Palatal Width Research Articles

Palatal Size and Shape in 6-Year Olds Affected by Hypohidrotic Ectodermal Dysplasia

To analyze the size and shape of the hard tissue palate of Italian subjects with hypohidrotic ectodermal dysplasia (HED). The morphology and the dimensions of the hard tissue palate were analyzed in eight 6-year-old boys affected by HED. Four of the boys were completely edentulous and four partially dentate. Palatal landmarks were identified on stone casts and digitized with three-dimensional computerized electromagnetic instrumentation. Palatal length, slope, width, and maximum palatal height in both the sagittal and frontal planes were measured. From the coordinates of palatal landmarks, a mathematical equation of palatal shape was constructed, independent of size. HED palatal data were compared with reference data obtained from 12 healthy boys with a complete deciduous dentition. Palatal length and height in both the sagittal and frontal planes were significantly reduced in HED as compared with control individuals. A less steep (not significant) palatal slope was found in HED than in reference subjects, whereas similar palatal width values were observed. All palatal measurements were larger in partially dentate than in edentulous patients. Both HED and edentulousness influenced palatal shape. The HED boys had a relatively lower palate than the reference boys. In the edentulous HED boys, the hard tissue palate was relatively lower than in partially dentate HED subjects. Palatal size and shape were significantly modified by the presence of hypohidrotic ectodermal dysplasia, and the major alterations were found in edentulous HED subjects.

O.419 Maxillary expansion and stability in the orthodontic-surgical treatment of skeletal anterior open bite

This study evaluated stability, tipping and relapse after surgically assisted rapid maxillary expansion (SARME), comparing bone-borne and tooth-borne devices, in skeletally matured non-syndromal patients with transverse maxillary hypoplasia. The study is a randomized, open-label, clinical trial. Patients were randomized to bone-borne (n = 25) and tooth-borne (n = 21) groups. The surgical technique for corticotomy was the same in both groups. Expansion was performed using a bone-borne or tooth-borne device. Dental study casts, lateral and postero-anterior cephalograms were taken before treatment, after the distraction phase and at 12-month follow up. Stability, segmental maxillary tipping and relapse were studied. 23 bone-borne and 19 tooth-borne patients were analyzed. There were no significant differences between the two groups. Widening was comparable at canine, premolar and molar level. Relapse was not significant and at follow up the significant increase in distance was sustained. A significant increase in palatal width, at premolar and molar level, occurred in both groups. The maxilla moves slightly downward in SARME. Segmental maxillary tipping occurred in both groups and did not affect relapse. There is no significant difference between the two groups. In SARME, the widening achieved at dental level is stable after 12 months. Over-correction is not necessary. Tipping of the maxillary segments and increases in the retention period are equal in both groups.

Skull morphometrics of adult male Antartic fur seal, Arctocephalus gazella, and South American fur seal A. australis

The skull morphometrics of adult male Antarctic fur seal, Arctocephalus gazella (Peters, 1875) and South American fur seal, A. australis (Zimmermann, 1783) were investigated using a collection of 45 and 38 skulls, respectively. Eighteen measurements were taken for each specimen. Comparative univariate and multivariate statistical analyses included standard statistics, one-way analysis of variance, principal component analysis and discriminant analysis. Individual variation was relatively high for some variables, as expressed by the coefficient of variation. Skulls of A. gazella were larger than those of A. australis for all but two variables: squamosal jugal suture and rostral length. Both species differed significantly as shown by both univariate and multivariate analyses. The discriminant function correctly classified all specimens. The standardized canonical coefficients showed that the variables which most contribute to the differentiation between species were, in decreasing order, the rostral length, palatal length, palatal width at postcanine 5 and braincase width. The present study corroborates that A. gazella and A. australis are phenotipically distinct species.

