Research Article
Year 2025,
, 122 - 132, 01.01.2025
Abstract
References
- 1. Araujo MTDS and Squeff LR. Orthodontic camouflage as a treatment alternative for skeletal Class III. Dental Press J Orthod. 2021;26:e21bbo4. DOI:10.1590/2177-6709.26.4.e21bbo4. eCollection 2021.
- 2. Ryu H-K, Chong H-J, An K-Y, et al. Short-term and long-term treatment outcomes with Class III activator. Korean J Orthod. 2015;45:226-35. DOI:10.4041/kjod.2015.45.5.226.
- 3. Yoshida I, Yamaguchi N and Mizoguchi I. Prediction of post-treatment outcome after combined treatment with maxillary protraction and chincap appliances. Eur J Orthod. 2006;28:89-96. DOI:10.1093/ejo/cji066. Epub 2005 Aug 19
- 4. Stellzig-Eisenhauer A, Lux CJ and Schuster G. Treatment decision in adult patients with Class III malocclusion: orthodontic therapy or orthognathic surgery? Am J Orthod Dentofacial Orthop. 2002;122:27-37. DOI:10.1067/mod.2002.123632
- 5. Yavan MA and Gökçe G. Orthodontists on Social Media: Instagram’s Influence. Turk J Orthod. 2024;37:14-21. DOI:10.4274/TurkJOrthod.2022.2022.78
- 6. Yavan MA and Eğlenen MN. 20-Year Change in the Perception of Orthodontic Treatment: A Cross-Sectional Study. Turk J Orthod. 2022;35:276-83. DOI:10.5152/TurkJOrthod.2022.21002
- 7. Karkun R, Batra P and Singh AK. Influence of social media and corrected smile photographs in patients with malocclusion. Am J Orthod Dentofacial Orthop. 2023;164:712-27. DOI:10.1016/j.ajodo.2023.04.021. Epub 2023 Jul 4
- 8. Bombonatti R, Castillo A-D, Bombonatti JFS, et al. Cephalometric and occlusal changes of Class III malocclusion treated with or without extractions. Dental Press J Orthod. 2020;25:24-32. DOI:10.1590/2177-6709.25.4.024-032.oar
- 9. Bowman SJ. More than lip service: facial esthetics in orthodontics. J Am Dent Assoc. 1999;130:1173-81. DOI:10.14219/jada.archive.1999.0371
- 10. Anderson JP, Joondeph DR and Turpin DL. A cephalometric study of profile changes in orthodontically treated cases ten years out of retention. Angle Orthod. 1973;43:324-36. DOI:10.1043/0003-3219(1973)043<0324:ACSOPC>2.0.CO;2
- 11. Oliver BM. The influence of lip thickness and strain on upper lip response to incisor retraction. Am J Orthod. 1982;82:141-9. DOI:10.1016/0002-9416(82)90492-4
- 12. Almurtadha RH, Alhammadi MS, Fayed MM, et al. Changes in soft tissue profile after orthodontic treatment with and without extraction: A systematic review and meta-analysis. J Evid Based Dent Pract. 2018;18:193-202. DOI:10.1016/j.jebdp.2017.09.002. Epub 2017 Sep 19
- 13. Mirabella D, Bacconi S, Gracco A, et al. Upper lip changes correlated with maxillary incisor movement in 65 orthodontically treated adult patients. World J Orthod. 2008;9:337-48. DOI:DOI number not available
- 14. Lu W, Song G, Sun Q, et al. Analysis of facial features and prediction of lip position in skeletal class III malocclusion adult patients undergoing surgical-orthodontic treatment. Clin Oral Investig. 2021;25:5227-38. DOI:10.1007/s00784-021-03830-x. Epub 2021 Feb 15
- 15. Alhammadi MS, Almashraqi AA, Khadhi AH, et al. Orthodontic camouflage versus orthodontic-orthognathic surgical treatment in borderline class III malocclusion: a systematic review. Clini Oral Investig. 2022;26:6443-55. DOI:10.1007/s00784-022-04685-6. Epub 2022 Sep 13
- 16. Kim B, Shin JW, Hong C, et al. The lower lip profile change during total distalization of the mandibular dentition. Open Dent J. 2022;00. DOI:10.21203/rs.3.rs-2271884/v1
