Midlej Kareem, Proff Peter, Watted Nezar, Iraqi Fuad A
Department of Clinical Microbiology and Immunology, Gray Faculty of Medicine and Health Sciences, Tel Aviv University, Tel Aviv 6997801, Israel.
Department of Orthodontics, University Hospital of Regensburg, University of Regensburg, 93047 Regensburg, Germany.
J Clin Med. 2025 Jul 26;14(15):5292. doi: 10.3390/jcm14155292.
Previous literature has already discussed the effects of age and sex on the diagnosis and treatment of malocclusion problems. However, this effect varies among different ethnic groups. These differences have not yet been investigated in many populations, such as Arab orthodontic patients and residents of Israel. Therefore, it is crucial to understand such variations in specific populations for better diagnosis and treatment. The main aim of this study is to provide novel knowledge concerning skeletal classes I and II among a cohort of Arab patients who are citizens of Israel. We used parameters obtained from lateral cephalograms to understand the variations among different sex and age subgroups. We also examined the correlations and performed principal component analysis (PCA). This study was based on the coded records of 394 Arab patients diagnosed with skeletal Class I occlusion (SCIO) or skeletal Class II malocclusion (SCIIMO), according to the individualized ANB (Calculated_ANB) of Panagiotidis and Witt. Among patients with SCIO, males had a significantly more horizontal growth pattern (PFH/AFH) and anterior mandible rotation (ML-NSL) than females. Regarding patients with SCIIMO, female adults had more hyperdivergent jaw bases than adolescents (ML-NL) and a more posteriorly rotated mandible (ML-NSL). Spearman's analysis revealed many significant correlations, like Calculated_ANB, ANB angle, and Wits appraisal. The PCA results showed a remarkable ability to explain 88.6% of the sample variance using four principal components. This research revealed new information regarding Arab orthodontic patients diagnosed with skeletal class I or II. The results demonstrate the differences between the two classes. In addition, this study demonstrated the variation and correlation of cephalometric parameters among different sex and age subgroups in skeletal class I and II Arab patients, especially considering Calculated_ANB. Therefore, this study highlights the need to consider these differences when diagnosing patients and to distinguish the differences across different sex and age subgroups in the diagnosis and treatment process. Furthermore, the PCA results showed the importance of ML-NSL, SN-Pg, PFH/AFH ratio, and NL-ML in explaining the data variance.
以往的文献已经讨论了年龄和性别对错牙合问题诊断和治疗的影响。然而,这种影响在不同种族群体中有所不同。在许多人群中,如阿拉伯正畸患者和以色列居民,这些差异尚未得到研究。因此,了解特定人群中的此类差异对于更好地进行诊断和治疗至关重要。本研究的主要目的是提供关于以色列公民阿拉伯患者队列中骨骼I类和II类的新知识。我们使用从侧位头影测量图获得的参数来了解不同性别和年龄亚组之间的差异。我们还进行了相关性分析并进行了主成分分析(PCA)。本研究基于394例根据帕纳吉奥蒂斯和维特的个体化ANB(计算ANB)诊断为骨骼I类咬合(SCIO)或骨骼II类错牙合(SCIIMO)的阿拉伯患者的编码记录。在SCIO患者中,男性比女性具有明显更水平的生长模式(PFH/AFH)和下颌前部旋转(ML-NSL)。对于SCIIMO患者,成年女性比青少年具有更多的高角型颌骨基底(ML-NL)和更向后旋转的下颌骨(ML-NSL)。斯皮尔曼分析揭示了许多显著的相关性,如计算ANB、ANB角和Wits评估。主成分分析结果显示,使用四个主成分能够显著解释88.6%的样本方差。这项研究揭示了关于诊断为骨骼I类或II类的阿拉伯正畸患者的新信息。结果显示了两类之间的差异。此外,本研究证明了骨骼I类和II类阿拉伯患者不同性别和年龄亚组之间头影测量参数的差异和相关性,特别是考虑计算ANB时。因此,本研究强调在诊断患者时需要考虑这些差异,并在诊断和治疗过程中区分不同性别和年龄亚组之间的差异。此外,主成分分析结果显示了ML-NSL、SN-Pg、PFH/AFH比值和NL-ML在解释数据方差方面的重要性。