Palatal Shape Research Articles

Comparison of the Effects of Different Palatal Morphology on Maxillary Expansion via RME and MSE: A Finite Element Analysis.

This study aims to compare and analyze the biomechanical effect and the displacement trend of RME and MSE on the maxillofacial complex under different palatal shapes by using finite element analysis. The three-dimensional model of maxillofacial complex was obtained from a computed tomography image of a person with a normal palate. Then, we modified the shape of the palate to obtain the model with a high palate. Additionally, two expander devices were considered. MSE and RME were created and four models were made: Model 1: Normal-palate craniomaxillofacial complex with RME expander; Model 2: Normal-palate craniomaxillofacial complex with MSE expander; Model 3: High-palate craniomaxillofacial complex with RME expander; Model 4: High-palate craniomaxillofacial complex with MSE expander. Then, lateral forced displacement was applied and the analysis results were obtained. The lateral displacement of the palatal suture of Model 3 is greater than that of Model 1, and the maxilla has more rotation. The crown/root ratio of Model 1 is significantly greater than that of the other three groups. Compared with Model 1, Model 3 has greater stress concentration in the superstructure of the craniomaxillofacial complex. Both of them have greater stress in the anchorage area than Model 2 and Model 4. Different shapes of the palate interfere with the effects of RME and MSE, and its influence on the stress distribution and displacement of the craniomaxillary complex when using RME is greater than MSE. The lateral displacement of the palatal suture of MSE is significantly larger than that of RME. It is more prone to tipping movement of the anchor teeth using RME under normal palate, and MSE may manage the vertical control better due to the smaller crown/root ratio than RME and intrusive movement of molars.

Evaluation of palate morphology in patients treated with leaf expander and hyrax expander: A geometric morphometric analysis.

The aim of this study was to evaluate changes in shape of the palatal vault after maxillary expansion with hyrax expander (HE) and leaf expander (LE), using 3D Geometric Morphometric Analysis. Overall, 250 patients (110 M, 140 F) with maxillary transverse deficiency were selected for this study. In this study, 127 subjects were treated with HE, 123 with LE. Digital dental models were obtained pre-treatment (T0) and after 12 months from the cementation of the device (T1) and processed by means of a digital scanner. Linear and morphometric analyses were conducted to determine the effects of each appliance on dental measurements and palatal shape, and a multiple linear regression was performed to analyse the influence of anchorage and appliance type on final shape. Morphometric analysis showed that there was a lowering of the palatal vault in the HE group, while in the LE group it remained unchanged: the difference in palatal shape at time T0 and T1 was statistically significant in both treatments (HE vs. LE). In the HE group, the change in shape also included the upper part of the palatal vault in the vertical dimension, while in the LE group the change in shape interested mainly palatal shelves and the lower portion of the palate. Both LE and HE produce clinically significant changes in the morphology of the palatal vault.

Palate Shape, Drug-Induced Sleep Endoscopy Findings, and Obstructive Sleep Apnea Pharyngeal Surgery Outcomes.

Pharyngeal surgery is a treatment option for patients with obstructive sleep apnea (OSA) unable to tolerate positive pressure therapy. This study aims to determine the association between palate shape as described by Woodson and pharyngeal surgical outcomes. Exploratory analysis of retrospective cohort. Multicenter. Three blinded reviewers assessed palate shape using drug-induced sleep endoscopy (DISE) videos from a previously-assembled cohort of adults undergoing pharyngeal surgery. Palate shape scores were examined for association with surgical outcomes with univariate and multivariate analyses. Multivariate analyses included adjustment for consensus DISE findings determined previously. Two hundred nine study subjects were included from 13 centers. Age was 53.7 ± 11.5 years, body mass index (BMI) was 30.3 ± 5.0 kg/m2, and 21% were female. In isolated soft palate surgery, greater GenuAP narrowing was associated with lesser odds of surgical response, whereas greater GenuLW narrowing was associated with greater odds of surgical response. These findings largely persisted after adjustment for key DISE findings, age, gender, OSA severity, BMI, and tonsil size. Other palate-shape findings were not clearly associated with surgical outcomes, although some palate-shape findings demonstrated trends towardan association with outcomes (P < .10). Greater GenuAP narrowing and GenuLW narrowing were associated with lesser and greater, respectively, odds of surgical response after isolated soft palate surgery. Palate shape and other palate shape level scores were not clearly associated with surgical outcomes. Larger studies may determine more precisely the association between palate shape and pharyngeal surgery outcomes.

