Vertical Proportion of the Face: A Cephalometric study

2021 ◽  
Vol 11 (1) ◽  
pp. 24-28
Author(s):  
Rajiv Yadav ◽  
Kishor Dutta ◽  
Nabin Gosain ◽  
Anil K Yadav ◽  
Neelam Yadav ◽  
...  
Keyword(s):  
Growth Pattern ◽  
Normal Growth ◽  
Class I ◽  
Skeletal Class ◽  
Vertical Growth ◽  
Facial Height ◽  
Group I ◽  
Significant Difference ◽  
Horizontal Growth ◽  
Vertical Growth Pattern

Introduction: Balance in vertical facial proportion is an important criteria for good esthetics. Variations in vertical growth are common and have certain orthodontic implications. The objectives of this study were to determine mean upper anterior facial height and lower anterior facial height, ratio between UAFH to LAFH and their difference among genders in skeletal Class I patients with different vertical growth pattern among patients visiting department of Orthodontic and Dentofacial orthopedics, Tribhuvan University Dental Teaching Hospital, Kathmandu. Materials and Method: This study was descriptive observational cross sectional study with 105 sample aged from 18-25 years. Pretreatment cephalometric radiograph of Skeletal Class I patients were taken and divided into three growth patterns as group I (normal growth pattern), group II (horizontal growth pattern ) and group III (vertical growth pattern ). Upper anterior facial height (N-ANS) and lower anterior facial height (ANS-Me) of all samples were measured on lateral cephalogram with cephalometric tracing ruler parallel to true vertical line. Descriptive statistics was used to calculate mean, minimum, and maximum values standard deviations with p value <0.05. Result: The upper anterior facial height (UAFH) and lower anterior facial height (LAFH) measurements in normal growth pattern was 52.37 and 64.4 , in horizontal growth pattern was 53.0 and 62.2, in vertical growth pattern was 53.37 and 64.42 respectively. The mean ratio of upper and lower anterior facial height in normal, horizontal and vertical growth pattern was 0.81, 0.85 and 0.79 respectively. There was no statistically significant difference in upper and lower facial heights between males and females. There was no statistically significant difference in UAFH between normal, horizontal and vertical growth pattern but statistically significant difference was observed in LAFH between groups. Conclusion: The cephalometric values for different vertical groups in skeletal class I can be used more specifically for diagnosis and treatment planning of Nepali population.

scholarly journals Longitudinal study of mandibular behavior in Class I subjects with vertical and horizontal growth

2012 ◽  
Vol 17 (6) ◽  
pp. 25e1-25e7 ◽  
Author(s):  
Dirceu Barnabé Raveli ◽  
Savana Maia ◽  
Luana Paz Sampaio ◽  
Denise Rocha Goes Landázuri ◽  
Taísa Boamorte Raveli
Keyword(s):  
Growth Pattern ◽  
Growth Patterns ◽  
Class I ◽  
Vertical Growth ◽  
Facial Height ◽  
Horizontal Growth ◽  
Group 2 ◽  
Vertical Growth Pattern ◽  
Group 1

OBJECTIVE: To evaluate possible differences in mandibular behavior in Class I individuals with vertical and horizontal growth patterns. METHODS: The sample consisted of 20 untreated Class I individuals divided into: Group 1 comprising 10 individuals with vertical growth pattern and Group 2 comprising 10 individuals with horizontal growth pattern, all of them belonging to the Burlington Growth Center files, University of Toronto-Canada, radiographically followed-up at ages 9, 12 and 21. Cephalometric radiographs, determined mean values for a long-term evaluation of mandibular behavior using the following measurements: SNB, Co-GN, SN.GoMe, anterior facial height and posterior facial height. RESULTS: SNB and Co-Gn values were higher in horizontal growth group at all of the ages studied; SN.GoMe measure was significantly lower in horizontal growth group; anterior facial height (AFH) showed lower values in individuals with horizontal growth pattern; and posterior facial height (PFH) showed lower values in individuals with vertical growth pattern. CONCLUSION: Long-term comparisons of Class I individuals' growth tendencies indicate that there are significant differences between both groups. Mandible showed a trend to clockwise rotation in Group 1. Group 2 showed a trend to brachycephalic facial form, due to the deficit in vertical development with regard to anterior facial height.

