Abstract
I have presented an evaluation of the role of roentgenographic cephalometric analysis in orthodontic diagnosis and treatment planning. In the first part of the article a three-dimensional geometrical analysis of the dentofacial complex is described. Norms leading to the assessment of the individuality of each child are defined. This, in essence, leads to differential diagnosis. In the second part an evaluation is made of the orthodontic treatment, which may be preventive, passive, active, and retentive. In active treatment the forces used have been considered according to their direction—antero-posterior, vertical, or transverse. This, in essence, leads to different treatment. The third part of the article is a synthesis of the two previous parts. By confronting the differential diagnosis with the therapeutic forces at our disposal, a selective treatment is decided upon. This synthesis is illustrated by five case reports which are supplemented by a number of special cases to emphasize some specific points. In conclusion, attention is focused on the individuality of the patient, on differential diagnosis, and on differential treatment.
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