The predictability of dentoskeletal factors for soft-tissue chin strain during lip closure
Identifieur interne : 000710 ( Pmc/Curation ); précédent : 000709; suivant : 000711The predictability of dentoskeletal factors for soft-tissue chin strain during lip closure
Auteurs : Yun-Hee Yu [Corée du Sud] ; Yae-Jin Kim [Corée du Sud] ; Dong-Yul Lee [Corée du Sud] ; Yong-Kyu Lim [Corée du Sud]Source :
- Korean Journal of Orthodontics [ 2234-7518 ] ; 2013.
Abstract
To investigate the dentoskeletal factors which may predict soft-tissue chin strain during lip closure.
The pretreatment frontal and lateral facial photographs and lateral cephalograms of 209 women (aged 18-30 years) with Angle's Class I or II malocclusion were examined. The subjects were categorized by three examiners into the no-strain and strain groups according to the soft-tissue chin tension or deformation during lip closure. Relationships of the cephalometric measurements with the group classification were analyzed by logistic regression analysis, and a classification and regression tree (CART) model was used to define the predictive variables for the group classification.
The lower the value of the overbite depth indicator (ODI) and the higher the values of upper incisor to Nasion-Pogonion (U1-NPog, mm), overjet, and upper incisor to upper lip (U1-upper lip, mm), the more likely was the subject to be classified into the strain group. The CART showed that U1-NPog was the most prominent predictor of soft-tissue chin strain (cut-off value of 14.2 mm), followed by overjet.
To minimize strain of the soft-tissue chin, orthodontic treatment should be oriented toward increasing the ODI value while decreasing the U1-NPog, overjet, and U1 upper lip values.
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DOI: 10.4041/kjod.2013.43.6.279
PubMed: 24396737
PubMed Central: 3879284
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Sud</country><wicri:regionArea>Department of Orthodontics, Graduate School of Clinical Dentistry, Korea University, Seoul</wicri:regionArea></affiliation></author><author><name sortKey="Lee, Dong Yul" sort="Lee, Dong Yul" uniqKey="Lee D" first="Dong-Yul" last="Lee">Dong-Yul Lee</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Orthodontics, Graduate School of Clinical Dentistry, Korea University, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Orthodontics, Graduate School of Clinical Dentistry, Korea University, Seoul</wicri:regionArea></affiliation></author><author><name sortKey="Lim, Yong Kyu" sort="Lim, Yong Kyu" uniqKey="Lim Y" first="Yong-Kyu" last="Lim">Yong-Kyu Lim</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Orthodontics, Graduate School of Clinical Dentistry, Korea University, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Orthodontics, Graduate School of Clinical Dentistry, Korea University, Seoul</wicri:regionArea></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">24396737</idno><idno type="pmc">3879284</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3879284</idno><idno type="RBID">PMC:3879284</idno><idno type="doi">10.4041/kjod.2013.43.6.279</idno><date when="2013">2013</date><idno type="wicri:Area/Pmc/Corpus">000710</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">000710</idno><idno type="wicri:Area/Pmc/Curation">000710</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Curation">000710</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">The predictability of dentoskeletal factors for soft-tissue chin strain during lip closure</title><author><name sortKey="Yu, Yun Hee" sort="Yu, Yun Hee" uniqKey="Yu Y" first="Yun-Hee" last="Yu">Yun-Hee Yu</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Orthodontics, Graduate School of Clinical Dentistry, Korea University, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Orthodontics, Graduate School of Clinical Dentistry, Korea University, Seoul</wicri:regionArea></affiliation></author><author><name sortKey="Kim, Yae Jin" sort="Kim, Yae Jin" uniqKey="Kim Y" first="Yae-Jin" last="Kim">Yae-Jin Kim</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Orthodontics, Graduate School of Clinical Dentistry, Korea University, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Orthodontics, Graduate School of Clinical Dentistry, Korea University, Seoul</wicri:regionArea></affiliation></author><author><name sortKey="Lee, Dong Yul" sort="Lee, Dong Yul" uniqKey="Lee D" first="Dong-Yul" last="Lee">Dong-Yul Lee</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Orthodontics, Graduate School of Clinical Dentistry, Korea University, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Orthodontics, Graduate School of Clinical Dentistry, Korea University, Seoul</wicri:regionArea></affiliation></author><author><name sortKey="Lim, Yong Kyu" sort="Lim, Yong Kyu" uniqKey="Lim Y" first="Yong-Kyu" last="Lim">Yong-Kyu Lim</name><affiliation wicri:level="1"><nlm:aff id="A1">Department of Orthodontics, Graduate School of Clinical Dentistry, Korea University, Seoul, Korea.