scholarly journals Effect of Craniofacial Growth Pattern on Head Posture

2020 ◽  
Vol 27 (3) ◽  
Author(s):  
Burak Kale ◽  
◽  
Muhammed Hilmi Buyukcavus ◽  
Keyword(s):  
Growth Pattern ◽  
Upright Position ◽  
Interactive Effects ◽  
Class I ◽  
Craniofacial Growth ◽  
Class Iii ◽  
Head Posture ◽  
Vertical Growth ◽  
Significant Difference ◽  
Vertical Growth Pattern

Head posture refers to the upright position of the head of a standing or sitting subject. The literature reports that head posture is affected by many factors. Objective: To evaluate differences in head posture according to craniofacial growth pattern. Methods: A total of 163 individuals (83 females and 80 males) were included in this study. Patients were divided into three groups according to ANB angle as Class I, Class II, and Class III, and each group was divided further into three subgroups according to SN/GoGn angle as hyperdivergent, normodivergent, and hypodivergent. The patients were compared in terms of head posture measurements. Two-way ANOVA was used to evaluate the main and interactive effects of vertical growth pattern and malocclusion type on the head posture of the patients. Results were considered statistically significant at p < 0.05. Results: No statistically significant difference between malocclusion and face-type groups was observed in all head posture measurements (p > 0.05). Conclusion: Head posture is similar among subgroups of different malocclusion types separated by vertical growth pattern.

scholarly journals Comparison between antegonial notch depth, symphysis morphology and ramus morphology among different growth patterns in skeletal class I and class II subjects

2020 ◽  
Vol 11 (SPL3) ◽  
pp. 1975-1983
Author(s):  
Abirami S ◽  
Navaneethan R ◽  
Remmiya Varghese
Keyword(s):  
Growth Pattern ◽  
Class Ii ◽  
Growth Patterns ◽  
Class I ◽  
Notch Depth ◽  
Average Growth ◽  
Skeletal Class ◽  
Vertical Growth ◽  
Significant Difference ◽  
Ramus Height

In orthodontics and dentofacial orthopaedics, a thorough knowledge of growth and development is essential in order to understand various factors that contribute as to how a particular type of growth takes place. When planning of orthodontic treatment for a malocclusion, one has to take into account the growth pattern, because it would considerably affect the success of the treatment. The purpose of this study was to compare antegonial notch depth, symphysis morphology, and ramus morphology in different growth patterns in skeletal class I and class II subjects. In this study, a total of 60 cephalograms were taken which comprised 30 cephalograms in skeletal class I and 30 cephalograms of skeletal class II patients. The groups were further divided into three groups, namely average, horizontal, and vertical growth patterns based on Jarabak’s ratio. Antegonial notch depth, symphysis width and symphysis angle, and ramus height were measured and compared between the growth patterns and between class I and class II skeletal patterns. An analysis of variance (ANOVA) test was performed to determine the comparison between groups for all these variables in both skeletal class I and class II. Independent 't' test was done to determine the comparison between skeletal class I and class II subjects for all variables. Mean and SD values for all variables were determined for all the groups. Depth of antegonial notch was found to be greater in vertical growth patterns compared to horizontal and average growth patterns. Large symphysis angle and symphysis width were noted in a horizontal growth pattern. Increased ramus height was noted in horizontal and average growth patterns. There was no significant difference between skeletal class I and class II malocclusion for all parameters.

scholarly journals Assessment of Vertical Skeletal Patterns using a New Cephalometric Parameter: The Dhaval—Rohan Angle

