Comparative cephalometric evaluation of tongue position in subjects with skeletal class II division 1 and division 2 malocclusion

J Orthod Sci. 2023 Apr 28:12:28. doi: 10.4103/jos.jos_94_22. eCollection 2023.

Abstract

Aim and objective: To evaluate and compare the position of the tongue from rest to centric occlusion in subjects with skeletal class II division 1 and skeletal class II division 2 malocclusions with subjects of skeletal class II normal occlusion.

Material and methods: The study was conducted on 30 individuals equally divided into three groups of skeletal class II division (div) 1, skeletal class II div 2, and skeletal class I normal occlusion. The study was conducted on two lateral cephalograms for each subject: one taken at rest and one in centric occlusion.

Results: On evaluation of tongue posture, a statistically significant difference was observed at the middle portion of the tongue in class II div 1 malocclusion, and at the posteromedial portion of the dorsum of the tongue in class II div 2 skeletal malocclusions as the tongue moved from rest to centric occlusion. While statistically significant differences were found between class II div 2 malocclusion and class I normal occlusion, no statistically significant differences were observed between class II div 1 and class II div 2 malocclusions.

Conclusion: Tongue position was observed to be the same in both class II div 1 and class II div 2 malocclusions, with no statistically significant differences. However, a great change was seen in the tongue position from rest to centric occlusion.

Keywords: Centric occlusion; cephalometric study; skeletal class II division 1 malocclusion; skeletal class II division 2 malocclusion; skeletal malocclusions; tongue position.