Total Facial Height Research Articles

Correlation of Upper Facial and Lower Facial Height in Garhwali Population of Uttarakhand

Craniofacial anthropometry, as an important part of anthropology, is used to determine the morphological characteristics of head and face. It is particularly important in planning and evaluation for facial reconstructive surgeries. Facial measurements depend on various factors, such as gender, race and ethnicity, climate, socio-economic, nutritional and genetic. The study group included 100 males and 100 females, between 18-45years belonging to the Garhwal region of Uttarakhand. Subjects with cranio-facial diseases and abnormalities, growth related disorders and history of facial trauma/reconstruction surgery were excluded from the study group. The bisexual variation of upper and lower face height was observed. The mean values of Upper, Lower and Total facial heights were greater in males. However, from statistical analysis it was also observed that the coefficient of determination was low (0.04). So, further study in relation with other racial groups and with increased number of subjects is suggested.

Facial height in Japanese-Brazilian descendants with normal occlusion.

OBJECTIVE: The aim of this study was to determine the standards of facial height in 30 young (14-year-old) Japanese-Brazilian descendants with normal occlusion, and assess whether sexual dimorphism is evident. METHODS: The cephalometric measurements used followed the analyses by Wylie-Johnson, Siriwat-Jarabak, Gebeck, Merrifield and Horn. RESULTS: Results showed dimorphism for total anterior facial height (TAFH), lower anterior facial height (LAFH), anterior facial height (AFH), total posterior facial height (TPFH) and upper posterior facial height (UPFH) measurements. CONCLUSIONS: The standards of facial heights in young Japanese-Brazilian descendants with normal occlusion were observed. Sexual dimorphism was identified in five out of thirteen evaluated variables at this age range.

Do long-faced subjects really have a long anterior face? A longitudinal study

The aims of this study were to investigate and compare the anterior facial heights of children with long, normal, and short faces during growth and to discover whether long-faced subjects have long dimensions in both the upper and lower anterior facial heights compared with the others. Longitudinal lateral cephalometric data of 167 children (83 girls, 84 boys) from 6 to 14years of age were used. Total anterior face height, upper anterior face height, lower anterior face height, and the closest distance from the Frankfort horizontal plane to nasion were measured. The samples were classified as long-faced, normal-faced, and short-faced according to the ratio of lower to total face heights at 14years old. All data were analyzed statistically and compared between the groups according to age. The mean lower anterior face height in the long-faced group was larger than in the normal-faced and short-faced groups for all ages in both sexes. In contrast, subjects in the normal-faced group had a longer mean upper anterior face height than did subjects in the long-faced and short-faced groups. In addition, the mean upper anterior face height of the short-faced group was larger than the long-faced group for girls at all ages and for boys at 12 to 14years. The long-faced children did not have longer upper facial heights compared with normal-faced and short-faced children, and their long faces were mainly determined by the length of the lower face.

Anthropometric Comparison of Painting Portraits of Beautiful Women, Femme Fatales, and Artists’ Mothers

The aim of this study was to compare the painting portraits of beautiful women, femme fatales, and artists' mothers using anthropometry.Portraits of each theme were selected in modern novels, essays and picture books, and categorized portraits. A total of 52 samples were collected, including 20 beautiful women, 20 femme fatales, and 12 artists' mothers. In 5 persons, 17 anthropometric ratios including the alae-alae/zygion-zygion ratio were compared in a 15-degree oblique view and in anteroposterior view photographs, and they were proved to not differ significantly. To distinguish oblique portraits less than 15 degrees, we measured the exocanthion-stomion-exocanthion (ESE) angle in photographs of 5 volunteers. The mean ± SD of the ESE angle was 64.52 ± 4.87 in the 15-degree angle view and 57.68 ± 54.09 in the 30-degree angle view. Thereafter, if the ESE angle was greater than 65 degrees, we considered the portrait to have less than a 15-degree angle and included it in the samples.The ratio did not differ significantly in 11 anthropometric proportions. However, the remaining 5 proportions were statistically significant. Beautiful women had wider noses (85% of the endocanthion-endocanthion width) than those of the femme fatale group (77%). Lips in the beautiful woman group are nicer and thicker (36% of lip's width) compared with the artists' mother group (27%). Femme fatales were relatively similar to beautiful women such as those women with nice and thick lips. However, the femme fatale group had an attractive midface ratio (36% of the total face height) that has been mentioned in the older literature, and the noses of the femme fatale group were narrower and sharper (77% of the endocanthion-endocanthion width) than those of the beautiful women (85%). The artists' mother group has a relatively narrower upper face (29% of the total face height) and thinner lips (27% of the lip width) compared with the other 2 groups (36%).Proportions from works of art are more ideal and attractive than clinically measured proportions. The ideal ratios measured from historical portraits might be useful in planning facial surgeries.

