Acta Scientific Dental Sciences (ASDS)(ISSN: 2581-4893)

Research Article Volume 6 Issue 11

Comparison And Evaluation of Colombian Mestizo Population Aged 5 to 13 Years Using Mcnamara's Cephalometric Norms

Olga Bibiana Salcedo-Ospina, Pedro María Jaramillo-Vallejo and Luis Gonzalo Álvarez-Sánchez

1Dentist, Comprehensive Dentistry for the Child and Maxillary Orthopedics Specialist, Associate Professor, Faculty of Dentistry, Universidad de Antioquia
2Dentist, Comprehensive Dentistry for the Adolescent Specialist, Full Professor, Faculty of Dentistry, Universidad de Antioquia
3Bacteriologist, Biostatistics Specialist, Master in Epidemiology, Adjunct Professor, Faculty of Dentistry, Universidad de Antioquia, Full Professor, CES University

*Corresponding Author: Olga Bibiana Salcedo-Ospina, Dentist, Comprehensive Dentistry for the Child and Maxillary Orthopedics Specialist, Associate Professor, Faculty of Dentistry, Universidad de Antioquia.

Received: September 14, 2022; Published: October 14, 2022


Background: Craniofacial structure is influenced by the evolutionary process of populations, which produces variations depending on ethnicities and regions. Employing cephalometry, standards have been determined for Class I patients, by age ranges and sex, but the same definition is lacking for Class III. This paper aims to characterize a Colombian mestizo population aged 5 to 13 years using McNamara's analysis measures in lateral cephalometric radiographs and to compare them with Caucasian Class I and Class III patients.

Materials and methods: A total of 1626 lateral cephalometric radiographs of patients who have not received previous treatment (851 males and 775 females; aged 5 to 13 years) were analyzed.

Results: Measurements increase with age, are lower in the female sex, and only SN-PM decreases with age. Vertical measures (ANS-Me, Na-Me, S-Go, SN-PM) and sagittal measures (Go-Gn, S-N) in mestizo people differ more from the Caucasian Class I and Class III population. Maxillomandibular differential in all ages displays significant differences when compared to the Class III group with the Colombian sample and Caucasian Class I.

Conclusions: In most measurements, the sample of mestizos shows to be significantly different from Caucasians. Skeletal Class III malocclusion differs from all malocclusions from an early age in its maxillary and mandibular components.

