Skip to main content
Erschienen in: Journal of Orofacial Orthopedics / Fortschritte der Kieferorthopädie 3/2013

01.05.2013 | Original article

Lateral cephalometric standards of Germans with normal occlusion from 6 to 17 years of age

verfasst von: Prof. Dr. F. Stahl de Castrillon, T. Baccetti, L. Franchi, R. Grabowski, U. Klink-Heckmann, J.A. McNamara

Erschienen in: Journal of Orofacial Orthopedics / Fortschritte der Kieferorthopädie | Ausgabe 3/2013

Einloggen, um Zugang zu erhalten

Abstract

The aim of this study was to analyze sagittal and vertical dentofacial dimensions in subjects with normal occlusions during the juvenile and adolescents age periods to establish age- and gender-specific lateral cephalometric standard values for Germans during their active growth period. The study group consisted of a sample of 32 untreated subjects with normal occlusions. Lateral cephalograms were analyzed at 11 consecutive stages, from 6–13 and from 15–17 years of age. A customized cephalometric analysis was used to measure 53 variables. Statistical comparisons of gender-specific differences were performed by means of Mann–Whitney U tests.
Anterior and posterior cranial base lengths, midfacial length as well as mandibular length were recorded to be significantly larger in male subjects at the age of 6 years. For most of the linear measurements, significantly larger craniofacial distances were recorded in males from the age of 15 years onward. There were no statistically significant gender differences with regard to most angular measurements at subsequent age groups. Soft tissue analysis revealed flatter profiles in females than in males from the age of 10–11 years onward, while age-dependent changes in the soft tissue profile were similar in both genders.
In untreated subjects with normal occlusion craniofacial development of the hard and soft tissues can be considered age- and gender-dependent. Therefore age- and gender-specific differences of linear craniofacial distances should be taken into account for diagnosis and treatment planning in children and adolescents. The present results can be used as reference values for children and adolescents of German origin.
Literatur
1.
Zurück zum Zitat Baccetti T, Franchi L, McNamara JA Jr et al (1997) Early dentofacial features of Class II malocclusion: a longitudinal study from the deciduous through the mixed dentition. Am J Orthod Dentofac Orthop 111:502–509CrossRef Baccetti T, Franchi L, McNamara JA Jr et al (1997) Early dentofacial features of Class II malocclusion: a longitudinal study from the deciduous through the mixed dentition. Am J Orthod Dentofac Orthop 111:502–509CrossRef
2.
Zurück zum Zitat Barnes JQ (1955) A serial cephalometric study of facial and denture patterns in children having excellent occlusion using angular and linear measurements. Am J Orthod Dentofac Orthop 41:231–232 Barnes JQ (1955) A serial cephalometric study of facial and denture patterns in children having excellent occlusion using angular and linear measurements. Am J Orthod Dentofac Orthop 41:231–232
3.
Zurück zum Zitat Baume AT (1951) A cephalometric evaluation of the normal skeletal and dental pattern of children with excellent occlusions. Angle Orthod 21:96–103 Baume AT (1951) A cephalometric evaluation of the normal skeletal and dental pattern of children with excellent occlusions. Angle Orthod 21:96–103
4.
Zurück zum Zitat Berg R (1986) Die sagittale Kieferrelation. Eine longitudinale Untersuchung über die Änderungen in der Altersperiode zwischen 6 und 12 Jahren. Fortschr Kieferorthop 47:28–38CrossRefPubMed Berg R (1986) Die sagittale Kieferrelation. Eine longitudinale Untersuchung über die Änderungen in der Altersperiode zwischen 6 und 12 Jahren. Fortschr Kieferorthop 47:28–38CrossRefPubMed
5.
Zurück zum Zitat Bhatia SN, Leighton BC (1993) A manual of facial growth. A computer analysis of longitudinal cephalometric data. Oxford University Press, Oxford Bhatia SN, Leighton BC (1993) A manual of facial growth. A computer analysis of longitudinal cephalometric data. Oxford University Press, Oxford
