scholarly journals Cephalometric Standards for Polish 10-Year-Olds with Normal Occlusion

2008 ◽  
Vol 78 (2) ◽  
pp. 262-269 ◽  
Author(s):  
Barbara Obloj ◽  
Piotr Fudalej ◽  
Zofia Dudkiewicz
Keyword(s):  
Normative Data ◽  
Cranial Base ◽  
Facial Height ◽  
Perpendicular Distance ◽  
Anterior Cranial Base ◽  
Normal Occlusion ◽  
Lateral Cephalograms ◽  
Facial Proportions ◽  
Angle Point ◽  
Gender Specific

Abstract Objective: To establish gender-specific normative data for Polish children at the age of 10 years. Materials and Methods: Thirty-nine boys and 34 girls (mean age 10.37, SD = 0.52) of Polish ethnicity were selected based on the following criteria: Class I molar relationship, lack of crossbite or scissor-bite, positive overjet and overbite less than 5 mm, adequate amount of space in both dental arches, no visible asymmetry, and good facial proportions. Lateral cephalograms of each subject were scanned and analyzed with the use of NemoCeph NX2005 software. Descriptive statistics (mean and standard deviation) were calculated for all measured variables. Independent t-tests were performed to assess the intergender differences. The results were compared to the published norms of other white populations. Normative data were presented in the tables. Results: Intergender differences included anterior cranial base length (sella-nasion), total and lower anterior facial height (nasion-menton and ANS-menton, respectively), posterior facial height (sella-gonion), SNA angle, point A to nasion perpendicular distance, pogonion to nasion perpendicular distance, and facial axis. Conclusions: Polish 10-year-old boys had a larger anterior cranial base, and larger total anterior, lower anterior and posterior facial heights than girls. The maxillae and chin protrusion were more pronounced in girls.

Facial Growth in Patients with Apert and Crouzon Syndromes Compared to Normal Children

2012 ◽  
Vol 49 (2) ◽  
pp. 185-193 ◽  
Author(s):  
Jacobus H. Reitsma ◽  
Edwin M. Ongkosuwito ◽  
Peter H. Buschang ◽  
Birte Prahl-Andersen
Keyword(s):  
Growth Patterns ◽  
Apert Syndrome ◽  
Control Group ◽  
Crouzon Syndrome ◽  
Facial Growth ◽  
Normal Children ◽  
Control Subjects ◽  
Facial Height ◽  
Anterior Cranial Base ◽  
Lateral Cephalograms

Objective To evaluate vertical and sagittal facial growth in children with Apert and Crouzon syndromes and compare it to the growth patterns of a nonsyndromic control group. Design Case-control study. Setting Department of Orthodontics, Children's Hospital Erasmus Medical Centre, Sophia, Rotterdam, The Netherlands. Patients, Participants Sixty-two patients (37 patients with Crouzon syndrome and 25 patients with Apert syndrome) born between 1971 and 2001 (age range 3.9 to 32 years) and 482 nonsyndromic children as a control group. Interventions Lateral cephalograms performed prior to any midfacial surgery of 62 patients and 482 nonsyndromic children were traced and horizontal and vertical measurements were digitized. Main Outcome Measures Cephalometric measurements of SNA, SNB, ANB, NSMe, and SN/palatal plane angles and lower facial height ratio. Results Horizontal measurements for the syndromic groups showed no change in SNA angle during growth. SNA angles were lower in patients with Apert syndrome compared to patients with Crouzon syndrome. The syndromic groups showed smaller values for ANB angles compared to the nonsyndromic group. Vertical measurements showed increased lower facial height ratios for the syndromic groups compared to control subjects. There was an increasing counterclockwise rotation of the palatal plane in relation to the anterior cranial base in syndromic patients. NSMe angles among the three groups were not significantly different. Conclusions Based on the growth differences identified, the sagittal and vertical jaw relationships differ in patients with Crouzon syndrome, patients with Apert syndrome, and control subjects. Syndromic patients show aggravation of midfacial underdevelopment and anterior rotation of the mandible.

