MAKSİLLER DARLIK VE MANDİBULAR ASİMETRİNİN TEŞHİS YÖNTEMLERİ
Year 2017,
Volume: 26 Issue: 2, 169 - 174, 01.07.2017
İbrahim Yavuz
Gülşen Çakmak
Abstract
Hastaların estetik beklentilerindeki artış nedeniyle
ortodontik tedaviye olan talep son yıllarda artmıştır.
Hastaları estetik olarak rahatsız eden ve diş hekimine
başvurmalarına neden olan durumlardan biri de yüzde
görülen asimetridir. Yüz asimetrisi genetik ve çevresel
olmak üzere birçok nedenle oluşabilmektedir. Bu nedenlerden biri de maksiller darlık nedeniyle oluşan
posterior çapraz kapanışın erken dönemde tedavi edilmemesidir. Bu makalenin amacı geleneksel ve güncel
yaklaşımlarla maksiller darlık ve mandibular asimetrinin teşhisi konusunda ortodontistleri bilgilendirmektir.
References
- 1. Marshall SD, Southard KA, Southard TE. Early
transverse treatment. Semin Orthod 2005;
11:130-139.
- 2. Bishara SE, Staley RN. Maxillary expansion:
clinical implications. Am J Orthod Dentofacial
Orthop 1987; 91:3-14.
- 3. Pinto AS, Buschang PH, Throckmorton GS, Chen
P. Morphological and positional asymmetries of
young children with functional unilateral
posterior crossbite. Am J Orthod Dentofacial
Orthop 2001; 120:513-520.
- 4. Ben-Bassat Y, Yaffe A, Brin I, Freeman J, Ehrlich Y.
Functional and morphological-occlusal aspects in
children treated for unilateral posterior crossbite. Eur J Orthod 1993; 15:57-63.
- 5. Langberg BJ, Arai K, Miner RM. Transverse
skeletal and dental asymmetry in adults with
unilateral lingual posterior crossbite. Am J
Orthod Dentofacial Orthop 2005; 127:6-15.
- 6. Kutin G, Hawes RR. Posterior cross-bites in the
deciduous and mixed dentitions. Am J Orthod
1969; 56:491-504.
- 7. Bishara SE, Burkey PS, Kharouf JG. Dental and
facial asymmetries: a review. Angle Orthod 1994;
64:89-98.
- 8. Ülgen M. Ortodonti: Anomaliler, sefalometri,
etiloji, büyüme ve gelişim, tanı: Ankara Üniversitesi Diş Hekimliği Fakültesi Yayınları 2010; ss 133-
147.
- 9. Ülgen M. Ortodontik tedavi prensipleri: Ankara
Üniversitesi Diş Hekimliği Fakültesi Yayınları
2010; ss 104-114.
- 10. Cameron CG, Franchi L, Baccetti T, McNamara JA.
Long-term effects of rapid maxillary expansion: a
posteroanterior cephalometric evaluation. Am J
Orthod Dentofacial Orthop 2002; 121:129-135.
- 11. Joondeph DR, Rıedel RA, Moore AW. Pont's Index:
A Clinical Evaluation. Angle Orthod 1970; 40:112-
118.
- 12. McNamaraa JA. Maxillary transverse deficiency.
Am J Orthod Dentofacial Orthop 2000; 117:567-
570.
- 13. Beyer JW, Lindauer SJ. Evaluation of dental
midline position. Semin Orthod 1998; 4:146-152.
- 14. Çokakoğlu S, Nalçacı R. Orta hat asimetrileri ve
tedavi seçenekleri. Cumhuriyet Dental Journal
2013; 16:242-251.
- 15. Miller EL, Bodden WR, Jamison HC. A study of the
relationship of the dental midline to the facial
median line. J Prosthet Dent 1979; 41:657-660.
- 16. Peck S, Peck L, Kataja M. Skeletal asymmetry in
esthetically pleasing faces. Angle Orthod 1991;
61:43-48.
- 17. Özkepir ÖN, Kamburoğlu K. Dijital Lateral
Sefalometri, Posteroanterior Grafiler, El-Bilek
Grafileri, Dijital Ortodontik Analizler. Turkiye
Klinikleri Journal of Oral and Maxillofacial
Radiology-Special Topics 2016; 2:51-54.