6.
Zurück zum Zitat Bishara SE (1981) Longitudinal cephalometric standards from 5 years of age to adulthood. Am J Orthod Dentofac Orthop 79:35–44 Bishara SE (1981) Longitudinal cephalometric standards from 5 years of age to adulthood. Am J Orthod Dentofac Orthop 79:35–44
7.
Zurück zum Zitat Bishara SE, Jakobsen JR (1985) Longitudinal changes in three normal facial types. Am J Orthod Dentofac Orthop 88:466–502 Bishara SE, Jakobsen JR (1985) Longitudinal changes in three normal facial types. Am J Orthod Dentofac Orthop 88:466–502
8.
Zurück zum Zitat Bishara SE, Jacobsen JR, Hession TJ et al (1998) Soft tissue profile changes from 5 to 45 years of age. Am J Orthod Dentofac Orthop 114:698–706CrossRef Bishara SE, Jacobsen JR, Hession TJ et al (1998) Soft tissue profile changes from 5 to 45 years of age. Am J Orthod Dentofac Orthop 114:698–706CrossRef
9.
Zurück zum Zitat Bishara SE, Jakobsen JR, Vorhies B et al (1997) Changes in dentofacial structures in untreated Class II division 1 and normal subjects: a longitudinal study. Angle Orthod 67:55–66PubMed Bishara SE, Jakobsen JR, Vorhies B et al (1997) Changes in dentofacial structures in untreated Class II division 1 and normal subjects: a longitudinal study. Angle Orthod 67:55–66PubMed
10.
Zurück zum Zitat Bishara SE, Peterson LC, Bishara EC (1984) Changes in facial dimensions and relationships between the ages of 5 and 25 years. Am J Orthod Dentofac Orthop 85:238–252 Bishara SE, Peterson LC, Bishara EC (1984) Changes in facial dimensions and relationships between the ages of 5 and 25 years. Am J Orthod Dentofac Orthop 85:238–252
11.
Zurück zum Zitat Björk A (1947) The face in profile. An anthropological X-ray investigation on Swedish children and conscripts. Swed Dent J Suppl 5B Björk A (1947) The face in profile. An anthropological X-ray investigation on Swedish children and conscripts. Swed Dent J Suppl 5B
12.
Zurück zum Zitat Björk A (1961) The relationship of the jaws to the cranium. In: Lundström A (ed) Introduction to orthodontics. McGraw-Hill, London Björk A (1961) The relationship of the jaws to the cranium. In: Lundström A (ed) Introduction to orthodontics. McGraw-Hill, London
13.
Zurück zum Zitat Björk A (1963) Variations in the growth pattern of the human mandible: longitudinal study by the implant method. J Dent Res (42):400–411 Björk A (1963) Variations in the growth pattern of the human mandible: longitudinal study by the implant method. J Dent Res (42):400–411
14.
Zurück zum Zitat Broadbent BH Sr, Broadbent BH Jr, Golden WH (1975) Bolton standards of dentofacial developmental growth. CV Mosby, St. Louis Broadbent BH Sr, Broadbent BH Jr, Golden WH (1975) Bolton standards of dentofacial developmental growth. CV Mosby, St. Louis
15.
Zurück zum Zitat Buschang PH, Tanguay R, Demirjian A et al (1988) Mathematical models of longitudinal mandibular growth for children with normal and untreated Class II, division 1 malocclusion. Eur J Orthod 10:227–234PubMed Buschang PH, Tanguay R, Demirjian A et al (1988) Mathematical models of longitudinal mandibular growth for children with normal and untreated Class II, division 1 malocclusion. Eur J Orthod 10:227–234PubMed
16.
Zurück zum Zitat Droschl H (1984) Die Fernröntgenwerte unbehandelter Kinder zwischen dem 6. und 15. Lebensjahr. Quintessenz Verlags-GmbH, Berlin-Chicago-London-Rio de Janeiro-Tokio Droschl H (1984) Die Fernröntgenwerte unbehandelter Kinder zwischen dem 6. und 15. Lebensjahr. Quintessenz Verlags-GmbH, Berlin-Chicago-London-Rio de Janeiro-Tokio
17.
Zurück zum Zitat El-Batouti A, Øgaard B, Bishara SE (1994) Longitudinal cephalometric standards for Norwegians between the ages of 6 and 18 years. Eur J Orthod 16:501–509CrossRefPubMed El-Batouti A, Øgaard B, Bishara SE (1994) Longitudinal cephalometric standards for Norwegians between the ages of 6 and 18 years. Eur J Orthod 16:501–509CrossRefPubMed
18.
Zurück zum Zitat Foley TF, Duncan PG (1997) Soft tissue profile changes in late adolescent males. Angle Orthod 67:373–380PubMed Foley TF, Duncan PG (1997) Soft tissue profile changes in late adolescent males. Angle Orthod 67:373–380PubMed
