Cephalometric Antero-Posterior Parameter Evaluation in Orthodontic Patients with Facial Asymmetries

Szuhanek C,Sabo-Meze A,Nagib R,Buzatu R,Malita D,Sasho Stoleski

doi:10.14302/issn.2473-1005.jdoi-20-3595

Abstract

Aesthetic and functional problems associated with significant facial asymmetry can negatively affect the patient's facial appearance, nutritional and psychosocial development. Therefore, a critical assessment and accurate treatment planning is absolutely necessary. The aim of this study was to evaluate the parameters of PA cephalometric analysis defined by Ricketts and Grummons and establish statistically relevant correlations and their importance in diagnosing orthodontic patients with varying degrees facial asymmetries. The research included facial asymmetry Romanian patients from the Department of Orthodontics and Dento-Facial Orthopedics of UMF "Victor Babes", Timisoara. The PA cephalogram investigations that met the inclusion criteria were digitally analyzed. Dental and skeletal cephalometric parameters described by Ricketts, Grummons and Kappeyne Van De Coppello were collected through linear, angular and volumetric measurements. Statistically significant correlations between the degree of asymmetry and the dimension of the internal structures were observed.Our conclusion is that PAcephalograms are cost effective and useful investigations in identifying and evaluating skeletal and dental imbalances in orthodontic facial asymmetry patients.

Highlights

Facial symmetry is an important component of a person's attractiveness, representing one of the determining factors in its evaluation.[1]
Aesthetic and functional problems associated with significant facial asymmetry can negatively affect the patient's orofacial area, nutritional and psychosocial development
This retrospective study included facial asymmetry Romanian patients aged 15 to 37 years, who presented at the Department of Orthodontics and Dento-Facial Orthopedics of UMF "Victor Babes", Timisoara between 2018-2020 and received orthodontic clinical examinations and complementary investigations such as: extraoral and intraoral photographs, study models, radiographs and cephalometric analysis. 50 patients had PA cephalograms made with the Cranex 3D device (Soredex)

Summary

Introduction

Facial symmetry is an important component of a person's attractiveness, representing one of the determining factors in its evaluation.[1] Patients' concern for their physical appearance and for a more pleasing facial aesthetic is growing.[2,3] the orthodontist is more sought after than ever and often subjected to complex cases, which require a thorough examination to establish a correct diagnosis.[4]. The etiology of facial asymmetries is vast and in some cases remains mostly unknown.[5] Morphology can differ under the prevailing environmental conditions under which the individuals’ development is taking place. Aesthetic and functional problems associated with significant facial asymmetry can negatively affect the patient's orofacial area, nutritional and psychosocial development. A critical assessment and accurate treatment planning is absolutely necessary.[8,9,10]

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