Craniomaxillofacial Changes Using High-Pull J-Hook Headgear and Mini-Implant Anchorage in Adolescents: A Structural Superimposition Method

2021 ◽  
Vol 45 (6) ◽  
pp. 433-440
Author(s):  
Sunock Yun ◽  
Jae Hyun Park ◽  
Na-Young Chang ◽  
Hye Young Seo ◽  
Jae-Hyun Sung ◽  
...  
Keyword(s):  
Study Design ◽  
Cranial Base ◽  
Female Adolescents ◽  
Plane Angle ◽  
Mini Implants ◽  
Facial Height ◽  
Mandibular Plane ◽  
Lateral Cephalograms ◽  
Implant Anchorage ◽  
Stable Structures

Objective: The aim of this study was to compare the craniomaxillofacial changes when using high-pull J-hook headgear (HPJH) and mini-implants (MIs) as maxillary anchorage in adolescents. Study Design: 40 female adolescents with dentoalvolar protrusion were divided into 2 groups; the HPJH group (n=20) and the MI group (n=20). Lateral cephalograms taken before treatment (T0) and after anterior tooth retraction (T1) were superimposed on the stable structures and then craniomaxillofacial changes were evaluated. Results: The cranial base angle, SNB, and facial angle decreased in the HPJH group but increased in the MI group. ANB decreased more in the MI group than in the HPJH group. Mandibular plane angle increased in the HPJH group but decreased in the MI group. Facial height index increased in the MI group while it showed no change in the HPJH group. Mandibular true rotation occurred clockwise in the HPJH group and counterclockwise in the MI group. Maxillary central incisors were intruded and retracted more in the MI group than in the HPJH group. Maxillary first molars were extruded in the HPJH group and were intruded in the MI group. Maxillary first molars were protracted more in the HPJH group than in the MI group. Mandibular central incisors were retracted more in the HPJH group than the MI group. Mandibular first molars were extruded more in the MI group than in the HPJH group. Conclusion: More favorable craniomaxillofacial changes occurred in the MI group than in the HPJH group.

scholarly journals Craniofacial morphology in down syndrome: a systematic review and meta-analysis

2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Ascensión Vicente ◽  
Luis-Alberto Bravo-González ◽  
Ana López-Romero ◽  
Clara Serna Muñoz ◽  
Julio Sánchez-Meca
Keyword(s):  
Down Syndrome ◽  
Meta Analysis ◽  
Cranial Base ◽  
Craniofacial Morphology ◽  
Effective Length ◽  
Publication Date ◽  
Base Length ◽  
Facial Height ◽  
Anterior Cranial Base ◽  
Cephalometric Measurements

AbstractThe aim of this study was to evaluate the craniofacial cephalometric characteristics of individuals with Down syndrome (DS), comparing them with healthy subjects. An electronic search was made in Pubmed, Embase, Lilacs, Scopus, Medline and Web of Science without imposing limitations on publication date or language. Studies were selecting following the Preferred Reporting Items for Systematic Reviews and Meta-analyses (PRISMA) statement. The PECO acronym was applied as follows: P (population), individuals with DS; E, (exposition) diagnosis of DS; C (comparison), individuals without DS; O (outcomes) craniofacial characteristics based on cephalometric measurements. Independent reviewers performed data extraction and assessed the methodological quality of the articles using the Newcastle–Ottawa Quality-Assessment-scale. Seven case–control studies were included in meta-analysis. Given the variability of the cephalometric measurements used, only those that had been reported in at least three or more works could be included. Anterior cranial base length (SN), posterior cranial base length (SBa), total cranial base length (BaN), effective length of the maxilla (CoA), sagittal relationship between subspinale and supramentale (ANB), anterior facial height (NMe), and posterior facial height (SGo) values were significantly lower in the DS population than among control subjects. No significant differences were found in sagittal position of subspinale relative to cranial base (SNA) and sagittal position of supramentale relative to cranial base (SNB). Summarizing, individuals with DS present a shorter and flatter cranial base than the general population, an upper jaw of reduced sagittal dimension, as well as a tendency toward prognatic profile, with the medium third of the face flattened and a reduced anterior and posterior facial heights.

