Evaluation of the anterior dentoalveolar relationship in skeletal Class III malocclusion patients with different vertical facial patterns using cone-beam computed tomography

Objectives: To measure and compare labiolingual inclinations of the teeth and alveolar bone and the anterior dentoalveolar inclination in patients with skeletal Class III malocclusions with different vertical facial patterns using cone -beam computed tomography (CBCT). Materials and Methods: Based on the inclusion and exclusion criteria, 84 CBCT images of patients with untreated skeletal Class III malocclusion were selected. There were 28 patients each in the hypo-, normo-, and hyperdivergent groups. The labiolingual inclinations of the teeth, the corresponding alveolar bone, and the anterior dentoalveolar inclinations were measured and analyzed statistically. Results: The inclinations of the mandibular canine and corresponding alveolar bone were smaller in the hypodivergent group than in the hyperdivergent group. The inclination of the alveolar bone and the maxillary dentoalveolar inclination were smaller in the hyperdivergent group than in the hypodivergent group. Conclusions: There were differences in the inclination of the teeth, corresponding alveolar bone, and dentoalveolar inclinations at different positions among skeletal Class III patients with different vertical facial patterns. The roots were generally located on the labial side of the alveolar bone. (Angle Orthod. 2024;94:187-193.)