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Article

Soft- and Hard-Tissue Thicknesses in Patients with Different Vertical Facial Patterns and the Transverse Deficiencies, An Integrated CBCT-3D Digital Model Analysis

by
Alejandro Zaragoza Ballester
1,*,
Álvaro Ferrando Cascales
1,
José María Barrera Mora
2,
Itamar Friedlander
3,
Rubén Agustín-Panadero
4 and
Raúl Ferrando Cascales
1
1
Health Sciences PhD Program, San Antonio de Murcia Catholic University (UCAM), Los Jerónimos, nº 35, Guadalupe, 30107 Murcia, Spain
2
Department of Orthodontics, University of Sevilla, 41004 Sevilla, Spain
3
C/Gran de Gracia, nº 110, 08012 Barcelona, Spain
4
Prosthodontic and Occlusion Unit, Department of Stomatology, Faculty of Medicine and Dentistry, University of Valencia, C/Gascó Oliag 1, 46010 Valencia, Spain
*
Author to whom correspondence should be addressed.
J. Clin. Med. 2023, 12(4), 1383; https://doi.org/10.3390/jcm12041383
Submission received: 11 December 2022 / Revised: 28 January 2023 / Accepted: 7 February 2023 / Published: 9 February 2023
(This article belongs to the Section Plastic, Reconstructive and Aesthetic Surgery/Aesthetic Medicine)
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Abstract

Different vertical facial patterns may present different bone and gingival thicknesses at the molar level and can be influenced by the dental compensations that manifest in the presence of transverse bone discrepancies. A retrospective analysis was made of 120 patients divided into three groups according to their vertical facial patterns (mesofacial, dolichofacial or brachyfacial). Each group in turn was divided into two subgroups according to the presence or absence of transverse discrepancies assessed by cone-beam computed tomography (CBCT). The bone and gingival measurements were made integrating a CBCT-3D digital model of the patient dentition. In the brachyfacial patients, the distance from the palatine root to the cortical bone corresponding to the right upper first molar was significantly greater (1.27 mm) than in the dolichofacial (1.06 mm) and mesofacial (1.03 mm) (p < 0.05) patients. The brachyfacial and mesofacial patients with transverse discrepancies presented a greater distance from the mesiobuccal root of the left upper first molar and from the palatine root to the cortical bone, while in the dolichofacial individuals the distances were shorter (p < 0.05); The presence of transverse bone discrepancies in brachyfacial and mesofacial patients without posterior cross-bite implies a better dentoalveolar expansion prognosis than in dolichofacial individuals.
Keywords: cone-beam computed tomography; transverse discrepancy; cortical thickness; facial type cone-beam computed tomography; transverse discrepancy; cortical thickness; facial type

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MDPI and ACS Style

Zaragoza Ballester, A.; Ferrando Cascales, Á.; Barrera Mora, J.M.; Friedlander, I.; Agustín-Panadero, R.; Ferrando Cascales, R. Soft- and Hard-Tissue Thicknesses in Patients with Different Vertical Facial Patterns and the Transverse Deficiencies, An Integrated CBCT-3D Digital Model Analysis. J. Clin. Med. 2023, 12, 1383. https://doi.org/10.3390/jcm12041383

AMA Style

Zaragoza Ballester A, Ferrando Cascales Á, Barrera Mora JM, Friedlander I, Agustín-Panadero R, Ferrando Cascales R. Soft- and Hard-Tissue Thicknesses in Patients with Different Vertical Facial Patterns and the Transverse Deficiencies, An Integrated CBCT-3D Digital Model Analysis. Journal of Clinical Medicine. 2023; 12(4):1383. https://doi.org/10.3390/jcm12041383

Chicago/Turabian Style

Zaragoza Ballester, Alejandro, Álvaro Ferrando Cascales, José María Barrera Mora, Itamar Friedlander, Rubén Agustín-Panadero, and Raúl Ferrando Cascales. 2023. "Soft- and Hard-Tissue Thicknesses in Patients with Different Vertical Facial Patterns and the Transverse Deficiencies, An Integrated CBCT-3D Digital Model Analysis" Journal of Clinical Medicine 12, no. 4: 1383. https://doi.org/10.3390/jcm12041383

APA Style

Zaragoza Ballester, A., Ferrando Cascales, Á., Barrera Mora, J. M., Friedlander, I., Agustín-Panadero, R., & Ferrando Cascales, R. (2023). Soft- and Hard-Tissue Thicknesses in Patients with Different Vertical Facial Patterns and the Transverse Deficiencies, An Integrated CBCT-3D Digital Model Analysis. Journal of Clinical Medicine, 12(4), 1383. https://doi.org/10.3390/jcm12041383

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