Sefalometri

By

R. RAMA PUTRANTO

Semarang, Dec, 19rd 2012

 Mempelajari pertumbuhan kranio fasial
Diagnosa/analisa kelainan kraniofasial
Mempelajari tipe fasial
Perencanaan perawatan
Evaluasi kasus yang telah dirawat
riset
3 superimposistion on SN

Sebelum perawatan
Sesudah perawatan
dan masa retensi
 PTM
Or
Po
ANS

PNS

Go

Pog
Me
 Titik-titik median :

- Glabela
- nasion
- spina nasalis posterior
- subspina
- prostion
- insisivus superior
- insisivus inferior
- Infradental
- Supramental
- pogonion
- gnation
- menton
- sella tursica
- Basion
- Spina nasalis posterior
-
 Titik-titik bilateral

- orbital
- gonion
- porion
- articulare
- titik dari bolton
- condylion
- ptm
 ANALYSIS METHOD

1. DOWNS ANALYSIS
2. STEINER ANALYSIS
3. RICKETTS ANALYSIS

4. McNAMARA ANALYSIS
 DOWNS METHOD
Facial Angle

Used to measure the degree of retrusion or

protrusion of the lower jaw

Facial line (N Pog) intersects with

Frankfort horizontal plane

Min ; + 82
Mean : + 87,8
Max : + 95
-N-pog :
FHP

Min ;+ 82
Mean
:+
87,8
Max :+ 95
 DOWNS METHOD
Angle of Convexity

Used to measure the extent of protrusion or

retrusion of the lower jaw, the relationship of
the jaws to each other, the convexity of maxilla,
the inclination of the lower jaws

line N A intersects line A - Pog

Min ; - 8,5
Mean : +0
Max : + 10
 -N - A :
A - POG

Min ; - 8,5
Mean :+ 0
Max :+ 10
 DOWNS METHOD
A-B Plane

Used to measure the relation of anterior limit of

apical base to each other relatif to the facial line

It represents an estimate of the difficulty in

obtaining the correct axial inclination and
incisor relationship when using orthodontic
therapy
line N Pog intersects line A - B
Min ; -9
Mean : - 4.6
Max : 0
-AB :
NPOG

Min ; - 9
Mean :-
Max : 0
 DOWNS METHOD
Mandibular Plane Angle

It represents an Hyperdivergent and

hypodivergent facial pattern

line MP intersects FHP

Min ; + 17
Mean : + 21,9
Max : + 28
- MP-FHP
 DOWNS METHOD
Y (growth) Axis

Used to measure the growth of the mandible

relation to upper face

Y axis indicates the degree of the downward,

forward position of chain in relation to the
upper face
line SGn intersects FHP
Min ; + 53
Mean : + 59,4
Max : + 66
- SGn-FHP
 DOWNS METHOD
Cast 0f Occlusal Plane

Larger Positive angles are found in class II facial

Patterns
line FHP intersects Occl. Plane

Min ; + 1,5
Mean : + 9,3
Max : + 14
- OcP : FHP
 A Interincisal

Incisor
B
Occlusal
Plane

C Incisor MP

C
-Protrusion
of Max Inc.
 STEINER METHOD
Sella tursica Nasion
Maxilla
Mandibula

SNA SNB ANB

Retr.mx ; Retr.md
+ 77 ; +Mean
77 : + 2
Mean : + 82 Mean : + 80
Prot.mx : Prot.md
+ 91 : + 86
- SNA
- SNB
- ANB
ANB NORMAL
 STEINER METHOD
Occlusal Plane - SN
Mandibular Plane - SN

SN- OccP SN - MP
Mean : + 14 Mean : + 32
 - SN- OcP
- SN- MP

14

32
 STEINER METHOD
Maxilla Incisor Position
Mandibular Incisor Position
interincisal

NA- Iup NB - Ilow

Mean : + 22 Mean : + 25
4mm 4mm
Iup-Ilow
Mean : + 130
 STEINER METHOD
Soft Tissue Analysis
S Line is reffered to soft tissue
contour of the chin to the midle of s
formed by the lower border of the
nose
S-LINE
RICKETTS POINT
Ricketts Analysis
RICKETTS ANALYSIS
RICKETTS ANALYSIS
 Analisa sefalometri

1. Penilaian relasi skeletal

- SN
- SNA
- SN
- SNB
- SN-pog
-N-pog :
FHP
- SN-pog
- ANB
-AB :
NPOG
- NS-Gn
- SGn : FHP
Arah pertumbuhan
 Analisa sefalometri

1. Penilaian relasi skeletal

2. Penilaian Relasi Dental
- I : SN
- I : MP
-I:I
 Analisa sefalometri

1. Penilaian relasi skeletal

2. Penilaian Relasi Dental
3. Penilaian Jaringan Lunak
E-PLANE/E-LINE

RICKETTS
Analysis
 Analisa sefalometri

1. Penilaian relasi skeletal

2. Penilaian Relasi Dental
3. Penilaian Jaringan Lunak
4. Penilaian Dari Hasil Perawatan