Biometric Examinations Flashcards
(37 cards)
What cephalometric analysis is, and who commonly uses it as a tool
- Examination of dental and skeletal relationships in human skull=>
- Treatment planning for dentists, orthodontists, and oral maxillofacial surgeons
Specific information cephalometric analysis provides
- Discrepancies in relationships between maxilla and mandible=>
- Includes their displacement concerning cranial base and tooth malpositions
- Aids in treatment planning=>
- Facilitates growth prediction of facial skeleton
- Enables evaluation of treatment progress
Goals of cephalometry, and facial components it evaluates
- Evaluating relationships( horizontally and vertically) of five major components of face
- Cranium and cranial base
- Skeletal maxilla
- Skeletal mandible
- Maxillary dentition and alveolar process
- Mandibular dentition and alveolar process
Two basic approaches to cephalometric analysis
- Metric approach and graphic approach
- The metric approach=>use of selected linear and angular measures
- Presented in tabular form
- Graphic approach=>overlaying individual’s tracing on reference template for visual inspection of degree variations
Equipment and materials required for accurately tracing a head film in cephalometric analysis
- x-ray illuminator
- Tracing paper
- Special diagnostic ruler-protractor
- Standard ruler and protractor
- Pencil
General considerations for cephalometric tracing
- Outlining soft tissue profile
- Tracing inferior border of mandibular body w/ anterior border of symphysis
- Maxilla
- External auditory meatus
- Sella turcica
How the external auditory meatus is traced in cephalometry
- Located at level of condylar process
- Faint, semilunar-shaped shadow
Recommendation given regarding tracing the maxillary and mandibular incisors
- Trace more anteriorly positioned incisor if outlines of incisors do not coincide
- Tracing pulp canal advised => ascertain inclination of tooth
key cephalometric landmarks
- S (sella)
- N (nasion)
- Or (orbital)
- Po (porion)
- ANS (anterior nasal spine)
- PNS (posterior nasal spine)
- Point A
- Point B
- Pog (pogonion)
- Me (menton)
- Gn (gnathion)
- Go (gonion)
S (sella)
Geometric centre of sella turcica
N (nasion)
Most anterior and superior point of frontonasal suture
Or (orbital)
Lowest point on the inferior rim of orbit
Po (porion)
Most superiorly positioned point of external auditory meatus
ANS
Tip of the anterior nasal spine
PNS
- Posterior spine of palatine bone
- Constructed w/ perpendicular from pterygomaxillary fissure to hard palate
Point A
- Most posterior point on concavity between Pog and alveolar bone=>
- Overlaying maxillary incisor
Point B
- Most posterior point of concavity between Pog and alveolar bone=>
- Overlaying mandibular incisors
Pog (pogonion)
Most anterior point of mandibular symphysis
Me (menton)
Lowest point of mandibular symphysis
Gn (gnathion)
Midpoint between Pog and Me
Go (gonion)
Most posterior and inferior midpoint of curvature of mandibular angle
Significance of reference planes and lines in cephalometric tracing
- Essential guides in cephalometric tracing
- Aid accurate assessment of craniofacial structures
Reference planes planes commonly utilized
- Horizontal-SN, FN, SpP, OcP, MP
- Vertical
SN
Cranial base constructed between point S and point N