- 18. Kantor ML, Phillips CL, Proffit WR. Subtraction
radiography to assess reproducibility of patient
positioning in cephalometrics. Am J Orthod
Dentofacial Orthop 1993; 104:350-354.
- 19. Yoon Y-J, Kim K-S, Hwang M-S, et al. Effect of head
rotation on lateral cephalometric radiographs.
Angle Orthod 2001; 71:396-403.
- 20. Melnik AK. A cephalometric study of mandibular
asymmetry in a longitudinally followed sample of
growing children. Am J Orthod Dentofacial Orthop
1992; 101:355-366.
- 21. Urban SD, Waite PD. Management of facial
asymmetry. The American Journal of Cosmetic
Surgery 2005; 22:249-259.
- 22. Chen F, Terada K, Yang L, Saito I. Dental arch
widths and mandibular-maxillary base widths in
Class III malocclusions from ages 10 to 14. Am J
Orthod Dentofacial Orthop 2008; 133:65-69.
- 23. Katsumata A, Fujishita M, Maeda M, et al. 3D-CT
evaluation of facial asymmetry. Oral Surg Oral
Med Oral Pathol Oral Radiol Endod 2005; 99:212-
220.
- 24. Usumez S, Uysal T, Orhan M, Soganci E.
Relationship between static natural head position
and head position measured during walking. Am J
Orthod Dentofacial Orthop 2006; 129:42-47.
- 25. Chebib F, Chamma A. Indices of craniofacial
asymmetry. Angle Orthod 1981; 51:214-226.
- 26. Legrell P, Nyquist H, Isberg A. Validity of
identification of gonion and antegonion in frontal
cephalograms. Angle Orthod 2000; 70:157-164.
- 27. Pirttiniemi P, Miettinen J, Kantomaa T. Combined
effects of errors in frontal-view asymmetry
diagnosis. Eur J Orthod 1996; 18:629-636.
- 28. Lee K-H, Hwang H-S, Curry S, et al. Effect of
cephalometer misalignment on calculations of
facial asymmetry. Am J Orthod Dentofacial Orthop
2007; 132:15-27.
- 29. Ricketts RM. Perspectives in the clinical
application of cephalometrics: the first fifty years.
Angle Orthod 1981; 51:115-150.
- 30. Uzel I, Enacar A. Ortodontide sefalometri.
Yargıçoğlu Matbaası, Ankara 1984; ss 74-75.
- 31. Mckee IW, Williamson PC, Lam EW, et al. The
accuracy of 4 panoramic units in the projection of
mesiodistal tooth angulations. Am J Orthod
Dentofacial Orthop 2002; 12:166-175.
- 32. Kambylafkas P, Murdock E, Gilda E, Tallents RH,
Kyrkanides S. Validity of panoramic radiographs
for measuring mandibular asymmetry. Angle
Orthod 2006; 76:388-393.
- 33. Ghosh S, Vengal M, Pai KM, Abhishek K.
Remodeling of the antegonial angle region in the
human mandible: a panoramic radiographic crosssectional study. Med Oral Patol Oral Cir Bucal
2010; 15:802-807.
- 34. Habets L, Bezuur J, Naeiji M, Hansson T. The
Orthopantomogram®, an aid in diagnosis of
temporomandibular joint problems. J Oral Rehabil
1988; 15:465-471.
- 35. Vegter F, Hage JJ. Standardized facial photography
of cleft patients: Just fit the grid? Cleft Palate
Craniofac J 2000; 37:435-440.
- 36. Mommaerts MY, Moerenhout BA. Reliability of
clinical measurements used in the determination
of facial indices. J Craniomaxillofac Surg 2008;
36:279-284.
- 37. Dahan J. A simple digital procedure to assess facial
asymmetry. Am J Orthod Dentofacial Orthop 2002;
122:110-116.
- 38. Edler R, Wertheim D, Greenhill D. Clinical and
computerized assessment of mandibular
asymmetry. Eur J Orthod 2001; 23:485-494.
- 39. Benson PE, Richmond S. A critical appraisal of
measurement of the soft tissue outline using
photographs and video. Eur J Orthod 1997; 19:397
-409.
