Three-dimensional biometric study of palatine rugae in children with a mixed-model analysis: A 9-year longitudinal study

IntroductionThe palatine rugae have been suggested as stable reference points for superimposing 3-dimensional virtual models before and after orthodontic treatment. We investigated 3-dimensional changes in the palatine rugae of children over 9 years.MethodsComplete dental stone casts were biennially prepared for 56 subjects (42 girls, 14 boys) aged from 6 to 14 years. Using 3-dimensional laser scanning and reconstruction software, virtual casts were constructed. Medial and lateral points of the first anterior 3 rugae were defined as the 3-dimensional landmarks. The length of each ruga and the distance between the end points of the rugae were measured in virtual 3-dimensional space. The measurement changes over time were analyzed by using the mixed-effect method for longitudinal data.ResultsThere were slight increases in the linear measurements in the rugae areas: the lengths of the rugae and the distances between them during the observation period. However, the amounts of the increments were relatively small when compared with the initial values and individual random variability. Although age affected the linear dimensions significantly, it was not clinically significant; the rugae were relatively stable.ConclusionsThe use of the palatine rugae as reference points for superimposing and evaluating changes during orthodontic treatment was thought to be possible with special cautions.