1Professor, Head of Department of Fixed Prosthodontics, Dental College, Hassan II University, Casablanca, Morocco
2Assistant Professor, Department of Fixed Prosthodontics, Dental College, Mohamed 6 University of Health Sciences, Casablanca, Morocco
3Dentist, Private Practice, Casablanca, Morocco
4Professor, Head of Department of Orthodontics, Dental College, Hassan II University, Casablanca, Morocco
Objective: The correct orientation of the occlusal plane is one of the most explicit criteria for an ideal prosthetic reconstruction. The aim of this work is to seek a correlation between the occlusal plane and the other craniofacial planes (Camper, Frankfort, axio-orbital, palatal and mandibular planes) from the angulations on teleradiographies of a population of Casablanca according to the different sagittal shifts (skeletal class I, II and III)
Materials and Methods: Our sample consisted of 374 patients, free of any anomaly and non-benefiting from a previous orthodontic treatment. The sample was divided into 3 groups, according to sagittal shift, after calculating their ANB: 159 skeletal class I, 163 skeletal class II and 52 skeletal class III cases.
Results: For POPM angle, a mean value of 20.4742° was found, it is 18.619° for class I cases, 22.279° for class II cases and 20.490° for class III cases. The POPP angle averages 12.9337°, it varies in 11.355° for class I cases, 14.009° for class II cases and 10.596° for class III cases. For the POPAO angle, it was found that the average value is 13.2719° for the whole sample, while for the three skeletal classes namely class I, class II and class III, it is 13.270°, 12.911°, 13.096° respectively. The OP and the camper plane make an angle of average 9.9782°, this angle is of average 13.270° for class I cases, 8.767° for class II cases and 9.798° for class III skeletal cases. The angle established between the PO and Frankfort plane is on average 8.675° in the Moroccan population, for class I it is 8.597°, while it is 8.240° for class II and 9.538° for class III.
Discussion: The comparison between the means of the different skeletal classes in our sample showed a significant difference between skeletal class I and class II, for POPC, POPM and POPP angles as well as a significant difference for POPM angle between class I and class III.
However, comparison of our study with other studies by different authors with the same objective and sampling as ours revealed a significant difference.
Conclusion: The orientation of the occlusal plane in relation to the craniofacial planes, mentioned above, according to the sagittal shift, gave us averages that allowed the practitioner to reconstruct the lost occlusion of the patient in a way close to his anterior occlusion, while taking into consideration his skeletal class, especially if it is a skeletal class II that revealed a significant difference compared to the other classes
Keywords: Cephalometric Determination; Occlusal Plane; Sagittal Shift; Skeletal Class I, II and III
Bennani Anas., et al. "Cephalometric Determination of the Occlusal Plane According to the Sagittal Shift (Skeletal Class I, II and III)". EC Dental Science 22.6 (2023): 57-67.
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