Published June 12, 2024 | Version 1
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Morphological Variants of Soft Palate in Patients with Malocclusion – A Digital Cephalometric Research Study

  • 1. Department of Oral Medicine & Radiology, People's Dental Academy, People's University, Bhopal (M.P.)

Description

ABSTRACT:
Background- Patients with cleft lip and palate, swollen adenoids, snoring, poorly retained maxillary 
dentures,  obstructive  sleep  apnea  syndrome  (OSAS),  and  skeletal  craniofacial  malocclusion  are 
commonly associated with soft palate dysfunctions. We carried out a study in our institute to assess 
various shapes of soft palate in different malocclusions by Lateral cephalometry.
Materials & Methods- 100 OPD patients who came to the department of Oral Medicine and Radiology 
in our institute formed the study group. The patients were subjected for LC radiograph using Planmeca 
Proline XC LC along with software Planmeca Romexis 2.9.2.R with Exposure time – 17 sec, mA- 5, 
kVp- depending on physical status of patient. Radiographs were observed by two experienced oral 
radiologists  at  different  time  period  to  avoid  bias.  The  soft  palate  morphology  was  observed  and 
categorized into six types as suggested by You et al.
Results- Out of a total of 100 participants, 57 were classified as Class I, 39 as Class II, and 4 as Class III 
when  malocclusion  was  examined.  48%  had  leaf-shaped  palates,  whereas  35%  had  rat-tail-shaped 
palates. Leaf shaped soft palate was most prevalent in males & females. Leaf shaped palate was evident 
in Class I and Class II, and Butt shaped soft palate was evident in Class III.
Conclusion- The comparison of the age, VL, VW and PD of soft plate among different genders, was 
done. It was found that VL, VW differed significantly. Malocclusion and malocclusion shape, have a 
strong positive association, based on Pearson correlation test.

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Dates

Accepted
2024-05-27

References

  • 1. Shimokawa T, Yi S, Tanaka S. Nerve supply to the soft palate muscles with special reference to the distribution of the lesser palatine nerve. Cleft Palate Craniofac J. 2005 Sep;42(5):495-500. doi: 10.1597/04-142r.1. PMID: 16149830. 2. You M, Li X, Wang H, Zhang J, Wu H, Liu Y, Miao J, Zhu Z. Morphological variety of the soft palate in normal i n d i v i d u a l s : a d i g i t a l c e p h a l o m e t r i c s t u d y. Dentomaxillofac Radiol. 2008 Sep;37(6):344-9. doi: 10.1259/dmfr/55898096. PMID: 18757720. 3. Hadley G. Essential Clinical Anatomy. J Anat. 2007 Sep;211(3):413. doi: 10.1111/j.1469-7580.2007 .771_2.x. PMCID: PMC2375806. 4. Johns DF, Rohrich RJ, Awada M. Velopharyngeal incompetence: a guide for clinical evaluation. PlastReconstr Surg. 2003;112(7):1890-1982. 5. Pépin JL, Veale D, Ferretti GR, Mayer P, Lévy PA. Obstructive sleep apnea syndrome: hooked appearance of the soft palate in awake patients--cephalometric and CT findings. Radiology. 1999 Jan;210(1):163-70. doi: 10.1148/radiology. 210.1. r99ja10163. PMID: 9885602. 6. Endo S, Mataki S, Kurosaki N. Cephalometric evaluation of craniofacial and upper airway structures in Japanese patients with obstructive sleep apnea. J Med Dent Sci. 2003 Mar;50(1):109-20. PMID: 12715927. 7. Deepa V, David CM, Ramnarayan BK. Morphological varieties of soft palate in normal individuals, cleft palate patients and obstructive sleep apnea patients with reference to Indian population: A preliminary digital cephalometric study. World J Dent 2013;4:241-9. http://dx.doi.org/10.5005/jp-journals-10015-1239. 8. Nerkar A, Gadgil R, Bhoosreddy A, Bhadage C, Vedpathak P. Comparativemorphometric analysisof soft palate between OSMF and normalindividuals:A digital cephalometric study. International Journal of Maxillofacial Imaging2017;3(1):1-7. DOI: 10.18231 /2455-6750.2017.0001. 9. Smriti K, Pai KM, Vineetha R, Pentapati KC. Radiographic Evaluation of SoftPalate Morphology and Correlation with Gender on Lateral Cephalograms.
  • World J Dent 2015;6(3):147-149. http://dx.doi.org/ 10.5005/jp-journals-10015-1331. 10. Mohan RPS, Verma S, Singh U, Agarwal N. Morphometric evaluation of soft palate in oral submucous fibrosis- A digital cephalometric analysis. West African Journal of Radiology 2014;21(1). http://dx.doi.org/10.4103/1115-1474.128073. 11. Raja Lakshmi C, Ayesha Thabusum D, Bhavana SM. An Innovative Approach to Evaluate the Morphological Patterns of Soft Palate in Oral Submucous Fibrosis Patients: A Digital Cephalometric Study. Int J Chronic Dis. 2016;2016:5428581. doi: 10.1155/2016/5428581. Epub 2016 Mar 13. PMID: 27034975; PMCID: PMC4808560. 12. Pépin JL, Veale D, Ferretti GR, Mayer P, Lévy PA. Obstructive sleep apnea syndrome: hooked appearance of the soft palate in awake patients--cephalometric and CT findings. Radiology. 1999 Jan;210(1):163-70. doi: 10.1148/radiology.210.1.r99ja10163. PMID: 9885602. 13. Moxham BJ. The development of the palate –A brief review. Eur J Anat 2003; 7:53-74. 14. Li J, Rodriguez G, Han X, Janečková E, Kahng S, Song B, Chai Y. Regulatory Mechanisms of Soft Palate Development and Malformations. J Dent Res. 2019 Aug;98(9):959-967. doi: 10.1177/0022034519851786. Epub 2019 May 31. PMID: 31150594; PMCID: PMC6651766. 15. Subramaniam N. Correlation of morphological variants of soft palate and types of malocclusion: A digital lateral cephalometric study. Journal of Indian Academy of Oral Medicine and Radiology. 2015; 27(3): 366. http://dx.doi.org/10.4103/0972-1363.170451.