Research Progress on Measurement Methods and Correction Techniques for Transverse Canting of Occlusal Plane

doi:10.13701/j.cnki.kqyxyj.2025.07.003

Abstract

Abstract: The control of the occlusal plane is extremely important, as the angle of the occlusal plane affects the patient's aesthetics and masticatory function. Occlusal plane cant is one of the common facial asymmetry phenomena in clinical practice, mainly characterized by the buccal plane on both sides of the coronal plane not being on the same horizontal level. The causes are complex and related to the position of the temporomandibular joints, jaw development, and even the sagittal position of the teeth. The degree of occlusal plane cant can be assessed through frontal photographs, clinical observation, and cone-beam computed tomography (CBCT). Occlusal plane cant is a challenging issue for orthodontists in terms of examination, diagnosis, and treatment. This article provides a comprehensive review of the measurement methods and correction techniques for occlusal plane cant.

Key words: occlusal plane canting, examination, treatment

LAN Jing, WU Jun. Research Progress on Measurement Methods and Correction Techniques for Transverse Canting of Occlusal Plane[J]. Journal of Oral Science Research, 2025, 41(7): 556-561.

References

[1] 皮昕.口腔解剖生理学[M].第6版.北京:人民卫生出版社.2007.77.
[2] 白丁,赵志河.口腔正畸策略,控制与技巧[M].第1版.北京:人民卫生出版.2015.140.
[3] 李梦华,王威.前牙区𬌗平面横向倾斜的临床研究[J].北京口腔医学,2013,21(4): 209-211.
[4] Sabri R. The eight components of a balanced smile [J]. J Clin Orthod, 2005, 39(3): 155-167.
[5] Severt TR, Proffit WR. The prevalence of facial asymmetry in the dentofacial deformities population at the University of North Carolina [J]. Int J Adult Orthodon Orthognath Surg, 1997, 12(3): 171-176.
[6] Talla RR, Kamble RH, Dargahwala HS, et al. Occlusal cant and its challenges-A review [J]. J Evol Med Dent Sci, 2021, 10(33): 2835-2841.
[7] Zhang H, Ma J, Zhang Z, et al. Occlusal deviations in adolescents with idiopathic and congenital scoliosis [J]. Korean J Orthod, 2022, 52(3): 165-171.
[8] Shackelford TK, Larsen RJ. Facial asymmetry as an indicator of psychological, emotional, and physiological distress [J]. J Pers Soc Psychol, 1997, 72(2): 456-466.
[9] Bosniak SL, Smith BC, Grove AS. Advances in ophthalmic plastic and recon-structive surgery [J]. Plast Reconstr Surg (1946), 1988, 82(5): 912.
[10] 段晓媛.正面𬌗平面倾斜者的牙及牙槽骨形态学研究[D].昆明医科大学,2021.
[11] 郑旭,马宁,陈晓红,等.正畸中前牙平面倾斜的病因初探[J].中华口腔正畸学杂志,2017,24(1): 33-36.
[12] Padwa BL, Kaiser MO, Kaban LB. Occlusal cant in the frontal plane as a reflection of facial asymmetry [J]. J Oral Maxillofac Surg, 1997, 55(8): 811-816.
[13] Pisulkar SK, Agrawal R, Belkhode V, et al. Perception of buccal corridor space on smile aesthetics among specialty dentist and layperson [J]. J Int Soc Prev Community Dent, 2019, 9(5): 499-504.
[14] K EM, Pudi S, C TR, et al. Layperson’s preference regarding orientation of transverse occlusal plane from the frontal perspective in fabrication of a complete denture: A cross-sectional study [J]. Cureus, 2020, 12(1): e6650.
[15] Haraguchi S, Iguchi Y, Takada K. Asymmetry of the face in orthodontic patients [J]. Angle Orthod, 2008, 78(3): 421-426.
[16] Naini FB, Messiha A, Gill DS. Chair side measuring instrument for quantification of the extent of a transverse maxillary occlusal plane cant [J]. Maxillofac Plast Reconstr Surg, 2019, 41(1): 21.
[17] Jayakrishnan MK, Shetty K. Clinical innovation CANT identification device in orthodontics-enabling early detection of occlusal CANT [J]. Int J Innovative Sci Res Tech, 2020, 5(2): 2456-2465.
[18] Alhuwaish HA, Almoammar KA, Fakhouri AS. Development of occlusal canting identifying tool: verification, reliability and validation assessment [J]. BMC Oral Health, 2024, 24(1): 17.
[19] Susarla SM, Peacock ZS, Kaban LB. Evaluation and correction of facial asymmetry in the coronal plane [J]. J Craniofac Surg, 2014, 25(4): 1299-1301.
[20] Farret MM. Occlusal plane canting: a treatment alternative using skeletal anchorage [J]. Dental Press J Orthod, 2019, 24(1): 88-105.
[21] Perrott DH, Umeda H, Kaban LB. Costochondral graft construction/reconstruction of the ramus/condyle unit: Long-term follow-up [J]. Int J Oral Maxillofac Surg, 1994, 23(6 Pt 1): 321-328.
[22] Hwang HS, Min YS, Lee SC, et al. Change of lip-line cant after 1-jaw orthognathic surgery in patients with mandibular asymmetry [J]. Am J Orthod Dentofacial Orthop, 2009, 136(4): 564-569.