2017 ◽  
Vol 51 (1) ◽  
pp. 7-11
Author(s):  
Dhaval Ranjitbhai Lekhadia ◽  
Rohan Rai ◽  
Niveditha Hegde ◽  
Abhinay Sorake
Keyword(s):  
Growth Pattern ◽  
Lateral Cephalogram ◽  
Average Growth ◽  
Mean Values ◽  
Vertical Growth ◽  
Lateral Cephalograms ◽  
Significant Difference ◽  
Horizontal Growth ◽  
Point G ◽  
Vertical Growth Pattern

ABSTRACT Introduction The aim of this study was to establish a new cephalometric parameter, named the Dhaval—Rohan angle (DR), to assess the vertical skeletal patterns on a lateral cephalogram with accuracy and reproducibility. Materials and methods One hundred and twenty pretreatment lateral cephalograms of the patients visiting the department of orthodontics and dentofacial orthopedics for treatment were obtained and divided into three groups. i.e., horizontal growth pattern, average growth pattern, and vertical growth pattern cases based on the routinely used cephalometric parameters; FMA, SN-GoGn, Y-axis angle and Jarabak ratio. This angle uses three skeletal landmarks, the point C (center of the condyle), point M (midpoint of premaxilla), and point G (center of the largest circle that is tangent to the internal inferior, anterior, and posterior surfaces of the mandibular symphysis). Results The one-way analysis of variance (ANOVA) test showed that the three groups studied were not the same for DR angle and the post hoc Tukey test found the groups to be significantly different. According to the Student's t-test, there was no statistically significant difference in mean values of DR angle between males and females. Conclusion Cephalometric evaluation of young adults shows that the DR angle below 28.5° indicates a horizontal growth pattern, between 28.5 and 32.5° indicate an average growth pattern and above 32.5° indicate a vertical growth pattern. How to cite this article Lekhadia DR, Rai R, Hegde N, Hegde G, Sorake A, Kumar A. Assessment of Vertical Skeletal Patterns using a New Cephalometric Parameter: The Dhaval—Rohan Angle. J Postgrad Med Edu Res 2017;51(1):7-11.

Growth Pattern in Skeletal Class I Malocclusion: A Cephalometric Study

2021 ◽  
Vol 11 (1) ◽  
pp. 49-54
Author(s):  
Sujal Amatya ◽  
Rabindra Man Shrestha ◽  
Shristi Napit
Keyword(s):  
Growth Pattern ◽  
Strong Correlation ◽  
Class I ◽  
Facial Growth ◽  
Skeletal Class ◽  
Facial Height ◽  
Lateral Cephalograms ◽  
Growth Modification ◽  
Cephalometric Study

Introduction: Great emphasis has been given to the evaluation of sagittal apical base relationship in orthodontic diagnosis and treatment planning. The prediction of magnitude and direction of facial growth based on sagittal relationship will help in orthodontic treatment with growth modification. The objective of the study is to assess the growth pattern in skeletal Class I malocclusion. Materials and Method: 104 subjects (52 male and 52 female) with the age between 18-30 years with Class I skeletal relation was selected from lateral cephalograms of patients visiting the Department of Orthodontics, Kantipur Dental College. The ANB angle was measured to assess the sagittal jaw relationship and the Jarabak’s ratio to access the growth pattern. Descriptive statistics were calculated for each parameter. Pearson’s test was done to evaluate the correlation between the parameters. Independent t-test was done to compare Anterior Facial height (AFH), Posterior Facial Height (PFH) and Jarabak’s ratio between male and female subjects. Result: Among the total subjects with skeletal Class I malocclusion; hyperdivergent growth pattern was least (10.57%), followed by normodivergent (18.26%) and hypodivergent growth pattern (71.15%). Mean Jarabak’s ratio for hyperdivergent, normodivergent and hypodivergent growth pattern were 58.65±1.94, 63.98±0.85 and 69.98±4.13 respectively. Very strong correlation was found between AFH and PFH in hyperdivergent (r = 0.821) and normodivergent group (r =0.978). Strong correlation was found in hypodivergent group between AFH and PFH (r =0.743). Also, strong correlation was found in hypodivergent group between PFH and Jarabak’s ratio (r =0.643). Conclusion: Hypodivergent growth pattern was the dominant growth pattern in skeletal Class I malocclusion. PFH influenced the determination of Jarabak’s ratio more than the AFH in hypodivergent growth pattern. Hypodivergent growth pattern is correlated with large SNB angle.

