Lower Lateral Incisor Research Articles

Identification of the Ideal Reference Site and Pain Threshold Values for the Placement of Electric Pulp Testers in Permanent Upper and Lower Anterior Teeth: A Cross-Sectional Study.

Electric pulp testers (EPTs) are widely used diagnostic tools for diagnosing traumatized teeth. Several factors can affect the result of an electric pulp test. One such factor that will affect the diagnosis is the electrode tip placement. Hence, the current study aims to identify the most painful site and response time threshold in healthy anterior teeth. A total of 90 individuals, 48 male and 42 female, aged 19 to 25 years,were recruited. An EPT was placed on three different sites: the cervical, middle, and incisal third of the labial surface of both upper and lower anterior teeth (central incisor, lateral incisor, and canine) with an appropriate electrolyte as a conducting medium. Later, the threshold values were recorded, and pain assessment was done using the Memojis pain scale (MPS). Finally, the data was analyzed statistically using the Mann-Whitney U test. Mean and standard deviation values of reaction time were collected from 540 EPT readings (three sites from 180 teeth).Among the three sites tested, the difference between the upper and lower central incisors was statistically insignificant (p > 0.05). Similarly, when upper and lower lateral incisors and canines were compared, a statistically significant difference was observed among the three sites (p<0.05). There was a significant difference (p<0.05) in the pain scores only on the incisal and cervical thirds of the upper and lower central incisors. Only the incisal third showed a statistically significant difference (p<0.05) between the pain scores in the upper and lateral incisors. At the same time, a statistically significant difference in the pain scores was observed among the three tested sites between the upper and lower canines (p<0.05). Conclusion: Lower threshold values were appreciated at the incisal third of all the upper and lower anterior teeth for placing the EPT. Most individuals have experienced a score of 2 (hurts little bit) for the perceived pain using EPTs for both the upper and lower anterior teeth.

Thermographic examination of gingival phenotypes: correlation between morphological and thermal parameters.

To evaluate the clinical and thermographic aspects of the gingival phenotype (GP) in healthy subjects. The study sample examined 264 teeth, upper and lower incisors, comprising 132 central incisors (CI) and 132 lateral incisors (LI), in 33 healthy volunteers. Four periodontal parameters were recorded systematically: ratio of width to length of the dental crown (CW/CL), height of the gingival attachment (KGW), probing depth (PD), and gingival transparency (GT). The temperatures of the attached gingiva (KGW temp) and the free gingival margin (FGM Temp) were also recorded by way of infrared thermography (IRT). The average age of the sample was 30.70 ± 7.65 years. Of the 264 teeth evaluated, 76.1% had a thin GP. There was a significant association between CW/CL (p < 0.001), KGW (p < 0.001), PD (p < 0.007), and FGM Temp (p < 0.006) with the tooth groups. The results show a significant and inversely proportional correlation between clinical parameters and gingival temperature (p < 0.05). A significant association was found between CW/CL (p < 0.026); KGW (p < 0.001); and GP. CW/CL, KGW, PD, and FGM Temp vary according to tooth group. The majority of the sample presented with the thin GP, which was more prevalent in the lower LIs and CIs. No significant association could be observed between thermographic parameters and GP. Knowledge of the temperature of the gingival tissues can be useful in helping to diagnose and plan periodontal treatments. Moreover, our findings will help future studies evaluate the use of IR as an auxiliary diagnostic method in dentistry, eliminating GP as a confounding factor, since it does not seem to influence the temperature of the gingival tissues.

A non-invasive system to manage impacted teeth associated with a large dentigerous cyst.

A male patient aged 11 years presented a large dentigerous cyst in the lower left quadrant associated with retained deciduous lower lateral incisor and canine and impacted, unerupted corresponding permanent ones. The treatment consisted in marsupialisation and placement of a modified lingual arch that held a tube for decompression used for irrigation of the cystic cavity in a comfortable way for the patient and for the clinician.The same lingual arch was later used as an anchorage method for traction of the retained teeth. The final records showed complete resolution of the cyst and retained teeth were successfully Aligned into the oral cavity.