19.
Zurück zum Zitat Gilmore WA (1950) Morphology of the adult mandible in Class II, division 1 malocclusion and in excellent occlusion. Angle Orthod 20:137–146PubMed Gilmore WA (1950) Morphology of the adult mandible in Class II, division 1 malocclusion and in excellent occlusion. Angle Orthod 20:137–146PubMed
20.
Zurück zum Zitat Godiawala RN, Joshi MR (1974) A cephalometric comparison between Class II, Division 2 malocclusion and normal occlusion. Angle Orthod 44:262–267PubMed Godiawala RN, Joshi MR (1974) A cephalometric comparison between Class II, Division 2 malocclusion and normal occlusion. Angle Orthod 44:262–267PubMed
21.
Zurück zum Zitat Hasund A (1973) Klinische Kephalometrie für die Bergen Technik. Universität Bergen, Norwegen Hasund A (1973) Klinische Kephalometrie für die Bergen Technik. Universität Bergen, Norwegen
22.
Zurück zum Zitat Heckmann U (1975) Längsschnittuntersuchungen der Gebißentwicklung und daraus resultierende Schlußfolgerungen für die kieferorthopädische Behandlungsplanung im Milchgebiss. Stomatol DDR 25:445–448PubMed Heckmann U (1975) Längsschnittuntersuchungen der Gebißentwicklung und daraus resultierende Schlußfolgerungen für die kieferorthopädische Behandlungsplanung im Milchgebiss. Stomatol DDR 25:445–448PubMed
23.
Zurück zum Zitat Heckmann U, Grabowski R, Brune K (1974) Über die Breiten- und Längenentwicklung des Gebisses. Dtsch Zahn Mund Kieferheilkd Zentralbl Gesamte 62:429–435PubMed Heckmann U, Grabowski R, Brune K (1974) Über die Breiten- und Längenentwicklung des Gebisses. Dtsch Zahn Mund Kieferheilkd Zentralbl Gesamte 62:429–435PubMed
24.
Zurück zum Zitat Hopkins JB, Murphy J (1971) Variations in good occlusions. Angle Orthod 41:55–65PubMed Hopkins JB, Murphy J (1971) Variations in good occlusions. Angle Orthod 41:55–65PubMed
25.
Zurück zum Zitat Ishikawa H, Nakamura S, Iwasaki H et al (2000) Seven parameters describing anteroposterior jaw relationships: postpubertal prediction accuracy and interchangeability. Am J Orthod Dentofac Orthop Dentofacial Orthop 117:714–720 Ishikawa H, Nakamura S, Iwasaki H et al (2000) Seven parameters describing anteroposterior jaw relationships: postpubertal prediction accuracy and interchangeability. Am J Orthod Dentofac Orthop Dentofacial Orthop 117:714–720
26.
Zurück zum Zitat Jacobson A (1975) The “Wits” appraisal of jaw disharmony. Am J Orthod Dentofac Orthop 67:125–138 Jacobson A (1975) The “Wits” appraisal of jaw disharmony. Am J Orthod Dentofac Orthop 67:125–138
27.
Zurück zum Zitat Jarabak JR, Fizzel JA (1972) Technique and treatment with lightwire edgewise appliance. Mosby, St. Louis Jarabak JR, Fizzel JA (1972) Technique and treatment with lightwire edgewise appliance. Mosby, St. Louis
28.
Zurück zum Zitat Karlsen AT (1994) Craniofacial characteristics in children with Angle Class II div. 2 malocclusion combined with extreme deep bite. Angle Orthod 64:123–130PubMed Karlsen AT (1994) Craniofacial characteristics in children with Angle Class II div. 2 malocclusion combined with extreme deep bite. Angle Orthod 64:123–130PubMed
29.
Zurück zum Zitat Kerr WJ (1979) A longitudinal cephalometric study of dentofacial growth from 5 to 15 years. Br J Orthod 6:115–121PubMed Kerr WJ (1979) A longitudinal cephalometric study of dentofacial growth from 5 to 15 years. Br J Orthod 6:115–121PubMed
30.
Zurück zum Zitat Klink-Heckmann U, Fischer J (1997) Rostocker Tabellen für die Vermessung von Fernröntgenseitenbildern bei Kindern, Jugendlichen und jungen Erwachsenen. Universität Rostock, Rostock Klink-Heckmann U, Fischer J (1997) Rostocker Tabellen für die Vermessung von Fernröntgenseitenbildern bei Kindern, Jugendlichen und jungen Erwachsenen. Universität Rostock, Rostock
31.