Evaluation of Morphological Variants of Soft Palate in Individuals with Different Skeletal Patterns Using Digital Lateral Cephalometric Images

Background and Objectives The soft palate has morphological variations in lateral cephalometric images. Several studies are available on the analysis of the dimensions of the soft palate, but few have investigated the morphology of the soft palate. The aim of this study is to investigate the relationship between morphological variations of the soft palate and types of malocclusion in Ahvaz, southwest of Iran. Subjects and Methods In this descriptive-analytical study, the lateral cephalometric images of 162 patients with abnormal skeletal pattern available in the archive of the Radiology Department of Jundishapur School of Dentistry in Ahvaz were used. The radiographs were divided into 6 groups (leaf shape, rat tail shape, butt like, straight line, distorted soft palate, and crook shape) under the supervision of a radiologist. The data were analyzed to determine the relationship between soft palate morphology and skeletal pattern . Results The results showed that 51.2% of the patients’ skeletal pattern were class two, 37% were class one, and 11.8% were class three . The most prevalent soft palate morphology observed in this study was the "rat tail" shape, accounting for 61.7% of all participants. This morphology was consistently the most common across all investigated skeletal classifications. The "leaf" shape followed in prevalence, representing 18.5% of the sample. The least frequent morphology, identified in only 2.5% of participants, was the "S-shaped" type. This pattern of prevalence held true within each individual skeletal pattern as well. Conclusion Rat tail shape of soft palate was by far the most common morphology while distorted soft palate or S-shaped soft palate was the rarest form of soft palate in patients. There is no relationship between the skeletal pattern of the jaw and the morphology of the soft palate in the studied population .

Cephalometric Association Between Various Shapes of Soft Palate with Different Growth Pattern and Age Groups in Skeletal Class I, II and III Malocclusion

OBJECTIVE:The aim of this study was to find cephalometric association between various shapes of soft palate with different growth pattern and age groups in skeletal class I, II and III malocclusion METHODOLOGY:The pretreatment lateral cephalograms of 382 patients was collected from the department of Orthodontics, Liaquat College of Medicine &amp; Dentistry, Karachi. The study included 96 males and 286 females between the ages of 11 to 30 years. All the patients were divided according to skeletal classification of malocclusion. The type of skeletal malocclusion, growth pattern and the morphological variations of soft palate were assessed. The differences in the proportion of soft palate morphology among skeletal malocclusion and growth pattern were calculated. Variation of the soft palate morphology among the genders and different age groups were also determined. RESULTS: Subjects with Type 1 "leaf-shaped" soft palates were more prevalent (43.2%) whereas, The Type 4 "Straight-line" soft palate was least common (2.9%). Type 1 "leaf-shaped" soft palate was the most common in all skeletal malocclusion classes, growth pattern types and both genders CONCLUSIONS: This study found significant association between soft palate morphology with type of skeletal malocclusion and gender. No significant association found between soft palate morphology and types of growth pattern KEYWORDS: soft palate shapes, growth pattern, age groups, skeletal malocclusion, lateral cephalogram.

Evaluation of Morphological Variants of Soft Palate in Individuals with Different Skeletal Patterns Using Digital Lateral Cephalometric Images

Background and Objectives The soft palate has morphological variations in lateral cephalometric images. Several studies are available on the analysis of the dimensions of the soft palate, but few have investigated the morphology of the soft palate. The aim of this study is to investigate the relationship between morphological variations of the soft palate and types of malocclusion in Ahvaz, southwest of Iran. Subjects and Methods In this descriptive-analytical study, the lateral cephalometric images of 162 patients with abnormal skeletal pattern available in the archive of the Radiology Department of Jundishapur School of Dentistry in Ahvaz were used. The radiographs were divided into 6 groups (leaf shape, rat tail shape, butt like, straight line, distorted soft palate, and crook shape) under the supervision of a radiologist. The data were analyzed to determine the relationship between soft palate morphology and skeletal pattern . Results The results showed that 51.2% of the patients’ skeletal pattern were class two, 37% were class one, and 11.8% were class three . The most prevalent soft palate morphology observed in this study was the "rat tail" shape, accounting for 61.7% of all participants. This morphology was consistently the most common across all investigated skeletal classifications. The "leaf" shape followed in prevalence, representing 18.5% of the sample. The least frequent morphology, identified in only 2.5% of participants, was the "S-shaped" type. This pattern of prevalence held true within each individual skeletal pattern as well. Conclusion Rat tail shape of soft palate was by far the most common morphology while distorted soft palate or S-shaped soft palate was the rarest form of soft palate in patients. There is no relationship between the skeletal pattern of the jaw and the morphology of the soft palate in the studied population .

