Establishing cephalometric norms for the Indian population using Steiner's cephalometric analysis

dc.contributor.authorManohar, Mithun King
dc.contributor.examiningcommitteeRykiss, Jared (Preventive Dental Science)
dc.contributor.examiningcommitteeMutalik, Vimi S (Preventive Dental Science)
dc.contributor.examiningcommitteeAnand, Dharani (Sri Ramachandra Dental College)
dc.contributor.supervisorWiltshire, William
dc.date.accessioned2024-07-10T17:56:07Z
dc.date.available2024-07-10T17:56:07Z
dc.date.issued2024-06-20
dc.date.submitted2024-07-10T15:30:15Zen_US
dc.degree.disciplinePreventive Dental Science (Orthodontics)
dc.degree.levelMaster of Dentistry (M.Dent.)
dc.description.abstractObjective: Current cephalometric norms are based on an untreated Caucasian sample and may not apply to other ethnic groups. It is essential to establish standard norms for different populations. Aim: To create cephalometric norms for the Indian population by utilizing Steiner’s analysis to aid in diagnosis and treatment planning. Method: The sample consisted of 200 adult subjects of Indian ethnic origin (100 males and 100 females). To avoid regional bias, samples were collected from four metropolitan cities: Delhi, Mumbai, Calcutta, and Chennai. The primary inclusion criterion required the participants to have a Class I molar relationship and an aesthetically pleasing profile (assessed through intra-oral and extra-oral profile photographs). All the radiographs were traced digitally using Dolphin (version 11.95) in random order by a single operator to reduce bias. Another operator randomly selected and retraced fifty cephalograms to check the operator's reliability and reproducibility. Inter-operator and intra-operator reliability was deemed satisfactory. Steiner’s cephalometric analysis was used to compare each participant's cephalogram, calculating all variables' means and standard deviations. Unpaired t-tests were used to determine differences in variable means between the Indian and Caucasian populations. The probability value (P value) of 0.05 was considered statistically significant. Results: Significant variations in specific parameters of Steiner’s cephalometric analysis were found between Indian and Caucasian populations. Steiner’s analysis showed a significant increase (P<0.05) in SNA (84°), SNB (82°), SND (79°), U1 to NA (8mm), U1 to NA (28°), L1 to NB (7mm), L1 to NB (28°), and reduced Go-Gn to SN (26°), Interincisal angle (122°), Occ plane to SN (12°) while ANB remained constant. Conclusions: This study emphasizes the necessity of establishing cephalometric norms for the Indian population. Understanding cephalometric differences in norms for various ethnic groups is critical for customized diagnosis and treatment.
dc.description.noteOctober 2024
dc.identifier.urihttp://hdl.handle.net/1993/38318
dc.language.isoeng
dc.subjectIndian cephalometric norm, Steiner's analysis, Cephalometrics, Orthodontics
dc.titleEstablishing cephalometric norms for the Indian population using Steiner's cephalometric analysis
local.subject.manitobano
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