The aim of this retrospective study is to analyze the third molar agenesis with respect to sella turcica bridging and other craniofacial patterns in patients asking for orthodontic consultation. The main question\[s\] it aims to answer are: * is there a relationship between third molar agenesis and sella turchina bridging? * is there a relationship between third molar agenesis and craniofacial patterns?
Patients referring for orthodontic consultation at the Unit of Orthodontics and Pediatric Dentistry, Section of Dentistry, Department of Clinical, Surgical, Diagnostic and Pediatric Sciences, University of Pavia, 27100 Pavia, Italy, will be enrolled for the study according to the inclusion criteria. For each patient, lateral cephalometric radiograph and panoramic radiograph will be performed. For each lateral cephalometric radiograph, a cephalometric tracing will be performed with DeltaDent software (version 2.5.12, Outside Format, Pandino, Italy). Riedel's ANB angle \[Riedel 1952\] has been chosen to determine patients' skeletal class. Steiner's SN\^GoGn angle \[Steiner 1953\] has been chosen to evaluate skeletal divergence. Facial axis (BaNa\^CCGn), Lower Facial Height (LFH) and mandibular plan angle (FH\^GoMe) from Rickett's analysis \[Rickett's 1961\] have been adopted to determine facial growth. According to Jaraback's cephalometric analysis \[Jaraback 1985\], saddle angle, articular angle, upper gonial angle, lower gonial angle will be measured to assess the growth pattern. Linear measurements of sella depth, sella diameter and interclinoid distance \[Silverman 1957; Kisling 1966\] will be calculated. Linear regressions between craniofacial patterns, sella turcica bridging and third molar agenesis will be calculated. A control group with no third molar agenesis will be provided.
Study Type
OBSERVATIONAL
Enrollment
400
Panoramic and lateral cephalometric radiographs with cephalometric analysis will be performed.
Unit of Orthodontics and Pediatric Dentistry - Section of Dentistry - Department of Clinical, Surgical, Diagnostic and Pediatrics - University of Pavia
Pavia, Lombardy, Italy
Linear regression between third molar agenesis and ANB
ANB is calculated according to Riedel's analysis: angle formed between Point A (maxillary sovraspinal point), point B (Bubmental mandibular point) and N (Nasion)
Time frame: Baseline
Linear regression between third molar agenesis and Interclinoid Distance
Distance between tuberculum sella (TS) and dorsum sella (DS).
Time frame: Baseline
Linear regression between third molar agenesis and Sella Depth.
Distance of a line dropped perpendicular from the interclinoid distance to the deepest point of the sella floor.
Time frame: Baseline
Linear regression between third molar agenesis and Sella Diameter
Distance between tuberculum sella and the farthest point on the inner wall of the sella.
Time frame: Baseline
Linear regression between third molar agenesis and Sn^GoGn.
Steiner's Sn\^GoGn is the angle formed between 2 planes: cranial base line (SN) and mandibular plane (GoGn)
Time frame: Baseline
Linear regression between third molar agenesis and ArGo^GoGn
Jaraback's Ar\^Go\^Gn is the angle formed between the 2 planes: ArGo and GoGn
Time frame: Baseline
This platform is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare professional.