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Twenty-five patients who underwent early mixed dentition treatment were evaluated during the following stages: pretreatment (early mixed dentition), phase 2 (early permanent dentition), and postretention (average of 9.5 years). All patients were treated with a removable passive lingual arch. The mandibular incisors were judged to have satisfactory alignment at phase 2 evaluation and had no further orthodontic treatment.

Nineteen of 25 cases (76%) demonstrated clinically satisfactory mandibular alignment postretention. Intercanine width decreased in 72% of the cases postretention and arch length decreased in 100% postretention. Intermolar width increased in 18 of 25 (72%) of the cases during treatment and remained stable in 17 of 25 (68%) of the cases. No predictors or associations could be found to help clinicians in determining the long-term prognosis of dental stability.

Abstract

Numerous indices have been proposed to help the clinician decide how much maxillary expansion will be required to alleviate crowding. The purpose of this investigation was to examine the validity of Pont's index, Schwarz's analysis and McNamara's rule of thumb. Records of 40 patients (20 females and 20 males) were selected from 155 consecutive pretreatment records. The discrepancy between actual intermolar/interterpremolar widths and the index-generated widths were correlated against measures of crowding, and linear regressions were computed. Statistical analysis revealed that (1) males had more significant correlations between arch width and crowding than females, (2) interpremolar widths were more strongly correlated than intermolar widths, (3) Pont's index and McNamara's rule of thumb overestimated required arch width by 2.5 mm to 4.7 mm and 2.7 mm to 3.7 mm respectively, and (4) Schwarz's analysis overestimated interpremolar width by 2.5 mm to 4.3 mm but was reasonably accurate for intermolar width in males. The results suggest that these indices potentially overestimate the arch expansion required to alleviate crowding.

Abstract

The Bolton tooth-size analysis is widely taught and used in orthodontics. However, its reliability has not been documented. The purpose of this study was to evaluate the reliability of the analysis when performed with needle-pointed dividers and a Boley gauge. Four clinicians measured the teeth on 15 sets of casts with two instruments at two sessions. The measurements were used to calculate tooth-size excess. To evaluate the measurement error, the difference between the two analyses made by the same investigator on the same set of casts was calculated. More of the same-investigator analyses were significantly correlated when the Boley gauge was used than when the needle-pointed dividers were used. Between-investigator analyses revealed significant correlations for each measurement session with both instruments. Every investigator was found to have at least one measurement error for each analysis and with each instrument that was as large as a clinically significant result of a Bolton analysis. The results of this study demonstrate that clinically significant measurement errors can occur when the Bolton tooth-size analysis is performed on casts with at least 3 mm of crowding. The Boley gauge demonstrated a higher frequency of significantly correlated repeated measures and thus may be somewhat more reliable for this analysis than the needle-pointed dividers.

Abstract

Histologic reconstructions of remodeling variations of the mandibular ramus are demonstrated. This is significant because morphogenic relationships between the ramus and corpus establish mandibular arch position. Ground and polished microscopic sections were obtained from the ramus of 30 well–preserved human mandibles, dental age 1 to 13 years. The distribution of the various types of endosteal and periosteal bone tissues and resorptive versus depository surfaces was recorded. Fourteen of the 30 specimens and the majority of the mandibles at all ages examined exhibited the classic pattern of deposition and resorption (Type A or classic pattern) described by Enlow.¹ Nine mandibles followed a second variation (Type B or vertical variation) involving a gonial angle alignment change. Seven followed a pattern of deposition and resorption similar to what Björk might have called a forward rotating pattern (Type C or rotation variation). The differences in these patterns are large enough to suggest that a common description of one pattern of remodeling for all mandibles is incomplete. Unfortunately, the process of mandibular growth and remodeling does not appear to correlate well with dental age and the basis for changes in patterns may be more complex than first imagined. If temporal differences exist, they are not related directly to dental development. In theory, the differences in pattern are great enough to influence the outcome of mandibular orthopedic treatment.

This research was first presented at a meeting of the Midwest Component of the Edward H. Angle Society held in Sanibel Island, Florida, February 1991.

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Craniofacial growth was followed longitudinally in two groups of boys with low and high MP-SN angles. The purpose was, first, to reveal group differences in dimensional change, and second, to find whether such differences were associated with a group difference in mandibular growth rotation.

