A 3-dimensional method for analyzing the morphology of patients with maxillofacial deformities

Am J Orthod Dentofacial Orthop. 2009 Dec;136(6):857-67. doi: 10.1016/j.ajodo.2008.01.019.

Abstract

Introduction: Traditionally, cephalograms have been used to evaluate a patient's maxillofacial skeleton and facial soft-tissue morphology. However, magnification and distortion of the cephalograms make detailed morphologic analysis difficult in patients with complex deformities. The purpose of this article was to introduce a new method for visualizing deformation and deviation of the maxillofacial skeleton and facial soft tissues.

Methods: Standard 3-dimensional Japanese head models were sized to match the sella-to-nasion distance obtained from 2 patients' (1 man, 1 woman) maxillofacial skeletal images. Then, the scaled standard model was superimposed on each patient's 3-dimensional computed tomography image.

Results: This system provided clear shape information independent of size and facilitated the visualization of shape variations in maxillofacial skeletal and facial soft-tissue morphology.

Conclusions: This method will be useful for 3-dimensional morphologic analysis of patients with jaw deformities.

Publication types

  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adolescent
  • Cephalometry / methods*
  • Diagnosis, Computer-Assisted / instrumentation
  • Diagnosis, Computer-Assisted / methods*
  • Female
  • Humans
  • Image Interpretation, Computer-Assisted / methods*
  • Imaging, Three-Dimensional / instrumentation*
  • Imaging, Three-Dimensional / methods
  • Male
  • Malocclusion / diagnostic imaging*
  • Malocclusion / therapy
  • Mandible / abnormalities*
  • Maxillofacial Abnormalities / diagnosis*
  • Maxillofacial Abnormalities / therapy
  • Tomography, X-Ray Computed
  • Young Adult