Relations of the pterygoid hamulus and hard palate in children and adults: Anatomical implications for the function of the soft palate

We investigated spatial relations of the pterygoid hamuli to the hard palate on 65 skull bases: 31 disarticulated sphenoidal bones from the newborn up to 9 years of age, 19 skulls of adult skeletons (21-59 age group), and 15 skulls aged 60-100 years. We measured: (a) width of the hard palate in the choanal region, (b) length of the hamulus, (c) inclination of the hamulus from the perpendicular line, and (d) distance between the tips of the contralateral hamuli. The width of the hard palate in the choanal region was smallest in children (mean +/- standard deviation, 21.5 +/- 2.6 mm) compared with adult skulls (26.8 +/- 2.3 mm in the 21-59 age group and 25.4 +/- 1.9 mm in the 60-100 age group; P<0.05, one-way analysis of variance (ANOVA) and Student-Newman-Keuls post hoc test). Children had the shortest hamulus (3.6 +/- 1.5mm), and its length increased in the adult age group to 6.9+1.7mm (P<0.05), and then again decreased to 5.0 +/- 1.9 mm in the 60-100 age group (P<0.05 vs. adults and children). The distance between the tips of the contralateral hamuli and their lateral inclination from the perpendicular plane were also greater in the adult age group (38.0 +/- 2.7mm and 35.9 +/- 13.7 degrees, respectively) than either in children (31.0 +/- 3.7mm and 19.6 +/- 12.1 degrees) or the elderly (32.7 +/- 3.9mm and 19.7 +/- 10.3 degrees) (P<0.05). Our study showed that the anatomical measures of the pterygoid hamulus and its relation to the surrounding structures change with age, and occur with the changes in the function of pharyngeal and palatal muscles in deglutition. These changes may have clinical relevance for sleep apnoea and snoring.

Sexual dimorphism of craniological characters in Eurasian badgers, Meles spp. (Carnivora, Mustelidae)

An analysis of 30 craniological characters of Eurasian badgers ( Meles spp.) revealed different levels of sexual size dimorphism (SSD) and geographic variation in the three different species. SSD is displayed mostly in the general size of the skull (condylobasal length, zygomatic width, width of rostrum, and cranial height) and mandible (height of the vertical mandibular ramus, total length of the mandible, and length between the angular process and infradentale), and in some dental characters (length of the upper molar M 1). The most stable size dimorphism is manifested in the size of the canines, which is pronounced in all studied samples. SSD is not apparent in the length of the auditory bulla, the postorbital width, the minimum palatal width, the length of the lower molar M 2, and the talonid length of the lower carnassial tooth M 1. In both the European badgers, Meles meles, and the Asian badgers, Meles leucurus, two geographic forms that differ in the degree of SSD have been found. The most pronounced SSD of cranial characters is found in the Transcaucasian form of Meles meles and the Far-Eastern form of Meles leucurus. In the large European form of Meles meles, SSD is less pronounced in both absolute and relative criteria than in the smaller Transcaucasian form. An analogous situation is observed in the larger Siberian and smaller Far-Eastern forms of Meles leucurus. In the Japanese badgers, Meles anakuma, a downsizing of the skull is accompanied by a decrease in SSD (except in canine size) in comparison to the continental species. The significant differences in the manifestation of SSD in the Eurasian badgers support an earlier hypothesis (Abramov, 2001. Proc. Zool. Inst. Russ. Acad. Sci. 288, 221–233; Abramov, 2002. Russ. J. Theriol. 1 (1), 57–60; Abramov, 2003. Small Carnivore Conserv. 29, 5–7) that Meles meles, Meles leucurus, and Meles anakuma are separate species. The differences in the level of SSD among and within these three species of badgers may be attributed not to differences in the diet or social structure, but to the history of speciation events and formation of intraspecific distribution ranges.

Space conditions and dental and occlusal features in patients with palatally impacted maxillary canines: an aetiological study

