Analysis of factors affecting angle ANB. 1984

W Hussels, and R S Nanda

Cephalometric analyses based on angular and linear measurements have obvious fallacies, which have been discussed in detail by Moyers and Bookstein. However, the clinical application of such an analysis by the orthodontic profession in treatment planning is widely accepted. Variations of angle ANB are commonly used to determine relative jaw relationships in most of the cephalometric evaluations. Several authors, including points A and B influences angle ANB, as does rotational growth of the upper and lower jaws. In addition, the authors point out that growth in a vertical direction (distance N to B) and an increase of the dental height (distance A to B) may contribute to changes in angle ANB. For a Class I relation (Wits = 0 mm), a mathematical formula has been developed which enables the authors to study the geometric influence of angle ANB caused by the following four effects: (1) rotation of the jaws and/or occlusal plane relative to the anterior cranial base; (2) anteroposterior position of N relative to point B, (3) vertical growth (distance N to B); (4) increase in dental height (distance A to B). It was observed that, contrary to the common belief that an ANB angle of 2 +/- 3.0 degrees is considered normal for a skeletal Class I relation, the calculated values of angle ANB will vary widely with changes in these four controlling factors under the same skeletal Class I conditions (Wits = 0 mm). Therefore, in a case under consideration, angle ANB must be corrected for these geometric effects in order to get a proper perspective of the skeletal discrepancy. This is facilitated by comparing the measured ANB angle with the corresponding ANB angle calculated by a formula for a Class I relationship. The corresponding calculated angle ANB can be taken from the tables which are based upon the formula using the same values for SNB, omega (angle between occlusal plane and anterior cranial base), b (which is distance N to B) and a (dental height measured as perpendicular distance A to occlusal plane plus perpendicular distance occlusal plane to B). The difference between actual and calculated angle ANB is a measurement of the severity of the skeletal discrepancy. This leads to a new definition of what denotes skeletal Class II and III relationships, since and angle ANB calculated for a skeletal Class I (Wits = 0 mm) can vary widely and can be either negative or positive.(ABSTRACT TRUNCATED AT 400 WORDS)

UI MeSH Term Description Entries
D008297 Male Males
D008310 Malocclusion Such malposition and contact of the maxillary and mandibular teeth as to interfere with the highest efficiency during the excursive movements of the jaw that are essential for mastication. (Jablonski, Illustrated Dictionary of Dentistry, 1982) Angle's Classification,Crossbite,Tooth Crowding,Cross Bite,Angle Classification,Angles Classification,Bite, Cross,Bites, Cross,Classification, Angle's,Cross Bites,Crossbites,Crowding, Tooth,Crowdings, Tooth,Malocclusions
D008334 Mandible The largest and strongest bone of the FACE constituting the lower jaw. It supports the lower teeth. Mylohyoid Groove,Mylohyoid Ridge,Groove, Mylohyoid,Grooves, Mylohyoid,Mandibles,Mylohyoid Grooves,Mylohyoid Ridges,Ridge, Mylohyoid,Ridges, Mylohyoid
D008433 Mathematics The deductive study of shape, quantity, and dependence. (From McGraw-Hill Dictionary of Scientific and Technical Terms, 6th ed) Mathematic
D008437 Maxilla One of a pair of irregularly shaped bones that form the upper jaw. A maxillary bone provides tooth sockets for the superior teeth, forms part of the ORBIT, and contains the MAXILLARY SINUS. Maxillae,Maxillary Bone,Bone, Maxillary,Bones, Maxillary,Maxillary Bones,Maxillas
D008445 Maxillofacial Development The process of growth and differentiation of the jaws and face. Development, Maxillofacial,Developments, Maxillofacial,Maxillofacial Developments
D002508 Cephalometry The measurement of the dimensions of the HEAD. Craniometry
D002648 Child A person 6 to 12 years of age. An individual 2 to 5 years old is CHILD, PRESCHOOL. Children
D003766 Dental Occlusion The relationship of all the components of the masticatory system in normal function. It has special reference to the position and contact of the maxillary and mandibular teeth for the highest efficiency during the excursive movements of the jaw that are essential for mastication. (From Jablonski, Dictionary of Dentistry, 1992, p556, p472) Canine Guidance,Occlusal Guidance,Occlusal Plane,Occlusion, Dental,Dental Occlusions,Guidance, Canine,Guidance, Occlusal,Occlusal Guidances,Occlusal Planes,Occlusions, Dental,Plane, Occlusal,Planes, Occlusal
D005147 Facial Bones The facial skeleton, consisting of bones situated between the cranial base and the mandibular region. While some consider the facial bones to comprise the hyoid (HYOID BONE), palatine (HARD PALATE), and zygomatic (ZYGOMA) bones, MANDIBLE, and MAXILLA, others include also the lacrimal and nasal bones, inferior nasal concha, and vomer but exclude the hyoid bone. (Jablonski, Dictionary of Dentistry, 1992, p113) Bone, Facial,Bones, Facial,Facial Bone

Related Publications

W Hussels, and R S Nanda
March 1990, Australian orthodontic journal,
W Hussels, and R S Nanda
June 1987, Journal of Pierre Fauchard Academy (Pierre Fauchard Academy. India Section),
W Hussels, and R S Nanda
June 1976, American journal of orthodontics,
W Hussels, and R S Nanda
January 1981, Rivista italiana di stomatologia,
W Hussels, and R S Nanda
August 1990, Gaoxiong yi xue ke xue za zhi = The Kaohsiung journal of medical sciences,
W Hussels, and R S Nanda
December 1982, Nihon Kyosei Shika Gakkai zasshi = The journal of Japan Orthodontic Society,
W Hussels, and R S Nanda
February 1985, American journal of orthodontics,
W Hussels, and R S Nanda
September 1977, Ceskoslovenska stomatologie,
W Hussels, and R S Nanda
January 1984, Revista de odontologia da UNESP,
W Hussels, and R S Nanda
November 1977, Schweizerische Monatsschrift fur Zahnheilkunde = Revue mensuelle suisse d'odonto-stomatologie,
Copied contents to your clipboard!