Cephalometric Analysis for Diagnosis and Treatment of Orthodontic Patients

2013 ◽  
Vol 7 (2) ◽  
pp. 75-79 ◽  
Author(s):  
D Agrawal
Keyword(s):  
Soft Tissue ◽  
Orthodontic Treatment ◽  
Statistical Difference ◽  
Diagnosis And Treatment ◽  
Cephalometric Analysis ◽  
Angular Measurements ◽  
History Of ◽  
Orthodontic Patients ◽  
Males And Females ◽  
Craniofacial Complex

ABSTRACT Cephalometric analysis for diagnosis and treatment planning of orthodontic patients is essentially a measurement system designed to describe relationships between various parts of the skeletal, dental and soft tissue elements of craniofacial complex. As the linear and angular measurements vary between males and females and with the age, one of our objectives was to compare the statistical difference between males and females. The study was performed using sample size of 60 cephalometric radiographs of 30 males and 30 females. The samples were selected on the basis of class I dental relationship with clinically acceptable profile, no history of orthodontic treatment and of Jaipur (Rajasthan) population.

Comprehensive Diagnosis and Planning for the Difficult Rhinoplasty Patient: Applications in Ultrasonography and Treatment of the Soft-Tissue Envelope

2017 ◽  
Vol 33 (05) ◽  
pp. 509-518 ◽  
Author(s):  
Aaron Kosins
Keyword(s):  
Soft Tissue ◽  
Preoperative Planning ◽  
Early History ◽  
Diagnosis And Treatment ◽  
Open Approach ◽  
Secondary Surgery ◽  
Soft Tissue Envelope ◽  
Comprehensive Diagnosis ◽  
History Of ◽  
Closed Approach

AbstractRhinoplasty is one of the most complicated operations that a plastic surgeon will encounter. In the early history of rhinoplasty, operations were done with a closed approach, and the structures were shrouded in mystery while surgeons relied on surface aesthetics for diagnosis and treatment. Finally, with the advent of the extended open approach, power tools, and piezosurgery, the whole bony pyramid can be directly visualized, shaped, and sculpted. Osteotomies can be done under direct vision with high precision. Using this approach, every part of the osseocartilaginous vault and nasal tip can now be directly observed, diagnosed, and surgically treated. However, this only occurs once the patient is in the operating room. This article will detail the diagnosis and treatment of the difficult soft-tissue envelope of the nose. It will also describe the use of ultrasonography for preoperative planning as well as postoperatively for diagnosis and treatment during the healing period and for planning possible revision and secondary surgery.

scholarly journals Autotransplantation of 28 Premolar Donor Teeth in 24 Orthodontic Patients

2008 ◽  
Vol 78 (1) ◽  
pp. 12-19 ◽  
Author(s):  
Tadasu Tanaka ◽  
Toshio Deguchi ◽  
Toru Kageyama ◽  
Ryuzo Kanomi ◽  
Masahiro Inoue ◽  
...  
Keyword(s):  
Null Hypothesis ◽  
Orthodontic Treatment ◽  
Primary Tooth ◽  
Success Ratio ◽  
Transplant Patients ◽  
Dental Assistant ◽  
History Of ◽  
Orthodontic Patients ◽  
Dental Radiographs

Abstract Objective: To test the null hypothesis that premolar autotransplantation is not successful for orthodontic patients. Materials and Methods: In the present study, 28 premolar transplants from 24 orthodontic patients were associated with orthodontic treatment. At a routine 3-month appointment, patients underwent a dental radiograph and a chair-side observation for periodontal problems. Three sets of dental radiographs were taken by one dental assistant using a custom holder at: preoperation (T0), 2 year postoperation (T1), and retention (T2) (4- to 14-year follow-up observation) stages. All transplants were conducted in a one-phase operation by one operator (Dr Inoue). Recipient sites were: ten for missing maxillary canines, nine for maxillary centrals and laterals, eight for lower second premolar, and five for other missing premolar sites. All recipients maintained the retained primary tooth with a socket. Results: The success ratio of all 28 transplants was 100%, although four transplants shorter than a 4-year period of observation were omitted. Two transplant patients, one with a medical history of histiocytosis and the other with a history of osteomyelitis of the maxilla without a recipient socket, were also excluded from this study. Eleven of 22 premolar transplants had a root canal treatment (RCT), four of which had RCT within 2 years after the operation. Conclusions: The null hypothesis was rejected. The success ratio of premolar transplants was 100%.

scholarly journals Perceptions of soft tissue laser use in orthodontics

2011 ◽  
Vol 82 (1) ◽  
pp. 75-83 ◽  
Author(s):  
Brandon Burke ◽  
Ahmad Mohammad Hamdan ◽  
Eser Tufekci ◽  
Bhavna Shroff ◽  
Al M. Best ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Representative Sample ◽  
Orthodontic Treatment ◽  
Standard Of Care ◽  
Total Sample ◽  
Lower Percentage ◽  
Accepted Standard ◽  
Orthodontic Patients ◽  
General Dentists ◽  
Soft Tissue Surgery