The aetiology of palatal canine impaction is unclear. The aim of this research was to investigate the occlusal features that could contribute to the aetiology of palatal maxillary canine impaction. The material consisted of the pre-treatment dental casts of 34 patients (27 female and seven male) with unilateral palatal canine impaction (impaction group). The average age of this group was 17.7 years (+/- 4.6). These were matched according to age, gender and type of malocclusion with a comparison group of pre-treatment dental casts from unaffected orthodontic patients. From the dental casts the following parameters were obtained: (1) dentoalveolar arch relationship, (2) missing or anomalous teeth, (3) the mesiodistal width of each maxillary tooth, (4) the upper arch perimeter, (5) the maxillary inter-premolar and inter-molar widths. The arch length-tooth size discrepancy was only calculated for subjects with no missing teeth. Palatal canine impaction occurred most frequently in subjects with a Class II division 2 malocclusion. There was an association between palatal canine impaction and anomalous lateral incisors (P = 0.01). The transverse arch dimension was significantly wider in the impaction group than in the comparison group (P < 0.01). There was no statistically significant difference in the mesiodistal width of maxillary teeth or in the arch length-tooth size discrepancy between the palatal canine impaction group and their matched comparisons (P > 0.05). These results suggest that the presence of an 'excess palatal width' and anomalous lateral incisor may contribute to the aetiology of palatal canine impaction.

Ontogeny of craniofacial sexual dimorphism in the orangutan (Pongo pygmaeus). I: Face and palate

The orangutan is widely recognized as a highly dimorphic species. An ontogenetic approach to the study of sexual dimorphism can assist researchers in understanding both where and when these differences develop. In this study, 357 orangutans from Borneo were divided into five developmental stages representing infancy to mature adulthood. Three-dimensional (3D) coordinate data from 16 landmarks representing the face and palate were analyzed by means of a Euclidean distance matrix analysis (EDMA), a quantitative method for the comparison of forms. Three separate analyses (an age-specific static comparison of forms, a sex-specific analysis of growth trajectories, and an intersex comparison of patterns of relative growth) were carried out with the intent to describe the rate, timing, magnitude, and pattern of growth in the orangutan face and palate. The results indicate that generally males and females share a similar, but not identical, pattern of growth or local form change, but differ in growth rate, timing, and magnitude of difference. Dimorphism in the face and palate can be localized in infancy and traced throughout all age intervals. Orangutan females grow slightly faster than males from infancy to adolescence, at which time male growth exceeds female growth. Female growth ceases with the advent of adulthood, while male growth continues (i.e., both the number and magnitude of the dimorphic dimensions increase). Males and females are similar in facial dimensions and growth related to the orbits, upper face, and palate width. They maintain these similarities throughout development. However, they differ in facial and nasal height, palate length, snout projection, depth of the nasopharynx, and hafting of the face onto the skull. The face broadens and the zygomatic bone flares dramatically in adult males, corresponding to the development of cheek pads. While growth patterns are similar between the two sexes, they differ in the lateral orbit, snout projection, and hafting of the face onto the cranium. Adult dimorphism is the result of growth patterns experienced throughout life, and it is not equally expressed across the cranium. An understanding of patterns of dimorphism, along with the magnitude of difference, may be helpful for interpreting dimorphism in the fossil record.

Morphology of the palatal vault of primary dentition in transverse view.

The purpose of this study was to investigate the transverse view of the morphology of the palatal vault in the primary dentition at the primary second molar level. Observations were obtained from 150 dental stone casts of normal children (78 boys and 72 girls; aged four to five years). Palatal width, palatal depth, arch width, and primary second molar angulation were measured. There were no significant differences in palatal depth and primary second molar angulation between boys and girls or between the right and left sides. However, girls had a statistically significantly narrower upper dental arch width and palatal width than did boys. Palatal widths on the left side were statistically significantly larger than those on the right side for both sexes. Asymmetry in the palatal width greater than two mm was present in 21.8% of boys and 16.7% of girls. There was a correlation between buccal tipping in the upper primary second molar and greater palatal width.

Nomograms of sonographic measurements throughout gestation of the fetal hard palate width, length and area.

