dental status more than men.

New heterodontosaurid specimens from the Lower Jurassic of southern Africa and the early ornithischian dinosaur radiation

ABSTRACTHeterodontosaurids are poorly understood early ornithischian dinosaurs with extensive geographic and stratigraphic ranges. The group is best known from the Lower Jurassic upper ‘Stormberg Group’ (upper Elliot and Clarens formations) of southern Africa, previously represented by at least three distinct species and ten described specimens. This paper describes four additional heterodontosaurid specimens from southern Africa. A partial skull of a large individual of Heterodontosaurus tucki (NM QR 1788) is approximately 70 longer than that of the type specimen of Heterodontosaurus, and provides new information on allometric changes in mandibular morphology during growth in this taxon. It is the largest known heterodontosaurid cranial specimen, representing an individual approximately 1·75 metres in length, and perhaps 10 kg in body mass. NHMUK R14161 is a partial skull that appears to differ from all other heterodontosaurids on the basis of the proportions of the dentaries, and may represent an unnamed new taxon. Two additional partial skulls (NHMUK RU C68, NHMUK RU69) are referred to cf. Lycorhinus. At least four, and possibly five or more, heterodontosaurid species are present in the upper ‘Stormberg’. This high diversity may have been achieved by dietary niche partitioning, and suggests an adaptive radiation of small-bodied ornithischians following the end Triassic extinctions.

Influence of experimental hemi-occlusion on mandibular morphology and internal structure in growing rabbit

We induced experimental hemi-occlusion in growing rabbits to investigate the effect of masticatory laterality on the morphology and internal structure of the mandible. Three-dimensional morphometric data from micro-CT were used to compare changes in mandibular morphology and internal structure. Rabbits in the experimental group were placed under general anesthesia and their left maxillary and mandibular molars cut as far as the cervical area using a rabbit molar cutter. Thereafter, the teeth were cut once every 2 weeks. Rabbits were kept until they were 17 weeks old. For morphometric analysis of the mandible, we measured mandibular body length, mandibular length, mandibular ramus height and gonial angle. To analyze cancellous bone structure, we measured total volume, cancellous bone volume, cancellous bone volume density, trabecular thickness, trabecular number, trabecular separation, and trabecular spacing. Mandibular ramus height and gonial angle were significantly greater on the occlusal side in the experimental group than on the non-occlusal side. Cancellous bone volume density, trabecular thickness and trabecular number were significantly greater on the occlusal side in the experimental group than on the non-occlusal side, whereas trabecular separation and trabecular spacing were significantly lower on the occlusal side. The results indicate that differences in mechanical stimuli during the growth phase resulting from masticatory dysfunction or parafunction affect the morphology and internal structure of the mandible.

Short-term and long-term treatment outcomes with the FR-3 appliance of Fränkel

The aim of this retrospective controlled investigation was to analyze the short-term and long-term skeletal and dentoalveolar treatment outcomes of Function Regulator 3 (FR-3) therapy. A group of 32 subjects with Class III malocclusion treated with the FR-3 appliance of Fränkel was compared with untreated Class III controls. The first observation was prepubertal, and the long-term observation was postpubertal for all subjects. Treatment consisted of full-time wear of the appliance for about 2.5 years, followed by a retention phase with the same appliance for at least 3 years. The overall observation period was 9 years 2 months. All patients showed a good level of compliance. Active treatment and posttreatment cephalometric changes were evaluated statistically with Mann-Whitney U tests. The FR-3 sample showed significant improvements in both maxillary size and position. No significant reduction in the increase of total mandibular length was recorded, but significant closures of both the gonial angle and the mandibular plane angle were found. Intermaxillary and interdental changes produced in the craniofacial skeleton were maintained successfully through the pubertal growth spurt. Long-term results of FR-3 therapy in patients with good compliance consisted of significant maxillary modifications and induced changes in mandibular morphology. Long-term appliance wear (more than 5 years) should be emphasized when considering treatment outcomes.

Permanent reduction of mandibular size and bone stiffness induced in post-weaning rats by cyclophosphamide

It has been previously reported that several doses of cyclophosphamide (CPA) reduce body weight gain, diaphyseal torsional strength and longitudinal femoral growth in the growing rat. The present study was thus designed to estimate both the initial and the possible long-term effects of CPA treatment, by analyzing mandibular dimensions and biomechanical performance of the bone in adulthood in rats treated with the drug around weaning. Female Sprague–Dawley rats ( N = 20), 26 d of age, received 100 mg/kg of CPA by the intraperitoneal route during days 0, 7 and 21 of the experimental period. Controls (C) received saline. Groups of rats were sacrificed at day 28 to estimate initial changes induced by the drug and on day 126 in order to determine long-term effects. The dimensions of the excised mandibles were measured directly between anatomical points; the geometry and material biomechanical quality of mandibular bone were assessed using a three-point bending mechanical test in an Instron Universal Testing Machine model 4442. CPA reduced body weight, body length and mandibular size (posterior part of the bone) significantly, when the parameters were measured at day 28. They did not recover with time, which means that catch-up growth did not occur and that the overall growth of the body was permanently affected by the drug. CPA treatment was also associated with a marked depression of the natural increase in the mandibular bone mass (cross-sectional area). The bending cross-sectional moment of inertia of the fracture sections (xCSMI) was also negatively affected by treatment. Significant decreases of both ultimate load and stiffness were also observed. The above structural parameters did not recover enough with time to attain control values at the end of the study. The intrinsic stiffness ( E) of the mandibular bone was not affected by treatment. These findings suggest that CPA treatment during early postnatal life causes permanent changes in mandibular morphology and affects the adaptation of mandibular bone architecture to body growth, thus not allowing complete compensation at the end of the study because of an inadequate distribution of the resistive material through its cross-section rather than a qualitative impairment of cortical bone.