Mapping palatal shape to electromagnetic articulography data: An approach using 3D scanning and sensor matching.

A method for superimposing the shape of the palate on three-dimensional (3D) electromagnetic articulography (EMA) data is proposed. A biteplate with a dental impression tray and EMA sensors is used to obtain the palatal shape and record the sensor positions. The biteplate is then 3D scanned, and the scanned palate is mapped to the EMA data by matching the sensor positions on the scanned image with those in the EMA readings. The average distance between the mapped palate and the EMA palate traces is roughly 1 mm for nine speakers and is comparable to the measurement error of the EMA.

STUDY OF SOFT PALATE DIMENSION AND NASOPHARYNGEAL DEPTH (NEED’S RATIO) USING LATERAL CEPHALOMETRICS X- RAY

Background: Soft palate is a tissue mass that hangs behind the hard palate mainly to seal the pharyngeal airway. The length of the soft palate should be adequate to close the pharyngeal depth. Failure to completely seal leads to velopharyngeal insufficiency while longer palatal length leads to obstructive sleep apnea. This study aimed to find the need’s ratio among the general Nepalese population. Methods: Lateral cephalograms of 591 of 17 years and above cases without any history of palatal surgery, orthodontic treatment or congenital defect were studied. The length of the soft palate, pharyngeal depth and thickness of the palatal tissue was measured using VLX computer program in lateral cephalograms obtained from gendex orthoralix 9200. The ratio of palatal length pharyngeal depth was calculated as Need’s ratio. Results: Soft palate length was 33.27 + 7.74 and 24.82 + 4.53 respectively. The Need’s ratio calculated is 0.75. The rat tail shape of soft palate was highly prevalent 173 (28.3%) while S shape was least 51 (8.6%) . Crook type of soft palate has highest Need’s ratio. Conclusions: The mean Need’s ratio of Nepalese population is 0.75. Need’s ratio also varies from shape of the soft palate.

Alveolar Bone Grafting in Unilateral Cleft Lip and Palate: Impact of Timing on Palatal Shape.

Alveolar bone grafting (ABG) is a critical surgical intervention in patients with a cleft of the alveolus, aimed at reconstructing the alveolar ridge to facilitate proper eruption, periodontal support, and alignment of adjacent permanent teeth. The optimal timing for ABG remains debated, with late secondary ABG between the ages of 9 and 11 being widely adopted. This study compared the palatal shapes of 28 children at a mean age of 9.5 years (SD = 0.7) who underwent early secondary ABG at a mean age of 2.1 years (SD = 0.6) or 33 children at a mean age of 10.8 years (SD = 1.5) who underwent late secondary ABG at a mean age of 8.6 years (SD = 1.3) to 60 non-cleft controls at a mean age of 8.6 years (SD = 1.2). The palatal shapes were captured with 239 landmarks digitized on the palate on a digital model. Utilizing geometric morphometric methods, i.e., generalized Procrustes superimpositions, principal component analysis, and permutation tests, we assessed the impact of ABG timing on palatal morphology. The first five principal components (PCs) explained 64.1% of the total shape variability: PC1 = 26.1%; PC2 = 12%; PC3 = 11.9%; PC4 = 7.8%; and PC5 = 6.4%. The Procrustes distance between both cleft groups and the control group was more than twice as large as the Procrustes distance between the early ABG and late ABG groups. Nonetheless, all intergroup differences were statistically significant. Our findings suggest that early ABG has a limited negative effect on palatal shape, providing comparable outcomes to late ABG. The study highlights the potential suitability of early ABG, challenging conventional practices and encouraging further exploration into its long-term effects on maxillary growth.