- 17. Bou Wadi MN, Freitas KMS, Freitas DS, et al. Comparison of profile attractiveness between class III orthodontic camouflage and predictive tracing of Orthognathic surgery. Int J Dent. 2020;2020:7083940. DOI:10.1155/2020/7083940. eCollection 2020
- 18. Yavan MA, Gülsoy B and Hamamcı N. Genç Erişkin Bir Hastada İskeletsel Sınıf III Maloklüzyonun Hızlı Üst Çene Genişletme ve Kapaklı Braket Sistemi ile Ortodontik Tedavisi–Bir Olgu Sunumu. NEU Dent J. 2021;3:33-9. DOI:10.51122/neudentj.2021.13
- 19. Holdaway RA. A soft-tissue cephalometric analysis and its use in orthodontic treatment planning. Part I. Am J Orthod. 1983;84:1-28. DOI:10.1016/0002-9416(83)90144-6
- 20. Arnett GW, Jelic JS, Kim J, et al. Soft tissue cephalometric analysis: diagnosis and treatment planning of dentofacial deformity. Am J Orthod Dentofacial Orthop. 1999;116:239-53. DOI:10.1016/s0889-5406(99)70234-9
- 21. Burns NR, Musich DR, Martin C, et al. Class III camouflage treatment: what are the limits? Am J Orthod Dentofacial Orthop. 2010;137:9. e1-9. e13. DOI:10.1016/j.ajodo.2009.05.017
- 22. Rabie A-BM, Wong RW and Min G. Treatment in borderline Class III malocclusion: orthodontic camouflage (extraction) versus orthognathic surgery. Open Dent J. 2008;2:38-48. DOI:10.2174/1874210600802010038. Epub 2008 Mar 8
- 23. Lin J and Gu Y. Preliminary investigation of nonsurgical treatment of severe skeletal Class III malocclusion in the permanent dentition. Angle Orthod. 2003;73:401-10. DOI: 10.1043/0003-3219(2003)073<0401:PIONTO>2.0.CO;2
- 24. Kerr W and Ten Have T. Changes in soft tissue profile during the treatment of Class III malocclusion. Br J Orthod. 1987;14:243-9. DOI: 10.1179/bjo.14.4.243
- 25. Li X, Tian Y, Guo R, et al. Evaluation of the facial profile of skeletal Class III patients undergoing camouflage orthodontic treatment: a retrospective study. PeerJ. 2024;12:e17733. DOI:10.7717/peerj.17733. eCollection 2024
- 26. Guyer EC, Ellis Iii EE, Mcnamara Jr JA, et al. Components of Class III malocclusion in juveniles and adolescents. Angle Orthod. 1986;56:7-30. DOI:10.1043/0003-3219(1986)056<0007:COCIMI>2.0.CO;2
- 27. Lo FD and Hunter WS. Changes in nasolabial angle related to maxillary incisor retraction. Am J Orthod. 1982;82:384-91. DOI:10.1016/0002-9416(82)90187-7
- 28. Garg H, Khundrakpam D, Saini V, et al. Relationship of nasolabial angle with maxillary incisor proclination and upper lip thickness in north Indian population. Int J Clin Pediatr Dent. 2022;15:489-92. DOI:10.5005/jp-journals-10005-2432
- 29. Bloom LA. Perioral profile changes in orthodontic treatment. Am J Orthod. 1961;47:371-9. DOI:10.1016/0002-9416(61)90177-4
- 30. Haynes S. The lower lip position and incisor overjet. Br J Orthod. 1975;2:201-5. DOI:10.1179/bjo.2.4.201
Evaluation of the Effects of Hard Tissue Changes on Soft Tissue Harmony in Non-Extraction Camouflage Treatments for Angle Class III Malocclusion
Abstract
Purpose: The aim of this retrospective study was to observe the harmony between hard and soft tissue alterations on lateral cephalograms of patients with Class III malocclusion following orthodontic treatment.
Methods: Fifteen patients (7 male, 8 female; mean age: 21.4±0.49 years) who underwent received Class III non-extraction camouflage treatment with intermaxillary elastics were included in the study. Pretreatment and posttreatment lateral cephalograms were evaluated for hard and soft tissue changes using NemoStudio NX-Pro software. Student’s t-test, Pearson correlation analyses, and linear regression analyses were performed. Statistical significance was set at p<0.05.