Zurück zum Zitat Lux CJ (2003) Sagittal-, Transversal- und Vertikalentwicklung des Gesichtsschädels und der Kieferbasen in der präpubertären und pubertären Wachstumsphase sowie die pathologischen Veränderungen bei Anomalien der Angle-Klassen II/1 und II/2. Habilitation. Universität Heidelberg, Heidelberg Lux CJ (2003) Sagittal-, Transversal- und Vertikalentwicklung des Gesichtsschädels und der Kieferbasen in der präpubertären und pubertären Wachstumsphase sowie die pathologischen Veränderungen bei Anomalien der Angle-Klassen II/1 und II/2. Habilitation. Universität Heidelberg, Heidelberg
32.
Zurück zum Zitat Lux CJ, Burden D, Conradt C et al (2005) Age related changes in sagittal relationship between the maxilla and the mandible. Eur J Orthod 27:568–578CrossRefPubMed Lux CJ, Burden D, Conradt C et al (2005) Age related changes in sagittal relationship between the maxilla and the mandible. Eur J Orthod 27:568–578CrossRefPubMed
33.
Zurück zum Zitat McNamara JA Jr (1984) A method of cephalometric evaluation. Am J Orthod Dentofac Orthop 86:449–469 McNamara JA Jr (1984) A method of cephalometric evaluation. Am J Orthod Dentofac Orthop 86:449–469
34.
Zurück zum Zitat Miyajima K, McNamara JA Jr, Kimura T et al (1996) Craniofacial structure of Japanese and European-American adults with normal occlusions and well balanced faces. Am J Orthod Dentofac Orthop Dentofacial Orthop 110:431–438CrossRef Miyajima K, McNamara JA Jr, Kimura T et al (1996) Craniofacial structure of Japanese and European-American adults with normal occlusions and well balanced faces. Am J Orthod Dentofac Orthop Dentofacial Orthop 110:431–438CrossRef
35.
Zurück zum Zitat Nanda RS (1955) The rates of growth of several facial components measured from serial cephalometric roentgenograms. Am J Orthod Dentofac Orthop 41:658–673 Nanda RS (1955) The rates of growth of several facial components measured from serial cephalometric roentgenograms. Am J Orthod Dentofac Orthop 41:658–673
36.
Zurück zum Zitat Nanda SK (1971) Growth changes in skeletal-facial profile and their significance in orthodontic diagnosis. Am J Orthod Dentofac Orthop 59:501–513 Nanda SK (1971) Growth changes in skeletal-facial profile and their significance in orthodontic diagnosis. Am J Orthod Dentofac Orthop 59:501–513
37.
Zurück zum Zitat Ricketts RM (1981) Perspectives in the clinical application of cephalometrics. The first 50 years. Angle Orthod 51:115–150PubMed Ricketts RM (1981) Perspectives in the clinical application of cephalometrics. The first 50 years. Angle Orthod 51:115–150PubMed
38.
Zurück zum Zitat Ricketts RM (1982) Divine proportion in facial esthetics. Clin Plast Surg 9:401–422PubMed Ricketts RM (1982) Divine proportion in facial esthetics. Clin Plast Surg 9:401–422PubMed
39.
Zurück zum Zitat Riolo ML, Moyers RE, McNamara JA et al (1974) An atlas of craniofacial growth: cephalometric standards from the university school growth study. University of Michigan, Center for Human Growth and Development, Ann Arbor Riolo ML, Moyers RE, McNamara JA et al (1974) An atlas of craniofacial growth: cephalometric standards from the university school growth study. University of Michigan, Center for Human Growth and Development, Ann Arbor
40.
Zurück zum Zitat Rothstein T, Phan XL (2001) Dental and facial skeletal characteristics and growth of females and males with Class II Division 1 malocclusion between the ages of 10 and 14 (revisited). Part II. Anteroposterior and vertical circumpubertal growth. Am J Orthod Dentofac Orthop 120:542–555CrossRef Rothstein T, Phan XL (2001) Dental and facial skeletal characteristics and growth of females and males with Class II Division 1 malocclusion between the ages of 10 and 14 (revisited). Part II. Anteroposterior and vertical circumpubertal growth. Am J Orthod Dentofac Orthop 120:542–555CrossRef
41.
Zurück zum Zitat Sanborn RT (1955) Differences between the facial skeletal patterns of Class III maloccusion and normal occlusion. Angle Orthod 25:208–222 Sanborn RT (1955) Differences between the facial skeletal patterns of Class III maloccusion and normal occlusion. Angle Orthod 25:208–222
42.