Statistical shape analysis of maxillary palatal morphology in patients with palatally displaced canines

ObjectiveMaxillary morphology has long been a subject of interest due to its possible impact on palatally and labially displaced canines. This study aims to conduct a comparison of the palate morphology between individuals with palatal and labially displaced canines and control subjects using statistical shape analysis on a coronal cross-sectional of CBCT images.Materials and methodsPatients aged between 12 and 43 years with palatally or labially displaced canines referred to Hamadan School of Dentistry between 2014 and 2019 were recruited for this retrospective study. The sample included 29 palatally displaced canines (PDC), 20 labially displaced canines (LDC), and 20 control groups (CG). Initially, the maxillary palate coronal section was acquired and landmarked in the region between the right and the left first molar. Procrustes and principal component analyses were used to identify the primary patterns of palatal shape variation. Statistical tests were then performed to examine both shape and size differences.ResultsAccording to the results of Hotelling’s T2 test, there is a significant difference between the mean shape of palate in PDC and CG (P = 0.009), while the difference between the PDC-LDC and LDC-CG groups is not significant. The longest full Procrustes distance was observed between PDC and CG (distance = 0.043), and the shortest full Procrustes distance was observed between LDC and CG (distance = 0.029). The first two principal components accounted for 84.47% of the total variance. The predictive accuracy of the discriminant analysis model showed that 72.46% of cases were correctly classified into the three study groups.ConclusionsIn terms of centroid size, there was no significant difference in the sectional area between the three groups, but the difference between the mean shape of palate in the PDC and CG groups was significant. The PDC group showed more prominent mid-palatal area in the molar region.

Articulation distortion in Mandarin-speaking individuals with complete arch maxillary implant-supported fixed dental prostheses

Implant-supported fixed dental prostheses (IFPs) have been increasingly used to restore edentulous jaws, yet few studies have utilized acoustic analysis for objective evaluation of postrestoration speech outcomes. The purpose of this clinical study was to assess speech articulation in edentulous individuals before and after the provision of IFPs by combining the results of subjective evaluations and objective acoustic analysis parameters. The study included thirty-four individuals who had an edentulous maxilla and had been provided with an IFP for over 6 months, along with 6 dentate controls. Acoustic analysis was conducted, and mean opinion scores (MOS) were rated from recordings. The participants were interviewed about perceived speech changes. Changes in the parameters were evaluated using the paired t test or Wilcoxon signed-rank test (α=.05). A comparison between dentate controls and edentulous individuals (with or without prostheses) was made using an independent t test or Mann-Whitney U test (α=.025). Following restoration, the center of gravity (CoG) changes occurred in 11 of 12 consonants in edentulous individuals (P<.05). Prosthesis use allowed the CoG of all affricates and fricatives to appear larger and closer to control values. Before restoration, the CoG of 9 of 12 consonants in edentulous individuals differed from controls (P<.01); after restoration, this reduced to 3 out of 12 (P<.01). MOS improved in 10 of 12 consonants (P<.01), nearing a score of 4. Despite restoration, the CoG of alveolo-palatals [tɕh], [tɕ], and [ɕ] remained different from controls (P<.01). Most participants were satisfied with the improvement, with few reporting discomfort with alveolars [s] and [tsh]. IFPs can enhance speech in edentulous individuals, yet articulation distortions of alveolar and alveolo-palatal consonants persist. The improper palatal shape of IFPs or an abrupt joint between the IFP and atrophic natural bone may contribute to these distortions.

The Slavcleft: A Three-Center Study of the Outcome of Treatment of Cleft Lip and Palate Considering Palatal Shape.

