CC BY-NC-ND 4.0 · Eur J Dent 2014; 08(02): 197-204
DOI: 10.4103/1305-7456.130600
Original Article
Dental Investigation Society

Evaluation of nasal morphology in predicting vertical and sagittal maxillary skeletal discrepancies’

Mandava Prasad
1   Department of Orthodontics and Dentofacial Orthopedics, Narayana Dental College and Hospital, Nellore, Andhra Pradesh, India
,
Nellore Chaitanya
1   Department of Orthodontics and Dentofacial Orthopedics, Narayana Dental College and Hospital, Nellore, Andhra Pradesh, India
,
Karnati Praveen Kumar Reddy
1   Department of Orthodontics and Dentofacial Orthopedics, Narayana Dental College and Hospital, Nellore, Andhra Pradesh, India
,
Ashok Kumar Talapaneni
1   Department of Orthodontics and Dentofacial Orthopedics, Narayana Dental College and Hospital, Nellore, Andhra Pradesh, India
,
Vijaya Bhaskar Myla
1   Department of Orthodontics and Dentofacial Orthopedics, Narayana Dental College and Hospital, Nellore, Andhra Pradesh, India
,
Sharath Kumar Shetty
2   Department of Orthodontics, KVG Dental College, Sullia, Karnataka, India
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Publikationsverlauf

Publikationsdatum:
24. September 2019 (online)

ABSTRACT

Objective: The purpose of this prospective observational study was to evaluate the relationship between nasal morphology and maxillary skeletal pattern. The clinical significance was to emphasize the importance of role of nasal pattern in diagnosis and treatment planning. Materials and Methods: The sample included the pre-treatment lateral cephalometric radiographs of 180 South Indian adults (94 women, 86 men), aged 18 to 28 years. Six maxillary and six nasal soft tissue parameters were measured. Pearson correlation coefficients and Analysis of variance were used for statistical analyses. Results: There were significant correlations between maxillary vertical and sagittal, skeletal and soft tissue parameters. The Mean and standard deviations were correlated between low insignificant range to high significant levels with nasal length, nasal depth and columella convexity. Nasal length also showed significant correlation with inclination of palatal plane. Significant influence of gender was seen on nasal length, nasal depth, columella convexity and nasal tip angle. A statistically significant difference was seen regarding nasal length between males and females, with nasal length being more in males (50.26 ± 4.18) than in females (48.86 ± 3.45), nasal depth being more in males (18.64 ± 2.56) than in females (16.63 ± 2.16), columella convexity being greater in males (4.31 ± 1.26) than in females (3.41 ± 1.13), nasolabial angle decreased in males (87.26° ±13.79°) than in females (89.38° ±15.72°) and nasal tip angle being more in females (80.18° ±9.44°) than in males (73.60° ±10.24°). There was no statistically significant difference in nasal hump between males (-2.01 ± 1.76) and females (-2.02 ± 1.62). Conclusion: Long nose with increased nasal prominence were seen with increase in the anteroposterior length and vertical height of maxilla. Male and female genders had a varied amount of nasal length, nasal depth and columella convexity along with nasal tip angle.

 
  • REFERENCES

  • 1 Subtelny JD. The soft tissue profile, growth and treatment changes. Angle Orthod 1961; 31: 105-122
  • 2 Milton N. A quantitative method for the evaluation of the soft-tissue facial profile. Am J Orthod 1959; 45: 738-51
  • 3 Burstone CJ. Integumental contour and extension patterns. Angle Orthod 1959; 29: 93-104
  • 4 Genecov JS, Sinclair PM, Dechow PC. Development of the nose and soft tissue profile. Angle Orthod 1990; 60: 191-8
  • 5 Meng HP, Goorhuis J, Kapila S, Nanda RS. Growth changes in the nasal profile from 7 to 18 years of age. Am J Orthod Dento facial Orthop 1988; 94: 317-26
  • 6 Nehra K, Sharma V. Nasal morphology as an indicator of vertical maxillary skeletal pattern. J Orthod 2009; 36: 160-6
  • 7 Ferrario VF, Sforza C, Poggio CE, Schmitz JH. Three-dimensional study of growth and development of the nose. Cleft Palate Cranio fac J 1997; 34: 309-17
  • 8 Wisth PJ. Nose morphology in individuals with Angle Class I, Class II, or Class III occlusions. Acta Odontol Scand 1975; 33: 53-7
  • 9 Clements BS. Nasal imbalance and the orthodontic patient. Am J Orthod 1969; 55: 477-98
  • 10 Gungor AY, Turkkahraman H. Effects of airway problems on maxillary growth: A review. Eur J Dent 2009; 3: 250-4
  • 11 Babula Jr WJ, Smiley GR, Dixon AD. The role of the cartilaginous nasal septum in midfacial growth. Am J Orthod 1970; 58: 250-63
  • 12 Uzuner FD, Darendeliler N. Dentoalveolar surgery techniques combined with orthodontic treatment: A literature review. Eur J Dent 2013; 7: 257-65
  • 13 Thilander B. Basic mechanisms in craniofacial growth. Acta Odontol Scand 1995; 53: 144-51
  • 14 Burke PH, Hughes-Lawson CA. Stereo photogrammetric study of growth and development of the nose. Am J Orthod Dento facial Orthop 1989; 96: 144-51
  • 15 Jacobson A, Jacobson RL. Radiographic Cephalometry: From Basics to Video-imaging. 2nd ed.. Chicago: Quintessence Publishing CoInc; 2006
  • 16 Rakosi T. An Atlas and Manual of Cephalometric Radiography. 2nd ed.. New York: Wolfe Medical Publications Ltd; 1982
  • 17 Gulsen A, Okay C, Aslan BI, Uner O, Yavuzer R. The relationship between craniofacial structures and the nose in Anatolian Turkish adults: A cephalometric evaluation. Am J Orthod Dentofacial Orthop 2006; 130: 131.15-5
  • 18 Enlow DH, Hans MG. Essentials of Facial Growth. 1st ed.. Philadelphia, PA: WB Saunders Company; 1996
  • 19 Fitzgerald JP, Nanda RS, Currier GF. An evaluation of the nasolabial angle and the relative inclinations of the nose and upper lip. Am J Orthod Dento facial Orthop 1992; 102: 328-34
  • 20 Anić-Milosević S, Lapter-Varga M, Slaj M. Analysis of the soft tissue facial profile by means of angular measurements. Eur J Orthod 2008; 30: 135-40