Craniofacial Morphology of Children with Williams Syndrome

1993 ◽  
Vol 30 (3) ◽  
pp. 343-349 ◽  
Author(s):  
Eliyahu Mass ◽  
Leon Belostoky
Keyword(s):  
Soft Tissue ◽  
Williams Syndrome ◽  
Cranial Base ◽  
Craniofacial Morphology ◽  
Diagnostic Feature ◽  
Facial Appearance ◽  
Facial Height ◽  
Mandibular Plane ◽  
Anterior Cranial Base ◽  
The Common

Facial dysmorphology is considered to be a major diagnostic feature in patients with Williams syndrome (WS). The dysmorphology is composed of soft tissue and skeletal components. In this study the skeletal component of the facial dysmorphology was examined by analyzing the lateral cephalometric radiographs of 8 children with WS. Seven anatomic areas were judged by means of the analysis of 48 cephalometric variables. Four skeletal features contributed to the facial appearance of children with WS: (1) the anterior cranial base was short, although the cranial base angle (N-S-Ba) was normal; (2) the angle of the mandibular plane was steep, although total facial height was normal; (3) despite the normal facial height, there was an unusual proportion of upper to lower anterior facial height and posterior to anterior facial height; and (4) the chin button (pogonion to N-B line) was deficient, although the mandible could not be classified as retrognathic. The common skeletal components were not dominant enough to characterize the facial dysmorphology completely.

scholarly journals Radiographic cephalometry analysis of head posture and craniofacial morphology in oral breathing children

2017 ◽  
Vol 74 (11) ◽  
pp. 1048-1053
Author(s):  
Vladanka Vukicevic ◽  
Jasna Pavlovic ◽  
Amila Vujacic ◽  
Brankica Martinovic ◽  
Mirjana Kostic ◽  
...  
Keyword(s):  
Cervical Spine ◽  
Clinical Signs ◽  
Cranial Base ◽  
Open Bite ◽  
Craniofacial Morphology ◽  
Physical Growth ◽  
Nasal Breathing ◽  
Oral Breathing ◽  
Facial Height ◽  
Anterior Cranial Base

Background/Aim. Nasal breathing plays an important role in overall physical growth and mental development, as well as in the growth of the craniofacial complex. Oral breathing over a long period of time, can cause changes in position of the head relative to the cervical spine and jaw relationship. It can cause an open bite and the narrowness of the maxillary arch due to increased pressure of strained face. The aim of this study was to analyze the position of the head and craniofacial morphology in oral breathing children, and compare the values obtained compared with those of the same parameters in nasal brething children. Methods. We analyzed the profile cephalometric radiographs of 60 patients who had various orthodontic problems. In the first group there were 30 patients aged 8?14 years, in which oral breathing is confirmed by clinical examination. In the second group there were 30 patients of the same age who had orthodontic problems, but did not show clinical signs of oral breathing. The analyses covered the following: craniocervical angle (NS/OPT), the length of the anterior cranial base (NS), anterior facial height (N-Me), posterior facial height (S-Go), the angle of maxillary prognathism (SNA), angle of mandibular prognathism (SNB), difference between angles SNA and SNB (ANB angle), the angle of the basal planes of the jaws (SpP/MP), cranial base angle (NSB), and the angle of facial convexity (NA/Apg). Results. The average value of the craniocervical angle (NS/OPT) was significantly higher in OB children (p = 0.004). There were significantly different values of SNA (p < 0.001), ANB (p < 0.001), NA/APg (p < 0.001) and length of the anterior cranial base (NS) (p = 0.024) between groups. Conclusion. Oral breathing children have pronounced retroflexion of the head in relation to the cervical spine compared to nasal breathing children, and the most prominent characteristics of the craniofacial morphology of skeletal jaw relationship of class II and increased facial convexity.

scholarly journals Proportional Analysis of Longitudinal Craniofacial Growth Using Modified Mesh Diagrams

2007 ◽  
Vol 77 (5) ◽  
pp. 794-802 ◽  
Author(s):  
Jiuhui Jiang ◽  
Tianmin Xu ◽  
Jiuxiang Lin ◽  
Edward F. Harris
Keyword(s):  
Quantitative Method ◽  
Cranial Base ◽  
Head Position ◽  
Growth Patterns ◽  
Craniofacial Growth ◽  
Anatomic Landmarks ◽  
Mandibular Symphysis ◽  
Anterior Cranial Base ◽  
Normal Occlusion ◽  
Inferior Border