To assess the feasibility of sonographic depiction of the fetal hard palate and secondarily to create nomograms throughout gestation of its sonographic width, length and area. This was a cross-sectional study of pregnant patients between 15 and 41 weeks' gestation. Inclusion criteria consisted of well-established dates (confirmed by early ultrasound), and singleton, non-anomalous fetuses. Sonographic measurements obtained included biparietal diameter, head circumference, abdominal circumference and femur length. Fetal hard palate measurements included maximum width, maximum length and the calculated area. Tables were prepared depicting the estimated mean +/- SD and 5(th), 50(th) and 95(th) centiles at each gestational week between 15 and 41 weeks. Pearson's correlation coefficient and associated P-values for the relationships between fetal hard palate measurements and other sonographic measurements and coefficients of variation for each of the fetal hard palate measurements were calculated. The study included 602 consecutive patients. The mean maternal age was 28.7 +/- 6.3 years, with median gravidity of 2 (range, 1-12) and parity 1 (range, 0-8). All attempts at obtaining fetal hard palate ultrasound measurements were successful. Mean fetal hard palate width (cm) = -0.73579345 + 0.11370432 x GA - 0.00083919 x GA(2) and SD = -0.017842055 + 0.005142475 x GA, where GA is gestational age in weeks. Mean fetal hard palate length (cm) = -0.82020463 + 0.11767777 x GA - 0.00092801 x GA(2) and SD = -0.043064317 + 0.006378869 x GA. Mean fetal hard palate area (cm(2)) = -2.40090641 + 0.17136556 x GA + 0.00097308 x GA(2) and SD = -0.603647741 + 0.040740282 x GA. Sonographic measurements of the fetal hard palate width, length and area correlated significantly and strongly with gestational age (all P < 0.001) and significantly but less strongly with femur length (P = 0.004). The fetal hard palate may be depicted sonographically with relative ease between 15 and 41 weeks' gestation and measurements of the fetal hard palate width, length and area correlate well with gestational age, biparietal diameter, abdominal circumference, sonographic estimated fetal weight, and femur length.

Patterns of Diversity in Cranial Shape Among Plant-Visiting Bats

Adaptations to a plant-based diet have evolved in bats on two occasions — once in the Old World family Pteropodidae and again within the New World family Phyllostomidae. Although the skulls of all plant-visiting bats exhibit adaptations for relatively large eyes, enlarged brains, and reduced molar complexity, the skulls of bats from the two families look very different. The goals of this study are to pinpoint the fundamental differences in the cranial shape between pteropodids and plant-visiting phyllostomids and to investigate patterns of diversity in cranial shape within each lineage. Analyses are based on 19 size adjusted, linear variables collected from 335 specimens that represent 71% of pteropodid and 45% of plant-visiting phyllostomid genera. Results of a stepwise discriminant function analysis indicate that differences in cranial shape between pteropodids and plant-visiting phyllostomids involve general aspects of relative braincase width, palate width and coronoid process height. Pteropodids have...

MORPHOLOGICAL DIFFERENTIATION BETWEEN ADJACENT POPULATIONS OF ASIATIC BLACK BEARS, URSUS THIBETANUS JAPONICUS, IN NORTHERN JAPAN

The skull morphology of black bears inhabiting 2 distributional ranges isolated by 2 river basins in northern Japan was compared in order to examine whether the animals represent different populations. We found substantial differences in relative width of the skull and measurements related to the masticatory apparatus, especially in the length of the molar row and palatal width; the former already differs at 1 year of age when the eruption of permanent teeth occurs, suggesting a genetic basis for the difference. Jackknifed classification was able to correctly assign all adult specimens except 1. The results indicate that bears from these 2 areas belong to different populations that might have been isolated for a considerable period, and gene flow between them is limited, even though the distance between the 2 ranges is only several kilometers at the narrowest point. The Japanese black bear might live in small, isolated local populations.

Quantitative and qualitative phenotypes for thought disorder: Implications for linkage studies of schizophrenia

The palate is considered typical of the structures in which schizophrenia-related minor physical anomalies may occur. In this study, we aimed to compare the dimensions and form of palate in patients with schizophrenia with nonpsychiatric controls in a blinded manner. Dental stone casts of 127 patients with schizophrenia and 127 controls were prepared from impressions of the maxillary dental arch. Palate dimensions were measured on the stone casts using a digital caliper and palatometer. Palate length did not differ significantly between the groups, but there was a significant difference in palate width and depth, which were significantly higher in the schizophrenia group. As a result of using multivariate analysis for assessing independent risk factors affecting patients with schizophrenia, furrowed palate shape, palate width, and ellipsoid maxillary dental arch shape were found to be significant. This study also revealed that patients with schizophrenia demonstrate certain gender-related predilections in the differences of palate parameters compared to same-sex controls. As the palate develops in conjunction with both the face and brain, our study findings can significantly contribute to the assumption that there might be structural abnormalities of the palate that could represent specific markers of embryological dysmorphogenesis underlying schizophrenia.

