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Study between anb angle and wits appraisal in cone beam computed tomography (cbct)

  • Autores: Natalia Zamora Martínez, Rosa María Cibrián Ortiz de Anda, José Luis Gandía Franco, Vanessa Paredes Gallardo
  • Localización: Medicina oral, patología oral y cirugía bucal. Ed. inglesa, ISSN-e 1698-6946, Vol. 18, Nº. 4, 2013, págs. 725-732
  • Idioma: inglés
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  • Resumen
    • Objectives: To analyse the ANB and Wits values and to study correlations between those two measurements and other measurements in diagnosing the anteroposterior maxilo-mandibular relationship with CBCT.

      Study Design: Ninety patients who had previously a CBCT (i-CAT ® ) as a diagnostic register were selected. A 3D cephalometry was designed using one software package, InVivo5 ® . This cephalometry included 3 planes of reference, 3 angle measurements and 1 linear measurement. The means and standard deviations of the mean of each measurement were assessed. After that, a Pearson's correlation coefficient has been performed to analyse the significance of each relationship.

      Results: When classifying the sample according to the anteroposterior relationship, the values obtained of ANB (Class I: 53%; Class II: 37%; Class III: 10%) and Wits (Class I: 35%; Class II: 56%; Class III: 9%) did not coincide, except for the Class III group. However, of the patients classified differently (Class I and Class II patients) by ANB and Wits, a high percentage of individuals (n=22; 49%), had a mesofacial pattern with a mandibular plane angle within normal values. A correlation has been found between ANB and Wits (r=0,262), occlusal plane angle and ANB (r=0,426), and mandibular plane angle and Wits (r=0,242). No correlation was found between either Wits or ANB in relation with the age of the individuals.

      Conclusions: ANB and Wits must be included in 3D cephalometric analyses as both are necessary to undertake a more accurate diagnosis of the maxillo-mandibular relationship of the patients.


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