Abstract Objective: To study the craniofacial changes of adolescents followed longitudinally with their heads oriented in natural head position. Materials and Methods: Longitudinal cephalograms of adolescents (n = 28) with normal occlusion, selected from among 900 candidates, were taken at 13 and again at 18 years of age. Modified elaborate mesh diagrams were developed defined by 90 anatomic landmarks and an additional 172 interpolated points for each cephalogram using a preset computer program. Detailed proportional and disproportional craniofacial changes were showed by both statistical and graphical methods. Results: In females, most craniofacial regions exhibited growth that was proportionate to the mesh core rectangle reference on extracranial true vertical. In males, there was an upward, disproportional enhanced shift of the anterior cranial base and a downward enhanced shift of the mandibular symphysis and inferior border of the corpus. Conclusions: This elaborate mesh analysis, based on mesh core rectangle and referenced on estimated natural head position, provides a novel graphical as well as quantitative method of assessing craniofacial growth. From 13 to 18 years of age, two sexes with normal occlusion displayed different growth patterns referenced on estimated natural head position. In females, most craniofacial regions exhibited growth proportional to the mesh core rectangle. In males, there was an upward, enhanced shift of the anterior cranial base and a downward enhanced shift of the mandibular symphysis and inferior border of the corpus.

Retrospective Evaluation of Craniofacial Growth of Japanese Children with Isolated Cleft Palate: From Palatoplasty to Adolescence

2005 ◽  
Vol 42 (6) ◽  
pp. 625-632 ◽  
Author(s):  
Sayaka Fujita ◽  
Akira Suzuki ◽  
Norifumi Nakamura ◽  
Masaaki Sasaguri ◽  
Yasutaka Kubota ◽  
...  
Keyword(s):  
Cleft Palate ◽  
Craniofacial Morphology ◽  
University Hospital ◽  
Vertical Position ◽  
Craniofacial Growth ◽  
Facial Height ◽  
Anterior Cranial Base ◽  
Normal Occlusion ◽  
Isolated Cleft Palate ◽  
Remarkable Deviation

Objectives The purposes of this study were to analyze the craniofacial growth in women with an isolated cleft palate, to compare their matured craniofacial form with that of women with normal occlusion, and to survey the factors that influenced the matured craniofacial morphology of the adults with cleft palate during their growth process. Materials and Methods Eighteen women with nonsyndromic isolated cleft palate were chosen from patients who received a palatoplasty at the Kyushu University Hospital, Fukuoka, Japan. Their lateral cephalometric radiographs were taken longitudinally from palatoplasty to adolescence. Fifty women with normal occlusion were chosen as controls. From their lateral cephalographs, linear and angular variables were calculated using the x,y coordinates of 20 skeletal landmarks. Results Maxillary length was shorter and the nasomaxillary complex was positioned more posteriorly in relation to the anterior cranial base of the adults with isolated cleft palate, compared with the controls. The mandible was shorter and was rotated inferiorly and posteriorly. However, remarkable deviation from the average craniofacial growth pattern was not recognized from palatoplasty to adolescence. The factors that influenced the craniofacial growth in the subjects with cleft palate were the forward growth of the A point from 2 to 5 years of age, the downward growth of the Ba point, the anterior upper facial height N-Ans in puberty, and the vertical position of the point Ba at the time of palatoplasty. Conclusion This study provided evidence of the growth tendency and the factors influencing the intermaxillary relationship in subjects with isolated cleft palate. These are significant for orthodontic treatment planning.

