• Title/Summary/Keyword: Cephalometry

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A COMPARATIVE STUDY OF XERORADIOGRAPHIC CEPHALOMETRY WITH CONVENTIONAL CEPHALOMETRY (건성방사선 두부계측사진과 기존방사선 두부계측 사진과의 비교연구)

  • Lee Hie-In;Yoon Jung-Ho
    • Journal of Korean Academy of Oral and Maxillofacial Radiology
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    • v.21 no.1
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    • pp.127-135
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    • 1991
  • This study purports to make in consideration of the recent xeroradiographic development an exact analysis, by comparison, of conventional cephalometry and xeroradiographic cephalometry that are indispensably utilized in the field of orthodontics as a means of cephalometric measuring For that purpose attached to ten landmarks on a dry skull was a lead ball, a radio-opaque substance, and projected X-ray beam one time each by means of the two methods, and then ten times each without change of locations of the skull, in the state in which the lead ball was removed. These data were committed to ten dentists for tracing to determine a difference between the same kind of cephalometries. A computerized statistic analysis of the data shows findings, as follows: 1. Conventional cephalometry shows higher accuracy in Nasion, as compared with xeroradiographic cephalometry. 2. Xeroradiographic cephalometry is found more accurate in Anterior Nasal Spine, 'A' Point, Pogonion, Gonion, Porion, Prosthion and Orbitale than conventional cephalometry. 3. There is no difference between both methods in Basion. 4. At test between the two methods by all the dentists reveals that xeroradiographic cephalometry is more accurate than conventional cephalometry.

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A Comparative Study between the Accuracy of Three-Dimensional MorphometIy and That of PA CephalometIy in Asymmetry Analysis (비대칭 분석시 3차원영상의 정확성에 관한 정보 두부방사선사진과의 비교연구)

  • Cho, Hong-Kyu
    • Journal of Technologic Dentistry
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    • v.23 no.1
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    • pp.95-106
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    • 2001
  • The purpose of this study was to show the method of three-dimensional morphometry developed recently and to compare the accuracy of three-dimensional morphometry with those of PA cephalometry, The three-dimensional morphometry analysis program and device were developed. Steel balls (1.2mm in diameter) were attached in twenty five landmarks of artificial human skull. This artificial human skull was used as experimental materials. From three-dimensional morphometry and PA cephalometry of artificial human skull. eleven linear measurements were acquired and made into asymmetry index. Right-left differences of measurements were used as asymmetry index. These measurements and asymmetry index were compared respectively with those of actual. The results were as follows: 1. Mean difference between three-dimensional morphometry and actual artificial human skull in linear measurements was $1.99{\pm}0.37mm$, and mean difference between PA cephalometry and actual was $21.12{\pm}0.45mm$. Both of all were reduced more than those of actual. 2. Mean difference between three-dimensional morphometry and actual artificial human skull in asymmetry index was $0.07{\pm}0.42$, and mean difference between PA cephalometry and actual was $3.63{\pm}0.60$. Three-dimensional morphometry was reduced while PA cephalometry was magnified more than that of actual. 3. Each eleven asymmetry index of three-dimensional morphometry was the same negative sign as those of actuals while only N-Z, ANS-J, Tr-Go, Tr-ANS asymmetry index were the same in PA cephalometry. These results suggest that the method of three-dimensional morphometry is more accurate than those of PA cephalometry in asymmetry analysis.

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Retrospective study on the airway obstruction aspects of computed tomography and lateral cephalometry and the correlation of polysomnography in obstructive sleep apnea patients

  • Jin, Sun-Mi;Lee, Hye-Sung;Ryu, Hyun-Ho;Ryu, Seok-Hwan;Shin, Dong-Yoon;Kim, Chul-Hoon;Kim, Myoung Soo;Chung, In-Kyo
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.38 no.5
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    • pp.295-304
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    • 2012
  • Objectives: Lateral cephalometry, computed tomography (CT) and full-night polysomnography were used to examine the correlation of obstructive sleep apnea (OSA) severity. Materials and Methods: A total of 29 patients (5 females, 24 males) diagnosed with OSA were evaluated by lateral cephalometry, CT and full-night polysomnography. Lateral cephalometry was performed in the closed and open mouth states. The radiographic and polysomnography measurements of the patients with OSA were evaluated statistically to determine the association with OSA severity. Results: A significant relationship was observed between the increased respiratory disturbance index and closing lateral cephalometry. With mouth opening, the airway space narrowed and the OSA worsened. Lateral cephalometry revealed OSA patients to have an inferiorly positioned hyoid bone, longer-than-normal soft palate and narrowing airway space. As OSA was severe, the airway shape was ovoid in the CT horizontal view. Conclusion: Polysomnography and the radiographic parameter can be used for diagnosing OSA.

