Correlations between ANB, Wits and soft-tissue facial profile in a Brazilian population sample

Authors

  • Rodrigo César Santiago Unidade de Cabeça e Pescoço, Hospital Universitário da Universidade Federal de Juiz de Fora, Empresa Brasileira de Serviços Hospitalares https://orcid.org/0000-0001-5290-4878
  • Marcio José da Silva Campos Universidade Federal de Juiz de Fora
  • Robert Willer Farinazzo Vitral Universidade Federal de Juiz de Fora https://orcid.org/0000-0003-0861-7243
  • Jocimara Domiciano Fartes de Almeida Campos Centro Universitário Estácio, Juiz de Fora
  • Fernanda Ramos de Faria Centro Universitário Estácio, Juiz de Fora https://orcid.org/0000-0002-6834-2862
  • Lincoln Issamu Nojima Universidade Federal do Rio de Janeiro
  • Eduardo Franzotti Sant’Anna Universidade Federal do Rio de Janeiro

DOI:

https://doi.org/10.34019/1982-8047.2024.v50.45531

Keywords:

Cephalometry, Jaw relation record, Maxilla, Mandible, Orthodontics

Abstract

Introduction: The ANB angle and the Wits appraisal are common cephalometric tools for assessing anteroposterior jaw discrepancies. Assessment of a patient’s anatomy in the anteroposterior disharmony of the maxillary and mandibular should not be limited to hard-tissue relationships, but should also consider soft tissue involvement, such as the soft tissue facial profile angle. Objective: To evaluate the correlations between sagittal skeletal relationships established through ANB angle and Wits appraisal and to evaluate the soft-tissue facial profile angle, assessed by the G-Sn-Pog’ angle. Material and methods: The sample consisted of 300 individuals (129 male and 171 female). The ANB angle, the Wits appraisal, and by the G-Sn-Pog’ angle were obtained through lateral cephalograms. The facial profile was categorized into three groups. The correlation coefficients between ANB angle and Wits appraisal and between the soft-tissue facial profile angle and skeletal pattern were evaluated. Results: A significant correlation (p <.001) was observed between ANB angle and Wits appraisal (r= .738), between G-Sn-Pog’ and ANB angle (r= -.708), and between G-Sn-Pog’ and Wits appraisal (r= -.586). When assessed separately according to different groups of soft-tissue facial profiles, there was a weak correlation between ANB and Wits assessment in the low soft-tissue facial profile angle subjects (Group II), and a moderate correlation in the high soft-tissue facial profile angle subjects (Group III). Conclusion: The correlation between ANB angle and Wits was moderate to high, except in Group II soft-tissue facial profile subjects.

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References

Del Santo M. Influence of occlusal plane inclination on ANB and Wits assessment of anteroposterior jaw relationships. Am J Orthod Dentofacial Orthop. 2006; 129(5):641-8.

Zupancic S, Pohar M, Farcnik F, Ovsenik M. Overjet as a predictor of sagittal skeletal relationships. Eur J Orthod. 2008; 30(3):269-73.

Al-Hamlan N, Al-Eissa B, Al-Hiyasat AS, Albalawi FS, Ahmed AE. Correlation of dental and skeletal malocclusions in sagittal plane among Saudi orthodontic patients. J Contemp Dent Pract. 2015; 16(5):353-9.

Palla A, Kumar DN, Mandava P, Shamnur N, Kumar GNA, Reddeepa SK et al. Comparative assessment of sagittal skeletal discrepancy: a cephalometric study. J Clin Diagn Res. 2015; 9(4):38-41.

Riedel RA. An analysis of dentofacial relationships. Am J Orthod. 1957; 43(2):103-19.

Jacobson A. The “wits” appraisal of jaw disharmony. Am J Orthod. 1975; 67(2):125-38.

Almaqrami BS, Alhammadi MS, Cao B. Three dimensional reliability analyses of currently used methods for assessment of sagittal jaw discrepancy. J Clin Exp Dent. 2018; 10(4):e352-60.

Bishara SE, Fahl JA, Peterson LC. Longitudinal changes in the ANB and Wits appraisal: clinical implications. Am J Orthod. 1983; 84(2):133-9.

Hussels W, Nanda RS. Analysis of factors affecting angle ANB. Am J Orthod. 1984; 85(5):411-23.

Jacobson A. Update on the Wits appraisal. Angle Orthod. 1988; 58(3):205-19.

Aldrees AM. Pattern of skeletal and dental malocclusions in Saudi orthodontic patients. Saudi Med J. 2012; 33(3):315-20.

Tanaka JL, Ono E, Filho Medici E, Moraes LC, Castilho JCM, Moraes MEL. Influence of the facial pattern on ANB, AF-BF, and Wits appraisal. World J Orthod. 2006; 7(4):369-75.