Results: Significant increases in Wits, UI-SN, overjet, and overbite, and significant decreases in ACB-Corpus, SN-GoMe, SN-OP, and UI-OP were observed after treatment (p<0.05). Strong correlations were identified, including negative correlations between SN-GoMe values and UL Thickness, Pog’-TVL, and LLA-TVL, positive correlations between UI-SN values and UL-E Line and H angle, and negative correlations between UI-OP values and H and overbite and between UL-E Line and H angle. The linear regression analysis showed that a one-unit increase in SN-GoMe corresponded to a 0.523-unit decrease in UL Thickness, and a one-unit increase in UI-SN corresponded to a 0.177-unit increase in LL-E Line. Moreover, a one-unit increase in overbite corresponded to a 0.835-unit decrease in H angle and a 0.749-unit increase in G-Sn-Pog’.
Conclusion: Since changes in SN-GoMe angle, UI-SN angle, and overbite have a greater impact on soft tissues compared to other hard tissue alterations, they can provide clinicians with crucial information when planning Class III camouflage treatments.
References
- 1. Araujo MTDS and Squeff LR. Orthodontic camouflage as a treatment alternative for skeletal Class III. Dental Press J Orthod. 2021;26:e21bbo4. DOI:10.1590/2177-6709.26.4.e21bbo4. eCollection 2021.
- 2. Ryu H-K, Chong H-J, An K-Y, et al. Short-term and long-term treatment outcomes with Class III activator. Korean J Orthod. 2015;45:226-35. DOI:10.4041/kjod.2015.45.5.226.
- 3. Yoshida I, Yamaguchi N and Mizoguchi I. Prediction of post-treatment outcome after combined treatment with maxillary protraction and chincap appliances. Eur J Orthod. 2006;28:89-96. DOI:10.1093/ejo/cji066. Epub 2005 Aug 19
- 4. Stellzig-Eisenhauer A, Lux CJ and Schuster G. Treatment decision in adult patients with Class III malocclusion: orthodontic therapy or orthognathic surgery? Am J Orthod Dentofacial Orthop. 2002;122:27-37. DOI:10.1067/mod.2002.123632
- 5. Yavan MA and Gökçe G. Orthodontists on Social Media: Instagram’s Influence. Turk J Orthod. 2024;37:14-21. DOI:10.4274/TurkJOrthod.2022.2022.78
- 6. Yavan MA and Eğlenen MN. 20-Year Change in the Perception of Orthodontic Treatment: A Cross-Sectional Study. Turk J Orthod. 2022;35:276-83. DOI:10.5152/TurkJOrthod.2022.21002
- 7. Karkun R, Batra P and Singh AK. Influence of social media and corrected smile photographs in patients with malocclusion. Am J Orthod Dentofacial Orthop. 2023;164:712-27. DOI:10.1016/j.ajodo.2023.04.021. Epub 2023 Jul 4
- 8. Bombonatti R, Castillo A-D, Bombonatti JFS, et al. Cephalometric and occlusal changes of Class III malocclusion treated with or without extractions. Dental Press J Orthod. 2020;25:24-32. DOI:10.1590/2177-6709.25.4.024-032.oar
- 9. Bowman SJ. More than lip service: facial esthetics in orthodontics. J Am Dent Assoc. 1999;130:1173-81. DOI:10.14219/jada.archive.1999.0371
- 10. Anderson JP, Joondeph DR and Turpin DL. A cephalometric study of profile changes in orthodontically treated cases ten years out of retention. Angle Orthod. 1973;43:324-36. DOI:10.1043/0003-3219(1973)043<0324:ACSOPC>2.0.CO;2
- 11. Oliver BM. The influence of lip thickness and strain on upper lip response to incisor retraction. Am J Orthod. 1982;82:141-9. DOI:10.1016/0002-9416(82)90492-4
- 12. Almurtadha RH, Alhammadi MS, Fayed MM, et al. Changes in soft tissue profile after orthodontic treatment with and without extraction: A systematic review and meta-analysis. J Evid Based Dent Pract. 2018;18:193-202. DOI:10.1016/j.jebdp.2017.09.002. Epub 2017 Sep 19
- 13. Mirabella D, Bacconi S, Gracco A, et al. Upper lip changes correlated with maxillary incisor movement in 65 orthodontically treated adult patients. World J Orthod. 2008;9:337-48. DOI:DOI number not available
