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Mandibular Growth, Remodeling, and Maturation During Infancy and Early Childhood

11/4/2009

Journal: The Angle Orthodontist

Citation: Vol. 80, No. 1, pp. 97-105

Authors: Yi-Ping Liu, Rolf G. Behrents, Peter H. Buschang
Objective: To describe the growth, maturation, and remodeling changes of the mandible during infancy and early childhood.

Materials and Methods: Seven Bolton-Brush Growth Study longitudinal cephalograms (N = 336) of each of 24 females and 24 males, taken between birth and 5 years of age, as well as early adulthood, were traced and digitized. Five measurements and nine landmarks were used to characterize mandibular growth, remodeling, and degree of adult maturity.

Results: Overall, mandibular length showed the greatest growth changes, followed by ramus height and corpus length. Corpus length was the most mature of the three linear measures; ramus height was less mature than overall mandibular length. The greatest growth rates occurred between 0.4–1 year; yearly velocities decelerated thereafter. The ramus remodeled superiorly only slightly more than it remodeled posteriorly. Male mandibles were significantly (P ≤ .05) larger, displayed greater growth rates, and were significantly less mature than female mandibles. There were no significant differences in mandibular growth or maturation between Class I and Class II patients.

Conclusions: The mandible displays decelerating rates of growth and a maturity gradient during infancy and early childhood, with males showing more growth and being more mature than females.



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