Abstract Objectives: To compare attitudes of orthodontists, periodontists, and general dentists regarding the use of soft tissue lasers by orthodontists during the course of orthodontic treatment. Materials and Methods: An analogous survey was developed to evaluate and compare the current opinions of a representative sample (n  =  538) of orthodontists (61.3%), periodontists (24.3%), and general dentists (14.3%) regarding orthodontists' use of soft tissue lasers. Results: The majority (84%) of orthodontists, periodontists, and general dentists regarded the use of a soft tissue laser by orthodontists as appropriate. When compared to orthodontists and general dentists, a lower percentage of periodontists indicated that soft tissue laser use by orthodontists was appropriate (P < .01). For each of the eight specific soft tissue laser procedures investigated, periodontists reported a significantly lower level of appropriateness than did orthodontists and general dentists (P < .01). Around 75% of the total sample believed that referral would not be affected by the use of soft tissue lasers by orthodontists. Conclusions: Orthodontists, periodontists, and general dentists differed in their opinions of the perceived appropriateness of soft tissue laser use by orthodontists, with periodontists reporting a lower level of appropriateness. Clinicians need to communicate effectively to ensure that orthodontic patients in need of adjunctive soft tissue surgery are treated to the accepted standard of care.

scholarly journals THE ROLE OF AESTHETICS IN CONTEMPORARY ORTHODONTIC DIAGNOSIS AND TREATMENT

2018 ◽  
Vol 14 (3) ◽  
pp. 86-90
Author(s):  
Микаел Налбандян ◽  
Mikael Nalbandayn ◽  
Гранд Тер-Погосян ◽  
Grand Ter-Pogosyan ◽  
Лазарь Есаян ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Ethnic Groups ◽  
Orthodontic Treatment ◽  
Soft Tissues ◽  
Treatment Plan ◽  
Diagnosis And Treatment ◽  
Medical Specialties ◽  
Facial Profile ◽  
Treatment Type ◽  
The Aesthetic

Subject. Facial aesthetics is an important motivating factor for many patients seeking orthodontic treatment. An aesthetically pleasing and balanced face is one of the objectives of orthodontic treatment. An understanding of the soft tissues and their normal ranges enables a treatment plan to be formulated to normalize the facial traits for a given individual. Aim. The aim of the present study is to further investigate the use of soft tissue analysis in the quantification of facial profile, and to investigate differences between different ethnic and gender groups. Methodology. A number of studies considered on various aspects of facial measurements in orthodontics. Results. Skeletal, dental and facial profile differences exist, when subjects from distinct ethnic groups are compared. Thus, each group should be evaluated differently, considering their racial characteristics, in order to produce better diagnosis and treatment planning. The necessity and acceptability of teeth extraction during orthodontic treatment and its effects on facial profile, has greatly concerned orthodontists for many years and has not lost its urgency till now. However, the definition of an attractive and pleasing face is subjective, with many factors involved (culture, personality, ethnic background, age). On the other hand, several medical specialties (orthognathic and plastic surgery, orthodontics, dental prosthetics) have the ability to change facial features. Hence, there is a need for clinicians working in the maxillofacial area to know the aesthetic standards of a face that guide the aesthetic soft tissue treatment goals in their patients. Conclusion: It will be useful to conduct investigations for further definitions and observations of correlated relationship between hard and soft tissues of maxillofacial system by taking into consideration: the patient's age at time of treatment, type of anomaly, differences in maxillofacial anatomical structures of various ethnic groups.

scholarly journals Soft Tissue Cephalometric Norms for Bihar Ethnic Population

2019 ◽  
Vol 3 (9) ◽  
pp. 290-298
Author(s):  
Rahul Munka ◽  
Vaibhav Shandilya ◽  
Harsh Kumar ◽  
Abhishek Sinha
Keyword(s):  
Soft Tissue ◽  
Orthodontic Treatment ◽  
Mean Value ◽  
Cephalometric Analysis ◽  
Treatment Goals ◽  
Ethnic Population ◽  
Lower Lip ◽  
Facial Height ◽  
The Face ◽  
Future Reference