Vertical facial height and its correlation with facial width and depth

IntroductionThe aim of the present study was to evaluate how vertical facial height correlates with mandibular plane angle, facial width and depth from a three dimensional (3D) viewing angle.MethodsIn this study 3D cephalometric landmarks were identified and measurements from 43 randomly selected cone beam computed tomography (CBCT) images of dry skulls from the Weisbach collection of Vienna Natural History Museum were analyzed. Pearson correlation coefficients of facial height measurements and mandibular plane angle and the correlation coefficients of height-width and height-depth were calculated, respectively.ResultsThe mandibular plane angle (MP-SN) significantly correlated with ramus height (Co-Go) and posterior facial height (PFH) but not with anterior lower face height (ALFH) or anterior total face height (ATFH). The ALFH and ATFH showed significant correlation with anterior cranial base length (S-N), whereas PFH showed significant correlation with the mandible (S-B) and maxilla (S-A) anteroposterior position.ConclusionsHigh or low mandibular plane angle might not necessarily be accompanied by long or short anterior face height, respectively. The PFH rather than AFH is assumed to play a key role in the vertical facial type whereas AFH seems to undergo relatively intrinsic growth.

How does variation in lower anterior face height influence perceived attractiveness? A quantitative investigation

The purpose of this investigation was to undertake an objective and quantitative evaluation of how severity of lower anterior face height (LAFH) variations influences perceived attractiveness. Cross-sectional study St George's Hospital, London, UK PARTICIPANTS AND METHODS: The LAFH of an idealized male and female frontal facial image were altered in 2·5 mm increments from -20 to 20 mm (male images) and from -10 to 20 mm (female images), in order to represent reduction and increase in height of this region. These images were rated by a pre-selected group of pre-treatment orthognathic patients (n = 75), clinicians (n = 35) and laypersons (n = 75). Ratings on a seven-point Likert scale. With an increase in LAFH, desire for surgery became significant at 15-16 mm for male faces and 13-14 mm for female faces. With a reduction in LAFH, desire for surgery became significant at -14 to -17 mm for male faces; a smaller reduction of -6 to -8 mm led to a significant desire for surgery for female faces. The classical vertical facial trisection canon of upper face height as one-third (33·3%), midface height as one-third (33·3%) and LAFH as one-third (33·3%) of total anterior face height may be used as an 'ideal' proportional ratio. Mild LAFH variations were largely acceptable. In terms of the percentage LAFH to total anterior face height (TAFH) and anterior face height (AFH), observers did not desire surgery for LAFH variations of 25-42% of TAFH (40-66% of AFH) for male faces, and 28-42% of TAFH (45-66% of AFH) for female faces.

