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Cessation of facial growth in subjects with short, average, and long facial types – Implications for the timing of implant placement.

Written by on December 8, 2015

J Craniomaxillofac Surg. 2015 Dec;43(10):2106-11. doi: 10.1016/j.jcms.2015.10.013. Epub 2015 Oct 23.

Aarts BE(1), Convens J(1), Bronkhorst EM(2), Kuijpers-Jagtman AM(1), Fudalej

PS(3).

Author information:

(1)Department of Orthodontics and Craniofacial Biology, Radboud University

Nijmegen Medical Centre, Nijmegen, The Netherlands.

(2)Department of Community and Restorative Dentistry, Radboud University

Nijmegen Medical Centre, Nijmegen, The Netherlands.

(3)Department of Orthodontics and Dentofacial Orthopedics, University of Bern,

Bern, Switzerland; Department of Orthodontics, Palacky University Olomouc,

Olomouc, Czech Republic. Electronic address: piotr.fudalej@zmk.unibe.ch.

Placement of a single-tooth implant should be performed when a patient’s facial

growth has ceased. In this retrospective observational study, we evaluated if

there was a difference in the timing of cessation of craniofacial growth in

short, average, and long facial types. Based on the value of the angle between

cranial base and mandibular plane (SN/MP angle), three groups comprising 48

subjects with short facial type (SF; SN/MP ≤28°), 77 with average facial type

(AF; SN/MP ≥31.5° and ≤34.5°), and 44 with long facial type (LF; SN/MP ≥38°)

were selected. Facial growth was assessed on lateral cephalograms taken at 15.4

years of age, and 2, 5, and 10 years later. Variables were considered to be

stable when the difference between two successive measurements was less than

1 mm or 1°. We found no difference between facial types in the timing of

cessation of facial growth. Depending on the variable, the mean age when

variables became stable ranged from 18.0 years (Is-Pal in LF group) to 22.0

years (SN/MP in LF group). However, facial growth continued at the last

follow-up in approximately 20% subjects. This study demonstrates that facial

type is not associated with the timing of cessation of facial growth.

Copyright © 2015 European Association for Cranio-Maxillo-Facial Surgery.

Published by Elsevier Ltd. All rights reserved.

DOI: 10.1016/j.jcms.2015.10.013

PMID: 26548528 [Indexed for MEDLINE]