Study of forensic age assessment using Kvaal's method with digital orthopantomographs (OPG)

Age is one of the important factor in making the identity of a person. Anthropologists, Archaeologists and Forensic scientists determine the age for identity of a person. Kvaal and Solheim given a method used on adults for calculation of age with the help of morphological and radiological methods, but extraction was still required. Present study was an observational study under taken for forensic age assessment using Kvaal's method with digital orthopantomographs. In the present study out of 100 subjects, maximum number of subjects from age group of 20–29 (61), 43 were females and 57 were males. Coefficient of determination was highest for lower first premolar (0.517) followed by upper central incisor (0.178), lower canine (0.134), lower lateral incisors, upper second premolar and upper lateral incisors. M & W-Lwere found significant predictors for lower first premolar, lower canine and upper central incisors. Regression equation derived for combined upper three teeth & lower three teeth revealed that coefficient of determination (R2) was significant higher for lower three teeth (0.478) than upper three teeth (0.069) with M & W-L were significant predictor. Regression equation derived for all six teeth together shows significant coefficient ofdetermination R2 (0.430) with M, W-L both are significant predictors. When all the six teeth taken together & compared for actual age & estimated age, mean difference was found to be (0.007). Kvaal's method for estimating age using digital orthopantomographs can be used for near accurate age estimation in 20–60 years age population with out removal of tooth.

Forensic age assessment using Kvaal’s method with digital orthopantomographs (OPG) and comparison with the actual age of the subjects

Background: Forensic Dentistry is one of the branch of Forensic Medicine which deals with the complete handling of dental evidence, estimation and examination and the evidence obtained would be used in the court for justice. Kvaal and Solheim given a method used on adults for calculation of age with the help of morphological and radiological methods, but extraction was still required. Hence to improve this procedure Kvaal et al made a method which is totally based on radiological analysis. Aims and Objective: The present study was designed to compare the forensic age assessment using Kvaal’s method and digital orthopantomographs with the actual age of the subjects. Materials and Methods: Present observational study was conducted in subjects with all the required complement of teeth on either right or left side, completely erupted clinical crown, without any morphological abnormalities for age estimation by Kvaal’s method with digital orthopantomograph as and compared with actual age of subjects. Results: In the present study out of 100 subjects, maximum number of subjects i.e. 61 were in the age group of 20 – 29 and minimum number of subjects i.e. 7 were in the age group of 50 –59. 43 were females and 57 were males. The regression equation was derived for all six studied teeth and coefficient of determination R2 was found for all the individual six teeth. Coefficient of determination was highest for lower first premolar (0.517) followed by upper central incisor (0.178), lower canine (0.134), lower lateral incisors, upper second premolar and upper lateral incisors. M &amp; W-L were found significant predictors for lower first premolar, lower canine and upper central incisors. Similarly, coefficient of determination (R2) was significant higher for lower three teeth (0.478) than upper three teeth (0.069) with M &amp; W-L were significant predictor. Regression equation derived for all six teeth together shows significant coefficient of determination R2(0.430) with M, W-L both are significant predictors. No statistically significant difference between the actual age and estimated age for all individual six teeth was noted. Mean difference lowest for lower first premolar (0.001) followed by lower canine (0.007). Conclusion: We noted that age assessment using Kvaal’s method with digital orthopantomographas and actual age of the subjects were comparable &amp; no significant difference was noted. Kvaal’s method with digital orthopantomographas is a better option for age estimation without teeth removal.

Implications of Permanent Teeth Dimensions and Arch Lengths on Dental Crowding during the Mixed Dentition Period

Dento-alveolar disharmony with crowding is a common reason for orthodontic treatment with not fully understood or unequivocally demonstrated causes. This study investigated the correlations between teeth dimensions, arch lengths, and crowding during the mixed dentition period. A cross-sectional study on 100 dental casts of patients with class I malocclusions was performed. Dental arches were classified as non-crowded, moderately crowded, severely crowded, and spaced. The mesio-distal widths, bucco-lingual sizes, and crown proportions of permanent teeth were assessed. The results indicated that arch length measurements showed smaller values in crowded arches. The mesio-distal dimensions of upper central incisors and lower lateral incisors were larger in patients with crowding. The bucco-lingual dimensions of upper incisors were decreased, the bucco-lingual dimensions of lower central incisors and permanent first molars were increased in crowded arches. Upper incisors and lower lateral incisors presented larger crown proportions in crowding cases. Low negative correlations were found between mesio-distal diameters of maxillary central incisors, lower lateral incisors, lower permanent first molars, and the values of arch space discrepancies. In conclusion, crowding in the mixed dentition could be associated with reduced arch lengths, increase in mesio-distal sizes of incisors and lower permanent first molars, and variations of bucco-lingual dimensions and crown proportions of incisors and lower permanent first molars.

