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Symphyseal angle: an angle to determine skeletal pattern using panoramic radiographs

From Volume 7, Issue 4, October 2014 | Pages 137-139

Authors

Shreya N Ajmera

BDS, MDS

3/7, Marwadi Galli, Osmanabad, Maharashtra 413501, India

Articles by Shreya N Ajmera

Shivanand Venkatesh

BDS, MDS, MOrth RCS(Edinb)

Assistant Professor, Department of Orthodontics and Dentofacial Orthopedics, MS Ramaiah Dental College and Hospital, MSR Nagar, Bangalore, Karnataka 560054, India

Articles by Shivanand Venkatesh

Sanjay V Ganeshkar

BDS, MDS, MDO RCPS(Glasg)

Diplomate Indian Board of Orthodontics, Professor, Department of Orthodontics and Dentofacial Orthopedics, SDM College of Dental Sciences, Sattur, Dharwad, Karnataka 580009, India

Articles by Sanjay V Ganeshkar

B Sangamesh

BDS, MDS, MOrth RCS(Edinb)

Reader, Department of Orthodontics and Dentofacial Orthopedics, SDM College of Dental Sciences, Sattur, Dharwad, Karnataka 580009, India

Articles by B Sangamesh

Anand K Patil

BDS, MDS, MOrth RCS(Edinb)

Professor and Head, Department of Orthodontics and Dentofacial Orthopedics, SDM College of Dental Sciences, Sattur, Dharwad, Karnataka 580009, India

Articles by Anand K Patil

Abstract

The aim of this article is to derive an angle using panoramic radiographs which is as reliable as lateral cephalometric norms in determining the skeletal growth pattern. The sample size consisted of 60 OPGs of patients with normodivergent growth pattern evaluated from cephalometric radiographs. The mean Symphyseal Angle (SA) obtained was 134.1 ± 2.1 and correlation tests showed high, negative and statistically significant correlation for both Basal Plane Angle (BPA)1 and Frankfurt Mandibular Plane Angle (FMA) (p = 0.0063) and a positive correlation was shown with the Jarabak Ratio (JR)2 (p = 0.032). The Symphyseal Angle derived was helpful in determining the skeletal pattern of the craniofacial structure.

Clinical Relevance: This paper demonstrates the use of the Symphyseal Angle to determine skeletal growth pattern using panoramic radiographs.

Article

Panoramic radiography was first introduced by Yrjo Paatero of the University of Helsinki in 1961 and demonstrated the right and left anatomic landmarks for bilateral structures in a panoramic view.3 Orthodontic practice utilizes panoramic radiography for information on the teeth, their axial inclinations, maturation periods and surrounding tissues and is considered to be an indispensable orthodontic screening tool.4,5,6 Facial and mandibular asymmetries, bilateral condylar symmetry, bone trabecular pattern and alveolar support to the teeth are of major concern to orthodontists. Similarly, the growth pattern or the divergence of the jaw bases has to be determined in a patient to help decide on the type of mechanics to be employed.

The gonial angle measured from the lateral cephalogram is one of the most common methods of determining jaw divergence. However, the gonial angle has to be validated with other parameters because of its poor reliability as it measures the arithmetic mean of right and left angles.7 Recent studies have concluded that panoramic radiographs can also be used to determine the gonial angle as accurately as lateral cephalograms.8,9

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