The bite force and craniofacial morphology in patients with acromegaly: A pilot study

Objectives: Acromegaly is a metabolic disorder caused by increased growth hormone secretion. As a consequence of acromegaly some typical craniofacial morphology changes appear. This pilot study was conducted to compare the bite force and the characteristic size and shape of the craniofacial components of acromegalic patients with the healthy Turkish individuals. In additon, the correlations between bite force and craniofacial morphology of patients with acromegaly and control individuals were evaluated. Study Design: The maximum bite force of the participants was recorded with strain-gage transducer. Lateral x-ray scans were made under standard conditions, in centric occlusion. On cephalograms, the linear and angular measurements was performed. Results: Patients with acromegaly showed increased anterior and posterior total face height, ramus length, width of frontal sinuse, gonial angle and a negative difference between maxillary and mandibular protrusions. In addition, females with acromegaly showed larger lower anterior face height and sella turcica, decreased facial angle, increased mandibular plane angle. The cephalometric measurements, except one did not showed correlation with the bite force in acromegalic patients. In control group, significant correlations were observed between anterior total face height and anterior lower face height, mandibular plane angle and gonial angle. Conclusions: The greater changes were observed in the mandible. The maximum bite force of patients with acromegaly showed no difference from healthy individuals. The non-significant difference of bite force between healthy participants and acromegalic patients provide important information for dental treatment and prosthetic rehabilitation of acromegalic patients. Key words:Acromegaly, bite force, cephalometric analysis, mandibular prognathism.

Craniofacial features of children with celiac disease

Growth retardation is one of the most important signs of childhood celiac disease (CD); however, it is not very well known whether craniofacial growth is also affected. We aimed to carry out a detailed craniofacial morphological study to derive a conclusion on the craniofacial features of children with CD. Eighty-four 2-16-year-old children with biopsy-proven CD and 84 age-matched and sex-matched healthy children were included. Of these, 37 children (44.0%) had been newly diagnosed and 47 (56.0%) were on a gluten-free diet. Anteroposterior and lateral photographs were evaluated using the Scion Image software program for the measurements of the distances between reference points on the face. Except for nasofrontal angle (nfa), nasolabial angle (nla), pronasale height (prnh), nasal dorsum height (ndh), and nasal radix height (nrh), all measurements were significantly greater in patients compared with controls. In celiac children, all facial proportions except forehead/face height (t-gl/t-gn) and nose length/face height (n-ns/t-gn) were significantly different from those of controls. Except for nla, prnh, ndh, nrh, t-gl/t-gn, face height to total face height ratio (sn-gn/t-gn), n-sn/t-gn, ear length to face height ratio (s-sba/t-gn), and face width to face height ratio (z-z/t-gn), all measurements were statistically different in those on a gluten-free diet and newly diagnosed children. Most of the facial measurements and proportions of celiac children were different from those of controls. Our data confirm those of a previous study reporting that the forehead proportion is not altered in childhood CD. Pathophysiological mechanisms underlying these alterations are not clear but disruptions of growth during certain critical periods may be responsible.

Prevalence of long face pattern in Brazilian individuals of different ethnic backgrounds

Objective:The long face pattern is a facial deformity with increased anterior total facial height due to vertical excess of the lower facial third. Individuals with long face may present different degrees of severity in vertical excess, as well as malocclusions that are difficult to manage. The categorization of vertical excess is useful to determine the treatment prognosis. This survey assessed the distribution of ethnically different individuals with vertical excess according to three levels of severity and determined the prevalence of long face pattern. Material and Methods:The survey was comprised of 5,020 individuals of Brazilian ethnicity (2,480 females and 2,540 males) enrolled in middle schools in Bauru-SP, Brazil. The criterion for inclusion of individuals with vertically impaired facial relationships was based on lip incompetence, evaluated under natural light, in standing natural head position with the lips at rest. Once identified, the individuals were classified into three subtypes according to the severity: mild, moderate, and severe. Then the pooled sample was distributed according to ethnical background as White (Caucasoid), Black (African descent), Brown (mixed descent), Yellow (Asian descent) and Brazilian Indian (Brazilian native descent). The Chi-square (χ2) test was used (p<0.05) to compare the frequency ratios of individuals with vertically impaired facial relationships in the total sample and among different ethnicities, according to the three levels of severity. Results:The severe subtype was rare, except in Black individuals (7.32%), who also presented the highest relative frequency (45.53%) of moderate subtype, followed by Brown individuals (43.40%). In the mild subtype, Yellow (68.08%) and White individuals (62.21%) showed similar and higher relative frequency values.Conclusions:Black individuals had greater prevalence of long face pattern, followed by Brown, White and Yellow individuals. The prevalence of long face pattern was 14.06% in which 13.39% and 0.68% belonged to moderate and severe subtypes, respectively.