P182: Nomogram of fetal hard palate length, width, and area throughout gestation

P182: Nomogram of fetal hard palate length, width, and area throughout gestation

Sleep-disordered breathing: radiofrequency thermal ablation is a promising new treatment possibility.

The aim of this study was to assess the efficacy and morbidity of radiofrequency thermal ablation of the soft palate in subjects with sleep-disordered breathing. Prospective, nonrandomized study. Outpatient treatment and an extended follow-up time of 12 months. Twenty-one healthy men who were 18 to 60 years of age (median age, 44 y) with sleep-disordered breathing were enrolled to the study. All the patients had habitual snoring for at least 1 year that was associated with excessive daytime sleepiness interfering with social or professional activities. Radiofrequency energy was delivered to the soft palate in two treatment sessions separated by 1 week at 460 +/- 1 kHz with an energy delivery of 600 and 300 J. Snoring Score, Epworth Sleepiness Scale, and cephalometric analysis were measured preoperatively and postoperatively. Certain inflammatory laboratory parameters and visual analogue scale scores of symptoms were measured related to the procedure. The changes in Snoring Score and Epworth Sleepiness Scale scores were statistically significant. The change in the length of the soft palate was statistically significant, whereas the change in palatal width was not. There were no notable changes in the laboratory parameters. The symptom visual analogue scores were low and transient, resolving within days. The radiofrequency thermal ablation of the soft palate in patients with sleep-disordered breathing seems to be effective. It is safe and associated with only a low morbidity. The promising results must be confirmed in a placebo-controlled study with a larger sample size and a long-term follow-up.

Negative dimension of schizotypy associated with early developmental instability in normal adolescents

The palate is considered typical of the structures in which schizophrenia-related minor physical anomalies may occur. In this study, we aimed to compare the dimensions and form of palate in patients with schizophrenia with nonpsychiatric controls in a blinded manner. Dental stone casts of 127 patients with schizophrenia and 127 controls were prepared from impressions of the maxillary dental arch. Palate dimensions were measured on the stone casts using a digital caliper and palatometer. Palate length did not differ significantly between the groups, but there was a significant difference in palate width and depth, which were significantly higher in the schizophrenia group. As a result of using multivariate analysis for assessing independent risk factors affecting patients with schizophrenia, furrowed palate shape, palate width, and ellipsoid maxillary dental arch shape were found to be significant. This study also revealed that patients with schizophrenia demonstrate certain gender-related predilections in the differences of palate parameters compared to same-sex controls. As the palate develops in conjunction with both the face and brain, our study findings can significantly contribute to the assumption that there might be structural abnormalities of the palate that could represent specific markers of embryological dysmorphogenesis underlying schizophrenia.

Upper Airway Changes in Snorers and Mild Sleep Apnea Sufferers After Uvulopalatopharyngoplasty (UPPP)

We used upper airway (UA) imaging in 20 patients to determine (1) whether an effective enlargement of the UA is obtained after uvulopalatopharyngoplasty (UPPP), and (2) whether UA modifications explain the results of such surgery. Cephalometric measurements were made to assess the posterior airway space, the length and width of the soft palate, and the distance between the hyoid bone and the mandibular plane. Pharyngeal CT measured the airway cross-sectional area (CSA) at each 10-mm slice from 10 mm above (-10) to 40 mm below (+40) the hard palate. Polysomnography was performed before and after surgery (10+/-10 [SD] months). Good responders were defined by an apnea-hypopnea index (AHI) of <10 postsurgery or, in patients in whom AHI was initially <10, a reduction of AHI >50% of the initial AHI. Twenty patients (age=45+/-11 years) were studied. For the whole group, the mean body mass index (26+/-4 kg/m2) and AHI (14+/-13 vs 18+/-16/h) were unchanged after UPPP. The results of the surgery were mediocre with 7 good responders (35%) and 13 nonresponders (65%) defined by polysomnographic criteria. The only changes on UA imaging for the group as a whole after UPPP were decrease in length (40+/-6 vs 29+/-5 mm, p< or =0.0006) and increase in width of the soft palate (11.5+/-2.7 vs 13.6+/-3.5 mm, p< or =0.006). The increase or decrease in minimal CSA at the oropharyngeal (OP) level after UPPP was significantly correlated with the change in AHI (r=-0.54, p<0.02). Moreover, the changes in CSA obtained at the OP level were significant only in the patients who responded favorably to UPPP (7 vs 13 nonresponders). Postoperative OP enlargement is associated with a good outcome of UPPP. Persistent narrowing in nonresponders could be due to the increase in soft palate width after surgery.

