Evaluation of the correlation of ramus height, gonial angle, and dental height with different facial forms in individuals with deep bite disorders

Abstract

Background: Restoring the vertical dimension is a critical procedure in prosthetic dentistry. Anterior facial height has a significant impact on the length of the ramus. Patients with deep bite will exhibit a shorter lower facial height; hence, restoring the vertical dimension esthetically without altering the facial form is highly challenging.

Aim: To evaluate the relationship of gonial angle, ramus height, and dental height with different facial forms.

Subjects and Methods: A total of 51 subjects in all facial form aged between 20 and 40 with deep bite were randomly selected. Lateral cephalograms and facial photographs were made for each patient. Ramus height was measured on lateral cephalogram by measuring the distance from articulare to gonion. The gonial angles were calculated and anterior and posterior dental height were measured from cephalogram. Facial forms were evaluated using patient’s photographs.

Results: The obtained measurements were evaluated, and compared statistically with one way analysis of variance and regression correlation test. Statistical analysis revealed that there was no correlation found between the gonial angle and ramus height.

Conclusion: Correlation found between the ramus height and anterior and posterior dental height in patients with deep bite disorders. The ramus height can be calculated using the formulas 46.42 + (0.095 × AD height), 46.046+ (0.123 × PD height).

Keywords: Dental height, Facial form, Gonial angle, Ramus height