The relationship between the changes in three-dimensional facial morphology and mandibular movement after orthognathic surgery

PurposeThe purpose of this study was to investigate the relationship between changes in three-dimensional (3D) facial morphology and mandibular movement after orthognathic surgery. We hypothesized that facial morphology changes after orthognathic surgery exert effects on 3D mandibular movement. Materials and methodsWe conducted a prospective follow-up study of patients who had undergone orthognathic surgical procedures. Three-dimensional facial morphological values were measured from facial CT images before and three months after orthognathic surgery. Three-dimensional maximum mandibular opening (MMO) values of four points (bilateral condylions, infradentale, and pogonion) were also measured using a mandibular movement tracking and simulation system. The predictor variables were changes in morphological parameters divided into two groups (deviated side (DS) or contralateral side (CS) groups), and the outcome variables were changes in the MMO at four points. ResultsWe evaluated 21 subjects who had undergone orthognathic surgical procedures. Alterations in the TFH (total facial height), LFH (lower facial height), CS MBL (mandibular body length), and DS RL (ramus length) were negatively correlated with changes in bilateral condylar movement. The UFH, DS MBL and CS ML (mandibular length) showed correlations with infradentale movement. The CS ML, DS ML, MBL, UFH, and SNB were correlated with pogonion movement. ConclusionThe height of the face is most likely to affect post-operative mandibular movement, and is negatively correlated with movement changes in the condyles, infradentale and pogonion. The changes in CS morphological parameters are more correlated with mandibular movement changes than the DS. The changes in CS MBL and bilateral RL were negatively correlated with condylar movement changes, while the bilateral MBL and CS ML were positively correlated with changes in infradentale and pogonion.

A cephalometric comparison of horizontal and vertical skeletal parameters in North and South Indian population groups

A cephalometric study was carried out to compare skeletal parameters between North Indian (Group A) and South Indian (Group B) population. Sixty subjects in the age group of 16–21 years with acceptable profile, class I molar and canine relationship were selected. Cephalometric records were obtained for both the groups (A&B) and digitized. SNA, SNB, Wits appraisal (AO-BO), Mandibular Base (Go-Pog), Maxillary Base (PNS-Point A), Effective Mandibular Length (Co-Gn) and Mid-Facial Length (Co-Point A) readings were assessed to determine any difference in horizontal parameters. Similarly, Y-axis, Mandibular Plane Angle (MPA), Mandible to Cranial Base (FMA), Gonial Angle (GA), Upper and Lower Gonial Angle of Jarabak (UGA & LGA), Total Facial Height (TFH), Upper anterior Facial height (UAFH), lower anterior facial height (LAFH), Posterior Height/Total Anterior Height Ratio (PH/TAH) were digitized to find any difference in vertical parameters. Statistical analysis using paired t-test was done with level of significance less than 5%. Results showed that, South Indian girls had more MPA and FMA compared to the North Indians suggesting a tendency towards vertical growth pattern. This cephalometric appraisal study shall enable an orthodontist in formulating an optimal treatment plan for the two population groups.

An extended period of functional appliance therapy: a controlled clinical trial comparing the Twin Block and Dynamax appliances