Keywords: Colombian Mestizo; Population; Mcnamara's


  1. Solow B. “The dentoalveolar compensatory mechanism: background and clinical implications”. British Journal of Orthodontics 3 (1980): 145-161.
  2. Caldarelli G. “Scale-Free Networks: Complex Webs in Nature and Technology”. Oxford: Oxford Univ Press (2007).
  3. Albert R. “Network inference, analysis, and modeling in systems biology”. Plant Cell11 (2007): 3327-3338.
  4. Hiroaki Kitano. “Systems Biology: A Brief Overview”. Science (80-) 295.5560 (2002): 1662-1664.
  5. Caldarelli Guido BM. “A networked world”. Physics World 23 (2010): 22-24.
  6. Zhu X., et al. “Getting connected: Analysis and principles of biological networks”. Genes and Development 9 (2007): 1010-1024.
  7. McNamara JA. “A method of cephalometric evaluation”. American Journal of Orthodontics 6 (1984): 449-469.
  8. Ricardo Machado Cruz., et al. “Major Gene and Multifactorial Inheritance of Mandibular Prognathism”. American Journal of Human Genetics 1 (2016): 71‐77.
  9. Yamaguchi T., et al. “Genome-wide linkage analysis of mandibular prognathism in Korean and Japanese patients”. Journal of Dental Research3 (2005): 255-259.
  10. He S., et al. “Association between CYP19A1 genotype and pubertal sagittal jaw growth”. American Journal of Orthodontics and Dentofacial Orthopedics 5 (2012): 662-670.
  11. Moreno Uribe LM., et al. “Phenotypic diversity in white adults with moderate to severe Class II malocclusion”. American Journal of Orthodontics and Dentofacial Orthopedics 3 (2014): 305-316.
  12. Sugawara J and Mitani H. “Facial growth of skeletal Class III malocclusion and the effects, limitations, and long-term dentofacial adaptations to chincap therapy”. Seminars in Orthodontics 4 (1977): 244-254.
  13. Pinhasi R and Eshed VSP. “Evolutionary changes in the masticatory complex following the transition to farming in the southern Levant”. American Journal of Physical Anthropology 2 (2008): 36-148.
  14. Mamandras AH. “Linear changes of the maxillary and mandibular lips”. American Journal of Orthodontics and Dentofacial Orthopedics 5 (1988): 405-410.
  15. McNamara-JA., et al. “An atlas of craneofacial Growth Cephalometric standards from the University School Growth Study”. University Michigan (1974).
  16. Emrich RE and Brodie AG BJ. “Prevalence of Class 1, Class 2, and Class 3 malocclusions (Angle) in an urban population. An epidemiological study”. Journal of Dental Research5 (1965): 947-953.
  17. Thilander BMN. “The prevalence of malocclusion in Swedish schoolchildren”. Scandinavian Journal of Dental Research1 (1973): 12-21.
  18. TE M. “An epidemiologic study of occlusal anomalies in relation to development of the dentition in Icelandic children”. Community Dentistry and Oral Epidemiology 3 (1976): 121-128.
  19. Tschill P., et al. “Malocclusion in the deciduous dentition of Caucasian children”. Eur J Orthod4 (1997): 361-367.
  20. GK C. “Class 3 malocclusion in Chinese (Cantonese): etiology and treatment”. American Journal of Orthodontics 2 (1974): 152-157.
  21. Lew KKFW. “Horizontal skeletal typing in an ethnic Chinese population with true Class III malocclusions”. British Journal of Orthodontics 1 (1993): 19-23.
  22. WH AW and B “A survey of handicapping dentofacial anomalies among Chinese in Hong Kong”. International Journal of Dentistry 14 (1964): 505-519.
  23. JJ L. “Prevalence of malocclusion in Chinese children age 9-15”. Clinical Dentistry 5 (1985): 57-65.
  24. Endo T. “[An epidemiological study of reversed occlusion. I. Incidence of reversed occlusion in children 6 to 14 years old]”. Nihon Kyosei Shika Gakkai Zasshi1 (1971): 73-77.
  25. Susami R., et al. “Prevalence of malocclusion in Japanese school children. 4. The frequency of mandibular overjet]”. Nihon Kyosei Shika Gakkai Zasshi2 (1972): 319-324.
  26. Baik HS., et al. “Cephalometric characteristics of Korean Class III surgical patients and their relationship to plans for surgical treatment”. The International Journal of Adult Orthodontics and Orthognathic Surgery 2 (2000): 119-128.
  27. Toms AP. “Class III malocclusion: a cephalometric study of Saudi Arabians”. British Journal of Orthodontics3 (1986): 201-206.
  28. Ingervall B., et al. “Prevalence and awareness of malocclusion in Swedish men”. Community Dentistry and Oral Epidemiology 6 (1978): 308-314.
  29. Altemus LA. “Frequency Of The Incidence Of Malocclusion In American Negro Children Aged Twelve To Sixteen”. Angle Orthodontist 4 (1959): 189-200.
  30. Foster TD and Day AJ. “A survey of malocclusion and the need for orthodontic treatment in a Shropshire school population”. British Journal of Orthodontics3 (1974): 73-78.
  31. Hannuksela A. “The prevalence of malocclusion and the need for orthodontic treatment in 9-year old Finnish schoolchildren”. Proceedings of the Finnish Dental Society 1 (1977): 21-26.
  32. Kelly JE., et al. “An assessment of the occlusion of the teeth of children”. Vital and Health Statistics 130 (1973).
  33. Kelly JE and Harvey CR. “An assessment of the occlusion of the teeth of youths 12-17 yr in the United States”. Vital and Health Statistics 11 (1977).
  34. Salcedo-Ospina OB and Jaramillo-Vallejo PM. “Cephalometric assessment of Colombia’s mestizo population aged 6 to 12 years”. Revista Facultad de Odontología Universidad de Antioquia 2 (2020): 18-32.
  35. Guyer EC., et al. “Components of class III malocclusion in juveniles and adolescents”. The Angle Orthodontist 1 (1986): 7-300.
  36. Broadbent B., et al. “Bolton standards of dentofacial developmental growth”. St Louis, Mo: Mosby (1975).
