How common is ponticulus posticus on lateral cephalograms?

Abstract Background Ponticulus posticus is an anomaly of first cervical vertebra visible on lateral cephalogram and has some serious medical and surgical implications. Unfortunately, it is often overlooked or undetected by orthodontists. The general objective of this study is to sensitize orthodonti...

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Main Authors: Jamal Giri, Prabhat Ranjan Pokharel, Rajesh Gyawali
Format: Article
Language:English
Published: BMC 2017-04-01
Series:BMC Research Notes
Subjects:
Online Access:http://link.springer.com/article/10.1186/s13104-017-2494-z
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author Jamal Giri
Prabhat Ranjan Pokharel
Rajesh Gyawali
author_facet Jamal Giri
Prabhat Ranjan Pokharel
Rajesh Gyawali
author_sort Jamal Giri
collection DOAJ
description Abstract Background Ponticulus posticus is an anomaly of first cervical vertebra visible on lateral cephalogram and has some serious medical and surgical implications. Unfortunately, it is often overlooked or undetected by orthodontists. The general objective of this study is to sensitize orthodontists about this anomaly by depicting its prevalence among a group of Nepalese orthodontic patients. Methods Four hundred and fourteen digital lateral cephalograms of orthodontic patients were retrieved from the archives of the department. The lateral cephalograms were carefully assessed for the presence of ponticulus posticus in the posterior spine of atlas vertebra by two investigators independently and the findings were recorded. Results Ponticulus posticus was observed in 35.7% of the cases, of which 30.9% had partial ponticulus posticus and 4.8% had complete ponticulus posticus. Even though there was some female predilection, no statistically significant association was found between gender of the patient and presence of ponticulus posticus. Conclusion Ponticulus posticus is a fairly common anomaly with more than one-third (35.7%) of a group of Nepalese orthodontic patients affected and is independent of gender. Since, this anomaly is associated with numerous medical conditions and has surgical implications, orthodontists should use lateral cephalogram as screening radiograph for this anomaly.
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spelling doaj.art-c650dfad510546cfa0ce8818722f34452022-12-21T19:20:13ZengBMCBMC Research Notes1756-05002017-04-011011510.1186/s13104-017-2494-zHow common is ponticulus posticus on lateral cephalograms?Jamal Giri0Prabhat Ranjan Pokharel1Rajesh Gyawali2Department of Orthodontics, College of Dental Surgery, B.P. Koirala Institute of Health SciencesDepartment of Orthodontics, College of Dental Surgery, B.P. Koirala Institute of Health SciencesDepartment of Orthodontics, College of Dental Surgery, B.P. Koirala Institute of Health SciencesAbstract Background Ponticulus posticus is an anomaly of first cervical vertebra visible on lateral cephalogram and has some serious medical and surgical implications. Unfortunately, it is often overlooked or undetected by orthodontists. The general objective of this study is to sensitize orthodontists about this anomaly by depicting its prevalence among a group of Nepalese orthodontic patients. Methods Four hundred and fourteen digital lateral cephalograms of orthodontic patients were retrieved from the archives of the department. The lateral cephalograms were carefully assessed for the presence of ponticulus posticus in the posterior spine of atlas vertebra by two investigators independently and the findings were recorded. Results Ponticulus posticus was observed in 35.7% of the cases, of which 30.9% had partial ponticulus posticus and 4.8% had complete ponticulus posticus. Even though there was some female predilection, no statistically significant association was found between gender of the patient and presence of ponticulus posticus. Conclusion Ponticulus posticus is a fairly common anomaly with more than one-third (35.7%) of a group of Nepalese orthodontic patients affected and is independent of gender. Since, this anomaly is associated with numerous medical conditions and has surgical implications, orthodontists should use lateral cephalogram as screening radiograph for this anomaly.http://link.springer.com/article/10.1186/s13104-017-2494-zCervical vertebraLateral cephalogramPonticulus posticus
spellingShingle Jamal Giri
Prabhat Ranjan Pokharel
Rajesh Gyawali
How common is ponticulus posticus on lateral cephalograms?
BMC Research Notes
Cervical vertebra
Lateral cephalogram
Ponticulus posticus
title How common is ponticulus posticus on lateral cephalograms?
title_full How common is ponticulus posticus on lateral cephalograms?
title_fullStr How common is ponticulus posticus on lateral cephalograms?
title_full_unstemmed How common is ponticulus posticus on lateral cephalograms?
title_short How common is ponticulus posticus on lateral cephalograms?
title_sort how common is ponticulus posticus on lateral cephalograms
topic Cervical vertebra
Lateral cephalogram
Ponticulus posticus
url http://link.springer.com/article/10.1186/s13104-017-2494-z
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AT rajeshgyawali howcommonisponticulusposticusonlateralcephalograms