Developmental craniofacial anthropometry: Assessment of race effects

Differences in craniofacial anatomy among racial groups have been documented in a variety of structures, but the oral and maxillofacial regions have been shown to be a particularly defining region of variability between different racial/ethnic groups. Such comparisons are informative, but they neither address developmental changes of the craniofacial anatomy nor do they assess or take into account the natural variability within individual races that may account for similar reported, across-group variations. The purpose of this report was to compare-using medical imaging studies-the growth trend of select race-sensitive craniofacial variables in the oral and pharyngeal regions when all races [White, Asian, Black, and Hispanic (AR)] are included versus only a single race category [White (WR)]. Race effect was tested by comparing sex-specific growth fits (fourth degree polynomial model) for AR versus WR data. Findings indicate that the inclusion of all races versus a single race did not significantly alter the growth model fits. Thus, the inclusion of all races permits the advancement of general growth models; however, methodologically, it is best to treat the race variable as a covariate in all future analysis to test for both potential all race effects or individual race effects, on general growth models.