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Published on: September 8, 2023
Cephalometric evaluation of children with familial Mediterranean fever
Ahmet Yalcin Gungor1, Vefik Arica, Ozge Gungor
1Department of Orthodontics, Faculty of Dentistry, University of Akdeniz, Antalya, Turkey.
Objective:
To test the null hypothesis that no differences exist in craniofacial morphology between patients with familial Mediterranean fever (FMF) and the healthy population.
Materials And Methods:
Standardized lateral cephalograms of 32 FMF patients (mean age, 11.50 ± 2.72 years) and 32 healthy controls (mean age, 11.86 ± 2.19 years) were obtained. Cranial and dentofacial parameters were measured using a cephalometric analysis program (Nemoceph Imaging Cephalometric and Tracing Software S.L., Spain). All statistical analyses were conducted using SPSS version 17.0.0 (SPSS Inc., Chicago, Ill). Descriptive statistics were calculated for all measurements, and the independent t-test was used to evaluate intergroup differences.
Results:
The ANB angle was significantly greater in the FMF group (P < .05). Differences in SNA and SNB angles were insignificant. Anterior (P < .001) and posterior (P < .05) face heights were significantly shorter in the FMF group. Mandibular body length (P < .001) and condylion to gnathion (P < .05) measurements were significantly shorter in the FMF group. The upper lip was more protrusive in the FMF group (P < .05). U1-NA (mm; P < .001) and L1-NB (mm; P < .05) measurements were significantly shorter in the FMF group.
Conclusion:
The hypothesis is rejected. Significant differences exist between the craniofacial morphology of patients with FMF and the healthy population.
Insights
Familial Mediterranean fever (FMF) significantly alters craniofacial morphology, with FMF patients exhibiting shorter facial heights and mandibular lengths compared to healthy individuals. These findings reject the null hypothesis of no morphological differences.
Area of Science:
- Orthodontics
- Genetics
- Pediatric Dentistry
Background:
- Familial Mediterranean fever (FMF) is a genetic autoinflammatory disorder.
- Craniofacial morphology can be influenced by systemic conditions.
Purpose of the Study:
- To compare craniofacial morphology between FMF patients and healthy controls.
- To test the hypothesis that no morphological differences exist.
Main Methods:
- Lateral cephalograms of 32 FMF patients and 32 controls were analyzed.
- Cranial and dentofacial parameters were measured using cephalometric software.
- Independent t-tests were used for statistical comparison.
Main Results:
- FMF patients showed significantly greater ANB angle.
- Anterior and posterior face heights were significantly shorter in FMF patients.
- Mandibular length and upper incisor protrusion differed significantly.
Conclusions:
- The null hypothesis was rejected, indicating significant craniofacial differences.
- FMF is associated with distinct craniofacial morphology.
- Further research into the clinical implications is warranted.
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