- 40. Lauweryns I, Cauwenberghe NV, Carels C.
Interobserver and intraobserver agreement of
clinical orthodontic judgments based on intraoral
and extraoral photographs. Angle Orthod 1994;
64:23-30.
- 41. Landes CA, Zachar R, Diehl T, Kovács AF.
Introduction of a three-dimensional
anthropometry of the viscerocranium. Part II:
evaluating osseous and soft tissue changes
following orthognathic surgery. Craniomaxillofac
Surg 2002; 30:25-34.
- 42. He X, Shi B, Jiang S, et al. 110 infants with
unrepaired unilateral cleft lip: An anthropometric
analysis of the lip and nasal deformities. Int J Oral
Maxillofac Surg 2010; 39:847-852.
- 43. Ferrario VF, Sforza C, Dellavia C, et al. A quantitative three-dimensional assessment of
abnormal variations in facial soft tissues of adult
patients with cleft lip and palate. Cleft Palate
Craniofac J 2003; 40:544-549.
- 44. Holberg C, Schwenzer K, Mahaini L, Rudzki-Janson
I. Accuracy of facial plaster casts: A threedimensional scanner study. Angle Orthod 2006;
76:605-611.
- 45. Asquith J, Gillgrass T, Mossey P. Threedimensional imaging of orthodontic models: a
pilot study. Eur J Orthod 2007; 29:517-522.
- 46. Farman AG, Scarfe WC. The basics of maxillofacial
cone beam computed tomography. Semin Orthod
2009; 15:2-13.
- 47. Cattaneo PM, Bloch CB, Calmar D, Hjortshøj M,
Melsen B. Comparison between conventional and
cone-beam computed tomography–generated
cephalograms. Am J Orthod Dentofacial Orthop
2008; 134:798-802.
- 48. Shimofusa R, Yamamoto S, Horikoshi T, Yokota H,
Iwase H. Applicability of facial soft tissue
thickness measurements in 3-dimensionally
reconstructed multidetector-row CT images for
forensic anthropological examination. Legal
Medicine 2009; 11:256-259.
- 49. Danforth RA, Dus I, Mah J. 3-D volume imaging for
dentistry: a new dimension. Journal of the
California Dental Association 2003; 31:817-823.
- 50. Lane C, Harrell W. Completing the 3-dimensional
picture. Am J Orthod Dentofacial Orthop 2008;
133:612-620.
- 51. Kusnoto B, Evans CA. Reliability of a 3D surface
laser scanner for orthodontic applications. Am J
Orthod Dentofacial Orthop 2002; 122:342-348.
- 52. Ji Y, Zhang F, Schwartz J, Stile F, Lineaweaver WC.
Assessment of facial tissue expansion with threedimensional digitizer scanning. J Craniofac Surg
2002; 13:687-692.
- 53. Guest E, Berry E, Morris D. Novel methods for
quantifying soft tissue changes after orthognathic
surgery. Int J Oral Maxillofac Surg 2001; 30:484-
489.
- 54. Germec-Cakan D, Canter HI, Nur B, Arun T.
Comparison of facial soft tissue measurements on
three-dimensional images and models obtained
with different methods. J Craniofac Surg 2010;
21:1393-1399.
- 55. Uffner NE. Three Dimensional Assessment of the
Effects of Extraction on the Smile in Class II High
and Low Mandibular Plane Angle Patients. Thesis,
Temple University, Ann Arbor 2013; pp 21.
- 56. Weinberg SM, Scott NM, Neiswanger K, Brandon
CA, Marazita ML. Digital three-dimensional
photogrammetry: evaluation of anthropometric
precision and accuracy using a Genex 3D camera
system. Cleft Palate Craniofac J 2004; 41:507-518.
- 57. Taneva E, Kusnoto B, Evans CA. 3D Scanning,
Imaging, and Printing in Orthodontics
Contemporary Orthodontics Chapter 9, 2015; pp
147-188.
- 58. Cheong Y-W, Lo L-J. Facial asymmetry: etiology,
evaluation, and management. Chang Gung Med J
2011; 34:341-351.