Effects of Palate Repair on Cranial Base and Maxillary Morphology in Patients With Unilateral Complete Cleft Lip and Palate

2018 ◽  
Vol 55 (10) ◽  
pp. 1367-1374 ◽  
Author(s):  
Xiyang Liu ◽  
Zhenqi Chen
Keyword(s):  
Cleft Lip ◽  
Cleft Lip And Palate ◽  
Cranial Base ◽  
Cephalometric Analysis ◽  
Anterior Cranial Base ◽  
Lateral Cephalograms ◽  
Palate Repair ◽  
Group 2 ◽  
Maxillary Morphology ◽  
Group 1

Objective: To identify the effects of palate repair on cranial base and maxillary morphology in patients with unilateral cleft lip and palate (UCLP) and to discover the relevance between cranial base and maxilla through cephalometric analysis. Design: Retrospective. Patients: Thirty-seven UCLP patients with operated lip (OL) and unoperated palate constituted OL group and were classified into 5 cervical vertebral maturation (CVM) stages. Thirty-seven UCLP patients with operated lip and palate (OLP) and 37 noncleft people with skeletal class I malocclusion were CVM- and sex-matched with the OL group as OLP group and control group, respectively. CVM stage I and II were combined into group 1, CVM stage III to V were combined into group 2. Interventions: Lateral cephalograms of all participants were obtained. Main Outcome Measures: Cephalometric analysis was employed, and data were compared among groups. Results: Length of posterior cranial base (Ba-S) of the OL group was shorter than controls in group 1; Ba-S and the ratio between length of posterior and anterior cranial base (Ba-S/S-N) of the OL and OLP groups were smaller than controls in group 2. No significant differences in cranial base were found between the OL and OLP groups. In group 1, patients of the OLP group showed smaller SNA, ANS-Ptm, and ANS-Ptm/S-N, and patients of the OL group showed smaller ANS-Ptm. In group 2, both OL and OLP groups had smaller sella-nasion-A point angle (SNA), projection distance between ANS and Ptm points on FH plane (ANS-Ptm), and the ratio between ANS-Ptm and anterior cranial base length (ANS-Ptm/S-N). Conclusions: Palate repair seems to have no obvious effects on cranial base morphology in patients with UCLP. Those patients with lip operated, whether cleft palate operated or not, tend to have a smaller length of maxilla sagittally and this deformity progresses with age.

scholarly journals Modeling by using regression analysis of teleroentgenographic individual indicators used in the method of Charles J. Burstone

2018 ◽  
pp. 59-65
Author(s):  
I. V. Gunas ◽  
A. V. Chernysh ◽  
V. G. Cherkasov ◽  
O. V. Cherkasova
Keyword(s):  
Young Women ◽  
Regression Models ◽  
Orthodontic Treatment ◽  
Young Men ◽  
Cranial Base ◽  
Anterior Section ◽  
The Third ◽  
Facial Height ◽  
Normal Occlusion ◽  
The Right

