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J. I. C a w o o d ~ a n d R. A. H o w e l l 2
~Maxillofacial Unit, Royal Infirmary, Chester,
UK, 2Liverpool Dental Hospital, Liverpool, UK
1A
2A
"x
/TLv/
1B
2B
iiiii!iii!iii!
] BASAL
Material and M e t h o d s
233
analysis variant. Associations between variables were measured using Pearsen's productmoment correlation co-efficient and by
Spearman's rank-correlation co-efficient.
Results
mandibular measurements for groups. S vertical (A); S horizontal (B); M vertical (C); M
horizontal (D); K vertical (E); K horizontal
(F).
3A
S
IVIIV]
VERTICAL
GROUP
EFFECT
ALVEOLAR
BASAL
3D
M
HORIZONTAL
GROUP
15
EFFECT
ALVEOLAR
"15
BASAL
[MS
P < O-OO1
GROUP
GROUP
3B
MM
HORIZONTAL
GROUP
EFFECT
3E
ALVEOLAR
BASAL
VERTICAL
GROUP
EFFECT
ALVEOLAR
BASAL
MM
15
2O
5
0
p<o.oon
~ P < O.OO1
-5
GROUP
GROUP
EFFECT
GROUP
3C
MIV
-~
3F
IV]
VERTICAL
ALVEOLAR
BASAL
15
~[Ms
BROUR
HORIZONTAL
GROUP
MM
<
O-GO1
EFFECT
ALVEOLAR
BASAL
15
GROUP
--~
234
Maxillary study
alveolar
Group
Anterior
I-C
mean SD
Posterior
GP-C
mean
SD
1
2
3
11.20+1.30
6.77+_2.01
1.09+_ 1.45
12.40+_0.89
10.46+_2.96
6.46+_2.54
basalar
Group
I-GP
mean SD
GP-GP
mean
SD
1
2
3
39.60+-2.70
39.23+_2.62
39.00+_2.28
30.60+_ 1.82
32.46+_2.37
33.18___1.94
IC
SD
I-B
mean SD
GP-C
mean
SD
GP-B
mean
SD
10.00+2.65
6.46_+ 1.66
3.36 +_1.75
10.00_+2.00
7.15 +_1.52
3.91 +_1.81
9.20_+ 1.64
6.92 +_1.38
4.73 -t- 1.10
13.80+_2.59
10.69 -t-2.25
8.27 ___1.85
mean
1
2
3
Results
In general, the m e a n values o f the maxillary alveolar m e a s u r e m e n t s are significantly different between groups; the
m e a n values o f basal m e a s u r e m e n t s are
n o t (Tables 3 A - D ) .
Group
Anterior
N-ANS
ANS-I
mean SD
mean SD
Posterior
PNS-S
mean SD
1
2
3
49.80-+3.27
51.23+_3.24
50.01 +_2.10
25.80+0.84
25.92+_ 1.89
25.36 -t- 1.29
13.20_ 1.30
13.15+ 1.52
11.36 +_2.46
ALWOLA.
4C
4A
ES~ ~ASAL
PNS
ANS
C
4B
~~i~
ALVEOLAR
[~
BASAL
~_
~ ~
4D
[]
ct
I
..::.::~.
GP
:;.:;.::.'~.::~:::::::::,.;
~'.;g.:.:;;
~.~:~$.~:':;::~:~.'.:..:,:.
~:.~.-'~:::::::::.;:
;.:~
..'-.~':':::::~
C
HORIZONTAL
B C
GP
GP
C
VERTICAL
ANTERIOR
Since changes in dimension of the basalar process were not significant, regardless of the degree of atrophy of the
alveolar process, it was possible to produce composite diagrams showing the
most commonly observed changes in
shape of the alveolar process of the
mandible (Figs. 5A, B) and the maxilla
(Figs. 6A, B) and to develop a descriptive classification of these changes.
Class I - dentate.
Class II - i m m e d i a t e l y post extraction.
Class I I I - well-rounded ridge form,
adequate in height and
width.
Class IV - knife-edge ridge form, adequate in height and inadequate in width.
Class V
flat ridge form, inadequate
in height and width.
Class VI - depressed ridge form, with
some basalar loss evident.
MM
35
25
LABIAL
t5
15
MM
II
IV
III
VI
5B
MANOIBLE
POSTERIOR
MM
25
15
235
::i:i:i:i~i~:~:;~:i!ii (.1
=.'~===:===:===:===: ==.========U============
~!~nl:::::::::::::::::::::::::::::::::::::
3
15
IV
III
II
VI
Conclusions
Fig. 5. (A) Classification of anterior mandible (anterior to mental foramina). (B) Classification
of posterior mandible (posterior to mental foramina).
6A
ANTERIOR
MAXILLA
MM
10
20
i
lO
i
o
II
III
IV
Vl
6B
POSTERIOR
MAXILLA
MM
T
10
Io
i i ~.
II
i i i
l i L
III
IV
vI
236
SD
M
mean
SD
17.50+ 1.44
10.00_+ 1.76
9.21 __+0.94
3.40+ 1.58
16,92_+ 1.11
10.75+ i.36
7.21 ___0.73
2.80__ 1.21
mean
K
mean
SD
7,00+ 1.03
4.00+ 1.26
0.50__+0.67
-- 1.60+ 1.13
SD
M
mean
SD
mean
11.33 ___1.33
7.80__ 1.46
6.29 _ 0.87
3.50+ 1.63
10.83 ___0.70
5.20_+0.85
4.86 _ 0.46
3.00_+0.76
11.67 + 0.60
4.50+0.74
4.64 0.39
3.80_+0.66
mean
K
SD
Anterior
Horizontal
I-C
ANS-I
N-ANS
= nasion.
=anterior nasal spine.
= incisive foramen.
=crest of alveolar process
(adjacent to I or GP).
= widest part of alveolar process
(adjacent to I or GP).
Vertical
I-C
I-B
I-GP
GP-C
PNS-S
GP
PNS
S
Posterior Horizontal
GP-C
GP-B
GP-GP