INTRODUCTION: A person's ability to recognize a beautiful face is innate, but translating this into defined treatment goals is problematic and various authors tried to relate the importance of soft-tissue esthetics with orthodontic diagnosis and treatment planning. AIM AND OBJECTIVES: To derive the Soft Tissue Cephalometric norms for the normal, well-balanced and esthetically pleasing faces of the Bihar ethnic population and to compare them with pre-established norms. MATERIALS AND METHOD: A sample of 60 subjects from an ethnic Bihar population residing in Patna, on the basis of facial symmetry, balance and pleasing appearance were observed from five sets of extra-oral photographs. Standardized lateral cephalometric radiographs were taken with metallic markers placed on various soft-tissue structures on the face using derma tapes. All lateral cephalometric films were traced and Soft Tissue Cephalometric Analysis was done. RESULTS: Total facial length was significantly less in males as compared to the Caucasians with 117.50±1.74 as mean value. Males had significantly less protrusive upper and lower lips in projection to TVL with a mean value of 0.77±0.77 and -3.13±0.73 respectively. Lower lip length in females was significantly decreased with a decreased lower third facial height with a mean value of 62.27±1.46. Total facial length was significantly less in females with a mean value of 115.40±1.99. Females had significantly more protrusive upper and lower lips in projection to TVL with a mean value of 1.90±0.84 and 1.93±0.74 respectively. CONCLUSION: The established norms in present study could be used as future reference for Orthodontic treatment in Bihar ethnic population.

scholarly journals Differential Diagnosis of Skeletal Class III

2019 ◽  
Vol 23 (2) ◽  
pp. 55-62
Author(s):  
Olga-Elpis Kolokitha ◽  
Thomas Georgiadis
Keyword(s):  
Differential Diagnosis ◽  
Clinical Examination ◽  
Surgical Approach ◽  
Orthodontic Treatment ◽  
Cephalometric Analysis ◽  
Class Iii ◽  
Basic Principles ◽  
Skeletal Class ◽  
Maxillary Deficiency ◽  
Craniofacial Complex

Summary Skeletal Class III is a relatively rare malocclusion of the craniofacial complex and the accurate differential diagnosis of its aetiology is necessary so that it may be correctly treated. Differential diagnosis of Class III aetiopathogenesis should distinguish between: a) true skeletal Class III as opposed to pseudo Class III; b) three forms of Skeletal Class III, in which there is either maxillary deficiency only or mandibular excess only or combination of both; and c) skeletal Class III that may be treated with orthodontic treatment alone, as opposed to Class III that is difficult to manage with orthodontic treatment alone and requires combine orthodontic and surgical approach. Differential diagnosis is mainly based on clinical examination and cephalometric analysis. The aim of this paper is to present the basic principles and modes of achieving differential diagnosis in skeletal Class III cases.

scholarly journals Evaluation of Salivary Leptin Levels and Its Correlation with Class I, Class II, and Class III Facial Skeletal Pattern: A Prefatory Study

2021 ◽  
Author(s):  
Danusha Siva Dharma ◽  
Noraini Abu Bakar ◽  
Basma Ezzat Mustafa
Keyword(s):  
Orthodontic Treatment ◽  
Statistical Difference ◽  
Class Ii ◽  
Class I ◽  
Enzyme Linked Immunosorbent Assay ◽  
Cephalometric Analysis ◽  
Class Iii ◽  
Significant Difference ◽  
Skeletal Pattern ◽  
Unstimulated Saliva

Abstract Materials and Methods A sample of 62 patients were selected prior to the orthodontic treatment from a population that attended the International Islamic University Malaysia Specialist Orthodontic Clinic. Based on the lateral cephalometric analysis, the subjects were grouped into Class I, Class II, and Class III facial skeletal patterns, according to Eastman and Wits appraisal. Subsequently, unstimulated saliva samples were taken and purified to undergo leptin enzyme-linked immunosorbent assay analysis to determine the levels of leptin hormone. Statistical analysis using the Kruskal–Wallis test was used to analyze the data obtained. Results The results showed that there was a significant difference between the levels of leptin hormone between Class I and Class II skeletal patterns and between Class I and Class III facial skeletal patterns. No statistical difference was noted between the levels of leptin of Class II and Class III facial skeletal patterns. Conclusion Salivary leptin hormone levels are higher in patients with Class II and Class III facial skeletal patterns compared with Class I.

Cosmetic Considerations of Maxillofacial Dysmorphism

1991 ◽  
Vol 8 (4) ◽  
pp. 223-234
Author(s):  
Charles E. Graper
Keyword(s):  
Soft Tissue ◽  
Cosmetic Surgery ◽  
Aesthetic Surgery ◽  
Diagnosis And Treatment ◽  
Facial Dysmorphism ◽  
Cephalometric Analysis ◽  
Midfacial Hypoplasia

Facial dysmorphogenesis results in cosmetic deformities. Although these deformities may not be initially obvious, they must be carefully identified so that aesthetic surgery may camouflage or restructure them. Cephalometric analysis is used as an aid in the diagnosis of facial dysmorphism. Two cases are presented which discuss midfacial hypoplasia and mandibular deficiency and their surgical resolution with osteoplasty, rhinoplasty, and soft tissue procedures. Principles of diagnosis and treatment applicable to facial cosmetic surgery are illustrated.

Sign in / Sign up

Export Citation Format

Share Document