Cephalometric analysis

Cephalometric analysis

Cephalometric analysis is the study of the dental and skeletal relationships in the head.[1] It is frequently used by dentists, often orthodontists in particular, as a treatment planning tool.[2]

Two of the more popular methods of analysis used in orthodontology are the Steiner analysis, named after Cecil C. Steiner, and the McNamara analysis, named after James A. McNamara.[3] There are other methods as well, including the Ricketts analysis.[4]

Contents

Cephalometric radiographs

Cephalometric analysis depends on cephalometric radiography to study relationships between bony and soft tissue landmarks and can be used to diagnose facial growth abnormalities prior to treatment, in the middle of treatment to evaluate progress or at the conclusion of treatment to ascertain that the goals of treatment have been met.[5]

Cephalometric landmarks

The following are important cephalometric landmarks: Sella (after sella turcica) Nasion A-point B-point Pogonion Menton Gnathion Gonion Porion Orbitale Bolton [6]

Cephalometric angles

According to the Steiner's analysis: ANB (A point, Nasion, B point)- indicates whether the skeletal relationship between the maxilla and mandible is a normal (skeletal class I relationship (+ 2 degrees), a skeletal Class II (+4 degrees or more), or skeletal class III (0 or negative). SNA (sella, Nasion, A point)- indicates whether or not the maxilla is normal, prognathic, or retrognathic. SNB (sella, Nasion, B point)- indicates whether or not the mandible is normal, prognathic, or retrognathic. SNA and SNB is important to determine what type of intervention (on maxilla, mandible or both) is appropriate. These angles, however are influenced also by the vertical height of the face and a possible abnormal positioning of Nasion. [6]

Cephalometric Software

Cephalometric software is used to help calculate the angles and measurements for cephalometric analyses. An example of such software is cephX which provides an internet based platform for cephalometric analysis. An example of a company that provides cephalometric analyses without purchasing any software is www.Cephanalysis.com.

References