Group differences in dimensional change were explained by a difference in matrix rotation of the mandibular corpus, especially in the 6- to 12-year period. In the 12- to 15-year period, matrix rotation was similar in the two groups and so were dimensional changes. Morphologically, dimensional group differences in the 6- to 12-year period were theoretically compatible with the fact that mandibular rotation was clearly more forward in the low angle than in the high angle group. Statistically, dimensional variables with significant group difference were correlated strongly with matrix rotation and, in most cases, non-significantly with intramatrix rotation.

Abstract

Improper orthodontic bracket position may necessitate bracket removal and rebonding to establish correct bracket position. This procedure is necessary to use efficient orthodontic mechanics. The purpose of the study was to investigate (1) the amount of bonding resin remaining on single crystal bracket bases following electrothermal debonding, and (2) the bond strength of rebonded single crystal ceramic brackets under different treatment conditions. The bases of debonded, single crystal ceramic brackets (n=100) were inspected for resin, classified with an adaptation of the adhesive remnant index (ARI), and evenly assigned to four experimental groups (n=25). Groups were (1) silane coupling agent, (2) heat plus silane coupling agent, (3) hydrofluoric acid plus silane coupling agent, and (4) heat plus hydrofluoric acid plus silane coupling agent. An additional group of brackets not previously bonded was used as the control (n=25). The brackets were bonded to 125 fresh bovine teeth. A force was applied 1 mm from the bracket-resin interface by a testing machine. The force measured in this experiment was shear/peel and the ratio of shear to peel was 0.53. The ARI index showed 79% of the brackets had no resin on their bases. The shear/peel bond strength was significantly greater for the control group than all other groups (P< 0.01). Treatment of electrothermally debonded ceramic brackets with silane or heat plus silane resulted in bond strength greater than 9 MPa. The use of hydrofluoric acid significantly reduced the bond strength below 2 MPa.

Abstract

AF-BF is a linear cephalometric measure of the anteroposterior jaw relationship in the sagittal plane. A retrospective, longitudinal study was made to determine the mean Caucasian American AF-BF values at ages 8 and 18 years for 30 male and 32 female participants of the Bolton Growth Study. Mean AF-BF values (± s.d.) for males were 7.3 ± 2.7 mm at 8 years and 6.5 ± 4.2 mm at 18 years. Mean AF-BF values (± s.d.) for females were 6.7 ± 2.1 mm at 8 years and 5.2 ± 2.9 mm at 18 years. No significant difference was found between the mean AF-BF values for males and females at either age group (P < 0.05). The decrease in AF-BF mean values with increasing age both for males and females was statistically significant. The correlation (r) for the AF-BF values was 0.49 (P < 0.05) for females and 0.86 (P < 0.05) for males. With increasing age, the mean difference between ANB values for females was 1.40 ± 1.60 and 1.10 ± 1.40 for males. The correlation of ANB angle and AF-BF provides a clinically useful tool for the cephalometric assessment of anteroposterior sagittal discrepancies of maxillary and mandibular denture bases.

Abstract

A new device for measuring and recording bilateral bite force in the molar/premolar region has been developed. Because this new device is elastic and conforms to the occlusal surfaces of the teeth, and because the sensing element is relatively comfortable, it is believed that experimental subjects are less reluctant to register true maximal forces than in earlier studies. Potential correlations of maximum bite force to gender, age, weight, body type, stature, previous history of orthodontic treatment, presence of TMJ symptoms (jaw motion limitation, clicking with pain, or joint pain), or missing teeth were studied in a sample of 142 dental students. The mean maximum bite force of the sample was found to be 738 N, with a standard deviation of 209 N. The mean maximum bite force as related to gender was found to be statistically significant, while the correlation coefficients for age, weight, stature, and body type were found to be low. Even so, all data scatterplots exhibited relatively positive relationships. Correlations of maximum bite force to an earlier history of orthodontic treatment or to the absence of teeth were not found. Subjects reporting TMJ symptoms did not exhibit a significantly different maximum bite force than subjects without symptoms.

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Maximum bilateral bite force, determined in 129 dental students, was evaluated with regard to six skeletal and eight dental measurements acquired from conventional lateral cephalometric radiographs. Statistically significant correlations for three of the skeletal measurements were found. Maximum bite force increased with regard to decreasing mandibular plane/palatal plane angle and to decreasing mandibular plane angles. Maximum bite force increased with an increasing ratio of posterior facial height to anterior facial height. Significant statistical correlation for only one of the eight dental measurements was found: maximum bite force related directly with increasing maxillary and/or mandibular dentoalveolar heights, an unexpected finding.

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