• Journal of Oral Medicine and Pain
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• 제22권1호
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• pp.81-94
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• 1997

The Purpose of this study were to examine the epidemiology of snoring, its associated factors and anatomic features on cephalogram according to the frequency of snoring in young adults. Epidemiological survey using questionaire was made to the 438 students (320 male, 118 female) aged 19 - 28 years, and cephalometric study of anatomic features on 14 habitual snorers, 31 occasional snorers and 30 non-snorers among men was done. The obtained results were as follows : 1. The prevalence snoring was 11.4% in the young adults, 15.0% in male and 1.7% female. 2. Of the young adults, 3.7% were habitual snorers and 7.8% were occasional snorers. 3. Smoking and drinking increased the frequency of snoring(p < 0.01), but didn't affec the differences in the frequency between habitual and occasional snoring. 4. No significant correlation was made between the frequency of snoring and the factors such as overweight, nasal disease and hypertension. 5. In the cephalometric comparison between snorers and non-snorers, snorers had inferiorly positioned hyoid bone(p < 0.05), longer soft palate(p < 0.01), steeper soft palate(p < 0.05) and narrower nasopharyngeal(p < 0.05) and oropharyngeal(p < 0.001) airway. 6. In the cephalometric comparison between habitual snorers and occasional snorers, habitual snorers had narrow nasopharyngeal airway(p < 0.05).

• 대한치과교정학회지
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• 제52권4호
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• pp.258-267
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• 2022

Objective: This study aimed to evaluate the superimposition accuracy of digital modes for measuring tooth movement in patients requiring anterior retraction after premolar extraction based on the proposed reference regions. Methods: Forty patients treated with bilateral maxillary first premolar extraction were divided into two groups: moderate retraction (< 7.0 mm) and maximum retraction (≥ 7.0 mm). Central incisor displacement was measured using cephalometric superimpositions and three-dimensional (3D) digital superimpositions with the 3rd or 4th ruga as the reference point. The Wilcoxon signed-rank test and linear regression analyses were performed to test the significance of the differences and relationships between the two measurement techniques. Results: In the moderate retraction group, the central incisor anteroposterior displacement values did not differ significantly between 3D digital and cephalometric superimpositions. However, in the maximum-retraction group, significant differences were observed between the anteroposterior displacement evaluated by the 3rd ruga superimposition and cephalometric methods (p < 0.05). Conclusions: This study demonstrated that 3D digital superimpositions were clinically as reliable as cephalometric superimpositions in assessing tooth movements in patients requiring moderate retraction. However, the reference point should be carefully examined in patients who require maximum retraction.

• 대한치과의사협회지
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• 제48권5호
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• pp.379-390
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• 2010

The aim of this study was to investigate clinical and cephalometric characteristics of patients with anterior open bite and mandibular condylar resorption. Total of 45 subjects were recruited from the patients who visited the Department of Oral Medicine, Kyungpook National University Hospital in 2006 for treatment of temporomandibular dysfunction. After taking patient's history concerning temporomandibular joint dysfunction, clinical examination was performed and panoramic, transcranial, and lateral cephalometric radiographs were obtained. The cephalometric data were compared to those of normal Korean population. The results were as follow: 1. Clinical characteristics 1) Female was 4.6 time more prevalent than male, and 82.2% of the subjects were in second and third decade. 2) Angle's Class I occlusal type was 51%, Class II was 29%, and Class III was 20%. 3) The mean value of the overjet and overbite were 3.2mm and -1.1mm, respectively. 4) Most of the patients had parafunctional oral habits. 2. Cephalometric characteristics 1) SNA showed no significant difference between condyle resorption and normal group. However, in female resorption group, SNB was lesser and ANB was greater than those in normal group. 2) SN-GoMe and FMA increased in resorption group. 3) Palatal plane angle did not show significant difference between resorption and normal group. 4) Total posterior facial height was significantly smaller and total anterior facial height showed no significant increase as compared with those of the normal group. 5) Mandibular body length did not show any significant difference between resorption and normal group.

• Imaging Science in Dentistry
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• 제45권4호
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• pp.213-220
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• 2015

Purpose: The aim this study was to compare the accuracy of orthodontists and dentomaxillofacial radiologists in identifying 17 commonly used cephalometric landmarks, and to determine the extent of variability associated with each of those landmarks. Materials and Methods: Twenty digital lateral cephalometric radiographs were evaluated by two groups of dental specialists, and 17 cephalometric landmarks were identified. The x and y coordinates of each landmark were recorded. The mean value for each landmark was considered the best estimate and used as the standard. Variation in measurements of the distance between landmarks and measurements of the angles associated with certain landmarks was also assessed by a subset of two observers, and intraobserver and interobserver agreement were evaluated. Results: Intraclass correlation coefficients were excellent for intraobserver agreement, but only good for interobserver agreement. The least reliable landmark for orthodontists was the gnathion (Gn) point (standard deviation [SD], 5.92 mm), while the orbitale (Or) was the least reliable landmark (SD, 4.41 mm) for dentomaxillofacial radiologists. Furthermore, the condylion (Co)-Gn plane was the least consistent (SD, 4.43 mm). Conclusion: We established that some landmarks were not as reproducible as others, both horizontally and vertically. The most consistently identified landmark in both groups was the lower incisor border, while the least reliable points were Co, Gn, Or, and the anterior nasal spine. Overall, a lower level of reproducibility in the identification of cephalometric landmarks was observed among orthodontists.

