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records processing
LATERAL Cephalometric
Analysis
N point
S point
Porion
Porion
Orbitale
PNS
ANS
*prosthion(noun)-1.craniometricpointthatisthemostanteriorpointinthe
midlineonthealveolarprocessofthemaxilla
A point
A point
Not here
No
Yes
No
Yes
Dental Cad: Now return back the list of Points and Contours
and place the Maxilla if desired.
B point
Pogoion
Gnathion
Gnathion
Menton
Gonion
Articulare
Subnasale
Stomion
border of ramus
Occlusal plane: Intersection of cusp
tips upper and lower 6s, bisection of
incisors overbite or open bite
Palatal Plane: ANS-PNS
Frankfurt Horizontal: Por-Orbitale
SN: Cranial Base
Skeletal Analysis
Determine if the patient is
skeletal open, average, or
closed
Measurement 1
Measurement 2
tracing
Use parallel lines on the ormacepha
measuring instrument
NOT needed when doing a computer
tracing!
Double Measurements:
determine skeletal open,
average, or closed
Palatal-Mand. plane FMA
Y-axis
Politically correct: GP
understands growth?
Skeletal analysis
Determine if the maxilla is
protrusive, average, or
retrusive
N perpendicular At A
manual measuring
Use parallel lines and the
outside edge of the
ormacepha (90 deg) to create
the reference line
Cervical headgear
Skeletal analysis
Determine if the mandible is
protrusive, average, or
retrusive
Skeletal Analysis
Determine if the upper and
lower jaws are well related (or
not)
ANB: manual
measurement
Do not measure this angle,
subtract the numbers SNB from
SNA
Wits
The best measurement to predict
wits)
Use Wits in Class III diagnosis (not
ANB)
Use Wits in skeletal open bite cases
(ANB is sensitive to vertical
dimension)
Dental Analysis
Determine the anteroposterior position and
inclination of the incisor teeth
Facial Analysis
2 structures
porion, orbitale, gonion, molars
degrees
Vertical height difference (antegonial
notch to zygomatic plane)
Consequences of looking to
the side positioning error
Difficult to trace the molars,
Overlays
Comparing ceph x-rays taken on the
same patient, at different times, on
the SAME machine.
On Adult patient = Treatment effect
only
On Growing patient = Growth plus
treatment.
Final
Skeletal overlay
Dental Overlays
Prediction
Actual
Growth
what happens without
treatment
Dental overlays
Prediction
Actual
Nose overlay
Tutorials
Study at home
Run Tscc.exe file to view avi video
files. Only one time installation of
this program
Same patient
Wrong
Correct
Same patient
wrong
correct
If no calibration ruler
Take an x-ray with a metal object of
known length (piece of wire, endo
file) taped to the machine at the
nose or on the x-ray cassette
Measure after importing into
dentalcad or directly on a printed
image
What to do if out of
calibration
Ask manufacturer to make the