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{{Short description|Radiographic analysis of dental and skeletal relationships}} __TOC__ == Definition == '''Cephalometric Analysis''' is a diagnostic procedure in [[Orthodontics]] that involves the measurement and interpretation of a lateral head radiograph (Cephalogram). It is used to analyze dental and skeletal relationships to determine the nature of a [[Malocclusion]] and to plan surgical or orthodontic treatment. == Landmarks and Planes == The analysis relies on identifying specific points (landmarks) on the radiograph: === Skeletal Landmarks === * '''Sella (S):''' Midpoint of the sella turcica. * '''Nasion (N):''' The most anterior point of the suture between the frontal and nasal bones. * '''A-Point:''' The deepest point on the curve of the maxilla between the anterior nasal spine and the dental arch. * '''B-Point:''' The deepest point on the curve of the mandible. * '''Menton (Me):''' The lowest point of the chin. === Reference Planes === * '''SN Plane:''' Represents the anterior cranial base. * '''Frankfort Horizontal (FH):''' A line connecting the upper border of the external auditory meatus (Porion) and the lower border of the orbital rim (Orbitale). * '''Mandibular Plane:''' A line representing the lower border of the mandible. == Clinical Interpretations == The measurements derived from these landmarks help classify the patient's skeletal profile: {| class="wikitable" ! Measurement !! Normative Value !! Interpretation |- | '''SNA Angle''' || 82° ± 2° || Position of the Maxilla relative to the skull. |- | '''SNB Angle''' || 80° ± 2° || Position of the Mandible relative to the skull. |- | '''ANB Angle''' || 2° || 0-4° = Class I; >4° = Class II; <0° = Class III skeletal relationship. |- | '''IMPA''' || 90° || The inclination of the lower incisor relative to the mandibular plane. |} == Digital Cephalometry == With the rise of [[Digital Dentistry]], manual tracing of radiographs on acetate paper has been largely replaced by software (e.g., Dolphin Imaging, CephX). Modern systems utilize [[Artificial Intelligence]] to automatically detect landmarks, increasing speed and reducing inter-operator variability. == Applications == * '''Treatment Planning:''' Deciding whether a case requires extraction, surgery, or simple alignment. * '''Growth Prediction:''' Assessing the remaining growth potential in adolescent patients. * '''Research:''' Studying the long-term effects of orthodontic mechanics on the facial profile. == See Also == * [[Orthodontics]] * [[Digital Dentistry]] * [[Orthognathic Surgery]] [[Category:Orthodontics]] [[Category:Dental Imaging]]
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