Influence of different setups of the Frankfort horizontal plane on 3-dimensional cephalometric measurements

The Frankfort horizontal (FH) is a plane that intersects both porions and the left orbitale. However, other combinations of points have also been used to define this plane in 3-dimensional cephalometry. These variations are based on the hypothesis that they do not affect the cephalometric analysis....

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Veröffentlicht in:American journal of orthodontics and dentofacial orthopedics 2017-08, Vol.152 (2), p.242-249
Hauptverfasser: Santos, Rodrigo Mologni Gonçalves dos, De Martino, José Mario, Haiter Neto, Francisco, Passeri, Luis Augusto
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container_end_page 249
container_issue 2
container_start_page 242
container_title American journal of orthodontics and dentofacial orthopedics
container_volume 152
creator Santos, Rodrigo Mologni Gonçalves dos
De Martino, José Mario
Haiter Neto, Francisco
Passeri, Luis Augusto
description The Frankfort horizontal (FH) is a plane that intersects both porions and the left orbitale. However, other combinations of points have also been used to define this plane in 3-dimensional cephalometry. These variations are based on the hypothesis that they do not affect the cephalometric analysis. We investigated the validity of this hypothesis. The material included cone-beam computed tomography data sets of 82 adult subjects with Class I molar relationship. A third-party method of cone-beam computed tomography-based 3-dimensional cephalometry was performed using 7 setups of the FH plane. Six lateral cephalometric hard tissue measurements relative to the FH plane were carried out for each setup. Measurement differences were calculated for each pair of setups of the FH plane. The number of occurrences of differences greater than the limits of agreement was counted for each of the 6 measurements. Only 3 of 21 pairs of setups had no occurrences for the 6 measurements. No measurement had no occurrences for the 21 pairs of setups. Setups based on left or right porion and both orbitales had the greatest number of occurrences for the 6 measurements. This investigation showed that significant and undesirable measurement differences can be produced by varying the definition of the FH plane. •Test method shows that different setups of the FH plane affect the cephalometric analysis.•Replacing the left orbitale by the right one in the FH plane affects the results.•Replacing the right orbitale by the left one in the FH plane affects the results.•Replacing the left porion by the right one in the FH plane affects the results.•Replacing the right porion by the left one in the FH plane affects the results.
doi_str_mv 10.1016/j.ajodo.2016.12.023
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subjects Adolescent
Adult
Anatomic Landmarks - diagnostic imaging
Anatomic Landmarks - pathology
Cephalometry - methods
Cone-Beam Computed Tomography - methods
Dentistry
Facial Bones - diagnostic imaging
Facial Bones - pathology
Female
Humans
Imaging, Three-Dimensional - methods
Male
Malocclusion, Angle Class I - diagnostic imaging
Malocclusion, Angle Class I - pathology
Mandible - diagnostic imaging
Mandible - pathology
Radiography, Dental - methods
Skull - diagnostic imaging
Skull - pathology
Young Adult
title Influence of different setups of the Frankfort horizontal plane on 3-dimensional cephalometric measurements
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