A Cephalometric Analysis Assessing the Validity of Camper’s Plane to Establishing the Occlusal Plane in Edentulous Patients

Complete denture fabrication requires multiple clinical and laboratory steps. One of the most critical clinical steps is establishing an anatomical occlusal plane based on hard and soft tissue references. The aim of this study was to determine whether age or gender affects the level of the Ala-Tragu...

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Main Authors: Lina Sharab, David Jensen, Gregory Hawk, Ahmad Kutkut
Format: Article
Language:English
Published: MDPI AG 2023-03-01
Series:Dentistry Journal
Subjects:
Online Access:https://www.mdpi.com/2304-6767/11/3/81
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author Lina Sharab
David Jensen
Gregory Hawk
Ahmad Kutkut
author_facet Lina Sharab
David Jensen
Gregory Hawk
Ahmad Kutkut
author_sort Lina Sharab
collection DOAJ
description Complete denture fabrication requires multiple clinical and laboratory steps. One of the most critical clinical steps is establishing an anatomical occlusal plane based on hard and soft tissue references. The aim of this study was to determine whether age or gender affects the level of the Ala-Tragus plane to establish which reference point on the Tragus should be used when fabricating the occlusal plane in edentulous patients. Clinical photographs and lateral cephalometric radiographs with complete dentitions were taken from 58 volunteers at the DMD clinic at the University of Kentucky. Each photograph was superimposed over its corresponding cephalometric image. An analysis was conducted to establish the angle of the occlusal plane relative to the Ala-Tragus landmarks; this data was then grouped according to age and gender. The analysis shows that age and gender did not significantly affect where the Camper’s plane should be approximated for complete denture treatment. However, it was found that the most parallel line to the occlusal plane was Ala’s inferior border to the ‘Tragus’s inferior border. It should be noted that the volunteers’ skeletal classification was significantly related to a Cl III malocclusion tendency. Still, with this new information, functionality and esthetics can be more adequately addressed for patients undergoing complete denture treatment. Given our results, we suggest redefining the ‘Camper’s plane with a line extending from ‘Ala’s inferior border to the ‘Tragus’s inferior border instead of the superior border. Further consideration should be taken if the patient is a skeletal CL III malocclusion.
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spelling doaj.art-53a43b2263d74012b2c9efdf4289ad022023-11-17T10:32:28ZengMDPI AGDentistry Journal2304-67672023-03-011138110.3390/dj11030081A Cephalometric Analysis Assessing the Validity of Camper’s Plane to Establishing the Occlusal Plane in Edentulous PatientsLina Sharab0David Jensen1Gregory Hawk2Ahmad Kutkut3Division of Orthodontics, College of Dentistry, University of Kentucky, Lexington, KY 40536, USADivision of Orthodontics, College of Dentistry, University of Kentucky, Lexington, KY 40536, USADepartment of Statistics, University of Kentucky, Lexington, KY 40536, USADivision of Prosthodontics, College of Dentistry, University of Kentucky, Lexington, KY 40536, USAComplete denture fabrication requires multiple clinical and laboratory steps. One of the most critical clinical steps is establishing an anatomical occlusal plane based on hard and soft tissue references. The aim of this study was to determine whether age or gender affects the level of the Ala-Tragus plane to establish which reference point on the Tragus should be used when fabricating the occlusal plane in edentulous patients. Clinical photographs and lateral cephalometric radiographs with complete dentitions were taken from 58 volunteers at the DMD clinic at the University of Kentucky. Each photograph was superimposed over its corresponding cephalometric image. An analysis was conducted to establish the angle of the occlusal plane relative to the Ala-Tragus landmarks; this data was then grouped according to age and gender. The analysis shows that age and gender did not significantly affect where the Camper’s plane should be approximated for complete denture treatment. However, it was found that the most parallel line to the occlusal plane was Ala’s inferior border to the ‘Tragus’s inferior border. It should be noted that the volunteers’ skeletal classification was significantly related to a Cl III malocclusion tendency. Still, with this new information, functionality and esthetics can be more adequately addressed for patients undergoing complete denture treatment. Given our results, we suggest redefining the ‘Camper’s plane with a line extending from ‘Ala’s inferior border to the ‘Tragus’s inferior border instead of the superior border. Further consideration should be taken if the patient is a skeletal CL III malocclusion.https://www.mdpi.com/2304-6767/11/3/81Camper’s planeocclusal planeedentulouscephalometric X-ray
spellingShingle Lina Sharab
David Jensen
Gregory Hawk
Ahmad Kutkut
A Cephalometric Analysis Assessing the Validity of Camper’s Plane to Establishing the Occlusal Plane in Edentulous Patients
Dentistry Journal
Camper’s plane
occlusal plane
edentulous
cephalometric X-ray
title A Cephalometric Analysis Assessing the Validity of Camper’s Plane to Establishing the Occlusal Plane in Edentulous Patients
title_full A Cephalometric Analysis Assessing the Validity of Camper’s Plane to Establishing the Occlusal Plane in Edentulous Patients
title_fullStr A Cephalometric Analysis Assessing the Validity of Camper’s Plane to Establishing the Occlusal Plane in Edentulous Patients
title_full_unstemmed A Cephalometric Analysis Assessing the Validity of Camper’s Plane to Establishing the Occlusal Plane in Edentulous Patients
title_short A Cephalometric Analysis Assessing the Validity of Camper’s Plane to Establishing the Occlusal Plane in Edentulous Patients
title_sort cephalometric analysis assessing the validity of camper s plane to establishing the occlusal plane in edentulous patients
topic Camper’s plane
occlusal plane
edentulous
cephalometric X-ray
url https://www.mdpi.com/2304-6767/11/3/81
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