Use of an anatomical mid-sagittal plane for 3-dimensional cephalometry: A preliminary study

  • Vernucci, Roberto Antonio;Aghazada, Huseynagha;Gardini, Kelly;Fegatelli, Danilo Alunni;Barbato, Ersilia;Galluccio, Gabriella;Silvestri, Alessandro
    • Imaging Science in Dentistry
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    • v.49 no.2
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    • pp.159-169
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    • 2019
  • Purpose: Cone-beam computed tomography (CBCT) is widely used for 3-dimensional assessments of cranio-maxillo-facial relationships, especially in patients undergoing orthognathic surgery. We have introduced, for reference in CBCT cephalometry, an anatomical mid-sagittal plane (MSP) identified by the nasion, the midpoint between the posterior clinoid processes of the sella turcica, and the basion. The MSP is an updated version of the median plane previously used at our institution for 2D posterior-anterior cephalometry. This study was conducted to test the accuracy of the CBCT measures compared to those obtained using standard posterior-anterior cephalometry. Materials and Methods: Two operators measured the inter-zygomatic distance on 15 CBCT scans using the MSP as a reference plane, and the CBCT measurements were compared with measurements made on patients' posterior-anterior cephalograms. The statistical analysis evaluated the absolute and percentage differences between the 3D and 2D measurements. Results: As demonstrated by the absolute mean difference (roughly 1 mm) and the percentage difference (less than 3%), the MSP showed good accuracy on CBCT compared to the 2D plane, especially for measurements of the left side. However, the CBCT measurements showed a high standard deviation, indicating major variability and low precision. Conclusion: The anatomical MSP can be used as a reliable reference plane for transverse measurements in 3D cephalometry in cases of symmetrical or asymmetrical malocclusion. In patients who suffer from distortions of the skull base, the identification of landmarks might be difficult and the MSP could be unreliable. Becoming familiar with the relevant software could reduce errors and improve reliability.

A COMPARATIVE STUDY OF COMPUTED RADIOGRAPHIC CEPHALOMETRY AND CONVENTIONAL CEPHALOMETRY IN RELIABILITY OF HEAD FILM MEASUREMENTS (LANDMARKS IDENTIFICATION) (일반 측방 두부규격 방사선사진과 측방 추부규격 전산화 방사선사진에서의 계측점의 신뢰도에 대한 비교 연구)

  • Kim Hyung-Don;Kim Kee-Deog;Park Chang-Seo
    • Journal of Korean Academy of Oral and Maxillofacial Radiology
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    • v.27 no.1
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    • pp.99-106
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    • 1997
  • The purpose of this study was to compare & to find out the variability of head film measurements (and marks identification) between Fuji computed radiographic cephalometry and conventional cephalometry. 28 Korean adults were selected. Lateral cephalometric FCR film and conventional cephalometric film of each subject was taken. Four investigators identified 24 cephalometric landmarks on lateral cephalometric FCR film and conventional cephalometric film. The comparable measurements between lateral cephalometric FCR film and conventional cephalometric film were statistically analysed. The results were as follows : 1. In FCR film & conventional film, coefficient of variation (C.V.) of 24 landmarks was taken horizonta1ly & vertically. There is no significant difference of rank order of landmarks in C.V. between two films. 2. In comparison of significant differences of landmarks variability between FCR film & conventional film, horizontal value of coefficient of variation, showed significant differences in four landmarks among twenty-four landmarks, but vertical value of coefficient of variation showed significant differences in sixteen landmarks among twenty-four landmarks. FCR film showed significantly less variability than conventional film in 17 subjects among 20(4+16) subjects that showed significant difference.

