A network approach to orthodontic diagnosis

Orthod Craniofac Res. 2011 Nov;14(4):189-97. doi: 10.1111/j.1601-6343.2011.01523.x.

Abstract

Background: Network analysis, a recent advancement in complexity science, enables understanding of the properties of complex biological processes characterized by the interaction, adaptive regulation, and coordination of a large number of participating components.

Objective: We applied network analysis to orthodontics to detect and visualize the most interconnected clinical, radiographic, and functional data pertaining to the orofacial system.

Materials and methods: The sample consisted of 104 individuals from 7 to 13 years of age in the mixed dentition phase without previous orthodontic intervention. The subjects were divided according to skeletal class; their clinical, radiographic, and functional features were represented as vertices (nodes) and links (edges) connecting them.

Results: Class II subjects exhibited few highly connected orthodontic features (hubs), while Class III patients showed a more compact network structure characterized by strong co-occurrence of normal and abnormal clinical, functional, and radiological features. Restricting our analysis to the highest correlations, we identified critical peculiarities of Class II and Class III malocclusions.

Conclusions: The topology of the dentofacial system obtained by network analysis could allow orthodontists to visually evaluate and anticipate the co-occurrence of auxological anomalies during individual craniofacial growth and possibly localize reactive sites for a therapeutic approach to malocclusion.

MeSH terms

  • Adolescent
  • Cephalometry / methods
  • Child
  • Dental Caries / classification
  • Dentition, Mixed
  • Facial Muscles / physiopathology
  • Female
  • Humans
  • Lip / pathology
  • Male
  • Malocclusion, Angle Class II / diagnosis*
  • Malocclusion, Angle Class II / therapy
  • Malocclusion, Angle Class III / diagnosis*
  • Malocclusion, Angle Class III / therapy
  • Maxillofacial Development
  • Muscle Tonus / physiology
  • Muscle, Skeletal / physiopathology
  • Neural Networks, Computer*
  • Orthodontics, Corrective*
  • Overbite / diagnosis
  • Patient Care Planning
  • Posture / physiology
  • Respiration
  • Speech Disorders / classification
  • Sucking Behavior / classification
  • Tongue Habits