- 59. Christou T, Kau CH, Waite PD, Kheir NA,
Mouritsen D. Modified method of analysis for
surgical correction of facial asymmetry. Ann
Maxillofac Surg 2013; 3:185-191.
Diagnostic Methods of Maxillary Transversal Deficiency and Mandibular Asymmetry
Year 2017,
Volume: 26 Issue: 2, 169 - 174, 01.07.2017
İbrahim Yavuz
Gülşen Çakmak
Abstract
In recent years the demand for orthodontic treatment
has been increasing due to the enhancement in patient’s
aesthetic expectations. Facial asymmetry is one of the
conditions which aesthetically disturb patients and
cause them to apply to the dentist. Facial asymmetry
can occur for many reasons, including genetic and environmental factors. One of these reasons is posterior
cross bite due to maxillary transversal deficiency, which
is not treated at an early stage. The aim of this article is
to inform orthodontists about the diagnosis of maxillary
transversal deficiency and mandibular asymmetry with
traditional and current approaches
References
- 1. Marshall SD, Southard KA, Southard TE. Early
transverse treatment. Semin Orthod 2005;
11:130-139.
- 2. Bishara SE, Staley RN. Maxillary expansion:
clinical implications. Am J Orthod Dentofacial
Orthop 1987; 91:3-14.
- 3. Pinto AS, Buschang PH, Throckmorton GS, Chen
P. Morphological and positional asymmetries of
young children with functional unilateral
posterior crossbite. Am J Orthod Dentofacial
Orthop 2001; 120:513-520.
- 4. Ben-Bassat Y, Yaffe A, Brin I, Freeman J, Ehrlich Y.
Functional and morphological-occlusal aspects in
children treated for unilateral posterior crossbite. Eur J Orthod 1993; 15:57-63.
- 5. Langberg BJ, Arai K, Miner RM. Transverse
skeletal and dental asymmetry in adults with
unilateral lingual posterior crossbite. Am J
Orthod Dentofacial Orthop 2005; 127:6-15.
- 6. Kutin G, Hawes RR. Posterior cross-bites in the
deciduous and mixed dentitions. Am J Orthod
1969; 56:491-504.
- 7. Bishara SE, Burkey PS, Kharouf JG. Dental and
facial asymmetries: a review. Angle Orthod 1994;
64:89-98.
- 8. Ülgen M. Ortodonti: Anomaliler, sefalometri,
etiloji, büyüme ve gelişim, tanı: Ankara Üniversitesi Diş Hekimliği Fakültesi Yayınları 2010; ss 133-
147.
- 9. Ülgen M. Ortodontik tedavi prensipleri: Ankara
Üniversitesi Diş Hekimliği Fakültesi Yayınları
2010; ss 104-114.
- 10. Cameron CG, Franchi L, Baccetti T, McNamara JA.
Long-term effects of rapid maxillary expansion: a
posteroanterior cephalometric evaluation. Am J
Orthod Dentofacial Orthop 2002; 121:129-135.
- 11. Joondeph DR, Rıedel RA, Moore AW. Pont's Index:
A Clinical Evaluation. Angle Orthod 1970; 40:112-
118.
- 12. McNamaraa JA. Maxillary transverse deficiency.
Am J Orthod Dentofacial Orthop 2000; 117:567-
570.
- 13. Beyer JW, Lindauer SJ. Evaluation of dental
midline position. Semin Orthod 1998; 4:146-152.
- 14. Çokakoğlu S, Nalçacı R. Orta hat asimetrileri ve
tedavi seçenekleri. Cumhuriyet Dental Journal
2013; 16:242-251.
- 15. Miller EL, Bodden WR, Jamison HC. A study of the
relationship of the dental midline to the facial
median line. J Prosthet Dent 1979; 41:657-660.
- 16. Peck S, Peck L, Kataja M. Skeletal asymmetry in
esthetically pleasing faces. Angle Orthod 1991;
61:43-48.
- 17. Özkepir ÖN, Kamburoğlu K. Dijital Lateral
Sefalometri, Posteroanterior Grafiler, El-Bilek
Grafileri, Dijital Ortodontik Analizler. Turkiye
Klinikleri Journal of Oral and Maxillofacial
Radiology-Special Topics 2016; 2:51-54.
