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Relationships of Sagittal Skeletal Discrepancy, Natural Head Position, and Craniocervical Posture in Pakistani
Hafsa Abdul Ghafoor1, Syed Sheeraz Hussain1
1Department of Dentistry, Karachi Medical and Dental College, Karachi, Pakistan.
Insights
This study found no significant difference in craniocervical posture among Pakistani children aged 11-15, regardless of gender or sagittal skeletal discrepancy. Natural head position and skeletal classes did not impact head posture in this age group.
Area of Science:
- Orthodontics
- Craniofacial Morphology
- Pediatric Health
Background:
- Craniocervical posture and sagittal skeletal discrepancy are key factors in craniofacial development.
- Natural head position (NHP) serves as a reference for cephalometric analysis.
- Understanding these relationships is crucial for diagnosing and treating orthodontic issues in children.
Purpose of the Study:
- To evaluate natural head position (NHP), sagittal skeletal discrepancy, and craniocervical posture in children.
- To determine if gender influences these parameters in the studied age group.
- To investigate the correlation between skeletal classes and craniocervical posture.
Main Methods:
- An observational study was conducted with 121 children aged 11-15 years.
- Cephalometric radiographs were taken in natural head position (NHP).
- Participants were classified into skeletal classes I, II, and III based on ANB angles; craniocervical posture and NHP were assessed.
Main Results:
- No statistically significant correlation was found between craniofacial posture, NHP, and sagittal skeletal classes.
- No significant gender-based differences in craniocervical posture were observed within each skeletal class.
- The study included 121 children (58% male, 42% female) with a mean age of 13.4 ± 1.2 years.
Conclusions:
- Craniocervical posture in Pakistani children (11-15 years) is not significantly influenced by gender or sagittal skeletal discrepancies (Classes I, II, III).
- Sagittal skeletal discrepancies do not appear to substantially affect craniocervical posture in this pediatric population.
- These findings suggest a potential independence between sagittal jaw relationships and head posture in the studied age group.
Objective:
To assess the natural head position (NHP), mean sagittal skeletal discrepancy, and craniocervical posture in children presenting to tertiary care hospital.
Study Design:
Observational study. Place and Duration of the Study: Department of Orthodontics, Karachi Medical and Dental College, Karachi, Pakistan, from January to April 2022.
Methodology:
A total of 121 participants, of either gender aged 11 to 15 years, were selected for this study. The mean age of the participants was 13.4 ± 1.2 years, and their average Frankfort mandibular plane angles (FH/ML) were recorded. Data collection took place following approval from the Ethics Review Board (ERB), and verbal informed consent was obtained from all participants. Cephalometric radiographs were taken in the natural head position (NHP) for all 121 participants. Based on their ANB angles, the participants were categorised into skeletal classes I, II, and III. The study assessed and compared variables such as head posture, craniocervical posture, and sagittal craniofacial morphology.
Results:
The study included a sample of 121 children with a mean age of 13.4 ± 1.2 years. Among the participants, 58% were males, while 42% were females. Based on their ANB angles, participants were classified into skeletal classes I (n=44), II (n=73), and III (n=4). The correlation analysis between craniofacial posture, natural head position, and sagittal skeletal classes (I, II, and III) did not reveal any statistically significant results. Moreover, within each skeletal class, there were no significant differences observed in craniocervical posture between males and females when considering demographic variables.
Conclusion:
This study indicates that there is no discernible difference in the craniocervical posture of young Pakistani children aged 11 to 15 years, regardless of gender, in relation to skeletal relationships in classes I, II, and III. These findings suggest that sagittal skeletal discrepancies may not significantly impact craniocervical posture in this particular age group.
Key Words:
Craniocervical posture, Sagittal discrepancy, Natural head position.
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