Evaluation of Growth and Development of Adolescents' Dental Arch Asymmetry with Normal Occlusion Using Three-Dimensional Digital Models.

Objective The purpose of this study was to observe the dental arch asymmetry in 12-year-olds with normal occlusion during the early permanent dentition stage. Methods Ninety-two 12-year-old students (46 males and 46 females) who had normal occlusion during early permanent dentition were selected from a junior high school in Tangshan, China. Once per year for three consecutive years, a dental cast was obtained from each subject, and the cast was scanned with a 3D digital scanner (R700 3D). The median palatal plane (MPP) and transverse palatal plane (TPP) were used as the reference plane for the transverse and anteroposterior measurements, respectively. Results Most of the dental arch asymmetry indicators decreased with age, but these differences were not statistically significant. The values of the midincisal edge of the upper central incisors (U1), midincisal edge of the upper lateral incisors (U2), upper canine cusp tip (U3), upper first premolar buccal cusp tip (U4), upper second premolar buccal cusp tip (U5), upper first molar mesiobuccal cusp tip (U6MB), and upper first molar distobuccal cusp tip (U6DB) to the TPP were 0.019 mm, 0.279 mm, 0.017 mm, 0.016 mm, 0.016 mm, 0.027 mm, and 0.200 mm, respectively; these values were larger in males than in females (P < 0.05). The values of 2–5, 6MB, and 6DB-TPP were 0.154 mm, 0.102 mm, 0.119 mm, 0.259 mm, 0.206 mm, and 0.123 mm, respectively, larger in the mandibular than in the maxillary dental arch (P < 0.05). The values of the midincisal edge of the lower central incisors (L1), midincisal edge of the lower lateral incisors (L2), lower canine cusp tip (L3), lower first premolar buccal cusp tip (L4), lower second premolar buccal cusp tip (L5), lower first molar mesiobuccal cusp tip (L6MB), and lower first molar distobuccal cusp tip (L6DB) to the MPP were 0.399 mm, 0.197 mm, 0.258 mm, 0.248 mm, 0.214 mm, 0.575 mm, and 0.531 mm, respectively, larger than L1-5, L6MB, and L6DB-TPP (P < 0.05). Conclusion The asymmetry of the dental arch in 12-to-15-year-olds with normal occlusion did not change significantly with age. The anteroposterior asymmetry of the maxillary dental arch is larger in males than in females. With the exception of the central incisor, the anteroposterior asymmetry of the mandibular dental arch is larger than that of the maxillary dental arch. The transverse asymmetry of the mandibular dental arch is larger than the anteroposterior asymmetry.

Abordagem cirúrgica para cisto periapical de tamanho atípico em idosa: Relato de caso

Os cistos periapicais, são formados pelo processo inflamatório do epitélio no ápice de dentes não vitais. Normalmente apresenta características de crescimento lento, assintomático e de pequena extensão. Nesse estudo, objetiva-se reportar um caso de cisto periapical com tamanho atípico, submetido à abordagem cirúrgica. Aqui, trata-se de um estudo qualitativo, descritivo, retrospectivo e realizado pela da técnica da observação direta, respeitando todos os protocolos éticos. Paciente 74 anos, feminina, compareceu ao serviço de Cirurgia e Traumatologia Buco-maxilo-facial do Hospital da Restauração Governador Paulo Guerra - Recife, encaminhada por um cirurgião-dentista após análise de exame de imagem de rotina sugestivo de lesão cística em mandíbula. Ao exame físico apresentou discreto abaulamento em cortical vestibular de corpo mandibular direito, assintomático ao toque. Através da tomografia computadorizada se constatou uma área hipodensa, unilocular, circunscrita por uma linha hiperdensa, abrangendo região de dentes 42,43,44,e 45. Com base no exame clínico, foi estabelecida a hipótese diagnóstica de cisto periapical, confirmada após análise histopatológica. Como abordagem terapêutica optou-se por realizar sob anestesia geral a enucleação, osteotomia periférica e exodontias dos dentes envolvidos. Em 08 meses de acompanhamento não apresenta sinal de recidivas. Desse modo, fica claro a importância do correto diagnóstico, bem como a eficácia da intervenção cirúrgica como tratamento de lesão periapical de grande extensão.

