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Differentiation between maxillary and malar midface position within the facial profile.


ABSTRACT: Aims:To define midfacial position differentiating maxillary and zygomatic regions and to evaluate the corresponding cephalometric characteristics discerning midfacial flatness and fullness. Material and Methods:A total of 183 pretreatment lateral cephalometric radiographs of non-growing orthodontic patients (age 25.98 ± 8.43 years) screened at our university orthodontic clinic. The lateral cephalographs of the orthodontic patients were stratified in four groups: flat, normal toward flat, normal toward full, full,according to distances from nasion and sella to points J and G (NJ, SJ, NG and SG). J is the midpoint of the distance connecting orbitale to point A, and G the center of the triangle connecting orbit, key ridge and pterygomaxillary fissure. Statistics included the Kendall tau-b test for best associations among measurements. Results:All measurements were statistically significantly different between flat and full groups. The highest associations were between NJ and SJ (?b = 0.71; p < 0.001) and NG and SG (?b = 0.70; p < 0.001). Flat midfaces were characterized by canting of the cranial base and palatal plane, hyperdivergent pattern and maxillary retrognathism. The opposite was true for fuller midfaces. Conclusion:Midface skeletal location was assessed differentially in the naso-maxillary and malo-zygomatic structures differentially. Craniofacial characteristics were identified according to this stratification, indicating the potential for application in facial diagnosis and need for testing on 3D cone-beam computed tomography images.

SUBMITTER: Chalala C 

PROVIDER: S-EPMC6910109 | biostudies-literature | 2019

REPOSITORIES: biostudies-literature

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Differentiation between maxillary and malar midface position within the facial profile.

Chalala Chimène C   Ghafari Joseph G JG  

PeerJ 20191210


<h4>Aims</h4>To define midfacial position differentiating maxillary and zygomatic regions and to evaluate the corresponding cephalometric characteristics discerning midfacial flatness and fullness.<h4>Material and methods</h4>A total of 183 pretreatment lateral cephalometric radiographs of non-growing orthodontic patients (age 25.98 ± 8.43 years) screened at our university orthodontic clinic. The lateral cephalographs of the orthodontic patients were stratified in four groups: <i>flat</i>, <i>no  ...[more]

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