Dental Arch Development of Chinese Adolescents: A Retrospective Cross-Sectional Study

Introduction and aims: Understanding the patterns of dental arch development is crucial for precise diagnosis and management of malocclusion in adolescents. However, large-scale, region-specific analyses based on big data are scarce.This study aimed to identify the dental arch growth patterns of Chi...

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Main Authors: Chao Liu, Jieyi Chen, Mengjuan Cui, Zhengliang Wang, Wentao Shi, Siyuan Du, Yang Feng, Manfei Zhang, Zhenxia Li, Shufei Ge, Bing Fang
Format: Article
Language:English
Published: Elsevier 2025-06-01
Series:International Dental Journal
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Online Access:http://www.sciencedirect.com/science/article/pii/S0020653925000681
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author Chao Liu
Jieyi Chen
Mengjuan Cui
Zhengliang Wang
Wentao Shi
Siyuan Du
Yang Feng
Manfei Zhang
Zhenxia Li
Shufei Ge
Bing Fang
author_facet Chao Liu
Jieyi Chen
Mengjuan Cui
Zhengliang Wang
Wentao Shi
Siyuan Du
Yang Feng
Manfei Zhang
Zhenxia Li
Shufei Ge
Bing Fang
author_sort Chao Liu
collection DOAJ
description Introduction and aims: Understanding the patterns of dental arch development is crucial for precise diagnosis and management of malocclusion in adolescents. However, large-scale, region-specific analyses based on big data are scarce.This study aimed to identify the dental arch growth patterns of Chinese adolescents to refine early orthodontic treatment strategies. Methods: A retrospective cross-sectional analysis was conducted using 3D digital impressions from 5951 Chinese adolescents, collected between July 2020 and June 2021. AI-assisted measurements delineated dental arch dimensions, which were analyzed using locally weighted regression to chart developmental trends and Lasso regression to explore influencing factors, with a particular focus on geographical variances. Results: Significant differences in dental arch dimensions were observed between genders and across different latitudes. Males generally displayed larger arch dimensions than females of the same age. The dental arches experienced rapid growth before age 13.7 in males and 13.1 in females, with limited growth potential in later years, with regional disparities evident in the magnitude of dental arch dimensions. These variations were prominently associated with geographical latitude, underscoring the influence of environmental factors on dental arch development. Conclusion: This comprehensive study provides valuable regional insights into the dental arch development of Chinese adolescents, facilitated by advanced AI methodologies. The fitted curves of age-specific dental arch offer valuable insights for optimizing early orthodontic treatment strategies. The findings advocate for region-tailored orthodontic planning and highlight the potential of AI in enhancing the precision of orthodontic treatment. Clinical Relevance: Our study of 5951 3D dental models reveals gender and geographical differences in arch growth, highlighting pre-teen rapid growth and later limitations, informing treatment planning.
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spelling doaj-art-d6d07db42c2e40fd81e08f83058e9dcc2025-08-20T02:28:40ZengElsevierInternational Dental Journal0020-65392025-06-017531482149210.1016/j.identj.2025.02.026Dental Arch Development of Chinese Adolescents: A Retrospective Cross-Sectional StudyChao Liu0Jieyi Chen1Mengjuan Cui2Zhengliang Wang3Wentao Shi4Siyuan Du5Yang Feng6Manfei Zhang7Zhenxia Li8Shufei Ge9Bing Fang10Department of Orthodontics, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine & Shanghai Key Laboratory of Stomatology & Shanghai Research Institute of Stomatology & National Clinical Research Center for Oral Diseases, Shanghai, ChinaKey Laboratory for the Genetics of Developmental and Neuropsychiatric Disorders, Ministry of Education, Bio-X Institutes, Shanghai Jiao Tong University, Shanghai, China; Pediatrics Research Institute, Children's Hospital of Fudan University, Shanghai, ChinaDepartment of Orthodontics, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine & Shanghai Key Laboratory of Stomatology & Shanghai Research Institute of Stomatology & National Clinical Research Center for Oral Diseases, Shanghai, ChinaDepartment of Orthodontics, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine & Shanghai Key Laboratory of Stomatology & Shanghai Research Institute of Stomatology & National Clinical Research Center for Oral Diseases, Shanghai, ChinaClinical