The optimal orthodontic displacement of clear aligner for mild, moderate and severe periodontal conditions: an in vitro study in a periodontally compromised individual using the finite element model

BackgroundPathologic tooth migration (PTM) is a common complication of mild to severe periodontitis and proper orthodontic treatment is helpful to alleviate periodontal diseases. The goal of this study is to explore an optimal orthodontic displacement of clear aligner using a three-dimensional (3D) finite element model (FEM).MethodsThe cone beam computed tomography (CBCT) data of a patient received invisible orthodontics without diabetes and other systemic diseases were collected. Based on the new classification scheme for periodontal diseases in 2017 (stage I: mild periodontitis, [M1]; stage II: moderate periodontitis, [M2]; stage III: severe periodontitis, [M3]), 3D-FEMs of mandible were established using MIMICS 10.0 and ABAQUS 6.5 softwares. The 3D stress distribution diagrams and stress value of the teeth (left lower incisor, left lower central incisor, right lower lateral incisor, and right lower central incisor) under three different periodontal conditions (M1, M2, and M3) with axial inclination 90° and 100° were obtained by ABAQUS 6.5.ResultsThe stress of anterior teeth was concentrated in the teeth neck, and became greater when the periodontal condition was worse. The stress value of anterior teeth and the strain at the top of the alveolar crest are greater as the displacement increasing. The stress value of anterior teeth and the strain at the top of the alveolar crest in axial inclination 100° are relatively great compared to those of axial inclination 90°. For patients with excessively inclined anterior teeth (such as 100°), the optimal orthodontic displacement is 0.18 mm. In order to ensure that alveolar ridge crest is not deformed, the displacement is less than 0.18 mm (strain for 0.165 mm), 0.15 mm (strain for 0.167 mm) and 0.10 mm (strain for 0.117 mm) respectively when alveolar bone is normal, resorption 1/3 or 1/3–1/2.ConclusionsThe optimal orthodontic displacement for patients (M1, M2, and M3) with excessively inclined anterior teeth (axial inclination 100°) is 0.18 mm. To avoid the strain at the top of the alveolar crest, the optimal displacements for M1, M2 and M3 periodontal disease patients are less than 0.18 mm, 0.15 mm and 0.10 mm, respectively.

Comparative Evaluation of Root Resorption in Correction of Class II Malocclusion

INTRODUCTION: External apical root resorption is a common iatrogenic side effect of orthodontic treatment and has been reported particularly in anterior teeth. The etiology of resorption is multifactorial, complex and individual susceptibility to resorption depends on various factors.MATERIALS AND METHOD: The degree of root resorption during orthodontic treatment was evaluated on the post-treatment RVGs of the maxillary and mandibular central and lateral incisors of 28 skeletal Class II patients with mandible retrusion treated with non-extraction treatment protocol using elastics and PowerScope. RESULTS: There was no statistically significant difference in root resorption between the groups for the overall score and comparison of root resorption in individual teeth between two groups showed significantly more resorption in PowerScope group in mandibular lateral incisors.CONCLUSION: Both elastic and PowerScope groups showed mostly mild to moderate root resorption which is clinically acceptable and lower lateral incisors showed statistically more root resorption in PowerScope group.

Molar incisor hypomineralization (MIH): prevalence and degree of severity in a Mexican pediatric population living in an endemic fluorosis area.

To estimate the prevalence and severity of molar incisor hypomineralization (MIH) in 8 years old children living in an endemic fluorosis area. MIH prevalence rate was determined from a study sample comprising 613 participants. They were recruited from 11 urban public schools with similar socio-economic status. Oral evaluations were performed and diagnosed MIH teeth were classified under Ghanim et al.'s criteria. Statistical descriptive and comparative analyzes were carried out. First permanent molars were the tooth group most affected, followed by the upper central incisors, lower central incisors, lower lateral incisors, and upper lateral incisors. There was no significant statistical difference by gender and by maxillary/mandible arches (P =0.82 and 0.26, respectively). The frequency of MIH was more in molars compared to incisors (P <0.02). The MIH prevalence in this study was 12.4 percent. According to the MIH severity, degree 2 was the most frequently detected (76.4 percent).

