A study of comparison and correlation between antegonial notch depth, symphysis morphology, and ramus morphology among different growth patterns in angle's Class II Division 1 Malocclusion

Introduction: In orthodontics and dentofacial orthopedics, a thorough knowledge of the skeletal and dental components that contribute to Angle's Class II Division 1 malocclusion is essential because these elements may influence the approach to treatment. Orthodontic treatment planning is greatly influenced by prediction of mandibular growth pattern. The purpose of this study was to compare and correlate between antegonial notch depth, symphysis morphology, and ramus morphology in different growth patterns in Angle's Class II Division 1 malocclusion. Objective: (1) To compare antegonial notch depth, symphysis morphology, and ramus morphology in different growth patterns in Angle's Class II Division 1 malocclusion. (2) To find a correlation between these factors in different growth patterns in Angle's Class II Division 1 malocclusion. Materials and Methods: In this study, lateral cephalograms of total 90 patients (43 males and 47 females) with Angle's Class II Division 1 malocclusion patients were traced. The sample was divided into average, horizontal, and vertical growth pattern based on jarabak's ratio. Antegonial notch depth, symphysis height, depth, ratio (height/depth) and symphysis angle, and ramus height and width were evaluated and analyzed statistically. Results: A significantly high proportion of subjects were having lesser ramus height and ramus width in vertical growth pattern than horizontal growth pattern in Angle's Class II Division 1 malocclusion with sexual dichotomy in favor of males. The correlation coefficient within groups was calculated. In horizontal growth pattern, antegonial notch depth was correlated with anterior facial height, posterior facial height, and ramus height. In vertical growth pattern, antegonial notch depth was correlated with ramus height. In horizontal growth pattern, symphyseal height was found out to be correlated with anterior facial height, posterior facial height, ramus height and width. Symphyseal depth was also found to be correlated with ramus width, ramus height was correlated with symphyseal depth and symphyseal angle in horizontal growth pattern. Conclusion: The antegonial notch depth, symphysis morphology, and ramus morphology are significantly correlated with different growth patterns in Angle's Class II Division 1 malocclusion but was highly significant in horizontal growth pattern.