Aim: The present study aimed to evaluate gender dimorphism of the skeletal and dental angles and measurements among different types of malocclusions in the Population of Jizan, Kingdom of Saudi Arabia (KSA).
Materials and methods: Cephalometric data were retrieved from the archived records of 272 dental patients, comprising 134 males and 138 females. Skeletal and dental malocclusions in both the sub-groups were digitally studied.
Statistical analysis: The measurement reliability was assessed using the intra-class correlation coefficient (ICC). Non-parametric Mann-Whitney U tests were performed to evaluate the difference in skeletal and dental parameters between genders. The Chi-square test was done to determine the difference in malocclusion patterns amongst the gender.
Results: Statistical significance was noted in dental malocclusion (p-value = 0.003) and facial height, with females having a steeper mandible plan than males. The Sella-nasion-Nasion-Vertical line angles were reported high in females with no statistical significance. Linear cephalometric values were measured higher in males than females, whereas angular values and facial height parameters were lower in females than male.
Conclusion: Within the limitation of this study, it could be concluded that there is a prominent difference measured in facial profiles of males and females with higher facial height in males.
Clinical significance and limitations: These clinical outcomes will help orthodontists to analyze the accurate base angles and points to draft proper treatment plans considering the variation in the profile of males and females.
Sarhan OA. Rotational effects of SN on the dentoskeletal pattern within the range of normal. Angle Orthod 1989;59(1):43–49. DOI: 10.1043/0003-3219(1989)059<0043:REOSOT>2.0.CO;2.
Alves PVM, Mazucheli J, Vogel CJ, et al. A protocol for cranial base reference in cephalometric studies. J Craniofac Surg 2008;19(1): 211–215. DOI: 10.1097/scs.0b013e31814fb80e.
Madsen DP, Sampson WJ, Townsend GC. Craniofacial reference plane variation and natural head position. Eur J Orthod 2008;30(5):532–540. DOI: 10.1093/ejo/cjn031.
Solow B, Kreiborg S. Soft-tissue stretching: A possible control factor in craniofacial morphogenesis. Scand J Dent Res 1977;85(6):505–507. DOI: https://doi.org/10.1111/j.1600-0722.1977.tb00587.x.
Moore JW. Variation of the sella-nasion plane and its effect on SNA and SNB. J Oral Surg 1976;34(1):24–26. PMID: 1059748.
Incisivo V, Silvestri A. The reliability and variability of SN and PFH reference planes in cephalometric diagnosis and therapeutic planning of dentomaxillofacial malformations. J Craniofac Surg 2000;11(1):31–38. DOI: https://doi.org/10.1097/00001665-200011010-00006.
Bacon W, Eiller V, Hildwein M, et al. The cranial base in subjects with dental and skeletal Class II. Eur J Orthod 1992;14(3):224–228. DOI: 10.1093/ejo/14.3.224.
Tsang WM, Cheung LK, Samman N. Cephalometric characteristics of anterior open bite in a southern Chinese population. Am J Orthod Dentofacial Orthop 1998;113(2):165–172. DOI: https://doi.org/10.1016/S0889-5406(98)70288-4.
Shimizu Y, Arx JDV, Ustrell JM, et al. Comparison of cephalometric variables between adult Spanish and Japanese women with Class I malocclusion. J Orthod Sci 2018;7:19. DOI: 10.4103/jos.JOS_66_18.
Wu XP, Xuan J, Liu HY, et al. Morphological characteristics of the cranial base of early angle's Class II division 1 malocclusion in permanent teeth. Int J Morphol 2017;35(2):589–595. DOI: http://dx.doi.org/10.4067/S0717-95022017000200034.
Alajlan SS, Alsaleh MK, Alshammari AF, et al. The prevalence of malocclusion and orthodontic treatment need of school children in Northern Saudi Arabia. J Orthod Sci 2019;8:10. DOI: 10.4103/jos.JOS_104_18.