The aim of this clinical trial was to compare the hard- and soft-tissue effects of 15 month full-time functional appliance therapy with Twin Block (TB) and Dynamax (Dx) appliances. The effects on both hard and soft tissue were analysed using cephalograms and three-dimensional optical surface laser scans. One hundred and three subjects with a class II division 1 malocclusion, and a minimum overjet of 7mm were available for analysis following stratified randomization according to gender and age. Data was collected at the start of treatment, 15 month therapy, and after 3 month post-treatment observation. Statistical analysis was conducted using analysis of covariance. The results demonstrated both appliances corrected the overjet with significantly increased skeletal dimensional changes with the TB compared with the Dx with forward movement of pogonion of 5.2mm (TB) and 0.7mm (Dx) P = 0.003. In addition, significant changes occurred particularly in the vertical dimension where there was also an increase in total anterior face height in both groups (TB = 6.4mm, Dx = 5.5mm) and significant (P = 0.003) mandibular length changes were also observed (TB = 7.2mm, Dx = 3.8mm). The cephalometric soft-tissue changes were significantly different between the two appliances at soft-tissue pogonion (TB = 9.8mm, Dx = 4.6mm, P = 0.001). Laser scan three-dimansional changes showed significant difference in the lower labial sulcus region where forward movements were observed (TB = 8.2mm, Dx = 6.2mm; P = 0.04). Overall these changes appear to be greater and more stable than those achieved in a previous 9 month study.

Determination of craniofacial relation among the subethnic Indian population: A modified approach (vertical evaluation)

To measure the vertical linear cephalometric dimensions of the anterior and posterior segments of the craniofacial complex and establish ratios between vertical linear dimensions in subjects with normal occlusion, pleasing profile, and facial harmony. Department of Orthodontics, Saveetha University. Lateral cephalograms of 120 subjects of both sexes in the age group of 17-28 years with normal occlusion belonging to Chennai, India. The vertical segments measured are anterior maxilla, posterior maxilla, and ramus-cranial floor vertical. The facial heights were measured in the anterior and posterior region of the craniofacial complex. Establish ratios and proportions between the vertical segments and different facial heights. In both the sexes, the ratio between anterior maxilla, posterior maxilla, and ramus-cranial floor vertical is 1:1:1, PTFH:ATFH is 1:1, AUFH:ATFH is 2:5, ALFH:ATFH is 3:5, PUFH:PTFH is 1:2, PLFH:PTFH is 1:2, AUDH:ALDH is 2:3, and facial depth is 2:1. PUDH:PLDH is 7:9 in females and 3:4 in males. There was a statistically significant difference in posterior total facial height:anterior total facial height ratio between the two sexes with a "P" value of 95%. Thus, the anterior maxilla, posterior maxilla, and cranial floor-ramus vertical composite are in dimensional balance in subjects with normal occlusion and facial harmony. This analysis helps to identify skeletal deviations in size and position in the vertical dimension and allows the clinician to outline an appropriate treatment.

Open-Bite Treatment of A Case By Means Of Zygomatic Plate Anchorage: A Case Report

Treatment of anterior open bite cases is usually a challenging issue and the treatment results are often hard to maintain. Many treatment modalities were presented throughout the years in the literature where in most, malocclusion is corrected primarily by extrusion of the incisors or preventing passive eruption of posterior teeth. Surgical correction is another main approach in treatment of skeletal openbite cases. However, patients may hesitate to have surgery due to the risks, complexity and costs of this treatment. In this case report a minimally invasive method is shown in which posterior teeth are intruded by using zygomatic anchorage. For this purpose multi purpose implants were placed on the zygomatic buttress area to act as anchorage units. The intrusive force application was started by attaching two 9mm NiTi coil springs bilaterally to the bended “I” shaped processes that access to the oral cavity through the mucosa. Posterior dentoalveolar intrusion was achieved in 6 months and the intrusion was maintained with wire ligation between the implant and the molar tubes throughout the treatment. Lower face height to total face height ratio decreased by 1%. 1mm overbite was achieved. Normal smile line concomitant with the lower lip contour and esthetic gingival exposure was also achieved. If intrusion of the posterior teeth is necessary skeletal anchorage through zygomatic multipurpose implants can be used as a good treatment alternative to orthognathic surgery.

