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A CBCT Evaluation of Midpalatal Bone Density in Various Skeletal Patterns
Jong-Moon Chae1,2, Leah Rogowski2, Suchita Mandair2
1Department of Orthodontics, School of Dentistry, University of Wonkwang, Wonkwang Dental Research Institute, Iksan 54538, Korea.
Sensors (Basel, Switzerland)
|December 10, 2021
Summary
Midpalatal bone density (BD) is higher in females and increases with age. Class II skeletal patterns show lower BD than Class III, impacting treatment planning.
Area of Science:
- Orthodontics
- Dental Imaging
- Anthropology
Background:
- Midpalatal suture bone density (BD) is crucial for orthodontic treatment success, particularly for procedures like rapid maxillary expansion.
- Understanding factors influencing midpalatal BD can optimize treatment outcomes and predictability.
Purpose of the Study:
- To evaluate midpalatal bone density (BD) using cone-beam computed tomography (CBCT).
- To analyze BD variations based on gender, age, and skeletal patterns (vertical and horizontal).
Main Methods:
- CBCT images of 126 subjects (64 females, 62 males) were analyzed for midpalatal suture BD.
- Subjects were classified into four age groups and three vertical and horizontal skeletal pattern categories.
Main Results:
- Females exhibited significantly higher midpalatal BD than males (p < 0.001).
- Midpalatal BD significantly increased with age (p < 0.001).
- Class II subjects had significantly lower BD than Class III subjects (p < 0.05), with no significant differences across vertical skeletal patterns.
Conclusions:
- Gender and age are significant factors influencing midpalatal bone density.
- Skeletal Class II may present unique challenges for midpalatal expansion due to lower bone density.
- These findings aid clinicians in anticipating patient anatomy and potential treatment complexities.

