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February 24, 2026Journal Of Oral Research0 citationsOpen Access

Association between ponticulus posticus and skeletal malocclusions

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JMJosé Robello MalattoDMDoris Montoya-GonzalesECEduardo Calle-Velezmoro

Key Points

  • To investigate the association between ponticulus posticus and skeletal malocclusion patterns using lateral cephalometric radiographs.
  • Analyzed 1313 lateral cephalometric radiographs
  • Evaluated presence and degree of ossification of ponticulus posticus
  • Assessed skeletal malocclusion patterns via intermaxillary relationship analysis
  • Ponticulus posticus present in 20.4% of cases
  • Higher incidence in Class II patients, noted at 53%
  • Chi-square test indicated no overall significant difference in skeletal pattern type presence (p=0.792)
  • Significant finding in Class II females regarding ponticulus presence (p=0.032)

Abstract

Aim: To determine whether there is any association between Ponticulus posticus and skeletal patterns in lateral cephalometric radiographs. Material and Methods: 1313 lateral cephalometric radiographs of patients treated at a Dental Center were studied to evaluate Ponticulus posticus presence and degree of ossification, as well as the skeletal malocclusion pattern through the analysis of the intermaxillary relationship. Results: Ponticulus posticus was present in 20.4% and a higher number of cases with presence of Ponticulus posticus was identified in Class II patients, with 53%. According to the Chi-square test for homogeneity, there was no statistically significant difference in presence of Ponticulus posticus according to skeletal pattern type (p=0.792), except when presence of Ponticulus posticus was classified according to skeletal patterns and according to sex, when frequency was higher in Class II female sex (p=0.032). Conclusions: There is no relationship between the Ponticulus posticus and the different skeletal malocclusion patterns; a statistically significant difference was only found in Class II, where a predominance in the female sex was e vident. No statistically significant association is evident between skeletal malocclusion patterns and the type of ossification.

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Cite This Study

Malatto et al. (2025) studied this question.

synapsesocial.com/papers/699d3f9ede8e28729cf64352https://doi.org/10.17126/joralres.2025.040
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