Palavras-chave
Indicador de Wits
Ortodontia
Como Citar
Resumo
Objetivos: testar a hipótese de diferenças dependentes do sexo entre os indivíduos usando o indicador de Wits.
Métodos: foi realizado um estudo descritivo transversal com 135 telerradiografias laterais de pacientes com mais de 18 anos (78 mulheres e 57 homens), todos classificados como classe esquelética I de acordo com o ângulo ANB. Os valores do índice de Wits foram medidos e comparados entre os sexos utilizando o teste de Mann-Whitney para avaliar a hipótese que orienta este trabalho.
Resultados: a mediana do indicador de Wits foi de -1,77 mm. em mulheres e -1,16 mm. em homens. Não foram encontradas diferenças estatisticamente significativas entre os sexos (p = 0.5597).
Conclusões: sugere-se que, na prática ortodôntica, não se faça o ajuste da norma entre os sexos ao estabelecer o diagnóstico da classe esquelética.
Referências
Castro MV, Hurtado M, Oyonarte R. Rendimiento de la evaluación cefalométrica para el diagnóstico sagital intermaxilar: una revisión narrativa. Rev. Clín. Periodoncia Implantol. Rehabil. Oral. 2013; 6(2): 99-104.
Hans MG, Palomo JM, Valiathan M. History of imaging in orthodontics from Broadbent to cone-beam computed tomography. Am. J. Orthod. Dentofacial Orthop. 2015;148(6): 914-21.
Baik CY, Ververidou M. A new approach of assessing sagittal discrepancies: the Beta angle. Am J Orthod Dentofacial Orthop. 2004;126(1): 100-5.
Jacobson A. The “Wits” appraisal of jaw disharmony. Am. J. Orthod. 1975;67(2): 125-38.
Kim YH, Vietas JJ. Anteroposterior dysplasia indicator: An adjunct to cephalometric differential diagnosis. Am. J. Orthod. 1978;73(6): 619-33.
Riedel R. The relation of maxillary structures to cranium in malocclusion and in normal occlusion. Angle Orthod. 1952;22: 142-5.
Yang SD, Suhr CH. F-H to AB plane angle (FABA) for assessment of anteroposterior jaw relationships. Angle Orthod. 1995;65(3): 223-31.
Jacobson A. Application of the “Wits” appraisal. Am. J. Orthod. 1976;70(2): 179-89.
Bucchi A, Bucchi C, Fuentes R. El Dimorfismo Sexual en Distintas Relaciones Cráneo-Mandibulares. Int. J. Morphol. 2016;34(1): 365-70.
Ursi WJ, Trotman CA, McNamara JA, Behrents RG. Sexual dimorphism in normal craniofacial growth. Angle Orthod. 1993;63(1): 47-56.
Qamruddin I, Alam MK, Shahid F, Tanveer S, Mukhtiar M, Asim Z. Assessment of Gender Dimorphism on Sagittal Cephalometry in Pakistani Population. J. College of Physic. and Surg. Pakistan. 2016, Vol. 26 (5): 390-393.
Connor AM, Moshiri F. Orthognathic surgery norms for American black patients. Am. J. Orthod. 1985;87(2): 119-34.
So LLY, Davis PJ, King NM. “Wits” appraisal in Southern Chinese children. Angle Orthod. 1990;60(1): 43-8.
Silwal S, Shrestha RM, Pyakurel U, Bhandari S. Cephalometric Comparison of Wits Appraisal and APP-BPP to the ANB Angle. Orthod. J. Nepal. 2020;10(1): 40-3.
Singh S, Utreja A, Jena A. Cephalometric norms for orthognathic surgery for North Indian population. Contemp. Clin. Dent. 2013;4(4): 460-71.
Rajarajan G. Comparison of Wits Appraisal in Males and Females in Class 1 Malocclusion Patients. J. Pharm. Sci. And Res. 2017; 9(2): 255-56.
Oktay H. A comparison of ANB, WITS, AF-BF, and APDI measurements. Am. J. Orthod. Dentofacial Orthop. 1991;99(2):122-8.
Miyajima K, McNamara JA, Kimura T, Murata S, Iizuka T. Craniofacial structure of Japanese and European-American adults with normal occlusions and well-balanced faces. Am. J. Orthod. Dentofacial Orthop. 1996;110(4):431-8.
Al-Barakati SF. The wits appraisal in a Saudi population sample. Saudi Dental J. 2002;14(2): 89-92.
Singh A, Jain A, Hamsa PRR, Ansari A, Misra V, Savana K, et al. Assessment of Sagittal Discrepancies of Jaws: A Review. Int. J. Adv. Health Sci. 2015;1(9): 29-34.
Hammer DAT, Ryan PD, Hammer Ø, Harper DAT. Past: Paleontological Statistics Software Package for Education and Data Analysis [Internet]. Vol. 4, Palaeontologia Electronica. 2001 p. 178. Disponible en: http://palaeo-electronica.orghttp://palaeo-electronica.org/2001_1/past/issue1_01.htm.
Cauvi D, Madsen R. Manual de cefalometría. 1era ed. Santiago de Chile:Facultad de Odontología-Universidad de Chile; 2007 59p
Gallardo O, Rosenberg M. Aplicación de la ficha cefalométrica del área de Ortopedia dentomaxilar. Texto de autoenseñanza. Santiago de Chile:Facultad de Odontología-Universidad de Chile; 1988 69p
Carvajal, R. Aplicación de la ficha cefalométrica. Santiago de Chile:Facultad de Odontología-Universidad de Chile; 1992 77p
Vergara C, Navarrete C. Introducción a la cefalometría. Texto guiado de autoaprendizaje. Santiago de Chile:Facultad de Odontología-Universidad de Chile; 2024 68p
Zawawi K. Comparison of Wits appraisal among different ethnic groups. J. Orthod. Sci. 2012;1(4):88.
Delaire J, Schendel SA, Tulasne JF. An architectural and structural craniofacial analysis: A new lateral cephalometric analysis. Oral Surg. Oral Med. Oral Pathol. 1981;52(3):226-38.
Bulut O, Freudenstein N, Hekimoglu B, Gurcan S. Dilemma of Gonial Angle in Sex Determination: Sexually Dimorphic or Not? Am. J. Forensic Med. Pathol. 2019;40(4):361-69.
Upadhyay RB, Upadhyay J, Agrawal P, Rao NN. Analysis of gonial angle in relation to age, gender, and dentition status by radiological and anthropometric methods. J. Forensic Dent. Sci. 2012;4(1):29-33.
Omran A, Wertheim D, Smith K, Liu CYJ, Naini FB. Mandibular shape prediction using cephalometric analysis: applications in craniofacial analysis, forensic anthropology and archaeological reconstruction. Maxillofac. Plast. Reconstr. 2020;42(1): 37-43.
Ayoub F, Rizk A, Yehya M, Cassia A, Chartouni S, Atiyeh F, et al. Sexual dimorphism of mandibular angle in a Lebanese sample. J. Forensic Leg. Med. 2009;16(3):121-4.
Belaldavar C, Acharya AB, Angadi P. Sex estimation in Indians by digital analysis of the gonial angle on lateral cephalographs. J. Forensic Odontostomatol. 2019;37(2):45-50.
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Copyright (c) 2024 Valentina Zaffiri Estévez, Juan Diego Idrovo Vanegas, Germán Manríquez, Alejandro Diaz