</nlm:aff><country xml:lang="fr" wicri:curation="lc">Corée du Sud</country><wicri:regionArea>Department of Orthodontics, Graduate School of Clinical Dentistry, Korea University, Seoul</wicri:regionArea></affiliation></author></analytic><series><title level="j">Korean Journal of Orthodontics</title><idno type="ISSN">2234-7518</idno><idno type="eISSN">2005-372X</idno><imprint><date when="2013">2013</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Objective</title><p>To investigate the dentoskeletal factors which may predict soft-tissue chin strain during lip closure.</p></sec><sec><title>Methods</title><p>The pretreatment frontal and lateral facial photographs and lateral cephalograms of 209 women (aged 18-30 years) with Angle's Class I or II malocclusion were examined. The subjects were categorized by three examiners into the no-strain and strain groups according to the soft-tissue chin tension or deformation during lip closure. Relationships of the cephalometric measurements with the group classification were analyzed by logistic regression analysis, and a classification and regression tree (CART) model was used to define the predictive variables for the group classification.</p></sec><sec><title>Results</title><p>The lower the value of the overbite depth indicator (ODI) and the higher the values of upper incisor to Nasion-Pogonion (U1-NPog, mm), overjet, and upper incisor to upper lip (U1-upper lip, mm), the more likely was the subject to be classified into the strain group. The CART showed that U1-NPog was the most prominent predictor of soft-tissue chin strain (cut-off value of 14.2 mm), followed by overjet.</p></sec><sec><title>Conclusions</title><p>To minimize strain of the soft-tissue chin, orthodontic treatment should be oriented toward increasing the ODI value while decreasing the U1-NPog, overjet, and U1 upper lip values.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Subtelny, Jd" uniqKey="Subtelny J">JD Subtelny</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Burstone, Cj" uniqKey="Burstone C">CJ Burstone</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Yogosawa, F" uniqKey="Yogosawa F">F Yogosawa</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Zide, Bm" uniqKey="Zide B">BM Zide</name></author><author><name sortKey="Mccarthy, J" uniqKey="Mccarthy J">J 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Nuñez</name></author><author><name sortKey="Leles, Cr" uniqKey="Leles C">CR Leles</name></author></analytic></biblStruct></listBibl></div1></back></TEI><pmc article-type="research-article"><pmc-dir>properties open_access</pmc-dir>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Korean J Orthod</journal-id><journal-id journal-id-type="iso-abbrev">Korean J Orthod</journal-id><journal-id journal-id-type="publisher-id">KJOD</journal-id><journal-title-group><journal-title>Korean Journal of Orthodontics</journal-title></journal-title-group><issn pub-type="ppub">2234-7518</issn><issn pub-type="epub">2005-372X</issn><publisher><publisher-name>Korean Association of Orthodontists</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">24396737</article-id><article-id pub-id-type="pmc">3879284</article-id><article-id pub-id-type="doi">10.4041/kjod.2013.43.6.279</article-id><article-categories><subj-group subj-group-type="heading"><subject>Original Article</subject></subj-group></article-categories><title-group><article-title>The predictability of dentoskeletal factors for soft-tissue chin strain during lip closure</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Yu</surname><given-names>Yun-Hee</given-names></name><xref ref-type="aff" rid="A1"></xref></contrib><contrib contrib-type="author" corresp="yes"><name><surname>Kim</surname><given-names>Yae-Jin</given-names></name><xref ref-type="aff" rid="A1"></xref></contrib><contrib contrib-type="author"><name><surname>Lee</surname><given-names>Dong-Yul</given-names></name><xref ref-type="aff" rid="A1"></xref></contrib><contrib contrib-type="author"><name><surname>Lim</surname><given-names>Yong-Kyu</given-names></name><xref ref-type="aff" rid="A1"></xref></contrib></contrib-group><aff id="A1">Department of Orthodontics, Graduate School of Clinical Dentistry, Korea University, Seoul, Korea.</aff><author-notes><corresp>Corresponding author: Yae-Jin Kim. Clinical Instructor, Department of Dentistry, Korea University Anam Hospital, 73 Inchon-ro, Seongbuk-gu, Seoul 136-705, Korea. Tel +82-2-920-6498, <email>estelle7@korea.ac.kr</email></corresp></author-notes><pub-date pub-type="ppub"><month>12</month><year>2013</year></pub-date><pub-date pub-type="epub"><day>09</day><month>12</month><year>2013</year></pub-date><volume>43</volume><issue>6</issue><fpage>279</fpage><lpage>287</lpage><history><date date-type="received"><day>20</day><month>11</month><year>2012</year></date><date date-type="rev-recd"><day>22</day><month>5</month><year>2013</year></date><date date-type="accepted"><day>27</day><month>5</month><year>2013</year></date></history><permissions><copyright-statement>© 2013 The Korean Association of Orthodontists.