Analisis transversal de la Univ de Pennsylvania

Patient Diagnostic Sheet Mandibular Reference Position

FA Point

The center of
Center of
MGJ resistance
Resistance
correlates
well with the
height of the
MGJ
Katona TR. An engineering analysis of dental occlusion principles. Am J
Orthod Dentofac Orthop. 2009; 135(6): 696.

MGJ = muco gingival junction

Locations of Mx and MGJ Penn CBCT Transverse Analysis

Mx correlates well with the maxillary skeletal base

MGJ correlates well with the mandibular skeletal base

Penn CBCT Transverse Analysis Penn CBCT Transverse Analysis

Measure on the axial

slice where the
coronal cut intersects
Mx-Mx

Maxilla = 60 mm

Measure on the axial slice where the coronal cut

intersects Mx-Mx
 Penn CBCT Transverse Analysis Penn CBCT Transverse Analysis

Measure on the axial

slice where the
coronal cut intersects
the inner cortical bone
at MGJ-MGJ

Mandible = 55 mm
Take a coronal cut through the mandibular first molars at
the level of the furcation (MGJ-MGJ)

Penn CBCT Transverse Analysis Penn CBCT Transverse Analysis

Maxilla = 60 mm
Mandible = 55 mm

Difference = 5 mm

Patient Diagnostic Sheet Penn CBCT Transverse Analysis

60
55
5

Mx-Mx = 60 mm Mx-Mx = 62 mm Mx-Mx = 59 mm

0 MGJ-MGJ = 55 mm MGJ-MGJ = 57 mm MGJ-MGJ = 54 mm

Difference = 5 mm Difference = 5 mm Difference = 5 mm

 Penn CBCT Transverse Analysis Penn CBCT Transverse Analysis

Exostoses may give false perceptions of maxillary width

The coronal cut may give false perceptions of cortical bone thickness

Penn CBCT Transverse Analysis (Adolescent) Penn CBCT Transverse Analysis (Adolescent)

For adolescents,
imagine the adult
archform

The alveolar “bulge”

will over-estimate the
transverse need

Penn CBCT Transverse Analysis Penn CBCT Transverse Analysis

Maxilla = 58 mm Maxilla = 55 mm
Mandible = 60 mm Mandible = 56 mm

Difference = -2 mm Difference = -1 mm
Expansion Needed = 7 mm Expansion Needed = 6 mm
 Penn CBCT Transverse Analysis

Hayes’ CAC Transverse Analysis

Hayes JL.
In search of improved skeletal transverse diagnosis. Part 2: A new measurement
Maxilla = 60 mm technique used on 114 consecutive untreated patients. Orthodontic Practice US
Mandible = 57 mm 1(4); 34-39. 2010.

Difference = 3 mm
Expansion Needed = 2 mm

Hayes’ CAC Transverse Analysis Hayes’ CAC Transverse Analysis

CAC = Center of Alveolar Crest

Measures the
midpoint of the
alveolus at the
level of the CEJ

Existing dental
positions or
inclinations are
not relevant

Hayes’ CAC Transverse Analysis Hayes’ CAC Transverse Analysis

The CAC does NOT

necessarily correlate
to the central fossa or
any cusp tip on casts