Imaging Analysis of the Mandibular Morphological Changes in the Acromegaly-like Rat Model

Imaging Analysis of the Mandibular Morphological Changes in the Acromegaly-like Rat Model

Erratum to : Imaging Analysis of the Mandibular Morphological Changes in the Acromegaly-like Rat Model

Erratum to : Imaging Analysis of the Mandibular Morphological Changes in the Acromegaly-like Rat Model

Effect of distraction rate and consolidation period on bone density following mandibular osteodistraction in rats

The high cost of large animal protocols has limited the study of distraction osteogenesis (DO) in the craniofacial region. This study was designed to characterise a rat model for DO with regard to distraction rate and consolidation period. Unilateral mandibular distraction was performed on 129 male Sprague–Dawley rats using an osteotomy from the sigmoid notch to the inferior border of mandible. After a 3-day latency, 12 groups of 8–9 rats underwent distraction for 5 days at four different rates (0, 0.2, 0.4, 0.6 mm per day), with three different post-osteotomy sacrifice times (10, 24, and 38 days) and four final predicted distraction lengths (0, 1, 2, and 3 mm). Another four groups of rats ( N=8 per group) were sacrificed 6 days post-osteotomy, resulting in distraction for 3 days with a predicted distraction length of 0, 0.6, 1.2, 1.8 mm. Changes in mandibular morphology were measured from radiographs of disarticluated hemimandibles. The bone density of the regenerate and control sites was measured using microdensitometry calibrated with an epoxy stepwedge. Distraction linearly increased mandibular length, distraction gap width and the area of the distraction gap ( P<0.00005). Mandibular length increased by 0.394 mm per distraction rate. Gap width and area increased by 0.67 and 5.8 mm 2 per distraction rate, respectively. The increase in length represents only 39.4% of what was predicted, suggesting that compensatory alteration in condylar or mandibular morphology may have occurred. This speculation was further supported by the finding that mandibular length, measured without the condylar landmark, was 53.8% of predicted. During DO and early consolidation, the measures of bone density in the regenerates decreased compared to control for all groups. Thereafter, bone density in the regenerates generally increased in all groups until day 24 ( P<0.01), obtaining levels that were comparable to the unoperated side. At both rostral and caudal sites adjacent to the osteotomies, measures of bone density were enhanced over control in all groups, with the rostral site also showing significant increases over time in the sham and the highest distraction groups ( P<0.008 and P<0.014). We conclude that this rat model for mandibular distraction osteogenesis provides bone density changes that are consistent with those reported using larger animal protocols.

The effects, limitations, and long-termdentofacial adaptations to treatment with the herbst appliance

The purpose of this article is to summarize the existing scientific data with respect to the short- and long-term effects of the Herbst appliance on the occlusion and on the maxillo/mandibular complex. The article also discusses the treatment indications and possible treatment limitations. The Herbst method is most effective in the treatment of Class II malocclusions. Long-term stability seems to be dependent on a stable cuspal interdigitation. Marked mandibular morphological changes occur during therapy and sagittal condylar growth is increased. Posttreatment, most of the mandibular morphological changes revert and no long-term influence of Herbst treatment on mandibular growth can be verified. The appliance effect on the maxillary complex can be compared with that of a high-pull headgear. Without proper retention, however, this effect is of a temporary nature. Herbst treatment is especially indicated in the permanent dentition at or just after the pubertal peak of growth. Mixed dentition treatment is not recommended, as a stable cuspal interdigitation after therapy is difficult to achieve and relapses are prone to occur. In the nongrowing patient, the appliance should be used with great caution.

Changes in mandibular morphology from the Jomon to modern periods in Eastern Japan

Metric characteristics of the mandibles of modern and various historical populations from the Kanto region (east-central Japan) were compared with those of their possible ancestral populations, i.e., the Jomon population from Kanto and the Yayoi population from northern Kyushu and Yamaguchi (western Japan). The Jomon people were aboriginal Holocene inhabitants of Japan, while the Yayoi skeletal series are considered to largely represent immigrants from the Asian continent. Compared to the presumed ancestral morphology, the mandibles of the modern and pre-modern peoples of Kanto showed a marked narrowing, as well as reduction in the regions of major masticatory muscle attachments. The main cause of this underdevelopment is likely to be a diminished chewing stress, resulting in insufficient stimulation for proper growth of the jaw bone. In contrast, symphyseal height increased compared to the earlier Kanto populations. This may be a reflection of the existence of significant Yayoi genetic contribution in the formation of the modern and pre-modern Kanto populations. On the other hand, the mandibles of the protohistoric to medieval populations of the Kanto region are morphologically closer to Jomon. Therefore, they seem to have been genealogically continuous from the native Jomon people with some degree of gene flow stemming from the immigrants. Am J Phys Anthropol 104:227–243, 1997. © 1997 Wiley-Liss, Inc.