A Comparative Study: Photogrammetry and Cephalometric Analysis for Orthodontic Treatment Planning

Abstract

Introduction: Cephalometric analysis constitutes the benchmark for diagnosing craniofacial morphology in orthodontic practice. However, the increasing demand for aesthetic standards has clinicians questioning whether ideal cephalometric measurements are synonymous with facial aesthetics since soft tissues do not necessarily follow the underlying skeletal profile. In addition, rising concerns about radiation exposure have necessitated a non-radiographic, non-invasive and cost-effective alternative. Facial photography has been an integral part of orthodontic treatment planning but usually as an adjunct to record keeping. However, recent studies have proven the reliability of using photographs for soft-tissue analysis. It provides an easily reproducible, economical and low technique-sensitive procedure to evaluate cranial morphology, especially for epidemiologic research. The primary aim of this study is to determine if photographic analysis could be utilised with precision for orthodontic diagnosis. Materials and Methods: The study was conducted in the Department of Orthodontics, J. S. S. Dental College and Hospital, Mysuru. This study selected 100 patients aged 12–28 years who had reported to the department for orthodontic treatment. Standardised profile photographs and lateral cephalograms were obtained from the patients as part of the records required. Traditional cephalometric (angular and linear) measurements and corresponding photographic ones used for sagittal and vertical assessment were analysed to draw inferences. Results: The reliability of the photographic technique was proven with intraclass correlation coefficients above 0.79. A highly significant correlation (P < 0.001) was found between all parameters. N-Sn-Pog/N’-Sn-Pog’ (0.946), SN-MP/TrN’-MP” (0.844) and FMA/FMA’ showed the highest coefficients of correlation. The photographic variable that best explained the variability of its analogous cephalometric measurement was the N-SN-Pog angle (r2 = 0.895). Conclusion: The photographic method has proven to be repeatable and reproducible. With a homogeneous protocol, the photographic method is a practical alternative to lateral cephalograms, especially in cases that require a non-invasive, low-cost option.

Keywords

• cephalometric analysis
• lateral cephalograms
• lateral photographs
• orthodontic diagnosis
• photogrammetry