Comparison of spheno-occipital synchondrosis maturation stages with three-dimensional assessment of mandibular growth.

BACKGROUND: This study aimed to compare spheno-occipital synchondrosis (SOS) maturation stages with a three-dimensional assessment of mandibular growth. METHODS: This is a cross-sectional study of a retrospective type, in which cone-beam computed tomography (CBCT) images of 500 patients aged 6 to 25 years (226 males and 274 females) were analyzed. The SOS was evaluated using the four-stage scoring system; completely open, partially fused, semi-fused, or completely fused. The SOS scoring and three-dimensional cephalometric measurements were analyzed by Invivo 6.0.3 software. Descriptive and analytical statistics were performed, and a P-value < 0.05 was considered statistically significant. RESULTS: There was a statistically significant difference in mandibular measurements among SOS maturation stages in both sexes (P < 0.05). The skeletal growth increments of mandibular variables across the SOS stages had higher mean differences between SOS stages 2 and 3 than those between stages 1 and 2 and stages 3 and 4 in both sexes. The mandibular growth curves increased with chronological age (earlier in females) and SOS maturation stages (mostly in stages 1, 2, and 3 than stage 4). CONCLUSIONS: The SOS maturation stages are valid and reliable mandibular skeletal indicators as evaluated with three-dimensional cephalometric mandibular measurements. The findings of growth increments and constructed growth curves of mandibular growth might be helpful in diagnosis and treatment planning.

Third molar impaction in the Jazan Region: Evaluation of the prevalence and clinical presentation.

OBJECTIVE: To provide information on the prevalence and clinical features of impacted third molar teeth in the South-Western region of Saudi Arabia. MATERIAL AND METHODS: In this cross-sectional study, 1200 panoramic radiographs (50% males and 50% females) were retrieved from the electronic clinical records of patients at the College of Dentistry, Jazan University from December 2014 to December 2016, and impacted third molars were evaluated. Data on clinical and radiographic presentation were analyzed. RESULTS: Overall, there were 291 (24.3%) patients with impacted third molars among 1200 radiographs. The distribution of impacted third molars according to the number of impacted teeth was as follows: one impaction in 121 (41.6%); two impactions in 90 (30.9%); three impactions in 42 (14.4%); and four impactions in 38 (13.1%) patients. There was a high prevalence of all impaction types among females (54.5%). Maxillary vertical angulation was most common (50%) followed by mandibular mesioangular angulation (48.3%). The depth of impaction in maxillary teeth was higher than in mandibular teeth. Pain was uncommon (4.5% of patients). DISCUSSION: Clinically, vertical impaction in the maxilla was present in 50% of patients because of limited posterior space, and mesioangular angulation in the mandible was present in 48% of patients because of inadequate space between the ramus and the second molar. These findings are similar to other reports. Vertical impaction of the maxillary wisdom tooth is mostly related to the discrepancy between the mesiodistal size of the tooth crown and the limited retromolar space. CONCLUSION: Noiseless presentation of an impacted third molar requires raising the population's awareness about the need for diagnosis and treatment of the problem to avoid any further complications. The study can be to guide surgical procedures. This study documented the prevalence, pattern, and clinical features of impacted third molars in South Western region of Saudi Arabia.

Perception of facial, dental, and smile esthetics by dental students.

OBJECTIVE: To comprehensively assess dental students' perception of facial, dental and smile esthetics and to assess whether such a perception varies by gender, clinical training, and Grade Point Average (GPA). MATERIALS AND METHODS: Series of photographs were digitally manipulated involving three facial, two smile, four dental, and one gingival components. Students in preclinical and clinical levels evaluated the original and manipulated images using a visual analogue scale scored from 1 to 5 where 5 is the standard image and 1 is the least pleasant one. The responses were then analyzed using Mann-Whitney test. A P value of < .05 was considered significant. RESULTS: Four hundred and eight dental students participated in this study. With regard to the overall esthetics, males and clinical students scored higher than females and preclinical students, respectively, did. With regard to the individual esthetic components, males had significantly higher scores in buccal corridors, midline shift, clinical crown width, and gingival marginal height, while females had significantly higher score in median diastema (P < .05). Clinical students had a better perception of facial asymmetry, gingival display, buccal corridors, and clinical crown width compared to the preclinical students. Effect of GPA was minimal and even contradictory; students with lower GPA had a better perception of midline deviation and occlusal canting than those with higher GPA scores. CONCLUSIONS: Male dental students, and unexpectedly unlike females, have a better perception of facial and dental esthetics. Unlike GPA, whose effect was minimal, clinical training has a substantial positive effect on the assessment of beauty. CLINICAL SIGNIFICANCE: Appropriate perception of facial, dental and smile esthetics by dental students is of paramount importance for providing adequate dental services and for improving and polishing their professionalism.© 2018 Wiley Periodicals, Inc.