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Cephalometric analysis

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(@leddituser123)
Posts: 14
Topic starter
 

I've seen a few users here doing cephalometric analysis themselves. I'd like to know how. Are there any good free programs or a guide on cephalometric analysis and all the distances? I do have my own X ray. 


 
Posted : 19/12/2018 3:44 pm
(@abdulrahman)
Posts: 937
 

There isn't a specific guide I am aware of but I gained the knowledge to do them from online research and direct interactions with orthodontists.


my story: http://www.aljabri.com/blog/my-story/

 
Posted : 20/12/2018 12:28 am
(@leddituser123)
Posts: 14
Topic starter
 
Posted by: Abdulrahman

There isn't a specific guide I am aware of but I gained the knowledge to do them from online research and direct interactions with orthodontists.

I think i'll just ask my ortho to do the analysis for me. 

Is there anything i can read up about the measurements and their ideal length? 


 
Posted : 20/12/2018 7:10 am
(@abdulrahman)
Posts: 937
 
Posted by: leddituser123

I think i'll just ask my ortho to do the analysis for me. 

Is there anything i can read up about the measurements and their ideal length? 

That's a good idea. It depends which standard you would like to follow. Stiner which is very popular among orthodontists has different standard than McNamara for example. See the link for more details:

https://en.wikipedia.org/wiki/Cephalometric_analysis


my story: http://www.aljabri.com/blog/my-story/

 
Posted : 20/12/2018 1:17 pm
(@leddituser123)
Posts: 14
Topic starter
 
Posted by: Abdulrahman
Posted by: leddituser123

I think i'll just ask my ortho to do the analysis for me. 

Is there anything i can read up about the measurements and their ideal length? 

That's a good idea. It depends which standard you would like to follow. Stiner which is very popular among orthodontists has different standard than McNamara for example. See the link for more details:

https://en.wikipedia.org/wiki/Cephalometric_analysis

 

Just got answer back from my ortho, he made a Sassouni analysis. It doesn't seem the most informative version of cephalometric analysis. Should i ask for another format? My concern is aesthetics. If so, which standard should i ask for? 


 
Posted : 26/12/2018 1:00 pm
(@abdulrahman)
Posts: 937
 
Posted by: leddituser123

Just got answer back from my ortho, he made a Sassouni analysis. It doesn't seem the most informative version of cephalometric analysis. Should i ask for another format? My concern is aesthetics. If so, which standard should i ask for? 

I am aware of the Sassouni, it a good analysis, but I don't know how to read it. The Jeffreson is a simpler version and it's really excellent for aesthetics. My guess the Sassouni is as good because it looks so simillar.


my story: http://www.aljabri.com/blog/my-story/

 
Posted : 26/12/2018 1:19 pm
(@darkindigo)
Posts: 1017
 

Watch this:  https://www.youtube.com/watch?v=CAsBdrZmFmk   Sassouni is good.  I've heard Dr. Mahony talk positively on archial analysis... The Steiner is a no-go from this vid and from here:  https://www.youtube.com/watch?v=ItxQIro7Y0o from 6:18.  I do not think that means an x-nay on Steiner.  It think that sometimes Steiner can be valuable in that it's EASY to do... and if your maxilla is retrognatic (behind the line) on Steiner then obviously, that tells you SOMETHING.  Now... with it being ahead... don't stress about that.  I've seen a BEAUTIFUL girl who was spot on with Steiner.  But I believe it could have been in part that her bone behind the nose was a bit longer... probably on the money with both Steiner and Sassoni (they go off different markers). Will have to pull this up to share.  It also has to do with soft tissues.  A lot of beauty is soft tissues, which is why I've even seen Dr. Mahony diss cephalometrics:   https://www.youtube.com/watch?v=xGwlCBf4SW8 at 10:27 - end.  Tissues matter, people, so many times, people just eyeball based on that and it get very good.  Many orthodontists don't do cephalometrics, even though they know how.  They just use their eyes.  If someone looks like a chimpmunk soft-tissue-wise... their maxilla or even maxillary dentition could be too far back.  If someone has really tight cheekbones... then maybe expanding more widely wouldn't look as attractive.  I wanted to show this photo,... if I may...  /community/community/case-discussions/jaw-and-teeths-position/#post-13081   See what is being talked about with soft tissue and bone placement now?  It does seem like MANY people on this site... and society in general... has a slightly retruded maxilla.  This can be addressed to a minor degree through braces, Invisalign, a little more through DNA (forward and side) or CDA/AGGA/FAGGA (forward only)... 0ther saggital appliances and the like.  I think Crozat is beautiful for an already good arc and decent facial features... and even the wireframe DNA is really incredible.. especially for children, IMO.  There's so many options, it's very, very, very confusing!  But basically... you can play a bit with dentition to see what things might look like... for example... get a little wax or McDonald's french fry and put it just in front of your teeth.  Don't push the wax hard back.. you don't want to push back on your teeth.  Truthfully, I think part of the reason why we're having these problems is we're not using our central incisors the way God intended.  Did Adam and Eve cut up the forbidden fruit and chew them with their back molars?  LOL  No... They had that thing dripping from their chin.  Yet... the "Good" moms are giving their kids applesauce squeezy packets or even precut apples.  How many times do you see a kid handed an apple?  A plum?  A pear?  It's all cut up!  These are small things to be done "in moderation".  All I'm saying is that we've not only changed what we eat... but how we eat.  Think about it.  I had a decent maxilla and I ate a lot of apples as a kid... down to the core.  That's just one use case, but we are seeing a whole societal study of people who aren't using their teeth and their arches are underdeveloped.  For kids, it's super easy to fix.  I really ought to show some photos I have... they're personal so I won't.  But WOWSERS.. Kids transform right before your eyes.

For adults, I like more and more DNA or anything that widens overall.  The reason being that the arch perimeter is so important in beauty.  Angelina Jolie doesn't just have a forward face... but she surely supports her eyes with a long dental arch.  In fact... many models I don't see as having particularly wide arches.  The most attractive models never even had orthodontics.  Let's be honest!  You'll see more on this on my great posting:  /community/community/main-forum/growing-an-awesome-face/

However!  Though I'm more sold on soft tissue support... and not using bone to drive faces in their entirety, cephalometrics can be useful.  The Jefferson one can help to determine whether there may be TMD.  See video at end of  https://www.youtube.com/watch?v=0Up8Uk7zUtk (starting at 9:48)  This is Dr. Jefferson himself explaining his analysis.  Probably pretty similar with the Sassouni - they're both archeal.

I haven't bothered getting a cephalometric for myself and wouldn't use it anyway.  I kind of instintively know what would look good and how to accomplish it.  It's my face.  I'm responsible for it.  I see it every day.   LOL


 
Posted : 26/12/2018 3:16 pm
(@jaddubois)
Posts: 14
 

@leddituser123 just shot you a private message concerning your ortho! I'm from Germany as well. Not sure if still relevant but I thought I'd try.


 
Posted : 28/05/2019 8:29 am

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