The degree of deviation of palatal shape from the norm may reflect facial growth disturbance in cleft lip and palate (CLP). The objective of this study was to compare the palatal morphology in children treated with different surgical protocols. Palatal shape was assessed with geometric morphometrics (GM) including Procrustes superimposition, principal component analysis (PCA), and permutation tests with 10,000 permutations, in 24 children treated with two-stage repair with a late palatoplasty (Prague group; mean age at assessment 8.9 years), 16 children after two-stage repair with early palatoplasty (Bratislava group; mean age 8.2 years), and 53 children treated with a one-stage repair (Warsaw group, mean age 10.3 years). The non-cleft control group comprised 60 children at 8.6 years. The first five principal components (PCs) accounted for a minimum of 5% of the total shape variability (65.9% in total). The Procrustes distance was largest for the Prague vs. Control pair and smallest for the Prague vs. Bratislava pair. Nonetheless, all intergroup differences were statistically significant (p < 0.01). One can conclude that variations in palatal shape roughly correspond to cephalometric and dental arch relationship findings from prior research. Among the children who underwent a one-stage repair of the complete cleft, their palatal morphology most closely resembled that of the non-cleft controls. Conversely, children who received late palatoplasty exhibited the greatest degree of deviation.

Palate shape is associated with Unilateral Hypoglossal Nerve Stimulation Outcomes.

The aim was to determine the potential association between palate shape and unilateral hypoglossal nerve stimulation (HNS) outcomes. Preoperative drug-induced sleep endoscopy (DISE) videos were reviewed and scored by 3 blinded reviewers to determine airway narrowing at the hard-soft palate junction (HP), soft palate genu, and inferior velum, as described by Woodson (2014). Scoring was as follows: 1-open airway, 2-narrow, 3-severe narrowing. Overall palate shape (oblique, intermediate, or vertical) was determined based on prior criteria. Successful surgical treatment was defined by the HNS titration polysomnogram as a reduction of ≥50% in the apnea-hypopnea index (AHI) to <15 events/h. Of 332 adults, the majority was male (77%) with an average BMI of 29.2 ± 3.6 kg/m2 . Overall success rate was 73%. Success rate was lower in patients with vertical palate shape compared with the other shapes (56% vs. 75%, p = 0.029). HP score 3 compared with scores 2 and 1 was associated with lower success rates (60% vs. 76%, p = 0.028), but genu and velum scores were not associated with outcomes. Patients with both HP score 3 and complete oropharyngeal lateral wall-related obstruction had notably worse outcomes (22% vs. 74%, p = 0.026). HP score 3 (OR 0.45, 95%CI 0.22-0.92) and vertical palate shape (OR 0.33, 95%CI 0.15-0.78) were independently associated with lower odds of surgical response after adjustment for DISE findings, age, gender, and BMI. Vertical palate shape and narrowing at the hard-soft palate junction are independently associated with lower HNS surgical success rates. 3 Laryngoscope, 134:981-986, 2024.

Correlation between Malocclusions, Tonsillar Grading and Mallampati Modified Scale: A Retrospective Observational Study.

to investigate the correlation between growth tendency and different patient malocclusion, tonsillar grading, and tongue size (Mallampati index). The sample is composed of 64 males and 40 females; patients aged between 6 and 16 years (median age 11 years, IQR 9-13) were included. The final sample is therefore 104 patients. After the first orthodontic visit, all the children underwent a collection of documentation (photographs, digital arch models, and X-rays). Patients were classified according to their malocclusion, palatal conformation, tonsillar grading, and Mallampati index. Group comparisons were performed using Fisher's test. A p-value less than 0.05 was considered statistically significant. The narrow palate was more frequent in those with Angle class III (p = 0.04), while the other variables considered (tonsillar grading, Mallampati, and lingual frenulum) were not significantly associated with dental class (p > 0.05). Furthermore, a different distribution of tonsillar grading was observed between subjects with normal palate and subjects with narrow palate, while no statistically significant association was found between the palatal shape and Mallampati index (p = 0.88). This study found that children with higher tonsillar grading had a higher prevalence of crossbite or narrow palate compared to other children at the same developmental stage. However, we did not observe any association between tonsil hyperplasia and the prevalence of class II malocclusion, anterior open bite, or patient divergence in this sample. Furthermore, no correlation was found between the Mallampati index and patients' dental class, narrow palate, or divergence in this study.