research unit, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, ChinaPediatrics Research Institute, Children's Hospital of Fudan University, Shanghai, ChinaAngelalign Research Institute, Angelalign Technology, Shanghai, ChinaPediatrics Research Institute, Children's Hospital of Fudan University, Shanghai, ChinaDepartment of Orthodontics, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine & Shanghai Key Laboratory of Stomatology & Shanghai Research Institute of Stomatology & National Clinical Research Center for Oral Diseases, Shanghai, China; Corresponding author. Department of Orthodontics, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200011, China.Institute of Mathematical Sciences, ShanghaiTech University, Shanghai, China; Corresponding author. Institute of Mathematical Sciences, Shanghai Tech University, Shanghai, 200011, China.Department of Orthodontics, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine & Shanghai Key Laboratory of Stomatology & Shanghai Research Institute of Stomatology & National Clinical Research Center for Oral Diseases, Shanghai, China; Corresponding author. Department of Orthodontics, Shanghai Ninth People's Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, 200011, China.Introduction and aims: Understanding the patterns of dental arch development is crucial for precise diagnosis and management of malocclusion in adolescents. However, large-scale, region-specific analyses based on big data are scarce.This study aimed to identify the dental arch growth patterns of Chinese adolescents to refine early orthodontic treatment strategies. Methods: A retrospective cross-sectional analysis was conducted using 3D digital impressions from 5951 Chinese adolescents, collected between July 2020 and June 2021. AI-assisted measurements delineated dental arch dimensions, which were analyzed using locally weighted regression to chart developmental trends and Lasso regression to explore influencing factors, with a particular focus on geographical variances. Results: Significant differences in dental arch dimensions were observed between genders and across different latitudes. Males generally displayed larger arch dimensions than females of the same age. The dental arches experienced rapid growth before age 13.7 in males and 13.1 in females, with limited growth potential in later years, with regional disparities evident in the magnitude of dental arch dimensions. These variations were prominently associated with geographical latitude, underscoring the influence of environmental factors on dental arch development. Conclusion: This comprehensive study provides valuable regional insights into the dental arch development of Chinese adolescents, facilitated by advanced AI methodologies. The fitted curves of age-specific dental arch offer valuable insights for optimizing early orthodontic treatment strategies. The findings advocate for region-tailored orthodontic planning and highlight the potential of AI in enhancing the precision of orthodontic treatment. Clinical Relevance: Our study of 5951 3D dental models reveals gender and geographical differences in arch growth, highlighting pre-teen rapid growth and later limitations, informing treatment planning.http://www.sciencedirect.com/science/article/pii/S0020653925000681Dental archGrowth and developmentGeographical differencesConvolutional Neural networksChinese adolescent
spellingShingle Chao Liu
Jieyi Chen
Mengjuan Cui
Zhengliang Wang
Wentao Shi
Siyuan Du
Yang Feng
Manfei Zhang
Zhenxia Li
Shufei Ge
Bing Fang
Dental Arch Development of Chinese Adolescents: A Retrospective Cross-Sectional Study
International Dental Journal
Dental arch
Growth and development
Geographical differences
Convolutional Neural networks
Chinese adolescent
title Dental Arch Development of Chinese Adolescents: A Retrospective Cross-Sectional Study
title_full Dental Arch Development of Chinese Adolescents: A Retrospective Cross-Sectional Study
title_fullStr Dental Arch Development of Chinese Adolescents: A Retrospective Cross-Sectional Study
title_full_unstemmed Dental Arch Development of Chinese Adolescents: A Retrospective Cross-Sectional Study
title_short Dental Arch Development of Chinese Adolescents: A Retrospective Cross-Sectional Study
title_sort dental arch development of chinese adolescents a retrospective cross sectional study
topic Dental arch
Growth and development
Geographical differences
Convolutional Neural networks
Chinese adolescent
url http://www.sciencedirect.com/science/article/pii/S0020653925000681
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