Anterior face height values in a Nigerian population

Background:Withan increasing demand in the number of patients seeking orthodontictreatment at the Orthodontic unit of University of Benin teaching hospital it becomes imperative to provide normative values for anterior face heights. These values will then form a basis for clinical diagnosis, treatment planning and evaluation of facial proportions following orthodontic treatments.Aim:The aim of this study was to measure anterior face height proportions of school children in Benin City.Subjects and Methods:One hundred Lateral cephalometric radiographs of 12-15 years old school children, in Benin City were taken to establish anterior face height values. Manual tracings of the cephalograms were carried out and the linear measurements were recorded, summarized, and statistically analyzed using the Microsoft Excel Programme 2000. The comparative test was conducted using the Student's t-test to demonstrate any statistically significant difference between the values for the males and females, at 95% confidence level P < 0.05, was regarded as significant.Result:Out of the 100 subjects who participated in the study, there were 40 males 40% (40/100) and 60 females 60% (60/100), with a mean age of 12.2 years. Following a combined data analysis for both males and females, the mean biological values obtained for the parameters investigated are; Anterior Lower Face Height (ALFH) 60.9 (5) mm, Anterior Upper Face Height 47.7 (4) mm, Anterior Total Face Height (ATFH) 108.5 (5) mm, ratio of ALFH to ATFH ALFH: ATFH 56 (4)%.Conclusion:This study provides anterior face height measurements, which will be of great significance in evaluating facial proportions andesthetics in orthodontics, orthognathic surgery, and prosthetic dentistry.

A cross-sectional study of soft tissue facial morphometry in children of West Bengal

Context:Facial analysis is the first step in the evaluation of patients with orthodontic, cosmetic, or reconstructive procedures of the face, and one of the most important components of orthodontic diagnosis and treatment planning. It is a well-established fact that human faces differ from one another on the basis of race and ethnicity. The study will provide the aesthetic guidelines to assess the facial discrepancy in Bengali children to develop a proper treatment plan.Aims:To find out the mean values for selective linear measurements on the facial soft tissue of Bengali children, to demonstrate gender differences in the measurements.Materials and Methods:A cross-sectional study was done on 250 Bengali children of 6-14 years age, by measuring certain identified facial landmarks using a digital caliper.Statistical Analysis Used:Analytical statistical method with the help of student's t-test was used to determine mean values, standard deviation, and gender differences in the measurements using SPSS version 11.0.Results:In 6-8 years age group, male's average inter-endocanthion distance was significantly higher than that of females (P < 0.05), whereas in 12-14 years age group, the same parameter for females was significantly higher than that of males (P < 0.001). In 9-11 years age group, the average distance of exocanthion to exocanthion was higher for males compared to females, but the difference was not significant at 5% level (P > 0.05), though for 87% of cases, it was significant (P = 0.13). Total facial height for male subject was significantly high compared to that of females (P < 0.001) in 12-14 years age group.Conclusions:The study will provide the aesthetic guidelines to assess the facial discrepancy in Bengali children and provide a proper treatment plan through a simple and economically reasonable soft tissue analysis method.

Academic Orthodontic Opportunities

To analyze the scientific literature and compare in the results of conventional orthopedic appliances with those obtained from recent bone-anchored orthopedics for Class III malocclusion. The literature was systematically reviewed using PubMed/Medline, Scopus, and Scirus databases up to January 2012. Articles were selected by two different researchers (kappa index = 0.83), based on established inclusion/exclusion criteria. Methodologic quality was classified as high, medium, or low quality. The search strategy identified 1020 titles. Thirty studies were selected after applying the criteria (high quality = 9, medium quality = 21). Protraction rates differed within a range of one- to twofold between bone-anchored and dentoalveolar therapies (P < .001). All studies noted the effect of clockwise rotation on the mandible and an increase in inferior-anterior and total facial height; this was more obvious in dentoalveolar therapy than in bone-anchored orthopedics (P < .001). Dental parameters like overjet increased significantly with both sets of groups, ranging from 1.7 to 7.9 mm with dentoalveolar therapy and from 2.7 to 7.6 mm with bone-anchored orthopedics.

