NASAL INTEGUMENT - AN
INDICATOR OF MAXILLARY
SKELETAL PATTERN

INDIAN DENTAL ACADEMY
Leader in continuing dental education...





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INTRODUCTION

FACIAL SKELETON

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FACIAL INTEGUMENT


Importance of integument



Will integument follow underlying
skeleton pattern?

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ANATOMY OF MAXILLA

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RIGHT AND LEFT MAXILLA
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

NASAL ANATOMY

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EXTERNAL MORPHOLOGY

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COLUMELLA

ALAE
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INTERNAL
MORPHOLOGY[SKELETAL]

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 NASAL PARAMETERS

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NASAL LENGTH
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NASAL PROJECTION
NASOLABIAL ANGLE

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GROWTH & DEVELOPMENT

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

NASAL INTEGUMENT AS AN
INDICATOR OF MAXILLARY
SKELETAL PATTERN

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AIMS AND OBJECTIVES



Evaluate nasal morphology in sagittal and
vertical maxillary excess.



Evaluate nasal morphology...
MATERIALS AND METHODS


DATA PRESENTATION



Pretreatment lateral cephalometric radiographs
of 40 patients / 4 sub group...
SOURCE OF SAMPLE



Pretreatment lateral cephalometric radiographs of
Sample selected from the patients who are
visiting ...


INCLUSION CRITERIA
1. AGE > 18 Years for both Male and Female samples



EXCLUSION CRITERIA
1. Prior history of Orthod...
.
.
Vertical facial skeletal parameters assessed on lateral cephalogram
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Soft tissue reference planes and variables used to assess nose on
.
.
lateral cephalogram
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NORMATIVE VALUES FOR ADULT NASAL PARAMETERS

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

RESULTS

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

SIGNIFICANT CORRELATION WERE SEEN BETWEEN THE
FOLLOWING SKELETAL AND SOFT TISSUE NASAL
VARIABLES

1.ANTERIOR FACIAL HEI...
3.UPPER ANTERIOR FACIAL HEIGHT AND NASAL
DEPTH
- AFH

ND

4.AOI AND NASAL DEPTH
AOI

ND

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5.NASOLABIAL ANGLE AND ANTERIOR FACIAL LENGTH
AFH

NASOLABIAL ANGLE

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

CONVEX NASAL PROFILE IS SEEN IN CLASS II CASES



CONCAVE NASAL PROFILE IS SEEN IN CLASS III CASES



NASAL DEPTH IS ...


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DISCUSSION


Subtelny [AJO 1959;45:481-507],
- first demonstrated downward and forward growth of
mandible during maturity.
-nose gro...


Scott [Br.Dent J 1953;95:37-43],
- Nasal septum is determinant of midfacial growth



Lathum [J Anat 1970;107:47-78],
...


Grymer et al [Rhinology 1997;35: Abstract],

- Deficient nasal septum growth along with decreased
anteroposterior growth...


Robinson et al [AJO 1986;89:499-506],

-Their cephalometric study on the
relationship between skeletal facial pattern a...


Peter H. Buschang [JCO 1992;26:111-118],

-Horizontal growth at pr and sn is closely associated
with horizontal growth ...
CONCLUSION

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-Nasal length was seen to be significantly correlated to
upper anterior facial height and inclination of palatal
plane.

-...
-SIgnificant correlation is present between nasal
projection and nasal length with sagittal
maxillary dimensions.

WWW.IND...


Growth and development of any structure will
occur in three dimensions of space simultaneously
and the overlying integu...
Thank you
For more details please visit
www.indiandentalacademy.com

WWW.INDIANDENTALACADEMY.COM
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Nasal morphology /certified fixed orthodontic courses by Indian dental academy

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The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.

Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078

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  • Integument is derived from the Latin word "integumentum", which literally means "a covering". As a general term in biology the word "integument" refers most commonly to the natural covering of an organism or an organ, such as its skin, husk, shell, or rind and then onwards determines HOMEOSTASIS and the MORPHOLOGICAL GROWTH of underlying structures.YES it follows the underlying skeleton pattern, but initially it determines the underlying skeleton pattern growth and developmentand laterit adopts itself in camouflaging according to the DETERINANTS of the same (growth and development)
  • Integument is derived from the Latin word "integumentum", which literally means "a covering". As a general term in biology the word "integument" refers most commonly to the natural covering of an organism or an organ, such as its skin, husk, shell, or rind and then onwards determines HOMEOSTASIS and the MORPHOLOGICAL GROWTH of underlying structures.YES it follows the underlying skeleton pattern, but initially it determines the underlying skeleton pattern growth and developmentand laterit adopts itself in camouflaging according to the DETERINANTS of the same (growth and development)
  • As There exists a strong relationship between nasal morphology and maxillary skeletal pattern. It is essential to have a knowledge about this relationship for proper orthodontic diagnosis and treatment planning. Therefore the primary purpose of this study was to
  • Transcript of "Nasal morphology /certified fixed orthodontic courses by Indian dental academy "

