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Cefalometria Meaw Kim
Cefalometria Meaw Kim
Cefalometria Meaw Kim
R. Silva Meza
Department of Orthodontics, Latin-American University ,ULA, México
Summary. The aim of this work was to describe step by step the analytic
cephalometric method proposed by Dr Young H. Kim. This analysis has
four components: Overbite Depth Indicator, Antero Posterior Dysplasia
Indicator, Combination Factor and Extraction Index.
Cephalometric References.
Pr
O
PAC En
PNS ANS
Mn
AR
A
B1 A1
Go
B
BR
Me Pg
DT
1
4
5
6
7
3
E
PL
AN
AN
PL
E
AB
Fig. 3. Overbite Depth Indicator (ODI), is the arithmetic sum of two angles.
1
2
Go
Me
Fig.7
II. When MP-AB angle is opened by This may be as a result of the posterior
shifting the AB plane (Fig.8). AB plane cranial base slope (where it´s located
shifting to open the MP-AB angle is the glenoid fossa), or by the mandibular
possible when maxillary protrusion or ramus height. It is also possible when
mandibular retrusion exists. the anterior facial height is increased as
a result of a vertical maxillary excess,
III. When the MP - AB angle is closed vertical mandibular simphysis excess,
by shifting the mandibular plane (Fig.9) or by the mandibular anatomic shape
Mandibular plane shifting to close the (leptoprosopic facial type), that may
MP-AB angle is possible when show an open gonial angle.
posterior facial height is decreased.
1
1
2
Go 2
Me
Fig. 8. Fig.9.
Fig. 8 A-B Plane opened: 1 Maxillary protrusion. 2.Mandibular retrusion OPEN ANGLE = DEEP BITE.
Fig.9. Mandibular Plane closed:1. Decreased posterior facial height. 2. Increased anterior Facial height
CLOSED ANGLE = OPEN BITE
IV. When the MP - AB angle is closed tipped upward and forward and it is
by shifting the AB plane (Fig.10). AB related to open bite, meanwhile the
plane shifting to close the MP-AB angle positive angle is related to deep bite
is possible when maxillary retrusion or (Fig.13).
mandibular protrusion exists.
2. Antero Posterior Dysplasia Indica-
b)Frankfort Horizontal Plane to Pala- tor (APDI).
tal Plane Angle.
The Antero Posterior Dysplasia Indica-
This angle is formed by Frankfort Hori- tor (APDI), is the arithmetic sum of
zontal plane and Palatal plane (Fig. 11), three angles: Frankfort Horizontal plane
measures-2°approximately and repre- to Facial plane, A-B plane to the Facial
sent the palatal position. A Positive plane and Frankfort plane. (Fig.14).
angle indicates that the palate is tipped APDI determines the horizontal maxillo
downward and forward. Negative angle -mandibular relationship (Class I,II, II
(Fig.12), indicates that the palate is
-
1
Fig. 10. A-B Plane closed: 1. Maxillary retrusion. 2.Mandibular protrusion. CLOSED ANGLE = OPEN
BITE Fig.11 Frankfort Horizontal Plane to Palatal Plane angle
- -
+ +
Fig.12 Frankfort Horizontal Plane to Palatal Plane Negative angle. NEGATIVE ANGLE = OPEN BITE
Fig.13 Frankfort Horizontal Plane to Palatal Plane Positive angle POSITIVE ANGLE = DEEP BITE
+ -
FACIAL PLANE
E
AN
PL
A-B
Fig. 14 Antero Posterior Dysplasia Indicator (APDI), is the sum of three angles.
Fig 15 Fig. 16
Fig.15. Frankfort Horizontal plane to Facial plane angle (Facial Depth). Fig.16. Frankfort Horizontal
+ -
Fig. 17 Fig.18
Fig.17. Frankfort Horizontal plane to Facial plane angle closed: 1. Retrognathic mandible (Cl II )
- + -
+
1 1
2 2
Fig.19. Facial plane to A-B plane angle Negative: 1.Maxillary protrusion. 2.Mandibular retrusion:
NEGATIVE ANGLE = CLASS II. Fig.20. Facial Plane to AB plane angle Positive: 1. Maxillary
retrusion. 2.Mandibular retrusion: POSITIVE ANGLE = CLASS III.
-
126°
.5 P
DATES:
ODI 74.5º± 6º
APDI 81.4º± 3.7º
CF 155.9º
IIA 130
LP EL RETRUSIVE
LP EL PROTRUSIVE
RSM
Table 1 ODI,APDI,EI.
References.
1.Kim YH. Overbite Depth Indicator: With particular reference to anterior open bite.
American Journal of Orthodontics 1974; 65:586-611.
Correspondence to:
Dr. Roberto Silva Meza
Address:
Roberto Gayol 1255-204
Col del Valle CP 03100
México 12 DF México
E-mail: bobsilva@prodigy.net.mx