ISSN 0385-1443 The Sta VOL. 34 NO. 2 September 2006 [Serial No. 56] aT DENTAL COLLEGE BKDC Published By Kanagawa Dental College Press Yokosuka, Kanagawa, JapanThe Bulletin of Kanagawa Dental College Vol. 34 No. 2 September 2006 Contents SHORT COMMUNICATION Keiichi Tsukinoki, Yusuke Mori and Yoshihisa Watanabe Expression of PEBP20A /Cbfal in Ossifying Fibroma Abstracts of KANAGAWA SHIGAKU. (The Journal of the Kanagawa Odontological Society) Vol. 39, No. 1~4 (2004) Selective Proceedings of 40th General Meeting of Kanagawa Odontological Society, 2005 Establishment of gene expression profiling database from human periodontal ligament Eisaku Nishida, Masahiro Saito, Takamasa Yokoi, Takanori Tsubakimoto, Kazutaka Kosaka, Makoto Aino and Toshio Teranaka .. nen : nn Establishment of dental follicle cells culture system that generating periodontal ligament in vivo Kaziutaka Kosaka, Takamasa Yokoi, Masahiro Saito, Eisku Nishida, Takanori Tsubakimoto, ‘Makoto Aino and Toshio Teranaka 5 aa ———— Establishment of dental papilla cells culture system that can differentiation into odontoblast Takanori Tsubakimoto, Masahiro Saito, Takamasa Yokoi, Eisaku Nishida, Kazutaka Kousaka, ‘Makoto Aino and Toshio Teranaka sn sn Radiological morphometric analysis for the trabecular bone structure of mandibular condyle after ovariectomy in mature cynomolgus monkeys ‘Yusuke Kozai, Michiharu Shimamoto, Ryota Kawamata, Takashi Sakurai and Isamu Kashima . Antifungal Effects of Incorporating Apatite Coated TiO, Photocatalyst into Acrylic Resin Takeshi Shibata, Kinya Tanaka, Tomofumi Saconda, Tota Shimizu, Noriyuki Hoshi, Katsuhiko Kimoto, Tomoji Sawada, Akira Watazu, Toru Nonami, Minoru Toyoda, Hidefumi Kumada, Nobushiro Hamada and Toshio Umemoto . Immobilization Stress Induces BDNF in Rat Submandibular Gland Taeki Lee, Keiichi Tsukinoki, Juri Saruta, Kenichi Sasaguri, Sadao Sato and Yoshihisa Watanabe Development of Simple Analyzing System for Sleep Bruxism Hidehiro Yoshimi, Kenichi Sasaguri, Katsushi Tamaki and Sadao Sato Longitudinal Study Regarding Relationship among Vertical Dimension of Occlusion, Cant of Occlusal Plane and Antero-posterior Occlusal Relation Jeong Il Kim, Takehiko Hiyama, Susumu Akimoto, Hisaaki Shinji, Eliana Midori Tanaka and Sadao Sato ” 101 107 109 12 15 us m 124 17 130Selective Proceedings of 40th General Meeting of Kanagawa Odontological Society, 2005 Longitudinal Study Regarding Relationship among Vertical Dimension of Occlusion, Cant of Occlusal Plane and Antero-posterior Occlusal Relation Jeong Il Kim, Takehiko Hiyama, Susumu Akimoto, Hisaaki Shinji, Eliana Midori Tanaka, Sadao Sato Department of Craniofacial Growth and Development Dentistry, Kanagawa Dental College Abstract The alteration of the vertical height of dentition and the inclination of the occlusal plane during growth are only poorly established, In order to know the relationship between the vertical dimension and the growth of the facial complex, we examined vertical dental and skeletal height and mandibular growth using dental cast and cephalograms of 25 children which were available from 6 through 14 years of age. Considerable side of dentition (58%) obtained Class | molar relation before exchanging buccal segment and almost all of the Class II at the beginning of IIIB showed Class II occlusion at the final occlusion stage, indicating rarely available Lee way apace. The Class II skeletal group showed a significantly higher eruption of lower first molar, while Class IIT skeletal group showed a significantly higher eruption of upper first molar. There were significant differences of posterior occlusal plane in different skeletal frames, steeper posterior occlusal plane in Class II skeletal and flat posterior occlusal plane in Class Il. Significant correlation between the vertical dimension and the forward mandibular growth was observed. The results of this study suggested that the increase in vertical dimension and inclination of the posterior occlusal plane contribute to