scholarly journals Correlation Between Gonial Angle And Mandibular Symphysis Width In South Indian Dravidian Population

2020 ◽  
Vol 11 (SPL3) ◽  
pp. 1132-1135
Author(s):  
Anjali Anna Thomas ◽  
Harish Babu ◽  
Remmiya Mary Varghese
Keyword(s):  
Growth Pattern ◽  
Growth Direction ◽  
Growth Patterns ◽  
Mandibular Symphysis ◽  
Mandibular Growth ◽  
Gonial Angle ◽  
Vertical Growth ◽  
Lateral Cephalograms ◽  
Horizontal Growth ◽  
Vertical Growth Pattern

Mandibular growth pattern (MGP) prediction plays an important role in orthodontic treatment planning. This study sought to assess the mandibular symphyseal width in adolescents with different mandibular growth patterns (MGPs) so as to see whether a correlation exists. This study was conducted on 90 lateral cephalograms of patients aged between 10 and 16 years. The subjects were divided into normo-divergent, hypodivergent and hyperdivergent subgroups based on the gonial angle. The symphyseal measurement included width or depth of the mandibular symphysis according to Akietal study. He suggested that a mandible with anterior growth direction was associated with a large depth of the symphysis. In contrast, a mandible with a posterior growth direction was associated with a small depth of symphysis. To assess the correlation between mandibular symphyseal width and mandibular growth pattern, Pearson’s correlation test was done. Correlation is significant at the 0.01 level (2 tailed). A P-value which is less than 0.05 was considered statistically significant. The mandibular symphyseal width was found to be strongly associated with the MGP. It can be inferred from the results that in vertical growth pattern, as the gonial angle increases, symphyseal width decreases and in horizontal growth pattern, as the gonial angle decreases, symphyseal width increases. Also, in vertical growth pattern subjects, the mandibular symphyseal width is narrower. In contrast, in horizontal growth pattern subjects, the mandibular symphyseal width is wider.

scholarly journals A photogrammetric and cephalometric evaluation of facial symmetry and smile in relation to attractiveness.

2021 ◽  
Vol 6 (3) ◽  
pp. 1-8
Author(s):  
Akshita ◽  
Arun K. Chauhan ◽  
Riddhi Chawla
Keyword(s):  
Growth Pattern ◽  
Cephalometric Analysis ◽  
Average Growth ◽  
Facial Symmetry ◽  
Photographic Analysis ◽  
Group I ◽  
Cephalometric Radiograph ◽  
Significant Difference ◽  
Horizontal Growth ◽  
Pattern Group

Introduction: Human find symmetrical face more attractive than are asymmetrical faces. The smile is one of the most important facial expressions and is essential in expressing friendliness, agreement, and appreciation. The aim of the present study was to evaluate the relationship between smile and symmetry in attributing to attractiveness.   Materials & Method: The study was conducted in the Department Of Orthodontics and Dentofacial Orthopedics, on 150 samples. 150 good quality radiographs and photographs of the patients were obtained. The subjects were divided into three groups:  Group I – Horizontal growth pattern Group II – Average growth pattern Group III – Vertical growth pattern. The frontal facial photograph and PA cephalometric radiograph were used to assess the facial symmetry. Posed smile photograph and Lateral cephalometric radiograph were used to assess the smile. Digimizer Image Analyzer (bvba software) were used for the analysis. The ratings were given by the expert panellist based on attractiveness   Results: In the present study, Left facial symmetry parameters is marginally higher than right side in cephalometric analysis and converse for photographic analysis, right facial symmetry parameters is marginally higher than left side but this is not statistically significant. There are no statistically significant difference among the groups for smile -photographic parameters and lateral cephalometric smile parameters. There is statistically significant difference among the groups for Visual Analog Scale readings for attractiveness given by orthodontist, general dentist and layperson for frontal profile for the subjects of three study groups.   Conclusion: The study revealed that in cephalometric analysis, left hemiface is wider than right hemiface while in photographic analysis, right hemiface is wider than left hemiface. Vertical grower shows maximum upper incisor exposure and upper and lower vermilion lip thickness. On the contrary full smile length was minimum in vertical grower. The most favored profile by VAS was horizontal growth pattern.

