Total Face Approach (TFA): A Novel 3D Approach to Describe the Main Cephalometric Craniomaxillofacial Parameters

Giovanna Perrotti; Giulia Baccaglione; Tommaso Clauser; Luca Testarelli; Massimo Del Fabbro; Tiziano Testori

doi:10.3390/mps4010015

Total Face Approach (TFA): A Novel 3D Approach to Describe the Main Cephalometric Craniomaxillofacial Parameters

Methods Protoc. 2021 Feb 20;4(1):15. doi: 10.3390/mps4010015.

Authors

Giovanna Perrotti¹, Giulia Baccaglione², Tommaso Clauser^{3

4}, Luca Testarelli⁵, Massimo Del Fabbro^{3

4}, Tiziano Testori^{3

4

6}

Affiliations

¹ Lake Como Institute, 22100 Como, Italy.
² Postgraduate Specialty in Orthodontics, University of Pavia, 27100 Pavia, Italy.
³ Department of Biomedical, Surgical and Dental Sciences, Università Degli Studi di Milano, 20122 Milan, Italy.
⁴ IRCCS Istituto Ortopedico Galeazzi, 20161 Milan, Italy.
⁵ Department of Oral and Maxillo-Facial Sciences, "Sapienza" University of Rome, 00161 Rome, Italy.
⁶ Department of Periodontics and Oral Medicine, University of Michigan, School of Dentistry, Ann Arbor, MI 48109, USA.

Abstract

The aim of this study is to propose a 3D skeletal classification and relative normal values of reference. Method: from a pool of 271 cone-beam computerized tomography images 108 chin-summit examinations of the skull were selected and divided into 3 traditional skeletal classes. The same Cone-beam Computerized Tomography (CBCT) images were then assessed using the cephalometric multiplanar analysis following the total face approach protocol. Results: the results of this study indicate standard 3D cephalometric norms for the vertical and sagittal evaluation of the skull. Conclusion: data obtained from our measurements allowed the creation of intervals supplying nosological classification that could be used in orthodontics, orthognatic surgery and implant surgery in fully edentulous patients.

Keywords: 3D cephalometry; sagittal dimension; vertical size.