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PediatricDentistry
- 19:5,1997 American
Academy
of PediatricDentistry323
3according to the method described by Adkins et aU
TABLE . SAMPLE
CHARACTERISTICS
Arch perimeter was measured as the sum of five seg-
ments along the circumference of the dental arch
Characteristics Control Experimental Significance
spanning from mesial of the first molar on the right
side around to mesial of the first molar on the left. Age (yrs.)
In order to minimize radiographic exposure but Mean 12.1 13.5 NS
still measure changes in incisor angulation, lateral SD 3.3 2.8
view slides of pre- and post-treatment study mod- Range 8 to 18 10 to 18
els were taken in lieu of a lateral cephalometric ra- Study Length (mos.)
diograph. After testing the technique for reproduc- Mean 3.1 3.3 NS
ibility on 10 random samples, the following was SD 0.4 0.8
performed. Slides were projected at 10 times mag- Range 2.5 to 4.5 3 to 5
nification, and tracings were made of occlusal con-
Overbite (mm.)
tours of the first molar, second premolar, and of the Mean -4.6 -5 NS
facial contour of the most prominent incisor. Pre- SD 1.9 3
treatment slides were projected and traced. Post- Range -2 to -7.9 -2 to -11.8
treatment slides were then projected to superimpose
Overjet (mm.)
on the tracing of occlusal contour of the first molar
Mean 5.4 4.6 NS
and second premolar. The evaluator was blinded as SD 2.6 2.7
to group status of each study model. The facial con- Range 1.6 to 9 2 to 9
tour of the most prominent incisor in the post-treat-
ment slide was traced in a dotted line. A tangent to
cant differences for age, length of study, initial over-
bite and overjet, or pretreatment cephalometric an-
gular measurements and vertical proportions (Tables
1, 2).
Arch perimeter changes were statistically significant
for m~ixillary and mandibular arches (Table 3). Maxil-
lary arch perimeter decreased a mean of 2.6 + 1.8 mm
in the experimental group, while the mean for the con-
trol group was increased by 0.25 + 0.5 mm. This differ-
TABLE2. MEAN
PRETREATMENT
CEPHALOMETRIC
MEASUREMENTS
Fig 1. Illustration of measurementof incisor angular
changes.Pretreatment studymodel:solid line. Post-
treatmentstudymodel:dotted line. A tangentto the Measurements Control Experimental Norm Sign.
functionalocclusalplane(first molarsandsecond
premolars)wasdrawnas a reference plane, and SN-MP(o) 32.4 31.4 36 NS
tangentsto the facial surfaceof the central incisorsof SN-PP (o) 4.4 4.2 8 NS
each modelwere also drawnwith the resultant angles PP-MP(o) 27.9 26.6 29 NS
to the occlusal plane measured andcompared. ANB(o) 7.9 7.3 3 NS
Ar-Go-MP (o) 122.5 119.8 131 NS
the facial incisal two-thirds was drawn for each UI-pP (o) 119.3 119.1 110 NS
traced incisor. A tangent to the cusp tips of the first L1-MP(o) 105.9 104.9 91 NS
molar and second premolar was drawn to represent UAFH (mm) 50.1 49.6 50 NS
the functional occlusal plane (Fig 1). The resultant LAFH (mm) 70.3 70.6 65 NS
angles to the functional plane were measured. TAFH (mm) 118.4 119.3 113 NS
All measurements were taken twice and the av- Ratio UAFH/TAFH 0.42 0.42 0.44 NS
erages were used for statistical computations. Data Ratio LAFH/TAFH 0.59 0.59 0.57 NS
were analyzed with student t-tests to calculate sta-
tistical significance. Error was evaluated by corre- SN-MP (°)=sella nasionplaneto mandibular plane
lating all first and second measurements obtained. SN-PP (o) = sella nasionplaneto palatal plane
PP-MP (°) = palatal planeto mandibular plane
Results Ar-Go-MP (o) = gonial angle
Overall 10 males and 14 females were studied. U1-PP (°) = upperincisor to palatal plane
Two-thirds of the patients were of Hispanic origin L1-MP (o) = lowerincisor to mandibular plane
with the remaining third equally distributed be- UAFH(ram) = upperanterior facial height (N-ANS)
tween African and European Americans. LAFH (mm)= lower anterior facial height (ANS-Me)
Control and experimental groups had no signifi- TAFH(mm)= total anterior facial height (N-Me)