Aging in the craniofacial complex.
Marcus M Dager1, James A McNamara, Tiziano Baccetti
1Private Practice, Indianapolis, IN, USA.
The Angle Orthodontist
|April 18, 2008
Summary
Dental arches undergo significant changes throughout adulthood, with decreases in width, depth, and perimeter observed into the sixth decade. While most arch dimensions change, some, like posterior maxillary width, remain stable.
Area of Science:
- Dental anthropology
- Orthodontics
- Human growth and development
Background:
- Dental arch dimensions and morphology are generally considered stable after adolescence.
- Understanding long-term changes is crucial for orthodontic treatment planning and age estimation.
Purpose of the Study:
- To investigate longitudinal changes in dental arch dimensions from late adolescence through the sixth decade of life.
Main Methods:
- Digitization and analysis of longitudinal dental casts from 40 individuals (20 male, 20 female).
- Measurements taken at three time points: post-puberty (T1), ~47 years (T2), and at least one decade later (T3).
Main Results:
- Most dental arch measurements showed significant changes over time (T1-T3).
- Key changes included decreased arch width, depth, and perimeter, and increased mandibular incisor irregularity.
- Exceptions to significant change were posterior maxillary arch width, certain mandibular widths, maxillary incisor irregularity, overjet, overbite, and curve of Spee.
Conclusions:
- Dental arches exhibit continuous adaptation and change throughout adult life, extending into the sixth decade.
- The rate of change generally diminishes over time.
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