mandibular growth and that improper vertical dimension and inclination of posterior occlusal plane are related with the development of skeletal malocclusions. Key Words: Vertical dimension, Occlusal Plane, Molar relation, Growth and development Introduction Ma ials and Methods It has been suggested that the vertical dimension of the posterior part of the dentition may affect the functional positioning of the mandible and consequently, the condyle adapts according to the new adopted position of the mandible during the growth period, Inadequate vertical dimension as a contributing factor, has enormous influence in the development of skeletal malocclusions. Alterations in the vertical height of dentition and the inclination and position of the occlusal plane relative to the cranio-facial complex during growth, are only poorly established. In order to understand the relationship between changes in the vertical dimension and growth of the maxillo-facial complex; we examined vertical, dental and skeletal heights and maxillo-mandibular growth alterations using a longitudinal growth sample. 130 ‘The materials used in this study consisted of 225 pair of dental casts in occlusion and lateral cephalograms of 25 children who belong to the Kanagawa Dental College longitudinal growth sample and whose records were available from 6 through 14 years of age and were taken every year with their respective radiograph and impression. Observations and follow up of their occlusion and skeletal growth were made during the initial, beginning of INB, end of IIB, and final stages, Results Alterations in the dental occlusion during growth and development (Fig. 1) Fifiy-two (52%) of the cast sides showed Class I molar relation at initial stage of dental development. Some cases turned into Class I from Class II untilstarting to exchange the buccal segment. No case was obtained in Class I relation during the period of buccal segment exchange (IIIB). Final occlusion distributed into almost equal balance of Class I, Class I, Class Tl, while the Class HI molar relation was. predominant, Fate of Class I occlusion at initial stage of dental growth showed that one fifth of Class 1 transferred to Class Il, while 42% of Class I moved to Class III. Conclusively, 38% of Class I remained as Class [ at final stage of dental development. Fate of twenty-three of Class I molar occlusion showed that about one third of the sides obtained Class 1 ocelusion, but majority of Class IT occlusion did not change their molar relation even through the period of buccal segment exchange, suggesting that the Lee ‘way space does not much contribute the attainment of Class I molar occlusion. Class III molar relation showed no change during dental growth Class I occlusion in growing children is established molar in the stages of beginning of IIIB and end of IIB, while Class IIT skeletal group showed a significantly higher eruption of upper first molar at the final stage of dental growth. In groups of dental classification, there was no significant difference in forward growth of maxilla and mandible. In the groups of skeletal classification, Class II skeletal group showed significant difference in mandibular growth (B), while maxillary growth ‘was not significant different. In the both groups of dental and skeletal classification, there was no significant difference in vertical growth of skeletal (S-PP) and total vertical dimension (Tots! VD, sum of height increments of upper and lower Ist molars and S-PP). It was indicated that the increment in vertical dimension contributed to forward mandibular growth, but not to the maxilla, more in the early stage of dental growth than we _ 180 thought, Class If molar relation at inital stage has aE high tendency to maintain during dental growth. In = 100 this context, contribution of Lee way space during the 2 period of buccal teeth exchange to obtain Class 1 gy molar relation is very rear, thus another factor(s) to gaining Class I may be suggested. 2, - . 