
Analysis of Palatal Rugae Pattern in Angle’s Classification of Malocclusion using Dental Casts in Chengalpattu District, Southern India: A Cross-sectional Study
Correspondence Address :
Dr. KT Magesh,
Vice-Principal, Professor and Head, Department of Oral Pathology and Microbiology, SRM Kattankulathur Dental College and Hospital, SRM Institute of Science and Technology, SRM Nagar, Kattankulathur-603203, Chengalpattu, Tamil Nadu, India.
E-mail: magesht@srmist.edu.in
Introduction: Palatal rugae are uneven, asymmetrical ridges of the mucous membrane that stretch laterally from the anterior one-third of the mid-palatine raphe to the incisive papilla. Rugae are generally unique and stable, suggesting applications in forensics and orthodontics. During the early stages of intrauterine life, the formation of palatal rugae is completed, while dental malocclusion in the permanent teeth develops several years after birth. The objective of the present study was to identify the length, number and orientation of palatal rugae in various malocclusion groups.
Aim: To investigate potential correlations between Angle’s classification of malocclusion and the palatal rugae pattern.
Materials and Methods: A cross-sectional observational study was conducted in the Department of Oral and Maxillofacial Pathology at SRM Kattankulathur Dental College and Hospital, Chengalpattu, Tamil Nadu, India. Data was collected from the years 2021 to 2024 and data analysis was done from October 2023 to April 2024. Study was carried out on 105 archival pretreatment dental casts, ranging in age from 18-35 years. The samples were categorised into class I, class II and class III according to Angle’s system of malocclusion. Bilaterally, the three most prominent anterior primary rugae were counted, and their pattern, length and orientation were noted. STATA 17 software was used for data analysis.
Results: The mean±Standard Deviation (SD) age of the study group was 26.5±23.64 years. According to mean±SD length of rugae significantly more (p-value <0.05) primary rugae were found in class I (1.39±1.34 mm) compared to class II (0.59±1.17 mm) and class III (0.5±0.97 mm). Both wavy and curved patterns showed statistical significance with the type of malocclusion (wavy: p-value=0.0001 and curved: p-value=0.0013) when compared to the straight pattern (p-value=0.1498). Regarding the mode of orientation, converging (0.39±0.6) and diverging (0.29±0.52) patterns were found to be statistically insignificant among the three classes of malocclusion.
Conclusion: The study demonstrated slight variations in the palatal rugae pattern between Angle’s malocclusion classes. An additional finding that differed significantly among the malocclusion groups was the length of the rugae. However, the results did not reveal a specific pattern that is unique to any one type of malocclusion.
Cast models, Dental malocclusions, Orthodontics, Palatal rugae, Rugoscopy
DOI: 10.7860/JCDR/2025/76399.20712
Date of Submission: Oct 21, 2024
Date of Peer Review: Dec 09, 2024
Date of Acceptance: Jan 07, 2025
Date of Publishing: Mar 01, 2025
AUTHOR DECLARATION:
• Financial or Other Competing Interests: None
• Was Ethics Committee Approval obtained for this study? Yes
• Was informed consent obtained from the subjects involved in the study? Yes
• For any images presented appropriate consent has been obtained from the subjects. Yes
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ETYMOLOGY: Author Origin
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