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THE ROENTGENOCEPHALOMETRIC STANDRDS OF THE KOREANS ACCORDING TO THE HIGLEY'S ANALYSIS (Higley씨 분석법에 의한 한국인 Roentgenographic Cephalometry의 기준치에 관하여)

  • Yu, Yeong-Se
    • The Journal of the Korean dental association
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    • v.8 no.11
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    • pp.629-644
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    • 1970
  • Higley씨 법에 의한 한국인의 Roentgenographic Cephalometry의 기준치를 조사하기 위하여 남자 150명,여자140명 합계 290명을 대상으로 하여 이를 분석계측하였다. 대상자의 대부분은 정상적인 교합자중에서 선택되었으며 악골과 안면이 잘 조화되고 있었다. 연구성적은 표의 형식으로 요약되었고 5,7,10,15,20,23세등의 연령군에 대하여 17항목의 선상계측과 20항목의 각도계측을 시행하였으며 당 계측치의 Mean, Standard deviation,Minimum,Maximum등을 산출하였다. 본 연구를 통하여 Cranial depth는 배인이 한국인에 비하여 큰 차이를 보이며(Line-NZ,FT)원부에 있어서는 한국인이 백인에 비하여 후퇴되었음을 알았다.(Angle-MNS),이것이 한국인과 백인의 안모의 판이점이라고 사료된다.

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A comparative study between data obtained from conventional lateral cephalometry and reconstructed three-dimensional computed tomography images

  • Oh, Suseok;Kim, Ci-Young;Hong, Jongrak
    • Journal of the Korean Association of Oral and Maxillofacial Surgeons
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    • v.40 no.3
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    • pp.123-129
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    • 2014
  • Objectives: The aim of this study was to verify the concordance of the measurement values when the same cephalometric analysis method was used for two-dimensional (2D) cephalometric radiography and three-dimensional computed tomography (3D CT), and to identify which 3D Frankfort horizontal (FH) plane was the most concordant with FH plane used for cephalometric radiography. Materials and Methods: Reference horizontal plane was FH plane. Palatal angle and occlusal plane angle was evaluated with FH plane. Gonial angle (GA), palatal angle, upper occlusal plane angle (UOPA), mandibular plane angle (MPA), U1 to occlusal plane angle, U1 to FH plane angle, SNA and SNB were obtained on 2D cephalmetries and reconstructed 3D CT. The values measured eight angles in 2D lateral cephalometry and reconstructed 3D CT were evaluated by intraclass correlation coefficiency (ICC). It also was evaluated to identify 3D FH plane with high degree of concordance to 2D one by studying which one in four FH planes shows the highest degree of concordance with 2D FH plane. Results: ICCs of MPA (0.752), UOPA (0.745), SNA (0.798) and SNB (0.869) were high. On the other hand, ICCs of gonial angle (0.583), palatal angle (0.287), U1 to occlusal plane (0.404), U1 to FH plane (0.617) were low respectively. Additionally GA and MPA acquired from 2D were bigger than those on 3D in all 20 patients included in this study. Concordance between one UOPA from 2D and four UOPAs from 3D CT were evaluated by ICC values. Results showed no significant difference among four FH planes defined on 3D CT. Conclusion: FH plane that can be set on 3D CT does not have difference in concordance from FH plane on lateral cephalometry. However, it is desirable to define FH plane on 3D CT with two orbitales and one porion considering the reproduction of orbitale itself.

Study of Cephalometry and Polysomnogrphy in Habitual Snorers (습관성 코골이 환자의 측방두부규격방사선사진과 수면다원검사 연구)

  • 정성창
    • Journal of Oral Medicine and Pain
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    • v.23 no.1
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    • pp.75-84
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    • 1998
  • The Purpose of this Study was to examine the anatomic differences in the upper airway according to severity of respiratory disturbance index of habitual snorers. Forty-three male habitual snorers, aged 28-68, were examined by polysomnography and divided into 4 groups according to severity determined by polysomnography. Anatomic differences in the upper airway were assessed by lateral cephalograms in upright position, and epidemiological surveys were done by using questionnaires. The obtained results were as follows : 1. All subjects were habitual snorers and 35 patients (81.4%) complained the loudness of snoring as severe as be heard outside of the room. 2. According to the results of polysomnography, the number of the primary snoring patients was 7(16.3%), mild obtrusive sleep apnea 7(16.3%), moderate 7(16.3%), and severe 22(51.2%). 3. The respiratory disturbance index (RDI) of subjects was 39.5$\pm$24.4 and the body mass index(BMI) was 26.2$\pm$2. 4. More inferiorly positioned hyoid bone according to the degree of respiratory disturbace index (RDI) was observed. (p<0.001) 5. The width of superior oropharyngeal airway space was according to the degree of RDI. (p<0.001)

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