5 iso | & [1 @%) 1%) 1%) 7 U(%) 1(%) IN (%) E wo Inia Odin | 23 (46) 26 (52) 112) E Bejing ott) 19 (38) 29658) 2(4) | 7u EadetttB’ | 20 (40). 16 32) 1428) ° Teta einning Endo? “Fina Soe Me"? Ts Sige Final Ocehsion | 19 (38) 15 (30) 16 (32) Fig. | Alterations in the dental occlusion during growth and evelopment, Alterations in the molar height during growth and development (Fig. 2) In dental classification, there was no significant difference by the increment of dental height. In the skeletal classification groups, Class II skeletal group showed a significantly higher eruption of lower first Fig. 2 Alterations in the molar height during growth and development Alteration of different occlusal planes, AOP, POP and GOP (Fig. 3) There were significant differences of posterior occlusal plane in different skeletal frames, steeper posterior occlusal plane in Class II skeletal and flat posterior occlusal plane in Class TL skeletal frame, while there were no significant differences in AOP and GOP. 191e Posterior Occlusal Plane (Degree) 3 Alterations in the posterior occlusal plane (POP) during growth and development Correlation between the vertical dimension and the ‘mandibular growth (Fig. 4) ‘There was weak correlation between the increment of lower Ist molar and the mandibular forward growth (B) with 0.267 of correlation coefficient ‘There was strong correlation between the increment of upper Ist molar and the mandibular forward growth (B) with 0.449 of correlation coefficient, significant at P>0.000 level. There was. strong correlation between the increment of total vertical dimension and the mandibular forward growth (B) with 0.503 of correlation coefficient, significant at P>0,000 level. Fae 200F Ree BR ‘otal VD Increment (mm) oa ear wy 00 20 40 60 80 100 Point B Increment (mm) Fig. 4 Correlation between the total vertical dimension and the mandibular forward growth. Discussion and Conclusion ‘The results of this study suggest that the increase of vertical dimension and inclination of the posterior Bull. Kanagawa Dent. Col. 34 (2006) ‘occlusal plane contribute to the mandibular growth and to obtaining Class | molar relation rather than Lee way space. Thus, it was suggested that improper vertical dimension and inclination of posterior occlusal plane are related with the development of skeletal malocclusions. Following conclusions were established 1. It was shown that growing children obtained Class I molar occlusion in the early mixed dentition stage. 2. In order to establish the Class I occlusion, increasing the vertical dimension followed by mandibular forward adaptation is more relevant than the Lee way space. 3. The cant of occlusal plane contributes skeletal frame configurations, consequently related with skeletal malocclusion development. 4, Necessity of early management of vertical dimension was indicated to prevent skeletal malocclusion References 1. Bishara SE, Hoppens Bl, Jakobsen JR, Kohout FJ. (1988). Changes in the molar relationship between the deciduous and permanent dentitions: a longitudinal study. Am J Orthod Dentfacial Onhop 93: 19-28. 2. Arya BS, Savara BS, Thomas DR. (1973). Prediction of the first molar occlusion. Am J Orthodont 63: 610-621 3. Nance HN. (1947). The limitations of corthodontic treatment. Part 1. Am J Orthodont 33:177-223 4. Nance HN. (1947). The limitations of orthodontic treatment. Pat Il. Am J Onthodont 33: 253.301 5, Johannsdottir B, Wisth PJ, Magnusson TE. (1997). Prevalence of malocclusion in 6-year-old Icelandic children. A study using plaster models and ohopantomograms. Acta Odont Scand $5: 398-402 6. Kato S., Chung WN, Kim JI, Sato S. (2002). Morphological Characterization of high and low angle types of C lass I malocclusion. Bull of Kanagawa Dent Coll 30: 93-98, 7. Salo S, Suzuki N, Suzuki ¥. (1988), Longitudinal study of the cant of the occlusal plane and the denture frame in eases with congenitally missing third molars ~ Further evidence for the Posterior discrepancy - J Jpn Orthod Soc. 47517-5258.