PATTERNS OF VERTICAL

GROWTH IN THE FACE

Soriano, Esperlyn J.
Summary
◦ Study Aim: Patterns of facial growth development
◦ Specifically in skeletal open-bite and deep-bite faces
◦ Data analysis were used using Lateral cephalometric radiographs
◦ Examine subjects are 16 male and 16 female ages 3-18 years
◦ Basis  lower face height = % of total face height
◦ 4 groups = 8 subjects each group
◦ Anterior dimensions  divergent patterns of dev’t in open- and deep-bite faces
Summary
◦ Posterior dimensions  X discriminate bet. 2 typological groups
◦ Female open-bite – earliest timing of adolescent growth spurt followed by
◦ Succession of female deep-bite and then male open-bite
◦ Finally, male deep-bite
◦ Clinical Implications: Timing of orthodontic treatment,
◦ Length of retention period,
◦ And prediction of adult occlusal status during mixed dentition
Summary
◦ Early orthodontic treatment  beneficial in persons with large lower face heights
◦ Orthopedic modification of jaws = treatment before adolescent growth spurt
◦ Timing of treatment = Class III malocclusion
◦ Deep-bite subjects – prolonged period of facial growth compared to open-bite
◦ It should overtreat the deep-bite subjects and continue retention
◦ Vertical component of lower facial growth = dominant and 2nd prim. molars (mixed dentition) =
◦ X develop toward proper interdigitation of the 1st perm molars in the young adult occlusion
Summary
◦ 32 subjects qualified for representation of of open-bite and deep-bite
◦ Open- and deep-bite subjects grow differently.
◦ Deep-bite – increased upper anterior face height
◦ Open-bite – increased lower anterior face height
◦ Differences seen in sexual dimorphism – override growth characteristics
◦ Posterior face and ramal height = no difference bet. open- and deep-bite
◦ Pattern of dev’t = seen in very early stage
Summary
◦ Even before the eruption of 1st perm. molars and adolescent growth spurt
◦ Female open-bite  female deep-bite  male open-bite  male deep-bite
◦ Findings: Timing of orthodontic treatment,
◦ Length of retention period,
◦ Predictability of occlusal relationship
◦ *From Mixed dentition to adulthood
◦ Divergent facial types = excessive alveolar growth and eruption of posterior teeth
Conclusion
◦ Vertical growth pattern results in long and narrow alveolar dental arches and
◦ Produce a clockwise rotation of the mandible during growth
◦ Or maybe a short and wide face and
◦ Presents with a flat mandibular plane angle
◦ Reaction: It is very important to identify the jaw base rotation and occlusal findings, then plan the
treatment, esp. if the patient is in growth phase.
◦ Related to Orthodontics: Needed for an orthodontic treatment as early in the growth period such as
cervical pull head gear and class II elastics.
◦ Reference: https://deepblue.lib.umich.edu/bitstream/handle/2027.42/27409/0000443.pdf?sequence=1