[23] Susarla SM, Dodson TB, Kaban LB. Measurement and interpretation of a maxillary occlusal cant in the frontal plane [J]. J Oral Maxillofac Surg, 2008, 66(12): 2498-2502.
[24] Tyan S, Park HS, Janchivdorj M, et al. Three-dimensional analysis of molar compensation in patients with facial asymmetry and mandibular prognathism [J]. Angle Orthod, 2016, 86(3): 421-430.
[25] Moro A, Correra P, Boniello R, et al. Three-dimensional analysis in facial asymmetry: comparison with model analysis and conventional two-dimensional analysis [J]. J Craniofac Surg, 2009, 20(2): 417-422.
[26] Kusnoto B, Evans CA, BeGole EA, et al. Assessment of 3-dimensional computer-generated cephalometric measurements [J]. Am J Orthod Dentofacial Orthop, 1999, 116(4): 390-399.
[27] Gateno J, Xia JJ, Teichgraeber JF. New 3-dimensional cephalometric analysis for orthognathic surgery [J]. J Oral Maxillofac Surg, 2011, 69(3): 606-622.
[28] Kim SJ, Choi JY, Baek SH. Evaluation of canting correction of the maxillary transverse occlusal plane and change of the lip canting in Class Ⅲ two-jaw orthognathic surgery [J]. Angle Orthod, 2012, 82(6): 1092-1097.
[29] Awad NK, Marghalani HYA, Barayan MA, et al. Maxillary sinus volume in patients with canted occlusal plane: A cone-beam computed tomography study [J]. Orthod Craniofac Res, 2023, 26(2): 231-238.
[30] Ko EW, Huang CS, Chen YR. Characteristics and corrective outcome of face asymmetry by orthognathic surgery [J]. J Oral Maxillofac Surg, 2009, 67(10): 2201-2209.
[31] Oh S, Ahn J, Nam KU, et al. Frankfort horizontal plane is an appropriate three-dimensinal reference in the evaluation of clinical and skeletal cant [J]. J Korean Assoc Oral Maxillofac Surg, 2013, 39(2): 71-76.
[32] Choi JW, Jung SY, Kim HJ, et al. Positional symmetry of porion and external auditory meatus in facial asymmetry [J]. Maxillofac Plast Reconstr Surg, 2015, 37(1): 33.
[33] Aghazada H, Vernucci RA, Ramieri V, et al. Assessment of maxillary canting on cone beam computed tomography and digital models: A retrospective study and proposal of a method [J]. J Stomatol Oral Maxillofac Surg, 2022, 123(2): 128-135.
[34] Reyneke JP, Bryant RS, Suuronen R, et al. Postoperative skeletal stability following clockwise and counter-clockwise rotation of the maxillomandibular complex compared to conventional orthognathic treatment [J]. Br J Oral Maxillofac Surg, 2007, 45(1): 56-64.
[35] Pinho T. Asymmetric deep bite with a canted occlusal plane: a case report [J]. Aust Orthod J, 2013, 29(1): 115-122.
[36] Pinho T. Treatment of a Class Ⅱ subdivision based on occlusal plane control: a clinical case [J]. Orthodontics (Chic), 2012, 13(1): 128-137.
[37] 闫伟军,张欣泽,庄雷,等.MEAW 技术治疗𬌗平面偏斜机制的有限元研究[J].中国美容医学,2012,21(9):1597-1600.
[38] Kim JS, Jin KH, Hong SJ. A statistical study of clinical crown inclination in Korean's naturally occurring optimal occlusion [J]. Korean J Orthod, 1992, 22: 715-733.
[39] 姚森.MEAW: 新一代的理想弓——在矫治末期利用 MEAW 进行精细调整及建立理想咬合的技巧[J].实用口腔医学杂志,2003,19(2): 184-186.
[40] Liou JW, Mehta K, Lin CY. An archwire for non-invasive improvement of occlusal cant and soft tissue chin deviation [J]. APOS Trends Orthod, 2019, 9(1): 19-25.
[41] 郑旭,胡兴学,马宁,等.正畸矫治牙性𬌗平面倾斜的新方法——波浪形弓[J].北京大学学报(医学版),2017,49(1): 176-180.
[42] 曾庆妍,方志欣,周嫣,等.含不对称摇椅弓的上颌矫治系统三维非线性有限元模型的构建[J].中国临床新医学,2020,13(11): 1125-1128.
[43] 丁寅.牙齿与颌面部不对称畸形的诊断与治疗(二)[J].实用口腔医学杂志,2002,18(2): 180-182.
[44] Yáñez-Vico RM, Iglesias-Linares A, Cadenas de Llano-Pérula M, et al. Management of occlusal canting with miniscrews [J]. Angle Orthod, 2014, 84(4): 737-747.
[45] Kang YG, Nam JH, Park YG. Use of rhythmic wire system with miniscrews to correct occlusal-plane canting [J]. Am J Orthod Dentofacial Orthop, 2010, 137(4): 540-547.
[46] Kim D, Shim GJ, Han MD, et al. Nonsurgical correction of occlusal canting using temporary anchorage devices: A systematic review [J]. Heliyon, 2024, 10(20):e39043.
[47] 丁寅.正畸临床𬌗平面倾斜的预防与治疗[J].实用口腔医学杂志,2004,20(2): 250-251.
[48] Feldmann G, Linder-Aronson S, Rindler A, et al. Orthodontic and surgical treatment of unilateral condylar hyperplasia during growth-a case report [J]. Eur J Orthod, 1991, 13(2): 143-148.
[49] Ueki K, Hashiba Y, Marukawa K, et al. Comparison of maxillary stability after Le Fort Ⅰ osteotomy for occlusal cant correction surgery and maxillary advanced surgery [J]. Oral Surg Oral Med Oral Pathol Oral Radiol Endod, 2007, 104(1): 38-43.
[50] 童思熠.偏𬌗患者异常盘髁关系应力变化早期诊断模型的构建[D].浙江大学,2020.
[51] 林斌,梁甲兴,林立.偏侧咀嚼及其研究[J].医学综述,2007,13(9): 694-696.