Aim: This study aimed to evaluate the cranial base angulationsin patients with different malocclusions by using cone-beam computedtomography (CBCT). Material-Methods: According to anteroposteriormalocclusions, CBCT images of subjects (135 female, 98male, average age: 13,05±1,79) were divided into three groups; ClassI, Class II and Class III. Cephalometric images were obtained fromCBCT and patients were classified according to ANB angle. Sagittal,axial and coronal cranial base angulations were measured in threedimensional CBCT images. Cranial base angulation with different anteroposterior malocclusions were analyzedwith the Kruskal-Wallis statistical test.Results:Sagittal cranial base measurements showed nosignificant differences between Class I, II andIII groups (p>0.05). Also there were no significantdifferences between anteroposterior malocclusiongroups according to coronal andaxial cranial angle variables(p>0.05).Conclusion: According to the results,there were no effect of cranial base angulationsin three planes (sagittal, coronal and axial) ondifferent anteroposterior skeletal malocclusions.CBCT may be helpful for detecting anddiagnosing morphological differences in anteriorand posterior cranial base.
Amaç: Bu çalışmanın amacı; far klı maloklüzyonu olan hastalarda kafa tabanı açılanmalarının konik ışınlı bilgisayarlı tomografi (KIBT) ile değerlendirilmesidir.Gereç-Yöntem: Anteroposterior maloklüzyonlara göre, hastalardan elde edilen KIBT görüntüleri (135 kadın, 98 erkek, ortalama yaş: 13,05 ± 1,79) Sınıf I, Sınıf II ve Sınıf III olarak üç gruba ayrıldı. KIBT'dan sefalometrik görüntüler elde edildi ve hastalar ANB açısına göre sınıflandırıldı. Üç boyutlu KIBT görüntülerinde sagital, aksiyel ve koronal kafa tabanı açılanmaları ölçüldü. Farklı anteroposterior maloklüzyonlarla kafa tabanı açılanmaları Kruskal-Wallis istatistiksel testi ile analiz edildi.Bulgular: Sagital kafa kaidesi ölçümleri Sınıf I, II ve III grupları arasında anlamlı bir fark göstermedi (p> 0.05). Koronal ve aksiyel kraniyal açı değişkenlerine göre anteroposterior maloklüzyon grupları arasında da anlamlı farklılık yoktu (p> 0.05).Sonuç: Elde edilen sonuçlara göre, kafa tabanı açılanmalarının üç düzlemde de (sagital, koronal ve aksiyal) farklı anteroposterior iskelet malokluzyonları üzerine herhangi bir etkisi bulunmamaktadır. KIBT, anterior ve posterior kafa tabanındaki morfolojik farklılıkların tespiti ve teşhisi için yararlı olabilir
___
Thiesen G, Pletsch G, Zastrow MD, do Valle CV, do Valle-Corotti KM, Patel MP, et al. Comparative analysis of the anterior and posterior length and deflection angle of the cranial base, in individuals with facial Pattern I, II and III. Dental Press J Orthod. 2013;18(1):69- 75.
Guyer EC, Ellis EE, 3rd, McNamara JA, Jr., Behrents RG. Components of class III malocclusion in juveniles and adolescents. Angle Orthod. 1986;56(1):7-30
Alves PV, Mazuchelli J, Patel PK, Bolognese AM. Cranial base angulation in Brazilian patients seeking orthodontic treatment. J Craniofac Surg. 2008;19(2):334-8.
Kasai K, Moro T, Kanazawa E, Iwasawa T. Relationship between cranial base and maxillofacial morphology. Eur J Orthod. 1995;17(5):403-10.
Bhattacharya A, Bhatia A, Patel D, Mehta N, Parekh H, Trivedi R. Evaluation of relationship between cranial base angle and maxillofacial morphology in Indian population: A cephalometric study. J Orthod Sci. 2014;3(3):74- 80.
Dağsuyu İM, Kahraman F, Okşayan R. Three-dimensional evaluation of angular, linear, and resorption features of maxillary impacted canines on cone-beam computed tomography. Oral Radiology.1-7.
Afrand M, Oh H, Flores-Mir C, Lagravere- Vich MO. Growth changes in the anterior and middle cranial bases assessed with conebeam computed tomography in adolescents. Am J Orthod Dentofacial Orthop. 2017;151 (2):342-50 e2.
Hayashi I. Morphological relationship between the cranial base and dentofacial complex obtained by reconstructive computer tomographic images. Eur J Orthod. 2003;25 (4):385-91.
Gong A, Li J, Wang Z, Li Y, Hu F, Li Q, et al. Cranial base characteristics in anteroposterior malocclusions: A meta-analysis. Angle Orthod. 2016;86(4):668-80.
Andria LM, Leite LP, Prevatte TM, King LB. Correlation of the cranial base angle and its components with other dental/skeletal variables and treatment time. Angle Orthod. 2004;74 (3):361-6.
Sanggarnjanavanich S, Sekiya T, Nomura Y, Nakayama T, Hanada N, Nakamura Y. Cranial- base morphology in adults with skeletal Class III malocclusion. Am J Orthod Dentofacial Orthop. 2014;146(1):82-91.
Chin A, Perry S, Liao C, Yang Y. The relationship between the cranial base and jaw base in a Chinese population. Head Face Med. 2014;10:31.
Polat OO, Kaya B. Changes in cranial base morphology in different malocclusions. Orthod Craniofac Res. 2007;10(4):216-21.
Hopkin GB, Houston WJ, James GA. The cranial base as an aetiological factor in malocclusion. Angle Orthod. 1968;38(3):250-5.