Soft-tissue changes associated with maxillary incisor retraction. 1982

M D Rains, and R Nanda

The nature of incisor retraction and lip adaptation is still controversial. The present study was undertaken to determine the response of upper and lower lips to maxillary and mandibular incisor movement. Cephalometric head films of thirty late-adolescent and early-adult female patients were analyzed for changes in the integumental profile with treatment. Sample selection was intended to reduce variables caused by growth and sex differences. A stepwise multiple regression analysis (forward) revealed a complex interaction between dentition, bony structures, and soft tissues of the perioral area. The lower lip was more variable than the upper lip to differences in the upper incisor movement. The upperlip at labrale superius was found to be more variable with increased retraction of the upper incisors. In the prediction equation, change of sulcus superius had a more direct relationship with retraction of labrale superius and labrale inferius than with dental movement. Pogonion and/or menton entered at statistically significant levels into four (LS, LI, SI, Stm I) of the six prediction equations, indicating that mandibular position is of paramount importance in the prediction of vertical and/or horizontal changes in the upper and lower lips. The upper lip response was related to both upper and lower incisor movement, mandibular rotation, and the lower lip. Upper incisor point position related a moderately high correlation for the prediction equation for change in labrale superius. Lower incisor movement did not correlate with change of either the upper or lower lip. The equations derived were an improvement over previous prediction methods.

UI MeSH Term Description Entries
D007180 Incisor Any of the eight frontal teeth (four maxillary and four mandibular) having a sharp incisal edge for cutting food and a single root, which occurs in man both as a deciduous and a permanent tooth. (Jablonski, Dictionary of Dentistry, 1992, p820) Incisors
D008046 Lip Either of the two fleshy, full-blooded margins of the mouth. Philtrum,Lips,Philtrums
D008310 Malocclusion Such malposition and contact of the maxillary and mandibular teeth as to interfere with the highest efficiency during the excursive movements of the jaw that are essential for mastication. (Jablonski, Illustrated Dictionary of Dentistry, 1982) Angle's Classification,Crossbite,Tooth Crowding,Cross Bite,Angle Classification,Angles Classification,Bite, Cross,Bites, Cross,Classification, Angle's,Cross Bites,Crossbites,Crowding, Tooth,Crowdings, Tooth,Malocclusions
D002508 Cephalometry The measurement of the dimensions of the HEAD. Craniometry
D005260 Female Females
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D000293 Adolescent A person 13 to 18 years of age. Adolescence,Youth,Adolescents,Adolescents, Female,Adolescents, Male,Teenagers,Teens,Adolescent, Female,Adolescent, Male,Female Adolescent,Female Adolescents,Male Adolescent,Male Adolescents,Teen,Teenager,Youths
D000328 Adult A person having attained full growth or maturity. Adults are of 19 through 44 years of age. For a person between 19 and 24 years of age, YOUNG ADULT is available. Adults
D012399 Rotation Motion of an object in which either one or more points on a line are fixed. It is also the motion of a particle about a fixed point. (From McGraw-Hill Dictionary of Scientific and Technical Terms, 4th ed) Clinorotation,Clinorotations,Rotations
D014087 Tooth Movement Techniques Orthodontic techniques used to correct the malposition of a tooth or teeth. Tooth Depression,Tooth Intrusion,Tooth Movement, Minor,Tooth Uprighting,Orthodontic Tooth Movement,Depression, Tooth,Depressions, Tooth,Intrusion, Tooth,Intrusions, Tooth,Minor Tooth Movement,Minor Tooth Movements,Movement Technique, Tooth,Movement Techniques, Tooth,Movement, Orthodontic Tooth,Movements, Orthodontic Tooth,Orthodontic Tooth Movements,Technique, Tooth Movement,Techniques, Tooth Movement,Tooth Depressions,Tooth Intrusions,Tooth Movement Technique,Tooth Movement, Orthodontic,Tooth Movements, Minor,Tooth Movements, Orthodontic,Tooth Uprightings,Uprighting, Tooth,Uprightings, Tooth

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