In spite of the existence of numerous developed methods of cephalometric analysis, which should help to choose the right direction of orthodontic treatment, usually the doctor has to act intuitively, based on his experience, because their development didn’t take into account numerous factors (ethnicity, age, gender, etc.). Improving these techniques, considering the above-mentioned factors, would significantly increase their effectiveness, and hence the quality of providing dental care to the population. The purpose of the work is to construct and analyze a regression model of teleroentgenographic indicators used in the method of C. J. Burstone in young men and women with normal occlusion close to orthognathic bite and harmonic face. Primary side teleroentgenograms of 38 young men (aged 17-21 years) and 55 young women (aged 16-20 years) with normal occlusion close to orthognathic bite and harmonic face, obtained from the Veraviewepocs 3D device, Morita (Japan), taken from the bank data of research center of National Pirogov Memorial Medical University, Vinnytsya. Cephalometric measurements were performed according to the recommendations of C. J. Burstone. All indicators were divided into three groups: 1 - metric characteristics of the skull, which usually do not change during surgical and orthodontic treatment; 2 - indicators of the tooth-jaw system, the definitions of which most often need to be guided by the orthodontic treatment of growing patients and orthodontic surgery, which allows people with already formed bone skeleton to change the width, length, angles and position of the bones of the upper and lower jaws; 3 - indicators that actually characterize the position of each individual tooth relative to each other, to the bony cranial structures and face profile. Regression models of individual teleroentgenographic indicators used in the method of C. J. Burstone, built using the licensed package “Statistica 6.0”. Constructed all 6 reliable models of indicators included in the second group (anterior lower facial height ANS-Gn/Me, maxillary length ANS-PNS, ramus length Ar-Go, mandibular length Go-Pog, anterior upper facial height N-ANS and posterior upper facial height PNS-N) depending on the indicators of the first group (posterior section of cranial base Ar-Pt, anterior skull base length N-CC, angle of the cranial tilt POr-NBa, anterior section of cranial base Pt-N and distance P-PTV); as well as all 7 reliable models of indicators included in the third group (distances 1u-NF, 1l-MP, 6u-NF, 6l-MP and angles OP-HP, Max1-NF/Max1-SpP, Mand1-Mp/Mand1-MeGo) depending on the indicators of the first and second (distance A-B, A-NPog, Gо-CF, Max-Mand, N-A, N-B, N-Pog and Xi-Pm and angles MeGo-NPog, MP-HP, NAPog, N-ANS-Pog, N-CF-A, NPog-POr, POr-CFXi і POr-ANSPNS) groups. It was established that in young men the model of telerentgenographic indices included in the second group depending on the indicators of the first group and included in the third group, depending on the indicators of the first and second groups, have a higher determination coefficient than in young women (R2 from 0.806 to 0.918 in young men and from 0.510 to 0.768 for young women, and from 0.750 to 0.993 for young men and from 0.510 to 0.986 for young women). In the analysis of entering into the regression models of the relevant predictors found that in young men among the teleroentgenographic indicators of the first group included in the models of indicators of the second group most often included - distances P-PTV (33.3%), Pt-N and N-CC (by 25.0%); and in young women– distances N-CC (38.5%) and P-PTV (30.8%). It was also found that among young men among the teleroentgenographic indicators of the first and second groups that were included in the models of the third group of indicators most often included - distance ANS-Gn/Me (12.8%), the magnitude of the angles NAPog, POr-CFXi and POr-ANSPNS (by 9.4%); and in young women– distance ANS-Gn/Me (13.2%), distances А-В and PNS-N and the magnitude of the angle NAPog (by 7.9%).

scholarly journals Dentofacial and skeletal pattern in African descendants from southeastern Brazil: clinical prospective study

2021 ◽  
Vol 26 (3) ◽  
Author(s):  
Teresa Cristina Pereira de OLIVEIRA ◽  
Flávio de Mendonça COPELLO ◽  
Isabela Maria de Carvalho Crusoé SILVA ◽  
Lincoln Issamu NOJIMA ◽  
Matilde da Cunha Gonçalves NOJIMA
Keyword(s):  
Young Adults ◽  
Sexual Dimorphism ◽  
Cranial Base ◽  
Southeastern Brazil ◽  
Dental Occlusion ◽  
European American ◽  
Linear Measurements ◽  
Anterior Cranial Base ◽  
Normal Occlusion ◽  
Student’S T

ABSTRACT Objective: The aim of this study was to evaluate characteristics of African-Brazilians young adults with excellent dental occlusion, including bimaxillary protrusion; compare them to European-American Caucasian standards, and determine whether there is sexual dimorphism in the display of this phenotype. Methods: Lateral cephalometric radiographs were obtained from 43 African-Brazilians within military personnel (28 males and 15 females, average age 22.4 ± 3.4 years) with normal occlusion, selected from a group of 394 volunteers. Thirty-one angular and linear measurements were evaluated. Student’s t-test for independent samples was used to compare results with those established by European-American standards, previously described in the literature. Results: Considering the dentoalveolar pattern, seven angular and six linear measurements showed statistically significant differences (p< 0.001) when compared to Caucasian cephalometric standards. African-Brazilians’ subjects showed lower cranial base angle (SNAr = 119.87 ± 5.66º) and anterior cranial base length (SN-distance = 68.63 ± 4.50 mm) (p< 0.001). The maxilla (SNA = 88.51 ± 3.23º) and the mandible (SNB = 85.06 ± 3.24º) were protruded in relation to the SN line (p< 0.001). Sexual dimorphism was significant for L1.NB (degrees) (p< 0.01), and interincisal angle (U1.L1) (p< 0.05). Conclusion: African-Brazilian young adults presented differences regarding dental and craniofacial characteristics, when compared to European-American norms. It can be stated that Caucasian cephalometric norms should not be applied to African-Brazilian faces.

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