  37. Bui C., et al. “Phenotypic characterization of Class III patients”. The Angle Orthodontist 4 (2006): 564-569.
  38. Jacobson A., et al. “Mandibular prognathism”. American Journal of Orthodontics2 (1974): 140-171.
  39. Thilander B., et al. “Prevalence of malocclusion and orthodontic treatment need in children and adolescents in Bogota, Colombia”. European Journal of Orthodontics 2 (2001): 153-167.
  40. Ministerio de Salud y Protección Social, MINSALUD. “IV Estudio Nacional De Salud Bucal - ENSAB IV”. Bogotá, Colomb 3 (2014): 381.
  41. Singh GD., et al. “Morphometry of the cranial base in subjects with Class III malocclusion”. Journal of Dental Research2 (1997): 694-703.
  42. Kerr WJ and Adams CP. “Cranial base and jaw relationship”. American Journal of Biological Anthropology 2 (1998): 213-220.
  43. Anderson Frank Popovich DL. “Realtion of Cranial Base Flexure to Cranial Form and Madibular Position”. American Journal of Biological Anthropology 61 (1983): 181-187.
  44. Nie X. “Cranial base in craniofacial development: Developmental features, influence on facial growth, anomaly, and molecular basis”. Acta Odontologica Scandinavica 3 (2005): 127-135.
  45. Gkantidis N and Halazonetis DJ. “Morphological integration between the cranial base and the face in children and adults”. Journal of Anatomy 4 (2011): 426-438.
  46. Anderson D and Popovich F. “Relation of cranial base flexure to cranial form and mandibular position”. American Journal of Biological Anthropology2 (1983): 181-187.
  47. Klocke A., et al. “Role of cranial base flexure in developing sagittal jaw discrepancies”. American Journal of Orthodontics and Dentofacial Orthopedics 4 (2002): 386-391.
  48. Andria LM., et al. “Correlation of the cranial base angle and its components with other dental/skeletal variables and treatment time”. The Angle Orthodontist 3 (2004): 361-366.
  49. Bastir M and Rosas A. “Correlated variation between the lateral basicranium and the face: a geometric morphometric study in different human groups”. Archives of Oral Biology 9 (2006): 814-824.
  50. Cossio L., et al. “Morphological configuration of the cranial base among children aged 8 to 12 years”. BMC Research Notes1 (2016): 1-8.
  51. Pokhojaev A., et al. “Changes in human mandibular shape during the Terminal Pleistocene-Holocene Levant”. Scientific Reports1 (2019): 1-10.
  52. Wolff G., et al. “On the genetics of mandibular prognathism: Analysis of large European noble families”. Journal of Medical Genetics 2 (1993): 112-116.
  53. Williams S and Andersen CE. “The morphology of the potential Class III skeletal pattern in the growing child”. American Journal of Orthodontics4 (1985): 302-311.
  54. RT S. “Differences between the facial skeletal patterns of class III malocclusion and normal occlusion”. The Angle Orthodontist 4 (1955): 208-222.
  55. De Frutos-Valle L., et al. “Subclustering in Skeletal Class III Phenotypes of Different Ethnic Origins: A Systematic Review”. Journal of Evidence-Based Dental Practice 1 (2019): 34-52.
  56. Macdonald KE., et al. “Cephalometric changes after the correction of class III malocclusion with maxillary expansion/facemask therapy”. American Journal of Orthodontics and Dentofacial Orthopedics 1 (1999): 13-24.
  57. Jiménez I., et al. “Facial growth changes in a Colombian Mestizo population: An 18-year follow-up longitudinal study using linear mixed models”. American Journal of Orthodontics and Dentofacial Orthopedics 3 (2020): 365-376.
  58. Chen F., et al. “Longitudinal intermaxillary relationships in class III malocclusions with low and high mandibular plane angles”. The Angle Orthodontist 3 (2007): 397-403.
  59. Tollaro I., et al. “Class III malocclusion in the deciduous dentition: a morphological and correlation study”. European Journal of Orthodontics5 (1994): 401-408.
  60. Montasser MA. “Craniofacial growth spurt in Class I subjects”. American Journal of Orthodontics and Dentofacial Orthopedics 4 (2019): 473-481.
  61. Varrela J. “Effects of attritive diet on craniofacial morphology: a cephalometric analysis of a Finnish skull sample”. European Journal of Orthodontics2 (1990): 219-223.
  62. Garner LD and Butt MH. “Malocclusion in black Americans and Nyeri Kenyans. An epidemiologic study”. The Angle Orthodontist 2 (1985): 139-146.
  63. NEWMAN GV. “Prevalence of malocclusion in children six to fourteen years of age and treatment in preventable cases”. The Journal of the American Dental Association 5 (1956): 566-575.
  64. Buschang PH., et al. “Sexual dimorphism in mandibular growth of French-Canadian children 6 to 10 years of age”. American Journal of Biological Anthropology1 (1986): 33-37.
  65. Baccetti T., et al. “Growth in the Untreated Class III Subject”. Seminars in Orthodontics 3 (2007): 130-142.
  66. Mitani H., et al. “Growth of mandibular prognathism after pubertal growth peak”. American Journal of Orthodontics and Dentofacial Orthopedics4 (1993): 330-336.
  67. Auconi P., et al. “Forecasting craniofacial growth in individuals with class III malocclusion by computational modelling”. European Journal of Orthodontics2 (2014): 207-216.
  68. Scala A., et al. “Using Networks To Understand Medical Data: The Case of Class III Malocclusions”. PLoS One 9 (2012): 1-8.


Citation: Olga Bibiana Salcedo-Ospina., et al. “Evaluation of the Shear Bond Strength Between Ceramic and Pretreated Enamel using Different Etching Systems - Sem Analysis". Acta Scientific Dental Sciences 6.11 (2022): 97-106.


Copyright: © 2022 Olga Bibiana Salcedo-Ospina., et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.


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