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Fluctuating arch symmetry: a comparison of two methods of assessment - applicability and efficiency.
Pucciarelli, Maria Giulia Rezende; Ambrosio, Eloá Cristina Passucci; Oliveira, Thaís Marchini; Sforza, Chiarella; Menezes, Márcio de; Soares, Simone.
Afiliación
  • Pucciarelli MGR; University of São Paulo, Bauru School of Dentistry, Department of Prosthodontics and Periodontology; Hospital for Rehabilitation of Craniofacial Anomalies (HRAC/USP) (Bauru/SP, Brazil).
  • Ambrosio ECP; University of São Paulo, Bauru School of Dentistry, Department of Pediatric Dentistry, Orthodontics and Public Health (Bauru/SP, Brazil).
  • Oliveira TM; University of São Paulo, Bauru School of Dentistry, Department of Pediatric Dentistry, Orthodontics and Public Health (Bauru/SP, Brazil).
  • Sforza C; Università degli studi di Milano, Department of Biomedical Sciences for Health (Milan, Italy).
  • Menezes M; Amazonas State University, School of Dentistry, Department of Operative Dentistry (Manaus/AM, Brazil).
  • Soares S; University of São Paulo, Bauru School of Dentistry, Department of Prosthodontics and Periodontology; Hospital for Rehabilitation of Craniofacial Anomalies (HRAC/USP) (Bauru/SP, Brazil).
Dental Press J Orthod ; 29(4): e2423265, 2024.
Article en En | MEDLINE | ID: mdl-39230109
ABSTRACT

INTRODUCTION:

Symmetry is balance, some correspondence in the size, form, and arrangements of parts on opposite sides of a plane, line, or point. The opposite of this concept is asymmetry, or imbalance.

OBJECTIVE:

This retrospective study compared two methods for assessing arch symmetry with linear measurements based on triangles, to determine their applicability and efficiency.

METHODS:

Two groups were enrolled children (n=20) and adults (n=20), and the arch symmetry was assessed from linear measurements. Method 1 the incisor-canine (INC), canine-molar (CM), and incisor-molar (INM) distances (paired t-test and Pearson correlation). Method 2 a mathematical equation between the cusps measurements of the canines and the distobuccal of the first molars leading to result 1 (t-test for one sample and bootstrapping analysis). Dental casts were digitized and analyzed using a software program. The Bland-Altman test compared the methods (α=0.05).

RESULTS:

The Bland-Altman test revealed concordance between the methods; however, separately the results were different In method 1, the mandibular arch did not demonstrate correlation (children, INC r=0.33; CM r=0.45; INM r=0.51; adults, CM r=0.46; INM r=0.35), however, the maxilla revealed a strong correlation in children and a strong/moderate correlation in adults. In method 2, both arches were symmetrical (p>0.05).

CONCLUSION:

Method 1 may be appropriate during orthodontic treatment, and method 2 may be indicated for final treatment. These methods are useful; however, only method 1 identified the side of asymmetry. The methods can contribute to future studies in syndromic and non-syndromic patients, before and after orthognathic surgeries and orthodontic treatment, comparing results.
Asunto(s)

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Diente Canino / Arco Dental / Incisivo / Diente Molar Límite: Adolescent / Adult / Child / Female / Humans / Male Idioma: En Revista: Dental Press J Orthod Año: 2024 Tipo del documento: Article Pais de publicación: Brasil

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Diente Canino / Arco Dental / Incisivo / Diente Molar Límite: Adolescent / Adult / Child / Female / Humans / Male Idioma: En Revista: Dental Press J Orthod Año: 2024 Tipo del documento: Article Pais de publicación: Brasil