Cephalometric variables to predict future success of early orthopedic Class III treatment.
BACKGROUND
The objective of this study was to select a model of cephalometric variables to predict future Class III growth patterns based on the results of early orthopedic treatment with a protraction facemask.


METHODS
Sixty-four patients with Class III malocclusion were treated with a protraction facemask. Cephalometric radiographs were taken before treatment and a minimum of 3 years after treatment. The sample was divided into 2 groups: successful and unsuccessful according to overjet and molar relationships. Eleven linear and 5 angular measurements were made on the pretreatment radiograph. A logistic regression model was used to identify the dentoskeletal variables most responsible for the prediction of successful and unsuccessful outcomes in subjects receiving treatment.


RESULTS
Stepwise variable selection generated 4 variables significant in predicting successful treatment outcomes: position of the condyle with reference to the cranial base (Co-GD, P = .02), ramal length (Co-Goi, P = .03), mandibular length (Co-Pg, P = .01), and gonial angle (Ar-Goi-Me, P < .0001). The gonial angle was found to be significantly larger in the unsuccessful group. Controlling for other variables, the probability of successful treatment is an increasing function of Co-GD and Co-Goi, and a decreasing function of Co-Pg and Ar-Goi-Me. A logistic equation was established that is accurate in predicting successfully treated Class III patients 95.5% of the time and unsuccessful ones 70% of the time.


CONCLUSIONS
These results suggest that Class III growing patients with forward position of the mandible, small ramal length, large mandibular length, and obtuse gonial angle are highly associated with unsatisfactory treatment outcomes after pubertal growth.
Ghiz
Matthew A
MA
Department of Orthodontics, West Virginia University School of Dentistry, 1076 Health Science Center South, Morgantown, WV 26506, USA.
Ngan
Peter
P
Gunel
Erdogan
E
D000367:Age Factors; D002508:Cephalometry / Q000706:statistics & numerical data*; D002648:Child; D005115:Extraoral Traction Appliances; D005260:Female; D005544:Forecasting / Q000379:methods; D006801:Humans; D016015:Logistic Models; D008297:Male; D008313:Malocclusion, Angle Class III / Q000473:pathology / Q000628:therapy*; D008334:Mandible / Q000473:pathology; D008445:Maxillofacial Development; D009967:Orthodontic Appliances; D009971:Orthodontics, Corrective / Q000295:instrumentation / Q000379:methods; D010155:Palatal Expansion Technique; D011237:Predictive Value of Tests; D011378:Prognathism / Q000473:pathology; D011379:Prognosis; D012189:Retrospective Studies; D016896:Treatment Outcome