Craniofacial Features in Richieri-Costa-Pereira Syndrome.

Patients with Richieri-Costa-Pereira syndrome (RCPS) present severe craniofacial alterations and frequently require orthodontic and surgical procedures. Thus, this study aims to describe the craniofacial relationships in patients with RCPS. Panoramic radiographs and lateral cephalometric teleradiographs of 7 patients with RCPS and 7 age- and sex-matched nonsyndromic patients were analyzed. Cephalometric measurements were used to determine the size of apical bases, the relationship between them, the pattern of craniofacial growth, and the facial heights of the patients. Interobservers' concordance was verified by intraclass coefficient. For comparison between the groups, paired t test was employed. P values <.05 indicated statistical significance. Average age of patients with RCPS was 18.5 years. Six patients were female. All patients with RCPS had Pierre-Robin sequence while 2 also presented cleft mandible. Most patients with RCPS had missing lower central incisors (100%), lower lateral incisors (85.7%), lower second premolars (85.7%), and/or upper lateral incisors (57.1%). Concordance between observers was excellent for all cephalometric measurements (0.87-0.99). Patients with RCPS presented severe craniofacial alterations when compared to control group: sella-nasion-B point (SNB) angle (73.8o ± 4.86o vs 78.85o ± 4.53o, P = .029), maxillary length (7.89 cm ± 0.58 cm vs 16.36 cm ± 0.75 cm, P = .001), mandibular length (9.90 cm ± 0.46 cm vs 20.61 cm ± 0.45 cm, P = .001), upper anterior face height (5.41 cm ± 0.50 cm vs 9.40 cm ± 0.47 cm, P = .001), lower anterior face height (5.48 cm ± 0.75 cm vs 11.66 cm ± 0.55 cm, P = .001), and posterior face height (6.70 cm ± 0.33 cm vs 13.65 cm ± 1.06 cm, P = .001). There was no difference in SNB, A point-nasion-B point, pogonion-nasion-B point, and mandibular place angles between the groups (P > .05). Patients with RCPS present deficient development of maxilla and mandible when compared with nonsyndromic patients.

Vertucci’s Root Canal Configuration of 14,413 Mandibular Anterior Teeth in a Brazilian Population: A Prevalence Study Using Cone-beam Computed Tomography

IntroductionThis cone-beam computed tomographic (CBCT)-based study evaluated the root canal configurations of mandibular anterior teeth in a large Brazilian population, along with the influence of sex and the frequency of symmetry between the contralateral teeth. MethodsOverall, 2543 CBCT scans, including those of 4773 lower central incisors (LCIs), 4835 lower lateral incisors (LLIs), and 4805 lower canines (LCs), were analyzed. The scans were obtained from a private radiologic clinic using the PreXion 3D device (Yoshida Dental Mfg Co, Ltd, Tokyo, Japan) with a 0.14-mm voxel size; exposure parameters of 90 kV, 4 mA, and 19 seconds; and a field of view of 80 × 80 mm. Root canal anatomy was analyzed according to the Vertucci classification. Sex influence on the canal distribution and symmetry between the contralateral teeth were analyzed. The data were analyzed statistically and were considered significant when P < .05. ResultsAll LCIs and LLIs had 1 root, whereas 2.4% of LCs had 2 roots. Two root canals were observed in approximately 20% of LCIs and LLIs and in approximately 11% of LCs. The most common configuration was type I followed by type III. Bilateral symmetry occurred in a majority of the individuals (ie, 91% in LCIs, 87% in LLIs, and 87% in LCs). No sex influence was noted with LLIs and LCs (P > .05). However, LCIs showed a higher prevalence of 2 canals in men (P < .05). ConclusionsThe prevalence of 2 root canals in the mandibular anterior teeth in Brazilians was approximately 20% for central and lateral incisors and 10% for canines.

Evaluation of Root Canal Morphology of Lower Lateral Incisors using Cone Beam Computed Tomography in an Indian Subpopulation

Evaluation of Root Canal Morphology of Lower Lateral Incisors using Cone Beam Computed Tomography in an Indian Subpopulation

PROGNOSIS OF RETENTION AND ABNORMAL POSITION OF CANINES

PROGNOSIS OF RETENTION AND ABNORMAL POSITION OF CANINES

An unusual presentation of dental transposition caused by digit-sucking

This article describes the case of a 12-year-old boy who presented with a unique digit-sucking habit which has led to transposition of the lower lateral incisors with the lower canines. The aetiology, pathology and management are described for digit-sucking habits and dental transposition. CPD/Clinical Relevance: It is important to recognize digit-sucking habits in patients and the implications for the malocclusion.