Zurück zum Zitat Sayin MO, Turkkahraman H (2004) Comparison of dental arch and alveolar widths of patients with Class II, division 1 malocclusion and subjects with class I ideal occlusion. Angle Orthod 74:356–360PubMed Sayin MO, Turkkahraman H (2004) Comparison of dental arch and alveolar widths of patients with Class II, division 1 malocclusion and subjects with class I ideal occlusion. Angle Orthod 74:356–360PubMed
43.
Zurück zum Zitat Shrout PE, Fleiss JL (1979) Intraclass correlation: uses in assessing rater reliability. Psychol Bull 86:420–428CrossRefPubMed Shrout PE, Fleiss JL (1979) Intraclass correlation: uses in assessing rater reliability. Psychol Bull 86:420–428CrossRefPubMed
44.
Zurück zum Zitat Sinclair PM, Little RM (1985) Dentofacial maturation of untreated normals. Am J Orthod Dentofac Orthop 88:146–156 Sinclair PM, Little RM (1985) Dentofacial maturation of untreated normals. Am J Orthod Dentofac Orthop 88:146–156
45.
Zurück zum Zitat Solow B (1980) The dentoalveolar compensatory mechanism: background and clinical implications. Br J Orthod 7:145–161PubMed Solow B (1980) The dentoalveolar compensatory mechanism: background and clinical implications. Br J Orthod 7:145–161PubMed
46.
Zurück zum Zitat Stahl F, Baccetti T, Franchi L et al (2008) Longitudinal growth changes in untreated subjects with Class II Division 1 malocclusion. Am J Orthod Dentofac Orthop 134:125–137CrossRef Stahl F, Baccetti T, Franchi L et al (2008) Longitudinal growth changes in untreated subjects with Class II Division 1 malocclusion. Am J Orthod Dentofac Orthop 134:125–137CrossRef
47.
Zurück zum Zitat Steiner CC (1953) Cephalometrics for you and me. Am J Orthod Dentofac Orthop 39:729–755 Steiner CC (1953) Cephalometrics for you and me. Am J Orthod Dentofac Orthop 39:729–755
48.
Zurück zum Zitat Thilander B, Persson M, Adolfsson U (2005) Roentgen-cephalometric standards for a Swedish population. A longitudinal study between the ages of 5 and 31 years. Eur J Orthod 27:370–389CrossRefPubMed Thilander B, Persson M, Adolfsson U (2005) Roentgen-cephalometric standards for a Swedish population. A longitudinal study between the ages of 5 and 31 years. Eur J Orthod 27:370–389CrossRefPubMed
49.
Zurück zum Zitat Thordarson A, Johannsdottir B, Magnusson TE (2006) Craniofacial changes in Icelandic children between 6 and 16 years of age-a longitudinal study. Eur J Orthod 28:152–165CrossRefPubMed Thordarson A, Johannsdottir B, Magnusson TE (2006) Craniofacial changes in Icelandic children between 6 and 16 years of age-a longitudinal study. Eur J Orthod 28:152–165CrossRefPubMed
50.
Zurück zum Zitat Ursi W, Trotman C, McNamara JA Jr et al (1993) Sexual dimorphism in normal craniofacial growth. Angle Orthod 63:47–56PubMed Ursi W, Trotman C, McNamara JA Jr et al (1993) Sexual dimorphism in normal craniofacial growth. Angle Orthod 63:47–56PubMed
51.
Zurück zum Zitat Varrela J (1998) Early developmental traits in class II malocclusion. Acta Odontol Scand 56(6):375–377CrossRefPubMed Varrela J (1998) Early developmental traits in class II malocclusion. Acta Odontol Scand 56(6):375–377CrossRefPubMed
52.
Zurück zum Zitat Zeng XL, Forsberg C, Linder-Aronson S (1998) Craniofacial morphology in Chinese and Swedish children with angle class I and class II occlusal relations. Aust Orthod J 15:168–176PubMed Zeng XL, Forsberg C, Linder-Aronson S (1998) Craniofacial morphology in Chinese and Swedish children with angle class I and class II occlusal relations. Aust Orthod J 15:168–176PubMed
Metadaten
Titel
Lateral cephalometric standards of Germans with normal occlusion from 6 to 17 years of age
verfasst von
Prof. Dr. F. Stahl de Castrillon
T. Baccetti
L. Franchi
R. Grabowski
U. Klink-Heckmann
J.A. McNamara
Publikationsdatum
01.05.2013
Verlag
Springer-Verlag
Erschienen in
Journal of Orofacial Orthopedics / Fortschritte der Kieferorthopädie / Ausgabe 3/2013
Print ISSN: 1434-5293
Elektronische ISSN: 1615-6714
DOI
https://doi.org/10.1007/s00056-013-0140-5

Weitere Artikel der Ausgabe 3/2013

Journal of Orofacial Orthopedics / Fortschritte der Kieferorthopädie 3/2013 Zur Ausgabe

Newsletter

Bestellen Sie unseren kostenlosen Newsletter Update Zahnmedizin und bleiben Sie gut informiert – ganz bequem per eMail.