- 18. Kantor ML, Phillips CL, Proffit WR. Subtraction
radiography to assess reproducibility of patient
positioning in cephalometrics. Am J Orthod
Dentofacial Orthop 1993; 104:350-354.
- 19. Yoon Y-J, Kim K-S, Hwang M-S, et al. Effect of head
rotation on lateral cephalometric radiographs.
Angle Orthod 2001; 71:396-403.
- 20. Melnik AK. A cephalometric study of mandibular
asymmetry in a longitudinally followed sample of
growing children. Am J Orthod Dentofacial Orthop
1992; 101:355-366.
- 21. Urban SD, Waite PD. Management of facial
asymmetry. The American Journal of Cosmetic
Surgery 2005; 22:249-259.
- 22. Chen F, Terada K, Yang L, Saito I. Dental arch
widths and mandibular-maxillary base widths in
Class III malocclusions from ages 10 to 14. Am J
Orthod Dentofacial Orthop 2008; 133:65-69.
- 23. Katsumata A, Fujishita M, Maeda M, et al. 3D-CT
evaluation of facial asymmetry. Oral Surg Oral
Med Oral Pathol Oral Radiol Endod 2005; 99:212-
220.
- 24. Usumez S, Uysal T, Orhan M, Soganci E.
Relationship between static natural head position
and head position measured during walking. Am J
Orthod Dentofacial Orthop 2006; 129:42-47.
- 25. Chebib F, Chamma A. Indices of craniofacial
asymmetry. Angle Orthod 1981; 51:214-226.
- 26. Legrell P, Nyquist H, Isberg A. Validity of
identification of gonion and antegonion in frontal
cephalograms. Angle Orthod 2000; 70:157-164.
- 27. Pirttiniemi P, Miettinen J, Kantomaa T. Combined
effects of errors in frontal-view asymmetry
diagnosis. Eur J Orthod 1996; 18:629-636.
- 28. Lee K-H, Hwang H-S, Curry S, et al. Effect of
cephalometer misalignment on calculations of
facial asymmetry. Am J Orthod Dentofacial Orthop
2007; 132:15-27.
- 29. Ricketts RM. Perspectives in the clinical
application of cephalometrics: the first fifty years.
Angle Orthod 1981; 51:115-150.
- 30. Uzel I, Enacar A. Ortodontide sefalometri.
Yargıçoğlu Matbaası, Ankara 1984; ss 74-75.
- 31. Mckee IW, Williamson PC, Lam EW, et al. The
accuracy of 4 panoramic units in the projection of
mesiodistal tooth angulations. Am J Orthod
Dentofacial Orthop 2002; 12:166-175.
- 32. Kambylafkas P, Murdock E, Gilda E, Tallents RH,
Kyrkanides S. Validity of panoramic radiographs
for measuring mandibular asymmetry. Angle
Orthod 2006; 76:388-393.
- 33. Ghosh S, Vengal M, Pai KM, Abhishek K.
Remodeling of the antegonial angle region in the
human mandible: a panoramic radiographic crosssectional study. Med Oral Patol Oral Cir Bucal
2010; 15:802-807.
- 34. Habets L, Bezuur J, Naeiji M, Hansson T. The
Orthopantomogram®, an aid in diagnosis of
temporomandibular joint problems. J Oral Rehabil
1988; 15:465-471.
- 35. Vegter F, Hage JJ. Standardized facial photography
of cleft patients: Just fit the grid? Cleft Palate
Craniofac J 2000; 37:435-440.
- 36. Mommaerts MY, Moerenhout BA. Reliability of
clinical measurements used in the determination
of facial indices. J Craniomaxillofac Surg 2008;
36:279-284.
- 37. Dahan J. A simple digital procedure to assess facial
asymmetry. Am J Orthod Dentofacial Orthop 2002;
122:110-116.
- 38. Edler R, Wertheim D, Greenhill D. Clinical and
computerized assessment of mandibular
asymmetry. Eur J Orthod 2001; 23:485-494.
- 39. Benson PE, Richmond S. A critical appraisal of
measurement of the soft tissue outline using
photographs and video. Eur J Orthod 1997; 19:397
-409.
- 40. Lauweryns I, Cauwenberghe NV, Carels C.