    1. 1. NASAL INTEGUMENT - AN INDICATOR OF MAXILLARY SKELETAL PATTERN INDIAN DENTAL ACADEMY Leader in continuing dental education www.indiandentalacademy.com WWW.INDIANDENTALACADEMY.COM
    2. 2.     WWW.INDIANDENTALACADEMY.COM
    3. 3. INTRODUCTION FACIAL SKELETON WWW.INDIANDENTALACADEMY.COM FACIAL INTEGUMENT
    4. 4.  Importance of integument  Will integument follow underlying skeleton pattern? WWW.INDIANDENTALACADEMY.COM
    5. 5. ANATOMY OF MAXILLA WWW.INDIANDENTALACADEMY.COM
    6. 6. RIGHT AND LEFT MAXILLA WWW.INDIANDENTALACADEMY.COM
    7. 7. WWW.INDIANDENTALACADEMY.COM
    8. 8.  NASAL ANATOMY WWW.INDIANDENTALACADEMY.COM
    9. 9. EXTERNAL MORPHOLOGY WWW.INDIANDENTALACADEMY.COM
    10. 10. COLUMELLA ALAE WWW.INDIANDENTALACADEMY.COM
    11. 11. INTERNAL MORPHOLOGY[SKELETAL] WWW.INDIANDENTALACADEMY.COM
    12. 12. WWW.INDIANDENTALACADEMY.COM
    13. 13.  NASAL PARAMETERS WWW.INDIANDENTALACADEMY.COM
    14. 14. NASAL LENGTH WWW.INDIANDENTALACADEMY.COM NASAL PROJECTION
    15. 15. NASOLABIAL ANGLE WWW.INDIANDENTALACADEMY.COM
    16. 16. GROWTH & DEVELOPMENT WWW.INDIANDENTALACADEMY.COM
    17. 17.  NASAL INTEGUMENT AS AN INDICATOR OF MAXILLARY SKELETAL PATTERN WWW.INDIANDENTALACADEMY.COM
    18. 18. AIMS AND OBJECTIVES  Evaluate nasal morphology in sagittal and vertical maxillary excess.  Evaluate nasal morphology in sagittal and vertical maxillary deficiency.  To correlate the nasal morphology to class II skeletal and class III skeletal patterns. WWW.INDIANDENTALACADEMY.COM
    19. 19. MATERIALS AND METHODS  DATA PRESENTATION  Pretreatment lateral cephalometric radiographs of 40 patients / 4 sub groups  10 Patients Sagittal Maxillary Deficiency  10 Patients Sagittal Maxillary Excess  10 Patients Vertical Maxillary Deficiency  10 Patients Vertical Maxillary Excess 5Male and 5Female in each subgroup WWW.INDIANDENTALACADEMY.COM
    20. 20. SOURCE OF SAMPLE  Pretreatment lateral cephalometric radiographs of Sample selected from the patients who are visiting department of orthodontics at Narayana dental college. WWW.INDIANDENTALACADEMY.COM
    21. 21.  INCLUSION CRITERIA 1. AGE > 18 Years for both Male and Female samples  EXCLUSION CRITERIA 1. Prior history of Orthodontic treatment 2. History of Trauma or Surgery to Facial region WWW.INDIANDENTALACADEMY.COM
    22. 22. . . Vertical facial skeletal parameters assessed on lateral cephalogram WWW INDIANDENTALACADEMY COM
    23. 23. Soft tissue reference planes and variables used to assess nose on . . lateral cephalogram WWW INDIANDENTALACADEMY COM
    24. 24. NORMATIVE VALUES FOR ADULT NASAL PARAMETERS WWW.INDIANDENTALACADEMY.COM
    25. 25.  RESULTS WWW.INDIANDENTALACADEMY.COM
    26. 26.  SIGNIFICANT CORRELATION WERE SEEN BETWEEN THE FOLLOWING SKELETAL AND SOFT TISSUE NASAL VARIABLES 1.ANTERIOR FACIAL HEIGHT AND NASAL LENGTH AFH NASAL LENGTH 2.ANGLE OF INCLINATION AND NASAL LENGTH - AOI NLTH WWW.INDIANDENTALACADEMY.COM
    27. 27. 3.UPPER ANTERIOR FACIAL HEIGHT AND NASAL DEPTH - AFH ND 4.AOI AND NASAL DEPTH AOI ND WWW.INDIANDENTALACADEMY.COM
    28. 28. 5.NASOLABIAL ANGLE AND ANTERIOR FACIAL LENGTH AFH NASOLABIAL ANGLE WWW.INDIANDENTALACADEMY.COM
    29. 29.  CONVEX NASAL PROFILE IS SEEN IN CLASS II CASES  CONCAVE NASAL PROFILE IS SEEN IN CLASS III CASES  NASAL DEPTH IS INCREASED INCREASED MAXILLARY SAGITTAL DIMENSIONS  NASAL LENGTH INCREASED IN CLASS III SKELETAL PATTERNS WWW.INDIANDENTALACADEMY.COM
    30. 30.  WWW.INDIANDENTALACADEMY.COM DISCUSSION
    31. 31.  Subtelny [AJO 1959;45:481-507], - first demonstrated downward and forward growth of mandible during maturity. -nose grows more vertically when compared to its growth in sagittal dimension.  Meng etal [AJO1988 ], -Supported the subtelny conclusions WWW.INDIANDENTALACADEMY.COM
    32. 32.  Scott [Br.Dent J 1953;95:37-43], - Nasal septum is determinant of midfacial growth  Lathum [J Anat 1970;107:47-78], -nasal septum acted as a starter mechanism ,pulling the premaxillae and maxillae forward via the so called septo-premaxillary ligaments WWW.INDIANDENTALACADEMY.COM
    33. 33.  Grymer et al [Rhinology 1997;35: Abstract], - Deficient nasal septum growth along with decreased anteroposterior growth of the maxilla leads to an upward displacement of the anterior part of the maxilla indicating a strong relationship between nasal growth and inclination of the maxillary plane. WWW.INDIANDENTALACADEMY.COM
    34. 34.  Robinson et al [AJO 1986;89:499-506], -Their cephalometric study on the relationship between skeletal facial pattern and soft tissue nasal form concluded that nasal shape followed the underlying skeletal pattern very closely in the sagittal dimension. WWW.INDIANDENTALACADEMY.COM
    35. 35.  Peter H. Buschang [JCO 1992;26:111-118], -Horizontal growth at pr and sn is closely associated with horizontal growth at ANS and A POINT WWW.INDIANDENTALACADEMY.COM
    36. 36. CONCLUSION WWW.INDIANDENTALACADEMY.COM
    37. 37. -Nasal length was seen to be significantly correlated to upper anterior facial height and inclination of palatal plane. -An upturned nose in an adult individual was significantly correlated with anti-clockwise rotation of maxilla. WWW.INDIANDENTALACADEMY.COM
    38. 38. -SIgnificant correlation is present between nasal projection and nasal length with sagittal maxillary dimensions. WWW.INDIANDENTALACADEMY.COM
    39. 39.  Growth and development of any structure will occur in three dimensions of space simultaneously and the overlying integument adapts in three dimensions.so,its wise to understand the concept in three dimensions of space than analyzing in one or two dimensions. WWW.INDIANDENTALACADEMY.COM
    40. 40. Thank you For more details please visit www.indiandentalacademy.com WWW.INDIANDENTALACADEMY.COM

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