Palatal shape covariation in extraction versus nonextraction borderline patients: A geometric morphometric study

This study aimed to evaluate changes in palatal shape after orthodontic treatment from a borderline sample of extraction and nonextraction patients with a Class I relationship. A borderline sample regarding premolar extractions was obtained through discriminant analysis and comprised 30 nonextraction and 23 extraction patients. The digital dental casts of these patients were digitized with 3 curves and 239 landmarks placed on the hard palate. Procrustes superimposition and principal component analysis were implemented to assess group shape variability patterns. The success of the discriminant analysis in identifying a borderline sample regarding the extraction modality was validated using geometric morphometrics. Concerning palatal shape, no sexual dimorphism was found (P= 0.78). The first 6 principal components that were statistically significant accounted for 79.2% of the total shape variance. Palatal changes were 61% more pronounced in the extraction group, which exhibited a decrease in palatal length (P= 0.02; 10,000 permutations). In contrast, the nonextraction group showed an increase in the palatal width (P<0.001; 10,000 permutations). Intergroup comparisons indicated that the nonextraction group exhibited longer palates, whereas the extraction group exhibited higher palates (P= 0.02; 10,000 permutations). Considerable changes in palatal shape were seen for the nonextraction and extraction treatment group, with the latter exhibiting more pronounced changes, mainly in terms of palatal length. Further investigations are needed to clarify the clinical significance of the palatal shape changes in borderline patients after extraction and nonextraction treatment.

Morphological and acoustic modeling of the vocal tract

In speech production, the anatomical morphology forms the substrate on which the speakers build their articulatory strategy to reach specific articulatory-acoustic goals. The aim of this study is to characterize morphological inter-speaker variability by building a shape model of the full vocal tract including hard and soft structures. Static magnetic resonance imaging data from 41 speakers articulating altogether 1947 phonemes were considered, and the midsagittal articulator contours were manually outlined. A phoneme-independent average-articulation representative of morphology was calculated as the speaker mean articulation. A principal component analysis-driven shape model was derived from average-articulations, leading to five morphological components, which explained 87% of the variance. Almost three-quarters of the variance was related to independent variations of the horizontal oral and vertical pharyngeal lengths, the latter capturing male-female differences. The three additional components captured shape variations related to head tilt and palate shape. Plane wave propagation acoustic simulations were run to characterize morphological components. A lengthening of 1 cm of the vocal tract in the vertical or horizontal directions led to a decrease in formant values of 7%-8%. Further analyses are required to analyze three-dimensional variability and to understand the morphological-acoustic relationships per phoneme. Average-articulations and model code are publicly available (https://github.com/tonioser/VTMorphologicalModel).

The Posterior Extension of the Palatal Rugae as an Anatomical Constraint for Soft Tissue Grafts in a Saudi Arabian Population.

Background The purpose of this study was to investigate the distal extension of the palatal rugae area as an anatomical constraint on the harvesting of palatal soft tissue grafts in a Saudi Arabian population. Additionally, factors that could affect or predict the extension were considered. Methods Three hundred seventy-four (374) dental casts from Saudi nationals currently residing in Riyadh (170 males and 204 females) were included. Two independent observers used a standardized probeto measure the posterior extent of the rugae on each stone castbilaterally on a horizontal base. A sharp graphite pencil was used to mark the measurements from the origin of the rugae to their terminal ends on the cast, and a magnification lens was used to identify them. Using this technique, the most posterior extension of the rugae was marked and then analyzed. The normal approximation test for binomial distribution was used to determine the proportion of the subjects with rugael extensions beyond the mesial end of the upper second premolar, and logistic regression was used to seethe association of this extension with other factors. Results The asymptotic chi-squared (p = 0.0002) McNemar tests revealed that the posterior distal extension of the rugae was not the same on both sides.A normal approximation test for the left side with 95% confidence intervals (CIs) with the "rugael extension proximal to the mesial end of the upper second premolar"category considered "success"found that the proportion of upper second premolars with rugael extensions proximal to the mesial end was not significantly different to the proportion of rugael extensionsbeyond the mesial end of the upper second premolars (95% CI: 48.69%-58.79%,p= 0.147). Conversely, the proportion of the upper second premolars with rugael extensions proximal to the mesial end was significantly lower than that beyond the mesial end on the right (95% CI: 35.92%-45.89%,p= 0.00004).Gender, age, and palatal shape did not significantly affect the posterior extension of palatal rugae. Conclusions The palatal rugae on the left side of a sample of the Saudi Arabian population do not considerably extend beyond the upper second premolarmesial aspect, which may provide reliablesoft tissue grafts for esthetic mucogingival surgery.