- 14. Lu W, Song G, Sun Q, et al. Analysis of facial features and prediction of lip position in skeletal class III malocclusion adult patients undergoing surgical-orthodontic treatment. Clin Oral Investig. 2021;25:5227-38. DOI:10.1007/s00784-021-03830-x. Epub 2021 Feb 15
- 15. Alhammadi MS, Almashraqi AA, Khadhi AH, et al. Orthodontic camouflage versus orthodontic-orthognathic surgical treatment in borderline class III malocclusion: a systematic review. Clini Oral Investig. 2022;26:6443-55. DOI:10.1007/s00784-022-04685-6. Epub 2022 Sep 13
- 16. Kim B, Shin JW, Hong C, et al. The lower lip profile change during total distalization of the mandibular dentition. Open Dent J. 2022;00. DOI:10.21203/rs.3.rs-2271884/v1
- 17. Bou Wadi MN, Freitas KMS, Freitas DS, et al. Comparison of profile attractiveness between class III orthodontic camouflage and predictive tracing of Orthognathic surgery. Int J Dent. 2020;2020:7083940. DOI:10.1155/2020/7083940. eCollection 2020
- 18. Yavan MA, Gülsoy B and Hamamcı N. Genç Erişkin Bir Hastada İskeletsel Sınıf III Maloklüzyonun Hızlı Üst Çene Genişletme ve Kapaklı Braket Sistemi ile Ortodontik Tedavisi–Bir Olgu Sunumu. NEU Dent J. 2021;3:33-9. DOI:10.51122/neudentj.2021.13
- 19. Holdaway RA. A soft-tissue cephalometric analysis and its use in orthodontic treatment planning. Part I. Am J Orthod. 1983;84:1-28. DOI:10.1016/0002-9416(83)90144-6
- 20. Arnett GW, Jelic JS, Kim J, et al. Soft tissue cephalometric analysis: diagnosis and treatment planning of dentofacial deformity. Am J Orthod Dentofacial Orthop. 1999;116:239-53. DOI:10.1016/s0889-5406(99)70234-9
- 21. Burns NR, Musich DR, Martin C, et al. Class III camouflage treatment: what are the limits? Am J Orthod Dentofacial Orthop. 2010;137:9. e1-9. e13. DOI:10.1016/j.ajodo.2009.05.017
- 22. Rabie A-BM, Wong RW and Min G. Treatment in borderline Class III malocclusion: orthodontic camouflage (extraction) versus orthognathic surgery. Open Dent J. 2008;2:38-48. DOI:10.2174/1874210600802010038. Epub 2008 Mar 8
- 23. Lin J and Gu Y. Preliminary investigation of nonsurgical treatment of severe skeletal Class III malocclusion in the permanent dentition. Angle Orthod. 2003;73:401-10. DOI: 10.1043/0003-3219(2003)073<0401:PIONTO>2.0.CO;2
- 24. Kerr W and Ten Have T. Changes in soft tissue profile during the treatment of Class III malocclusion. Br J Orthod. 1987;14:243-9. DOI: 10.1179/bjo.14.4.243
- 25. Li X, Tian Y, Guo R, et al. Evaluation of the facial profile of skeletal Class III patients undergoing camouflage orthodontic treatment: a retrospective study. PeerJ. 2024;12:e17733. DOI:10.7717/peerj.17733. eCollection 2024
- 26. Guyer EC, Ellis Iii EE, Mcnamara Jr JA, et al. Components of Class III malocclusion in juveniles and adolescents. Angle Orthod. 1986;56:7-30. DOI:10.1043/0003-3219(1986)056<0007:COCIMI>2.0.CO;2
- 27. Lo FD and Hunter WS. Changes in nasolabial angle related to maxillary incisor retraction. Am J Orthod. 1982;82:384-91. DOI:10.1016/0002-9416(82)90187-7
- 28. Garg H, Khundrakpam D, Saini V, et al. Relationship of nasolabial angle with maxillary incisor proclination and upper lip thickness in north Indian population. Int J Clin Pediatr Dent. 2022;15:489-92. DOI:10.5005/jp-journals-10005-2432
- 29. Bloom LA. Perioral profile changes in orthodontic treatment. Am J Orthod. 1961;47:371-9. DOI:10.1016/0002-9416(61)90177-4
- 30. Haynes S. The lower lip position and incisor overjet. Br J Orthod. 1975;2:201-5. DOI:10.1179/bjo.2.4.201
There are 30 citations in total.
Details
| Primary Language | English |
|---|---|
| Subjects | Clinical Sciences (Other) |
| Journal Section | Clinical Research |
| Authors | |
| Early Pub Date | December 13, 2024 |
| Publication Date | January 1, 2025 |
| Submission Date | March 19, 2024 |
| Acceptance Date | October 25, 2024 |
| Published in Issue | Year 2025 |