Evaluation of the skeletal and dental effects in orthodontic patients with maxillary lateral incisor agenesis

J Esthet Restor Dent. 2017 Jul 8;29(4):284-290. doi: 10.1111/jerd.12306. Epub 2017 May 31.

Abstract

Objective: The purpose of this study was to evaluate the transverse dimension of the dentoalveolar and skeletal widths in both unilateral (UMLIA) and bilateral (BMLIA) maxillary lateral incisor agenesis groups.

Materials and methods: The study sample consisted of 59 patients (34 females and 25 males) divided into three groups as UMLIA group (16 patients; 14.94 ± 1.37 years), BMLIA group (21 patients; 14.46 ± 1.53 years) and control group (22 patients; 15.28 ± 1.70 years) without tooth agenesis. Transversal measurements (maxillary and mandibular intercanine, interpremolar, intermolar, intercanine alveolar, interpremolar alveolar, intermolar alveolar widths) were done on dental casts. Craniofacial skeletal measurements were done with posteroanterior cephalometric radiographs. Statistical testing was performed with the one-way variance analysis, Kruskal-Wallis and post hoc tests.

Results: UMLIA and BMLIA groups had statistically significantly narrower skeletal apical base of the maxilla, maxillary intercanine and intercanine alveolar widths compared with the control group (P < .05). Moreover, UMLIA and BMLIA groups had statistically significantly similar dental, alveolar and skeletal features (P > .05).

Conclusions: The UMLIA and BMLIA groups showed statistically significantly smaller values for maxillary intercanine, maxillary intercanine alveolar and skeletal maxillary widths compared with the control group.

Clinical significance: This study provides information the transverse dimension of the dental, alveolar and skeletal widths with maxillary lateral incisor agenesis patients. Knowledge of transverse dimension of the dental, alveolar and skeletal widths with maxillary lateral incisor agenesis patients is important for diagnosis and treatment planning.

Keywords: dental cast; posteroanterior radiographs; tooth agenesis.

MeSH terms

  • Adolescent
  • Alveolar Process / abnormalities*
  • Cephalometry
  • Female
  • Humans
  • Incisor / abnormalities*
  • Male
  • Maxilla / abnormalities*
  • Maxillofacial Development*
  • Models, Dental
  • Retrospective Studies
  • Turkey