Heterozygote manifestations in X-chromosomal ectodermal dysplasia

About 60-70 % of the heterozygotes of X-linked hypohidrotic ectodermal dysplasia (XLHED) show some clinical manifestations of the disease. Dental abnormalities are key diagnostic features and can be best evaluated at a young age. Compared to controls, carriers have a significantly higher frequency of agenesis of permanent teeth with persistence of deciduous teeth, small teeth resulting in gaps between the teeth, and peg-shaped teeth. Whole saliva flow seems to be reduced in carriers, whereas concentrations of most inorganic salivary constituents and total protein are higher than in controls. Craniofacial morphology of carriers shows some subtle deviations such as short and retrognatic maxilla, protruding lips, and a shorter total facial height compared to controls, findings that could be explained in part by hypodontia. Mild hypotrichosis and mild hypohidrosis are two further commonly seen carrier signs. No correlation has been found so far between the type of mutations, the patients’ phenotypes and disease severity. The mosaic-like distribution of normal and abnormal skin along the Blaschko lines is a typical consequence of the clonal inactivation of the X-chromosomes. While carriers with a highly skewed X-chromosome inactivation pattern may show pronounced clinical features due to the unequal expression of the two alleles (‘functional hemizygosity’), no correlation has been found between the severity of clinical symptoms and X-chromosome inactivation in leukocytes of carriers. Sporadic cases of males with XLHED and autosomal recessive HED (arHED) cannot be distinguished clinically. In contrast to heterozygotes of XLHED, who frequently show mild involvement, heterozygous parents of patients with arHED show no features of the disorder. However, because of the highly variable expression of XLHED in carriers, phenotypic assessment may result both in underdetection and false-positive diagnosis.

Anthropometerical Association of the Craniofacial Dysmorphology with Schizophrenia

Dysmorphology is more concentrated in the craniofacial region of Schizophrenic Patients. So, an early anthropometric assessment of the physical dimensions of the cranium and the face may indicate a potential clue of Schizophrenia. To study the craniofacial dysmorphology in schizophrenic patients and in healthy controls of the Agra region and to find out whether its evaluation could be used as a tool in the early diagnosis of schizophrenia. This was a case-control, cross-sectional study. Schizophrenic Patients well diagnosed by consultant psychiatrists on the basis of the DSM IV criteria of the S.N. Medical College Agra and the Institute of Mental health, Agra and healthy controls of Agra were selected for the study. The total facial height (trichion to gnathion), the upper facial height (trichion to subnasale) and the lower facial height (subnasale to gnathion) were measured among the various groups of patients and the controls. The mean data were statistically correlated by using the t test for the independent variables. The total facial height (trichion to gnathion) was elongated in the Schizophrenic male patients as compared to the controls. When we compared the schizophrenic patients on the basis of the family history of schizophrenia, it was found that there was an elongation of the total facial height in the patients with a positive family history of schizophrenia as compared to the patients without a family history of schizophrenia. There was also a significant elongation of the upper facial height (trichion to subnasale ) in the schizophrenic male and female patients. There was total facial elongation and upper facial region elongation in the schizophrenia patients as compared to the controls.

Computerized cephalometric evaluation of changes following treatment with complete dentures

The aim of this study was to provide longitudinal evaluation of the changes after complete dentures therapy and the rate of residual ridge resorption through a six-year period of denture wearing. The authors presented the case of a 76-year-old patient, edentulous for twelve years, wearing complete dentures for six years, with the eugnat jaw relationship. Cephalometric radiograph was carried out in the process of new complete denture production, while the evaluation was carried out after six years. Cephalometric analysis was performed by using "Dr. Ceph" computer software (FYI Technologies, GA, USA). After six years, the reduction of anterior total facial height was 5.5 mm and the anterior lower facial height was 5.5 mm, the vertical residual ridge reduction of the maxilla was 1.4 mm and the reduction of the mandible was 3mm. The study confirms the reliability and advantages of cephalometric analyses and reveals their application possibilities in prosthetic diagnostics and therapy, as well as in evaluation of rehabilitative results in edentulous patients and longitudinal analysis of changes on the orofacial complex tissues and intemaxillary relationships.