Rushton R, Cohen AM, Linney AD. The relationship and the reproducibility of ANB and the Wits appraisal. Br J Orthod. 1991; 18(3):225-31.

Sherman SL, Woods M, Nanda RS, Currier GF. The longitudinal effects of growth on the Wits appraisal. Am J Orthod Dentofacial Orthop. 1988; 93(5):429-36.

Polk CE, Buchanan D. A new index for evaluating horizontal skeletal discrepancies and predicting treatment outcomes. Am J Orthod Dentofacial Orthop. 2003; 124(6):663-9.

Zamora N, Cibrián R, Gandia JL, Paredes V. Study between ANB and Wits appraisal in cone beam computed tomography (CBCT). Med Oral Patol Oral Cir Bucal. 2013; 18(4):e725-32.

Iwasaki H, Ishikawa H, Chowdhury L. Properties of the ANB and Wits appraisal in the skeletal estimation of Angle's Class III patients. Eur J Orthod. 2002; 24(5):477-83.

Ahmed M, Shaikh A, Fida M. Diagnostic validity of different cephalometric analyses for assessment of the sagittal skeletal pattern. Dental Press J Orthod. 2018; 23(5):75-81.

Tiwari R, Shyagali TR, Gupta A, Joshi R, Tiwari A, Sen P. Predictability and reliability of different anterio-posterior skeletal discrepancy indicators in different age groups: a cephalometric study. J Clin Diagn Res. 2016; 10(9):ZC80-4.

Bergman RT. Cephalometric soft tissue facial analysis. Am J Orthod Dentofacial Orthop. 1999; 116(4):373-89.

Jazmati HM, Ajaj MA, Hajeer MY. Assessment of facial soft tissue dimensions in adult patients with different sagittal skeletal classes using cone beam computed tomography. J Contemp Dent Pract. 2016; 17(7):542-8.

Bittner C, Pancherz H. Facial morphology and malocclusions. Am J Orthod Dentofacial Orthop. 1990; 97(4):308-15.

Ferrario VF, Sforza C, Poggio, CE, Serrao G. Facial three-dimensional morphometry. Am J Orthod Dentofacial Orthop. 1996; 109(1):86-93.

Burstone CJ. The integumental profile. Am J Orthod. 1958; 44(1):1-25.

Ferrario VF, Serrao G, Ciusa V, Morini M, Sforza C. Cephalometric and in vivo measurements of maxillomandibular anteroposterior discrepancies: a preliminary regression study. Angle Orthod. 2002; 72(6):579-84.

Gupta P, Singh N, Tripathi T, Gopal R, Rai P. Tau angle: a new approach for assessment of true sagittal maxillomandibular relationship. Int J Clin Pediatr Dent. 2020; 13(5):497-500.

Gupta S, Tandon P, Singh GP, Shastri D. Comparative assessment of cephalometric with its analogous photographic variables. Natl J Maxillofac Surg. 2022; 13(1):99-107.

Maspero C, Cenzato N, Inchingolo F, Cagetti MG, Isola G, Sozzi D et al. The maxilla-mandibular discrepancies through soft-tissue references: reliability and validation of the anteroposterior measurement. Children. 2023; 10(3):459.

Sreenivasagan S, Sivakumar A. FSA angle: a soft tissue approach for assessing sagittal skeletal discrepancy. Int J Clin Pediatr Dent. 2021; 14(Suppl 1):S54-6.

Zhou L, Mok CW, Hagg U, McGrath C, Bendeus M, Wu J. Anteroposterior dental arch and jaw-base relationships in a population sample. Angle Orthod. 2008; 78(6):1023-9.

Zawawi KH. Comparison of Wits appraisal among different ethnic groups. J Orthod Sci. 2012; 1(4):88-91.

Singh G, Verma S, Singh DP, Yadav SK, Yadav AB. Correlation of beta angle with antero-posterior dysplasia indicators and FMA: an institution based cephalometric study. J Clin Diagn Res. 2016; 10(11):ZC75-8.

Shamlan MA, Aldrees AM. Hard and soft tissue correlations in facial profiles: a canonical correlation study. Clin Cosmet Investig Dent. 2015; 12(7):9-15.

Jajoo A, Agarkar SS, Sharma S, Gadhiya N, Sonawane S, Narkhede S. Comparison of beta and ANB angles for evaluation of sagittal skeletal discrepancy: a cephalometric study. J Contemp Dent Pract. 2018; 19(6):739‐42.

Published

2024-10-22

How to Cite

1.
Santiago RC, Campos MJ da S, Vitral RWF, Campos JDF de A, Faria FR de, Nojima LI, Sant’Anna EF. Correlations between ANB, Wits and soft-tissue facial profile in a Brazilian population sample. HU Rev [Internet]. 2024Oct.22 [cited 2024Nov.24];50:1-7. Available from: https://periodicos.ufjf.br/index.php/hurevista/article/view/45531

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