Differentiation between maxillary and malar midface position within the facial profile

Aims To define midfacial position differentiating maxillary and zygomatic regions and to evaluate the corresponding cephalometric characteristics discerning midfacial flatness and fullness. Material and Methods A total of 183 pretreatment lateral cephalometric radiographs of non-growing orthodontic...

Full description

Bibliographic Details
Main Authors: Chimène Chalala, Joseph G. Ghafari
Format: Article
Language:English
Published: PeerJ Inc. 2019-12-01
Series:PeerJ
Subjects:
Online Access:https://peerj.com/articles/8200.pdf
_version_ 1797420111317958656
author Chimène Chalala
Joseph G. Ghafari
author_facet Chimène Chalala
Joseph G. Ghafari
author_sort Chimène Chalala
collection DOAJ
description Aims To define midfacial position differentiating maxillary and zygomatic regions and to evaluate the corresponding cephalometric characteristics discerning midfacial flatness and fullness. Material and Methods A total of 183 pretreatment lateral cephalometric radiographs of non-growing orthodontic patients (age 25.98 ± 8.43 years) screened at our university orthodontic clinic. The lateral cephalographs of the orthodontic patients were stratified in four groups: flat, normal toward flat, normal toward full, full,according to distances from nasion and sella to points J and G (NJ, SJ, NG and SG). J is the midpoint of the distance connecting orbitale to point A, and G the center of the triangle connecting orbit, key ridge and pterygomaxillary fissure. Statistics included the Kendall tau-b test for best associations among measurements. Results All measurements were statistically significantly different between flat and full groups. The highest associations were between NJ and SJ (τb = 0.71; p < 0.001) and NG and SG (τb = 0.70; p < 0.001). Flat midfaces were characterized by canting of the cranial base and palatal plane, hyperdivergent pattern and maxillary retrognathism. The opposite was true for fuller midfaces. Conclusion Midface skeletal location was assessed differentially in the naso-maxillary and malo-zygomatic structures differentially. Craniofacial characteristics were identified according to this stratification, indicating the potential for application in facial diagnosis and need for testing on 3D cone-beam computed tomography images.
first_indexed 2024-03-09T06:56:57Z
format Article
id doaj.art-3a87ada945774477a89220068a588ee5
institution Directory Open Access Journal
issn 2167-8359
language English
last_indexed 2024-03-09T06:56:57Z
publishDate 2019-12-01
publisher PeerJ Inc.
record_format Article
series PeerJ
spelling doaj.art-3a87ada945774477a89220068a588ee52023-12-03T10:02:38ZengPeerJ Inc.PeerJ2167-83592019-12-017e820010.7717/peerj.8200Differentiation between maxillary and malar midface position within the facial profileChimène Chalala0Joseph G. Ghafari1Departments of Orthodontics and Dentofacial Orthopedics, Lebanese University and American University of Beirut, Beirut, LebanonDivision of Orthodontics and Dentofacial Orthopedics, American University of Beirut, Beirut, LebanonAims To define midfacial position differentiating maxillary and zygomatic regions and to evaluate the corresponding cephalometric characteristics discerning midfacial flatness and fullness. Material and Methods A total of 183 pretreatment lateral cephalometric radiographs of non-growing orthodontic patients (age 25.98 ± 8.43 years) screened at our university orthodontic clinic. The lateral cephalographs of the orthodontic patients were stratified in four groups: flat, normal toward flat, normal toward full, full,according to distances from nasion and sella to points J and G (NJ, SJ, NG and SG). J is the midpoint of the distance connecting orbitale to point A, and G the center of the triangle connecting orbit, key ridge and pterygomaxillary fissure. Statistics included the Kendall tau-b test for best associations among measurements. Results All measurements were statistically significantly different between flat and full groups. The highest associations were between NJ and SJ (τb = 0.71; p < 0.001) and NG and SG (τb = 0.70; p < 0.001). Flat midfaces were characterized by canting of the cranial base and palatal plane, hyperdivergent pattern and maxillary retrognathism. The opposite was true for fuller midfaces. Conclusion Midface skeletal location was assessed differentially in the naso-maxillary and malo-zygomatic structures differentially. Craniofacial characteristics were identified according to this stratification, indicating the potential for application in facial diagnosis and need for testing on 3D cone-beam computed tomography images.https://peerj.com/articles/8200.pdfMidface positionMaxillary flatnessMaxillary fullnessCephalometric landmarks
spellingShingle Chimène Chalala
Joseph G. Ghafari
Differentiation between maxillary and malar midface position within the facial profile
PeerJ
Midface position
Maxillary flatness
Maxillary fullness
Cephalometric landmarks
title Differentiation between maxillary and malar midface position within the facial profile
title_full Differentiation between maxillary and malar midface position within the facial profile
title_fullStr Differentiation between maxillary and malar midface position within the facial profile
title_full_unstemmed Differentiation between maxillary and malar midface position within the facial profile
title_short Differentiation between maxillary and malar midface position within the facial profile
title_sort differentiation between maxillary and malar midface position within the facial profile
topic Midface position
Maxillary flatness
Maxillary fullness
Cephalometric landmarks
url https://peerj.com/articles/8200.pdf
work_keys_str_mv AT chimenechalala differentiationbetweenmaxillaryandmalarmidfacepositionwithinthefacialprofile
AT josephgghafari differentiationbetweenmaxillaryandmalarmidfacepositionwithinthefacialprofile