Remote Cephalometric Analysis

[Peter6789]

Hi,

is there anybody here who can do a remote cephalometric analysis (e.g. doing standard measurements of distances and angles)?

Willing to pay for this job!

I can supply a digital X-ray in good quality.


What I need is the analysis and some ideas about what should be done


Background: although my bite is OK after having braces in my childhood, my maxilla and mandible are somehow not harmonic.

Sleep apnea, dry mouth, teeth problems showing up.

And the profile is not harmonic.


The doctors I have been visiting all recommended their "favorite procedure" but didn't do an in depth analysis (orthodontist recommended braces, plastic surgeon recommended genioplasty, jaw doctor recommend double jaw surgery).

[Vic]

Why don't you request a Trace of your Ceph X-ray from where you got it done. That way you'll get a professional and exact analysis of the x-ray against what is the norm and how far measurement wise your x-ray is off at all angles

[Peter6789]

I will ask the doctor where I got the cephalometric X ray about an analysis.

But I want to have several opinions before I spend some years in braces and broken jaws...

[Bobbit]

Hi,

is there anybody here who can do a remote cephalometric analysis (e.g. doing standard measurements of distances and angles)?

Willing to pay for this job!

I can supply a digital X-ray in good quality.


What I need is the analysis and some ideas about what should be done


Background: although my bite is OK after having braces in my childhood, my maxilla and mandible are somehow not harmonic.

Sleep apnea, dry mouth, teeth problems showing up.

And the profile is not harmonic.


The doctors I have been visiting all recommended their "favorite procedure" but didn't do an in depth analysis (orthodontist recommended braces, plastic surgeon recommended genioplasty, jaw doctor recommend double jaw surgery).

Who are the plastic surgeon and the jaw surgeon who made those recommendations ?   

Where do you live ?   That makes a practical difference for your options.

[Peter6789]

Found a good solution: CephX, an online provider of cephalometric analysis.

You upload your ceph, they can do an analysis for you. Cost me around USD 60,00.

I am not affiliated with this company and do not get any incentives from them.

Within 24 hours I had a PDF file with 40 pages and a ton of various analysis about my cephalogram.

Great tool if you want a "second opinion".

There are similar services out there, but did not check them out.

[ditterbo]

Very interesting finding.. thanks Peter!  I get pretty much the same recommendations as you do.

[kjohnt]

I did this.  Most analyses show large gonial angle, retrusive mandible, retrusive maxilla, class II skeletal relationship, retrusive chin, proclined lower incisors, upper incisors "too upright" (assume that means from a normally-proclined position), CW rotated lower face, downward growth, open bite tendencies, retrusive upper lip, retrusive lower lip, and I quote from the Burlington/Woodside analysis "extremely large face height."

Interestingly, most analyses show a low mandibular plane.

[ditterbo]

I got my results too, but I'm not really sure how to interpret most of these.  The comments pretty much corroborate with what I already knew (retruded chin, retruded maxilla, retruded mandible, etc..  How should I put these to use?

[kjohnt]

I got my results too, but I'm not really sure how to interpret most of these.  The comments pretty much corroborate with what I already knew (retruded chin, retruded maxilla, retruded mandible, etc..  How should I put these to use?

It's not possible to make your structure pefect per the norm, the norms of each analysis are different depending on sample, and even then the norm isn't necessarily ideal.  So with these things in mind, these analyses are just used as a guide.

I found all of the areas in which I was 1 standard deviation or more off from the norm.  These are the rows with blue lettering (instead of black) and they have * marks within the Graph field to show which side of the standard deviation they lie and how far.  If you remember from statistics, within 1 STD is 64% of the population, within 2 is 95% and within 3 is 99%.  So for the areas in which you're off by 2 or more, you can be sure your growth isn't quite normal (and not good) and correction would help.

Then I Googled the corresponding analyses to figure out what each meant.  I now have a good idea of where I'm deficient and how.

Because part of my deficiencies are dental, even though not much, I'll plan to do another one of these right before I'm ready for surgery so I can be sure I'm ready and so I can then make sure I agree with the surgical plan at that point.

I really wish this included Arnett's analysis though.

[ditterbo]

Thanks for explaining that!  Do you know what the pink vs red vs blue lines mean?  Most of the analysis in black text has similar standard deviations as the blue.  I assumed blue text meant there is a corresponding line (not labeled) in the drawing. 

[kjohnt]

I don't know what the colors within the tracings mean.  There isn't consistency. 

I just know the measurements are written in black and blue - black means normal (within one standard deviation) and blue means not normal (outside of one standard deviation).  Compare Patient value to mean and SD.

[april]

This is helpful, thanks for sharing. I think I might give it a go because I'm really confused if my issue is skeletal or dental. It's too bad they don't do the Arnett analysis. (I have downloaded a trial Ceph program, which includes his analysis - but I have no idea how to interpret it lol). Is there any way to request it?

A bit different, but does anyone know of a similar service that reports on CBCT scans? I came across BeamReaders - but they said only doctors can use it (well I asked, I probably shouldn't have ).

[kjohnt]

...I have downloaded a trial Ceph program, which includes his analysis - but I have no idea how to interpret it...

Which program and where do I find it?

[april]

http://www.audaxceph.com/ 30 day trial.