Katherine Kula

Cephalometry in Orthodontics


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Mohamed Bazina / Juan Martin Palomo

       10Growth and Treatment Predictions: Accuracy and Reliability Achint Utreja

       11Measuring Bone with CBCT Leena Palomo / Tarek Elshebiny / Ali Z. Syed / Juan Martin Palomo

       12Common Pathologic Findings in Cephalometric Radiology Paul C. Edwards / James Geist

       13The Cost of 2D Versus 3D Radiology Eric Dellinger

       14Clinical Cases Ahmed Ghoneima / Katherine Kula

       Index

       Eman Allam, BDS, PHD, MPH

      Postdoctoral Fellow

      Department of Orthodontics and Oral Facial Genetics

      Indiana University School of Dentistry

      Indianapolis, Indiana

       Mohamed Bazina, BDS, MSD

      Assistant Clinical Professor

      Department of Orthodontics

      University of Kentucky

      Adjunct Assistant Professor

      Department of Orthodontics

      School of Dental Medicine

      Case Western Reserve University

      Cleveland, Ohio

       Eric Dellinger, DDS, MSD

      Private Practice Limited to Orthodontics

      Angola, Indiana

       Paul C. Edwards, DDS, MSC

      Professor

      Department of Oral Pathology, Medicine & Radiology

      Indiana University School of Dentistry

      Indianapolis, Indiana

       Tarek Elshebiny, BDS, MSD

      Clinical Assistant Professor

      Department of Orthodontics

      School of Dental Medicine

      Case Western Reserve University

      Cleveland, Ohio

       James Geist, DDS, MS

      Professor

      Department of Biomedical and Diagnostic Sciences

      Director, Oral and Maxillofacial Imaging Center

      University of Detroit Mercy

      Detroit, Michigan

       Ahmed Ghoneima, BDS, PHD, MSD

      Chair and Associate Professor, Orthodontics

      Hamdan Bin Mohammed College of Dental Medicine

      Dubai, United Arab Emirates

      Adjunct Faculty

      Department of Orthodontics and Oral Facial Genetics

      Indiana University School of Dentistry

      Indianapolis, Indiana

       Katherine Kula, MS, DMD, MS

      Professor Emeritus

      Department of Orthodontics and Oral Facial Genetics

      Indiana University School of Dentistry

      Indianapolis, Indiana

       Manuel Lagravère, DDS, MSC, PHD

      Associate Professor

      Division of Orthodontics

      Faculty of Medicine and Dentistry

      University of Alberta

      Edmonton, Alberta

       Connie P. Ling, DDS, MSC

      Private Practice Limited to Orthodontics

      Toronto, Ontario

       Juan Martin Palomo, DDS, MSD

      Professor and Residency Director

      Department of Orthodontics

      Director of the Craniofacial Imaging Center

      School of Dental Medicine

      Case Western Reserve University

      Cleveland, Ohio

       Leena Palomo, DDS, MSD

      Associate Professor

      Department of Periodontology

      School of Dental Medicine

      Case Western Reserve University

      Cleveland, Ohio

       Edwin T. Parks, DMD, MS

      Professor

      Department of Oral Pathology, Medicine & Radiology

      Indiana University School of Dentistry

      Indianapolis, Indiana

       Ali Z. Syed, BDS, MHA, MS

      Assistant Professor

      Director of Radiology

      School of Dental Medicine

      Case Western Reserve University

      Cleveland, Ohio

       Achint Utreja, BDS, MS, PHD

      Assistant Professor and Director, Pre-Doctoral Orthodontics

      Director, Mineralized Tissue and Histology Research Laboratory

      Department of Orthodontics and Oral Facial Genetics

      Indiana University School of Dentistry

      Indianapolis, Indiana

       Introduction to the Use of Cephalometrics

       Katherine Kula, MS, DMD, MS Ahmed Ghoneima, BDS, PhD, MSD

      Cephalometrics refers to the quantitative evaluation of cephalograms, or the measuring and comparison of hard and soft tissue structures on craniofacial radiographs. It is an evolving science and art that has been woven into orthodontics and the treatment of patients. Cephalograms are an integral part of orthodontic records and are typically used for almost all orthodontic patients. The cephalometric analysis or evaluation helps to confirm or clarify the clinical evaluation of the patient and provide additional information for decisions concerning treatment.

      The American Association of Orthodontists (AAO) developed the current Clinical Practice Guidelines for Orthodontics and Dentofacial Orthopedics,1 which recommend that initial orthodontic records include examination notes, intraoral and extraoral images, diagnostic casts (stone or digital), and radiographic images. These radiographic images include appropriate intraoral radiographs and/or a panoramic radiograph as well as cephalometric radiographs. A three-dimensional cone beam computed tomograph (3D CBCT) can be substituted for a cephalometric radiograph; however, the routine use of a CBCT is not generally required in orthodontics, so cephalometric radiographs are the current standard.

      The