Criterion Validity of the Newly Developed Occlusal Cant Index

Objectives: To assess the criterion-related (concurrent) validity of the newly developed occlusal cant index (OCI). Materials and Methods: Four standardized posterior–anterior (PA) cephalometric radiographs of four patients were obtained at a 0° occlusal cant (OC) and manipulated to create various degrees of OC from 1° to 4° on the right and left sides, with a total of 36 PA images. The angle between the actual horizontal line and the occlusal plane was manually drawn on each PA radiographic image. The set of radiographic images was displayed to 36 orthodontists, who were asked to measure the drawn angle and apply the OCI to each PA radiographic image. Results: The overall criterion-related validity of the OCI was statistically significant among all grades. Conclusion: The OCI is highly valid and recommended for clinical consideration

Pharyngeal airway dimensional changes after premolar extraction in skeletal class II and class III orthodontic patients

OBJECTIVE: To assess and compare the changes in pharyngeal airway space dimensions following orthodontic treatment of skeletal class II and class III facial deformities with premolar extraction. MATERIALS AND METHODS: Sixty pre and posttreatment lateral cephalometric radiographs of patients who underwent fixed orthodontic treatment with premolar extraction were collected. The sample was divided into two groups – 32 patients with skeletal class II and 28 patients with skeletal class III malocclusion. Both groups were subdivided into growing patients (16 years old). Nasopharyngeal, palatopharyngeal, and glossopharyngeal airway space dimensions were measured in the pretreatment (T0) and posttreatment (T1) cephalometric radiographs using Dolphin Imaging 11.7 software. Two-way, repeated-measures analysis of variance was used to assess the in-treatment changes. RESULTS: Nasopharyngeal airway dimension showed similar significant increase in class II (P = 0.042) and class III (P = 0.049) patients from T0 to T1, whereas palatopharyngeal and glossopharyngeal dimensions were insignificantly decreased in both groups. However, both malocclusions followed the same pattern of changes in relation to airway dimensions. In addition, no significant statistical difference was found in the airway spaces between growing and adult patients. CONCLUSIONS: Extraction of premolars did not affect the pharyngeal dimensions except those of the nasopharynx, which showed a significant increase after extraction in both groups