Trends and Application of Artificial Intelligence Technology in Orthodontic Diagnosis and Treatment Planning—A Review

Artificial intelligence (AI) is a new breakthrough in technological advancements based on the concept of simulating human intelligence. These emerging technologies highly influence the diagnostic process in the field of medical sciences, with enhanced accuracy in diagnosis. This review article intends to report on the trends and application of AI models designed for diagnosis and treatment planning in orthodontics. A data search for the original research articles that were published over the last 22 years (from 1 January 2000 until 31 August 2022) was carried out in the most renowned electronic databases, which mainly included PubMed, Google Scholar, Web of Science, Scopus, and Saudi Digital Library. A total of 56 articles that met the eligibility criteria were included. The research trend shows a rapid increase in articles over the last two years. In total: 17 articles have reported on AI models designed for the automated identification of cephalometric landmarks; 12 articles on the estimation of bone age and maturity using cervical vertebra and hand-wrist radiographs; two articles on palatal shape analysis; seven articles for determining the need for orthodontic tooth extractions; two articles for automated skeletal classification; and 16 articles for the diagnosis and planning of orthognathic surgeries. AI is a significant development that has been successfully implemented in a wide range of image-based applications. These applications can facilitate clinicians in diagnosing, treatment planning, and decision-making. AI applications are beneficial as they are reliable, with enhanced speed, and have the potential to automatically complete the task with an efficiency equivalent to experienced clinicians. These models can prove as an excellent guide for less experienced orthodontists.

Sex prediction by geometric morphometric analysis of the hard palate.

The hard palate participates in the construction of the oral and nasal cavities and represents the bony barrier between them. Morphological differences of the hard palate are important for forensic medicine, anthropology, anatomy, as well as scientific branches dealing with the study of evolutionary development, populations differences. The aim of this study was to determine sexual dimorphism of hard palate on three-dimensional (3D) models of human skulls using geometric morphometry. The research was conducted on 3D models of 209 human skulls from Bosnian population (139 male, 70 female). On the obtained 3D models, we marked landmarks on the palate using Landmark editor program. Using MorphoJ program we analyzed sex differences of shape and size on hard palate. The principal component analysis showed that the first two components (PC1 and PC2) described 55.503% of the total morphological variability of the hard palate. The results of the discriminant analysis showed predictive power for male with 66.91% accuracy and for female with 58.57% accuracy based on the shape and size of the hard palate. The influence of size of the hard palate on its shape was statistically significant (p<0.0001). The results of discriminant analysis based on shape of hard palate showed predictive power for male with 68.34% accuracy and for female with 64.29% accuracy. Sex differences of hard palate are statistically significant and can be used for sex determination in skeletal remains. The percentage of accuracy for determining sex based on the hard palate was higher for men in this study.

One Genus or Two? Evaluating Whether Gracile and Robust Capuchin Monkeys are Validly Classified as Separate Genera Based on Craniofacial Shape

Assessments of whether closely related species should be classified into more than one genus have been a longstanding source of controversy in primatology. For example, researchers hold differing opinions about whether cebine species should be classified into one or two genera. In this study, we investigated whether craniofacial shape is a reliable taxonomic indicator among cebines and statistically evaluated whether the magnitude of craniofacial shape differences observed among gracile and robust capuchin species is consistent with a two-genus taxonomic framework. We quantify craniofacial shape using 3D landmark data taken from 72 surface models, representing five cebine species (Cebus albifrons, C. capucinus, C. olivaceus, C. (Sapajus) libidinosus, and C. (S.) macrocephalus). We find that although statistically significant shape differences exist between gracile and robust capuchins in all four craniofacial regions investigated (face and palate, basicranium, calvarium, and frontal region of the calvarium), the magnitude of shape differences between species pairs does not support gracile and robust species being classified into separate genera. The shape of the frontal region of the calvarium and the face and palate show the highest magnitude of shape differences between the gracile and robust capuchin groups, and both regions are good taxonomic predictors, showing correct classification rates of 97% and 96%, respectively. At the species-level, face and palate shape is the only craniofacial measure that consistently shows high classification rates among species (84-97% for combined-sex analyses). Our findings suggest that robust capuchin species that are often assigned to Sapajus may be more appropriately considered as Cebus under a single-genus framework for cebines based on craniofacial shape evidence.