Volumetric assessment of the dental crown for sex estimation by means of cone-beam computed tomography

Sex estimation has a vital role in the solution of forensic cases when the identification of a large number of victims is needed. Considering the sexual dimorphism of the human teeth, the objective of this study was to estimate human sex by means of cone beam computed tomography (CBCT)-based volumetric assessment of the dental crown. A total of 78 CBCT images of the upper central incisors, upper and lower canines, and lower lateral incisors were equally selected from a Brazilian population aged between 8 and 36 years old. The dental crowns were subjected to image-based volumetric assessment by manual segmentation using the 3D slicer software, and the outcomes were compared by the Mann–Whitney test, unpaired t-test, Pearson correlation test, conditional backward stepwise logistic regression and intraclass correlation coefficient (α=0.05). The volumetric accuracy of the upper central incisor, upper canine and lower canine for sex estimation were 64.1%, 74.4% and 79.5%, respectively. The combined analysis of the upper and lower canines allowed an average accuracy of 83.7%. In conclusion, the combined volumetric analysis of the crown of the upper and lower canines can be applied for sex estimation in the studied population.

Treatment of Class I Malocclusion with a Lower Incisor Extraction: A Case Report

A case report is presented with Class I malocclusion, moderate lower anterior crowding, maxillary dental midline shift with missing right lateral incisor. The adult orthodontic case was treated comprehensively with the extractions of lower lateral incisor, and upper and lower left first premolars as the balancing extraction. Remarkable improvements were achieved in facial profile, axial anterior inclination, esthetic smile and midline correction in short treatment time. Thus, it is concluded that lower incisor extraction in moderate lower anterior crowding and midline shift yield better and stable results with minimal intervention in select cases.

DECIDUOUS HUMAN TEETH FROM THE UPPER PALEOLITHIC SITE OF YUDINOVO, WESTERN RUSSIA

Population affinities of the Timonovka-Yudinovo Upper Paleolithic people are reconstructed on the basis of three isolated deciduous teeth––a lower lateral incisor, lower and upper second molars, likely representing three individuals––from Yudinovo in the middle Desna basin (15–12 ka BP), found in 1987–1996. Based on measurements and descriptive traits and computed microtomography, the teeth were compared with those from other Upper Paleolithic sites in northern Eurasia. The principal component analyses of metric and nonmetric traits revealed similar patterns. To minimize random variation, results of both analyses were integrated. Results indicate affi nity with Pavlov people in Central Europe. The diagnostic trait combination includes weak expression of the Carabelli cusp on the upper second molar, accessory sixth cusp on the lower second molar, large bucco-lingual diameter of both molars, and moderate mesio-distal diameter of the lower second molar. These results support the view that the Timonovka-Yudinovo tradition is related to eastern Gravette.

Growth hormone receptor gene is related to root length and tooth length in human teeth.

To examine the relationship between tooth length and growth hormone receptor (GHR) gene variants in a healthy Japanese population. The subjects consisted of 193 Japanese adults (69 men, 124 women), aged 13 to 56 years. Genomic DNA was extracted from saliva and genotyped GHR rs6184 and rs6180 variants using the Taqman genotyping. Computed tomography (CT) images were acquired using a dental cone-beam CT scanner and reconstructed using open-source OsiriX medical image processing software. The maxillary (upper; U) and mandibular (lower, L) central incisors (1), lateral incisors (2), canines (3), first premolars (4), second premolars (5), first molars (6), and second premolars (7) were evaluated. Teeth were assessed for crown height (CH), root length (RL), overall tooth length (C+R), and crown to root ratio (C/R). The relationships between GHR variants and CH, RL, C+R, and C/R were statistically examined. The GHR variant rs6184 was associated with the root lengths and tooth length for the upper and lower lateral incisors and upper canines (U2 RL; U3 RL, C+R; L2 RL [ P < .05]). The results indicate that the GHR rs6184 variant is associated with tooth length and ratio dimensions in a Japanese cohort. Further studies utilizing a larger sample size are needed to confirm this finding.