C-axis: a growth vector for the maxilla

Angle Orthod. 1999 Dec;69(6):539-42. doi: 10.1043/0003-3219(1999)069<0539:CAAGVF>2.3.CO;2.

Abstract

Based on M-point, defined as the center of the largest circle that is tangent to the superior, anterior, and palatal outlines of the maxilla in the sagittal view, a growth axis and its direction are described for each gender from age 7.4 to 18.75 years. Growth increments along the C-axis, defined by sella-M-point, are described by regression formulas with correlation coefficients of 0.618 for females and 0.669 for males. The vector (direction) of the growth axis, defined by the angle S-M-C-axis, increases in females from 42.21 degrees at 7.4 years to 44.47 degrees at 18.75 years, with a standard deviation of 3.55 degrees. In males, it increases from a mean of 41.69 degrees at 7.6 years to 45.55 degrees at 18.6 years, with a standard deviation of 2.74 degrees. This is based on 172 serial lateral cephalograms of 20 females and 174 serial lateral cephalograms of 19 males. The C-axis incremental growth change and its vector offer a means of quantifying complex maxillary growth in the sagittal plane via cephalometric measurements relative to and coordinated with other craniofacial structures.

MeSH terms

  • Adolescent
  • Aging
  • Cephalometry / statistics & numerical data
  • Child
  • Female
  • Humans
  • Linear Models
  • Male
  • Maxilla / diagnostic imaging
  • Maxilla / growth & development*
  • Observer Variation
  • Radiography
  • Random Allocation