scholarly journals Cephalometric Approach to Vertical Facial Height

2019 ◽  
Vol 9 (1) ◽  
pp. 54-58
Author(s):  
Suvit Maskey ◽  
Rosha Shrestha
Keyword(s):  
Class I ◽  
P Value ◽  
Cephalometric Analysis ◽  
Prosthetic Rehabilitation ◽  
Skeletal Class ◽  
Facial Height ◽  
Significant Difference ◽  
The Face ◽  
Edentulous Patients ◽  
Vertical Height

Introduction: The vertical heights and the proportions are very important for balance of the face and attractiveness along with the good smile. Harmonious vertical proportions and the Antero-posterior relations contribute to aesthetics. Therefore it is necessary to determine the vertical facial height and the ratios in treatment planning of the patients. The aims and objectives of this study are to compare the vertical facial heights of patients considering the Lower Anterior Facial Height (LAFH), the Upper Anterior Facial Height (UAFH), Total Anterior Facial Height (TAFH) and Posterior Facial Height (PFH) among the sexes in Class I skeletal group obtained from cephalometric analysis. Materials & Method: The study material comprised of 52 patients (24 males and 28 females) and lateral cephalometric radiographs were traced with Skeletal Class I relationship. Cephalometric analysis was performed by using hand tracing. Independent t tests were used for comparisons. Result: The total anterior facial height (TAFH), lower anterior facial height (LAFH), upper anterior facial height (UAFH), total posterior facial height (TPFH) measurements showed no significant differences between both sexes in Skeletal Class I group but statistically significant difference in ratios of posterior facial height and total anterior facial height and also there was statistically significant differences in the ratio between upper facial height and the total anterior facial height (p value <0.05). Conclusion: This cephalometric analysis can be applied to determine the vertical height of occlusion which can be helpful in prosthetic rehabilitation of edentulous patients.

scholarly journals Assessment of Oropharyngeal Widths in Individuals with Different Facial Skeletal Patterns

2014 ◽  
Vol 04 (02) ◽  
pp. 034-038
Author(s):  
Swathi Gupta ◽  
Ravi M. Subrahmanya
Keyword(s):  
Growth Pattern ◽  
Vertical Plane ◽  
Inclusion Criteria ◽  
Upper Airways ◽  
Airway Patency ◽  
Group I ◽  
Horizontal Growth ◽  
Skeletal Pattern ◽  
Vertical Growth Pattern ◽  
The Relationship

Abstract: Background and objectives: The relationship between airway patency and craniofacial development is highly debated and controversial subject. Hence this was conducted with the aims and objectives of comparing and correlating the upper & lower Oropharyngeal widths in individuals with horizontal growth pattern with that of individuals having vertical growth pattern. Methodology: 60 subjects (30 males & 30 females) in the age group of 16 to 20 years were selected as per inclusion criteria. They were divided into two groups (Group I and Group II) according to their skeletal pattern in vertical plane based on Jarabak' sratio and Y axis. . Pharyngeal width measurement was done based on McNamara analysis The data obtained was statistically evaluated using Mann-Whitney U test (Z test). Results: Significant correlation was found between facial skeletal patterns and upper and lower Oropharyngeal widths. The subjects with vertical skeletal pattern were found to have significantly narrower upper airways and broader lower airways than those with horizontal skeletal pattern. Interpretation and conclusion: The study supports the existence of a relationship between facial skeletal patterns and upper and lower oropharyngeal widths.

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