Deformation of the palate in preterm infants

AIMTo investigate the effect of gestation, postmenstrual age, and orotracheal intubation on palate morphology.METHODSA prospective study was made of 76 newborn infants of 25 to 41 weeks’ gestation. Palate dimensions...

Palatal morphology and type of clefting.

In this study, the variation in palatal dimensions, particularly for height, width, and depth, were evaluated in subjects with different types of cleft palate using the moiré technique. The sample consisted of 95 subjects with cleft palate and 68 noncleft individuals. Effects of cleft type, gender, developmental stage of the dentition, missing teeth, and 11 skeletal and pharyngeal cephalometric variables on palatal dimensions were assessed using multiple-regression analyses. The typing of clefts had an effect on the all palatal dimensions. The palate was shallower in subjects with clefts involving the secondary palate than in other types of clefts or in noncleft individuals. The palatal width was decreased in subjects with cleft in the primary palate, and the palatal depth was affected by all cleft types except submucous cleft. Gender, developmental stage of the dentition, missing teeth, and some of the cephalometric variables also had a certain effect on the palatal dimensions.

Prediction of Early Palatal Growth and Development in Children with Cleft Lip and Palate

With the use of multilevel modeling of longitudinal data, the relationship between the developmental status of the palate at 4 years of age and early palatal growth and development from birth to 1.5 years of age was studied. A model to predict palatal depths and widths at 4 years of age was developed and tested. The sample consisted of 130 children with cleft lip and/or palate. They were divided into three groups according to surgical treatment; (1) no palatal surgery, (2) soft palatal surgery, and (3) soft and hard palatal surgery. Results showed that in groups 1 and 2, the total arch depth at 4 years of age is strongly related to the initial arch depth at birth. No or low correlations were found between palatal depth at 4 years of age and the growth velocity at birth. The anterior arch width in groups 2 and 3 at 4 years of age appeared to be strongly related to the early growth velocity. In group 1, a moderate correlation with the palatal width and growth velocity at birth was observed. The results of the individual predictions of arch depths and arch widths were reasonable to fair. It was concluded that prediction of individual arch variables at 4 years of age is possible, although within limits. Clinically this means that extreme development can be discriminated from more average development.

Prediction of Early Palatal Growth and Development in Children with Cleft Lip and Palate

With the use of multilevel modeling of longitudinal data, the relationship between the developmental status of the palate at 4 years of age and early palatal growth and development from birth to 1.5 years of age was studied. A model to predict palatal depths and widths at 4 years of age was developed and tested. The sample consisted of 130 children with cleft lip and/or palate. They were divided into three groups according to surgical treatment; (1) no palatal surgery, (2) soft palatal surgery, and (3) soft and hard palatal surgery. Results showed that in groups 1 and 2, the total arch depth at 4 years of age is strongly related to the initial arch depth at birth. No or low correlations were found between palatal depth at 4 years of age and the growth velocity at birth. The anterior arch width in groups 2 and 3 at 4 years of age appeared to be strongly related to the early growth velocity. In group 1, a moderate correlation with the palatal width and growth velocity at birth was observed. The results of the individual predictions of arch depths and arch widths were reasonable to fair. It was concluded that prediction of individual arch variables at 4 years of age is possible, although within limits. Clinically this means that extreme development can be discriminated from more average development.