Huh YJ, Huh KH, Kim HK, et al. Constancy of the angle between the Frankfort horizontal plane and the sella-nasion line: A nine-year longitudinal study. Angle Orthod 2014;84(2):286–291. DOI: https://doi.org/10.2319/062013-464.1.
Kattan EE, Kattan ME, Elhiny OA. A new horizontal plane of the head. Open Access Maced J Med Sci 2018;6(5):767–771. DOI: 10.3889/oamjms.2018.172.
Hung CH. The evaluation of horizontal reference planes of adult Chinese in natural head position. Zhonghua Ya Yi Xue Hui Za Zhi 1991;10(1):20–29. PMID: 1820825.
Giri J, Pokharel PR, Gyawali R. Angular relationship between Frankfort horizontal plane and Sella-Nasion plane in Nepalese orthodontic patients: A cephalometric study. Orthodontic Journal of Nepal 2017;7(1):14–17. DOI: https://doi.org/10.3126/ojn.v7i1.18895.
Reddy SR, Sankar SG, Mandava P, et al. A cephalometric evaluation of sexual dimorphism of the angle sella-nasion-frankfort horizontal plane in different sagittal classes of malocclusion in south Indian population. J Int Soc Prev Community Dent 2019;9(2):129–136. DOI: 10.4103/jispcd.JISPCD_436_18.
Al-Balkhi K, Al-Zahrani A. The pattern of malocclusions in Saudi Arabian patients attending for orthodontic treatment at the College of Dentistry, King Saud University, Riyadh. The Saudi dental journal 1994;6(3):138–144.
Alkawari H. Malocclusion, complexity and treatment urgency among Saudi patients seeking orthodontic treatment. Cairo Dental Journal 1998;14(3):377–382.
Alroudhan IE, Kundi I, Alam MK, et al. Evaluation of craniofacial morphometry of northern Saudi Arabian population, using Rickett's analysis: A descriptive cross-sectional study. J Int Oral Health 2021;13(2):136–143. DOI: 10.4103/jioh.jioh_291_20.
Awad AM, Gaballah SM, Gomaa NE. Relationship between cranial base and jaw base in different skeletal patterns. Orthodontic Waves 2018;77(2):125–133. DOI: https://doi.org/10.1016/j.odw.2018.03.002.
Jones WB. Malocclusion and facial types in a group of Saudi Arabian patients referred for orthodontic treatment: A preliminary study. British journal of orthodontics 1987;14(3):143–146. DOI: https://doi.org/10.1179/bjo.14.3.143.
Modi BN, Prakash AT, Shetty S, et al. Assessment of dentoalveolar compensation in subjects with vertical skeletal dysplasia: A retrospective cephalometric study. J Ind Orthod Soc 2013;47 (4_suppl1):255–261. DOI: 10.5005/jp-journals-10021-1169.
Freudenthaler J, Čelar A, Ritt C, et al. Geometric morphometrics of different malocclusions in lateral skull radiographs. J Orofac Orthop 2017;78(1):11–20. DOI: 10.1007/s00056-016-0057-x.
Dhopatkar A, Bhatia S, Rock P. An investigation into the relationship between thecranial base angle and malocclusion. Angle Orthod 2002;72(5):456–463. DOI: https://doi.org/10.1043/0003-3219(2002)072<0456:AIITRB>2.0.CO;2.
Pittayapat P, Jacobs R, Bornstein MM, et al. Three-dimensional Frankfort horizontal plane for 3D cephalometry: A comparative assessment of conventional versus novel landmarks and horizontal planes. Eur J Orthod 2018;40(3):239–248. DOI: https://doi.org/10.1093/ejo/cjx066.
Memon S, Fida M, Shaikh A. Comparison of different craniofacial patterns with pharyngeal widths. J Coll Physicians Surg Pak 2012; 22(5):302–306. PMID: 22538035.