Interobserver and intraobserver agreement of
clinical orthodontic judgments based on intraoral
and extraoral photographs. Angle Orthod 1994;
64:23-30.
- 41. Landes CA, Zachar R, Diehl T, Kovács AF.
Introduction of a three-dimensional
anthropometry of the viscerocranium. Part II:
evaluating osseous and soft tissue changes
following orthognathic surgery. Craniomaxillofac
Surg 2002; 30:25-34.
- 42. He X, Shi B, Jiang S, et al. 110 infants with
unrepaired unilateral cleft lip: An anthropometric
analysis of the lip and nasal deformities. Int J Oral
Maxillofac Surg 2010; 39:847-852.
- 43. Ferrario VF, Sforza C, Dellavia C, et al. A quantitative three-dimensional assessment of
abnormal variations in facial soft tissues of adult
patients with cleft lip and palate. Cleft Palate
Craniofac J 2003; 40:544-549.
- 44. Holberg C, Schwenzer K, Mahaini L, Rudzki-Janson
I. Accuracy of facial plaster casts: A threedimensional scanner study. Angle Orthod 2006;
76:605-611.
- 45. Asquith J, Gillgrass T, Mossey P. Threedimensional imaging of orthodontic models: a
pilot study. Eur J Orthod 2007; 29:517-522.
- 46. Farman AG, Scarfe WC. The basics of maxillofacial
cone beam computed tomography. Semin Orthod
2009; 15:2-13.
- 47. Cattaneo PM, Bloch CB, Calmar D, Hjortshøj M,
Melsen B. Comparison between conventional and
cone-beam computed tomography–generated
cephalograms. Am J Orthod Dentofacial Orthop
2008; 134:798-802.
- 48. Shimofusa R, Yamamoto S, Horikoshi T, Yokota H,
Iwase H. Applicability of facial soft tissue
thickness measurements in 3-dimensionally
reconstructed multidetector-row CT images for
forensic anthropological examination. Legal
Medicine 2009; 11:256-259.
- 49. Danforth RA, Dus I, Mah J. 3-D volume imaging for
dentistry: a new dimension. Journal of the
California Dental Association 2003; 31:817-823.
- 50. Lane C, Harrell W. Completing the 3-dimensional
picture. Am J Orthod Dentofacial Orthop 2008;
133:612-620.
- 51. Kusnoto B, Evans CA. Reliability of a 3D surface
laser scanner for orthodontic applications. Am J
Orthod Dentofacial Orthop 2002; 122:342-348.
- 52. Ji Y, Zhang F, Schwartz J, Stile F, Lineaweaver WC.
Assessment of facial tissue expansion with threedimensional digitizer scanning. J Craniofac Surg
2002; 13:687-692.
- 53. Guest E, Berry E, Morris D. Novel methods for
quantifying soft tissue changes after orthognathic
surgery. Int J Oral Maxillofac Surg 2001; 30:484-
489.
- 54. Germec-Cakan D, Canter HI, Nur B, Arun T.
Comparison of facial soft tissue measurements on
three-dimensional images and models obtained
with different methods. J Craniofac Surg 2010;
21:1393-1399.
- 55. Uffner NE. Three Dimensional Assessment of the
Effects of Extraction on the Smile in Class II High
and Low Mandibular Plane Angle Patients. Thesis,
Temple University, Ann Arbor 2013; pp 21.
- 56. Weinberg SM, Scott NM, Neiswanger K, Brandon
CA, Marazita ML. Digital three-dimensional
photogrammetry: evaluation of anthropometric
precision and accuracy using a Genex 3D camera
system. Cleft Palate Craniofac J 2004; 41:507-518.
- 57. Taneva E, Kusnoto B, Evans CA. 3D Scanning,
Imaging, and Printing in Orthodontics
Contemporary Orthodontics Chapter 9, 2015; pp
147-188.
- 58. Cheong Y-W, Lo L-J. Facial asymmetry: etiology,
evaluation, and management. Chang Gung Med J
2011; 34:341-351.
- 59. Christou T, Kau CH, Waite PD, Kheir NA,
Mouritsen D. Modified method of analysis for
surgical correction of facial asymmetry. Ann
Maxillofac Surg 2013; 3:185-191.