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Objectives: CBCT systems, with their high precision 3D reconstructions, 1:1 images and accuracy in locating
cephalometric landmarks, allows us to evaluate measurements from craniofacial structures, so enabling us to replace the anthropometric methods or bidimensional methods used until now. The aims are to analyse cranio-facial
relationships in a sample of patients who had previously undergone a CBCT and create a new 3D cephalometric
method for assessing and measuring patients. Study Design: 90 patients who had a CBCT (i-Cat®) as a diagnostic
register were selected. 12 cephalometric landmarks on the three spatial planes (X,Y,Z) were defined and 21 linear
measurements were established. Using these measurements, 7 triangles were described and analysed. With the
sides of the triangles: (CdR-Me-CdL); (FzR-Me-FzL); (GoR-N-GoL); and the Gl-Me distance, the ratios between
them were analysed. In addition, 4 triangles in the mandible were measured (body: GoR-DB-Me and GoL-DB-Me
and ramus: KrR-CdR-GoR and KrL-CdL-GoL). Results: When analyzing the sides of the CdR-Me-CdL triangle,
it was found that the 69.33% of the patients could be considered symmetric.
Regarding the ratios between the sides of the following triangles: CdR-Me-CdL, FzR-Me-FzL, GoR-N-GoL and
the Gl-Me distance, it was found that almost all ratios were close to 1:1 except between the CdR-CdL side with
respect the rest of the sides. With regard to the ratios of the 4 triangles of the mandible, it was found that the most
symmetrical relationships were those corresponding to the sides of the body of the mandible and the most asymmetrical ones were those corresponding to the base of such triangles. Conclusions: A new method for assessing
cranio-facial relationshps using CBCT has been established. It could be used for diverse purposes including diagnosis and treatment planning.
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