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Why is cephalometric radiograph used?

Posted on December 16, 2022

Why is cephalometric radiograph used?

A Cephalometric x-ray (CEPH x-ray) consists of a lateral/side-view x-ray of the face – also referred to as Lat CEPH. As with an OPG X-ray a CEPH radiograph is used to study facial bone and soft tissue landmarks and is used in patients being considered for orthodontic treatment.

What is the ANB angle?

The ANB angle measures the relative position of the maxilla to mandible. The ANB angle can be measured or calculated from the formula: ANB = SNA – SNB. A positive ANB angle indicates that the maxilla is positioned anteriorly relatively to the mandible (Class I or Class II malocclusion cases).

Why cephalometric analysis is the preferred tool in the diagnosis and treatment of malocclusion?

Cephalometric radiography is an essential tool in the diagnosis and treatment of dental malocclusions and underlying skeletal discrepancies. The use of serial cephalometric radiographs makes it possible to study and predict growth, orthodontic treatment progress and surgical outcome of dentofacial deformity treatment.

What is Steiner analysis?

The Steiner numerical analysis, which was developed in the 1950s (7–9) suggests a series of measurements not only to diagnose the problem but it also provides guidelines for treatment planning based on the pre- diction of changes that take place as a result of growth and/or orthodontic therapy.

How is ANB cephalometric calculated?

The ANB angle can be measured or calculated from the formula: ANB = SNA – SNB. A positive ANB angle indicates that the maxilla is positioned anteriorly relatively to the mandible (Class I or Class II malocclusion cases).

What is the normal ANB angle?

2° ± 2°

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What is the Eastman correction?

The ‘Eastman correction’ by Mills 1982 was used to address the inaccuracies of the angle ANB . The correction states that for every 1 degree that the angle SNA falls below the standard value of 81 degrees, half a degree should be added to the ANB angle and vice versa.2015-07-21

What is sassouni analysis?

The Sassouni Analysis was the first cephalometric analysis that could categorize both vertical and horizontal relationships, as well as the interaction between the vertical and horizontal proportions of one’s face.2015-07-09

What is SNB angle?

SNB: the angle between the sella/nasion plane and nasion/B plane (normal value at the end of growth 80 ± 2°). This angle assesses the antero-posterior position of the mandible relative to the upper cranial structures.

Does the Eastman correction over or under adjust ANB for positional changes of N?

As N moved anteriorly, the Eastman correction overestimated the measured Class III skeletal relationship; SNA did not fall below 81 for correction in the opposite direction. Vertical positional changes had little impact on the underlying ANB and correction was not indicated clinically.

What does Wits appraisal mean?

The “Wits” appraisal of jaw disharmony is a simple method whereby the severity or degree of anteroposterior jaw dysplasia may be measured on a lateral cephalometic head film. The method entails drawing perpendiculars from points A and B on the maxilla and mandible, respectively, onto the occlusal plane.

Who invented the Cephalostat?

The cephalosatat: To achieve this aim the cephalostat was developed by B. Holly Broadbent in the period after the First World War ( Fig. 2 ). The cephalostat consists of an X-ray machine which is at a fixed distance from a set of ear posts designed to fit into the patient’s external auditory meatus.

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What are the advantages of cephalometric analysis?

Cephalometric analysis is an important diagnostic tool for evaluation of dentofacial morphology. It provides a clear image of the skeletal changes that occur in the process of growth and treatment of patients.

What is Holdaway ratio?

Holdaway to evaluate the relative prominence of the mandibular incisors, as compared to the size of the bony chin.  It is calculated as the ratio of the linear distance from the labial surface of the mandibular central incisor to the NB line, over the linear distance of the chin to the same line.

What is the purpose of cephalometric tracing?

Cephalometric tracing (CEPH Tracing) is a digitally rendered, overlay drawing produced from a cephalometric radiograph. Superimposed CEPH tracing are used to facilitate CEPH x-ray analysis to evaluate dental treatment plans and dental/facial growth changes.

Why is it called Wits appraisal?

The linear distance between the points of contact of the perpesndiculars on the occlusal plane, AO and BO, indicated the skeletal sagittal jaw relationship. This came to be known as the WITS (Witwatersrand University, Johannesburg, South Africa) appraisal.

How is Cephalometry measured?

Traditionally, cephalometric analysis has been carried out using a manual method. An acetate sheet is placed over the radiograph and measurements are recorded of the distances and angles between cephalometric landmarks with a ruler and a protractor.2010-10-05

How is Wits appraisal calculated?

The “Wits” appraisal of jaw disharmony is a simple method whereby the severity or degree of anteroposterior jaw dysplasia may be measured on a lateral cephalometric head film. The method entails drawing perpendiculars from points A and B on the maxilla and mandible, respectively, onto the occlusal plane.

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Used Resourses:

  • https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5570769/
  • https://www.orthodontics.nl/userdata/publications/AbdullahOrthodCraniofacRes2006977-83.pdf
  • https://www.slideshare.net/drfaizan/steiners-analysis
  • https://ct-dent.co.uk/ceph-cephalometric-tracing/
  • https://courses.washington.edu/predoc/Pediatric%20Dentistry/Ceph.Handout.doc
  • https://www.colgate.com/en-us/oral-health/x-rays/what-is-a-cephalometric-x-ray
  • https://cephx.com/sassouni-analysis/
  • https://courses.washington.edu/predoc/Pediatric%20Dentistry/Ceph.Handout.doc
  • https://academic.oup.com/ejo/article/33/4/350/395818
  • https://www.ajodo.org/article/0002-9416(75)90065-2/pdf
  • https://ct-dent.co.uk/ceph-xray-cephalometric/
  • https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4436328/
  • https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5570769/
  • https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4229763/
  • https://www.researchgate.net/post/When_is_it_not_correct_to_apply_Eastman_correction
  • https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3520271/
  • https://codental.uobaghdad.edu.iq/wp-content/uploads/sites/14/2021/01/cephalom.pdf
  • https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4720930/
  • https://pubmed.ncbi.nlm.nih.gov/1054214/
  • https://pubmed.ncbi.nlm.nih.gov/21926313/

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