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COMPARISON OF DIFFERENT ANGULAR MEASUREMENTS

TO ASSESS SAGITTAL
SKELETAL DISCREPANCY
- A CEPHALOMETRIC STUDY

Kavita Sachdeva,Anil Singla,Vivek Mahajan,H.S. Jaj,Vishal Seth,Madhurima Nanda


Indian Journal of Dental Sciences. (June 2012 Issue:2, Vol.:4)

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INTRODUCTION
 evaluation of sagittal jaw relationship

 rotations of jaws during growth,


 vertical relationships between the jaws and reference planes,
 lack of validity of the various methods

 Linear & angular meaurements

 Appraisal by linear measurements-fewer variables


-less error measurement

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 Downs(1948): A-B plane angle
Nasion
 Riedel(1952):ANB angle

 Jacobson(1975):Wits appraisal Functional Occlual


Plane

 Baik and Ververidou(2004):beta angle


A,B,C

 Neela et al(2009):YEN angle


SM-MG

 Bhad et al(2011):W-angle

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MATERIAL AND METHOD
 45 pretreatment lateral cephalograms
 10 to 25 year old
 3 groups(n=15)

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INCLUSION CRITERIA

PARAMETR SK CLASS I SK CLASS II SK CLASS III


ANB angle 1-3 >4 </=1
WITS APPRAISAL 0 to -3 Equal />-1 </=-4
BETA ANGLE 27-35 <27 >35
YEN ANGLE 117-123 <117 >123
W ANGLE 51-56 <51 >56
PROFILE pleasant Class II Class III

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STATISTICAL ANALYSIS

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DISCUSSION
 Orthognathic suregry

 Early age

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ANB ANGLE
 most poplular
 2 degree
 Not significant(p-0.829)
 Bjork opinion that the human body
constitutes a functional entity, no
part of which can be varied without
entailing some changes in other
parts.

 Brown, Chang and Jacobson :SN


plane
 Rotberg et al: nasion
 ANB angle factors (Jacobson,1975)

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THE “WITS” APPRAISAL OF JAW DISHARMONY

WITS APPRAISAL JACOBSON


AJODO FEB 1975

 Female: coincide
 Male: bo 1 mm ahead
 Not significant(p - 0.728)
 Moore et al and Ishikawa et
al:functional occlusal plane

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A NEW APPROACH OF ASSESSING SAGITTAL
DISCREPANCIES: THE BETA ANGLE
BAIK AND VERVERIDOU

BETA ANGLE
AMERICAN JOURNAL OF ORTHODONTICS AND
DENTOFACIAL ORTHOPEDICS
VOLUME 126, NUMBER 1

 27-35
 statistically significant (p <
0.001)
 Biak and Ververidou
 reflects true changes of the
sagittal relationship of the jaws
 Point A & B

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A NEW SAGITTAL DYSPLASIA INDICATOR: YEN ANGLE
NEELA ET AL

YEN ANGLE
WORLD JOURNAL OF ORTHODONTICS;VOL 10,NO
2,2009

 117-123
 statistically significant (p <
0.001)
 Neela et al
 S,M,G
 rotation of jaw can affect

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A NEW APPROACH OF ASSESSING SAGITTAL DYSPLASIA: THE W

W ANGLE
ANGLE
W A BHAD ET AL
THE EUROPEAN JOURNAL OF ORTHODONTICS ADVANCE ACCESS
PUBLISHED FEBRUARY 8, 2011

 51-56
 statistically significant (p <
0.001)
 Bhad et al
 S,M,G
 Clockwise/counterclockwise
rotation of the jaws
 transitional period - vertical
facial growth

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CONCLUSION
 Beta angle, Yen angle & W-angle :statistically significant

 ANB angle & Wits appraisal : misleading

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