• Imaging Science in Dentistry
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• 제45권3호
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• pp.175-180
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• 2015

Purpose: This study was performed to evaluate the reliability of the identification of anatomical landmarks in panoramic and lateral cephalometric radiographs on a standard medical grade picture archiving communication system (PACS) monitor and a tablet computer (iPad 5). Materials and Methods: A total of 1000 radiographs, including 500 panoramic and 500 lateral cephalometric radiographs, were retrieved from the de-identified dataset of the archive of the Section of Oral and Maxillofacial Radiology of the University Of Connecticut School Of Dental Medicine. Major radiographic anatomical landmarks were independently reviewed by two examiners on both displays. The examiners initially reviewed ten panoramic and ten lateral cephalometric radiographs using each imaging system, in order to verify interoperator agreement in landmark identification. The images were scored on a four-point scale reflecting the diagnostic image quality and exposure level of the images. Results: Statistical analysis showed no significant difference between the two displays regarding the visibility and clarity of the landmarks in either the panoramic or cephalometric radiographs. Conclusion: Tablet computers can reliably show anatomical landmarks in panoramic and lateral cephalometric radiographs.

• 대한치과교정학회지
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• 제51권2호
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• pp.126-134
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• 2021

Objective: This study aimed to evaluate the following null hypothesis: there are no differences in the morphology of the temporomandibular joint (TMJ) structures in relation to vertical and sagittal cephalometric patterns. Methods: This retrospective study was performed with 131 participants showing no TMJ symptoms. The participants were divided into Class I, II, and III groups on the basis of their sagittal cephalometric relationships and into hyperdivergent, normodivergent, and hypodivergent groups on the basis of their vertical cephalometric relationships. The following measurements were performed using cone-beam computed tomography images and compared among the groups: condylar volume, condylar size (width, length, and height), fossa size (length and height), and condyle-to-fossa joint spaces at the anterior, superior, and posterior condylar poles. Results: The null hypothesis was rejected. The Class III group showed larger values for condylar width, condylar height, and fossa height than the Class II group (p < 0.05). Condylar volume and superior joint space in the hyperdivergent group were significantly smaller than those in the other two vertical groups (p < 0.001), whereas fossa length and height were significantly larger in the hyperdivergent group than in the other groups (p < 0.01). The hypodivergent group showed a greater condylar width than the hyperdivergent group (p < 0.01). The sagittal and vertical cephalometric patterns showed statistically significant interactions for fossa length and height. Conclusions: TMJ morphology differed across diverse skeletal cephalometric patterns. The fossa length and height were affected by the interactions of the vertical and sagittal skeletal patterns.

• 대한치과교정학회지
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• 제11권2호
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• pp.71-75
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• 1981

The author has studied on the gonical angles in cephalometric roentgenograph and orthopantomograph. Lateral cephalometric roentgenograms and orthopantomograms were taken from 62 patients who were consisted of 32 boys and 30 girls with dentoalveolar Class I malocclusion. Genial angles were measured on cephalograms and orthopantomograms respectively, and calculated the mean values and standard deviations and 't' test was performed on the relationship between the cephologram and orthopantomogram. Results were as followings; 1. Mean value of genial angles was $126.47^{\circ}\;{\pm}\;5.62$ in cephalgram. In orthopantomograms the gonial angle was $125.23^{\circ}\;{\pm}\;6.68$ in left side and $126.47^{\circ}\;{\pm}\;6.85$ in the right side. 2. Result of 't' test showed no significant differences on the level of 1 percent.

• Journal of Oral Medicine and Pain
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• 제6권1호
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• pp.35-44
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• 1981

This study was undertaken to investigate the values of Gonial angle of the aged from 50 to 87 which consisted of 75 males and 47 females and the other values of the cephalometric standards of the aged which consisted of 42 males and 26 females with normal occlusion and acceptable profile. Each lateral cephalometric head films were taken with the teeth in occlusion utilizing the Siemens Cephalometer. The following conclusions were obtained : 1. The author made the tables of standard deviation from the measured values. 2. The degree of the Gonial angel of the aged was larger than that of Korean adults. 3. The degree of length in the values of the cephalometric standards of old aged men was larger than that of women.

• 대한치과교정학회지
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• 제12권2호
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• pp.127-138
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• 1982

The present study was performed to establish the cephalometric norms and to study characteristics of craniofacial skeleton of Korean male and female with normal occlusion. The author studied and analyzed statistically vertical cephalometric measurements of the 52 adult male ranging in age from 18 to 26 years and 43 adult female ranging in age from 16 to 30 years with normal occlusion and acceptable profile. The results were as follows; 1. Cephalometric craniofacial norms and standard deviation chart were abtained about adult Korean male and female with normal occlusion. 2. Vertical dimensions of the craniofacial skeleton were larger in male than in female. 3. Lower face was more divergent in female than in male. 4. In simple correlation coefficients between vertical linear mesurements in male and female, high correlation were shown between ATFH and ALFH, PTFH and PLFH, ALFH and ALDH, PLFH and PLDH.

• International Journal of Oral Biology
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• 제46권4호
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• pp.208-213
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• 2021

Increasing the vertical dimesion affects not only functional problems but also the facial appearance. In particular, when restoring the reduced vertical dimension, it is important to evaluate facial appearance because the change affects the patient's aesthetics. Cephalometric radiographs can predict changes in the facial appearance through skeletal and vertical classifications using anatomical indicators, and the changes before and after treatment can be easily observed, which could serve as good data in evaluating treatment success. In this study, comparative evaluation was performed through cephalometric radiography, and the aesthetic and functional improvement was confirmed.