Beruflich Dokumente
Kultur Dokumente
DENT 657
ANALYSIS UTILIZING THE
CEPHALOMETRIC TRACING
1) Describe the subject’s dento-facial
morphology
2) Quantitative description of morphological
deviations
3) Make diagnostic and treatment planing
decisions
2) Evaluate change over time - treatment
induced and growth process
Morphological Description
Skeletal - horizontal and vertical
Dental - horizontal and vertical
Comparing individual subject’s tracing
to the “ideal”
Reference sample
Cross-sectional
Longitudinal - growth studies eg. Bolton-Brush,
Ann Arbor and Burlington
Cephalometric Analyses
Down’s
Steiner’s
Tweed’s
McNamara’s
OSU
Cephalometric Evaluation
Identificationof anatomic landmarks
Landmarks: stable reference structures
and maxillary and mandibular skeletal
and dental
Graphically relating the dento-facial
elements to these reference structures
Angular and or linear measurements
METHODS OF
CEPHALOMETRIC ANALYSIS
Two basic approaches
Metric approach - use of selected linear
and angular measures
Graphic approach - “overlay” of
individual’s tracing on a reference
template and visual inspection of
degree of variation
Metric Method - Use of selected
linear and angular measures
Graphic Method - Use of a
Composite Template
GOALS OF CEPHALOMETRIC
ANLYSIS
Evaluating relationships, both horizontal
and vertical of 5 major functional
components of the face:
the cranial base;
the maxilla; the mandible,
the maxillary and mandibular dento-
alveolus
REFERENCE LINES
Frankfort’s Horizontal (porion to
orbitale)
Sella - Nasion line
True horizontal plane
True vertical plane
Reference Lines
sella nasion
porion orbitale
SNA 82 ± 2 deg
NA TO FH 90 ± 3
deg
SKELETAL HORIZONTAL -
MAXILLA
s n
FH
a
SNB 80 ± 2 deg
N-PG TO FH
SKELETAL HORIZONTAL -
88 ± 6 deg
MANDIBLE
n
s
FH
b
Pg
ANB 2 ± 2 deg
B
FH TO GOGN 22
± 5 deg
Y AXIS 59 ± 6
deg
SKELETAL VERTICAL
LFH 55% OF
TFH
FH
GO
ME GN
INTERINCISAL
130 ± 5 deg
N
FH
A
L1 TO NB 25deg
L1 TO NB 4mm
DENTAL - MANDIBULAR
L1 TO GOGN 91
± 6deg ANTERIOR
GO B
GN
NASOLABIAL
ANGLE 102 ± 8
deg
L.LIP TO E
SOFT TISSUE
PLANE -2 ±2mm
Limitations of the Metric Method
Stable reference structures are only
relatively stable
Validity of landmarks
Error in landmark identification
Graphic Method
Template
Changes between 2 time points
Superimposition Method - on the
cranial base
Maxillary and mandibular
superimposition
Limitations of Cephalometric
Analysis
Individualvariability
Ethnic variability
Gender variability