Authors: Aurora Isufi, Renato Isufi, Virgjini Mulo, Lidija Kanurkova

DOI: To be acquired

Keywords: Accuracy Cephalometric Analysis, Malocclusion class II, Malocclusion class III, literature review, orthodontic diagnosis and treatment planning.

ABSTRACT

A lateral cephalometric radiograph is a standardized, reproducible radiograph used primarily for orthodontic diagnosis and treatment planning. It is a useful record prior to treatment and can be used during treatment to assess progress. It is used to assess the growth and development variations, etiology of malocclusion; to determine whether the malocclusion is due to skeletal relationship, dental relationship or both. Class III malocclusion may result from mandibular prognathism, maxillary retrognathism or a combination of both, but most common is mandible excessive growth. These radiographs can also be used for research purposes, although the radiographs must be clinically justified. Class II malocclusion, may be associated with skeletal abnormalities in about 75% of the patients, who usually present with mandibular retrognathism, resulting from a shortened mandible and maxillary protrusion. This malocclusion is described with distal relationship between mandibular and maxillary molars.
The aims of this study were to review the available scientific literature and to evaluate the existing evidence about the accurancy of lateral cephalometric radiograph analysis in orthodontics. This review also studied the accuracy and reliability of lateral cephalograms and its cephalometric analysis.
The review strategy was influenced by the National Health Service Center for Reviews, Dissemination and by the Institute of Electrical and Electronics Engineers Inc, and by ISI Web of Science Citation Index Expanded.
Eligibility of the selected studies was determined by reading the abstracts of the articles identified by each database. All articles that appeared to meet the inclusion criteria were selected and collected. The reference lists of the retrieved articles were also checked for additional studies.
The search strategy resulted in 120 articles. After selection according to inclusion criteria, 34 articles qualified for the final analysis. From this literature review many studies seemed to be unclear regarding the accuracy of cephalometric analysis.
This research is useful for the specialist, because when using different analyses in the same patient, confusion is created by differences in the results;this research seeks to reduce this confusion. In addition, the data obtained from this research contribute to the general knowledge of diagnosis in orthodontics. We can say that is essential the cephalometric analyses in conjunction with other auxiliaries for the establishment of an orthodontic diagnosis and develop an appropriate treatment plan.