</copyright-statement><copyright-year>2013</copyright-year><license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/"><license-p>This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (<ext-link ext-link-type="uri" xlink:href="http://creativecommons.org/licenses/by-nc/3.0/">http://creativecommons.org/licenses/by-nc/3.0/</ext-link>) which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.</license-p></license></permissions><abstract><sec><title>Objective</title><p>To investigate the dentoskeletal factors which may predict soft-tissue chin strain during lip closure.</p></sec><sec><title>Methods</title><p>The pretreatment frontal and lateral facial photographs and lateral cephalograms of 209 women (aged 18-30 years) with Angle's Class I or II malocclusion were examined. The subjects were categorized by three examiners into the no-strain and strain groups according to the soft-tissue chin tension or deformation during lip closure. Relationships of the cephalometric measurements with the group classification were analyzed by logistic regression analysis, and a classification and regression tree (CART) model was used to define the predictive variables for the group classification.</p></sec><sec><title>Results</title><p>The lower the value of the overbite depth indicator (ODI) and the higher the values of upper incisor to Nasion-Pogonion (U1-NPog, mm), overjet, and upper incisor to upper lip (U1-upper lip, mm), the more likely was the subject to be classified into the strain group. The CART showed that U1-NPog was the most prominent predictor of soft-tissue chin strain (cut-off value of 14.2 mm), followed by overjet.</p></sec><sec><title>Conclusions</title><p>To minimize strain of the soft-tissue chin, orthodontic treatment should be oriented toward increasing the ODI value while decreasing the U1-NPog, overjet, and U1 upper lip values.</p></sec></abstract><kwd-group><kwd>Soft-tissue chin</kwd><kwd>Mentalis</kwd><kwd>Classification and regression tree</kwd></kwd-group></article-meta></front><floats-group><fig id="F1" orientation="portrait" position="float"><label>Figure 1</label><caption><p>Classification and regression tree (CART) model for defining the predictors (U1-NPog, overjet, U1-upper lip, and ODI) in the classification of the no-strain group (NSG) and strain group (SG).</p><p>Refer to <xref ref-type="table" rid="T1">Table 1</xref> for the description of the measurements.</p></caption><graphic xlink:href="kjod-43-279-g001"></graphic></fig><table-wrap id="T1" orientation="portrait" position="float"><label>Table 1</label><caption><p>Description of the landmarks and measurements used in this study</p></caption><graphic xlink:href="kjod-43-279-i001"></graphic><table-wrap-foot><fn><p>All landmarks and measurements are defined on the lateral cephalograms.</p></fn></table-wrap-foot></table-wrap><table-wrap id="T2" orientation="portrait" position="float"><label>Table 2</label><caption><p>Results of the reliability and Wilcoxon signed-rank tests</p></caption><graphic xlink:href="kjod-43-279-i002"></graphic><table-wrap-foot><fn><p><sup>*</sup>Statistically significant (<italic>p</italic> < 0.05).</p><p>ICC, Interclass correlation coefficient; CI, confidence interval; A, A-point; B, B-point; Go, gonion; Me, menton; S, sella; N, nasion; Pog, pogonion; Gn, gnathion; Ar, articulare; Co, condylion; ANS, anterior nasal spine.</p><p>See <xref ref-type="table" rid="T1">Table 1</xref> for the detailed description of the measurements.</p></fn></table-wrap-foot></table-wrap><table-wrap id="T3" orientation="portrait" position="float"><label>Table 3</label><caption><p>Results of the t-test and Mann-Whitney U-test</p></caption><graphic xlink:href="kjod-43-279-i003"></graphic><table-wrap-foot><fn><p>Values are presented as mean ± standared error.</p><p><sup>*</sup>Statistically significant (<italic>p</italic> < 0.05); <sup>†</sup>Mann-Whitney U-test.</p><p>A, A-point; B, B-point; Go, gonion; Me, menton; S, sella; N, nasion; Pog, pogonion; Gn, gnathion; Ar, articulare; Co, condylion; ANS, anterior nasal spine.</p><p>See <xref ref-type="table" rid="T1">Table 1</xref> for the detailed description of the measurements.</p></fn></table-wrap-foot></table-wrap><table-wrap id="T4" orientation="portrait" position="float"><label>Table 4</label><caption><p>Results of the logistic regression analysis</p></caption><graphic xlink:href="kjod-43-279-i004"></graphic><table-wrap-foot><fn><p>SE, Standard error; OR, odds ratio; CI, confidence interval.</p><p>See <xref ref-type="table" rid="T1">Table 1</xref> for the detailed descriptions of the measurements.</p></fn></table-wrap-foot></table-wrap><table-wrap id="T5" orientation="portrait" position="float"><label>Table 5</label><caption><p>Group predictability of the variables derived from the logistic regression analysis</p></caption><graphic xlink:href="kjod-43-279-i005"></graphic></table-wrap><table-wrap id="T6" orientation="portrait" position="float"><label>Table 6</label><caption><p>Predictability of the classification and regression tree (CART) model</p></caption><graphic xlink:href="kjod-43-279-i006"></graphic></table-wrap></floats-group></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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