ABSTRACT
Introduction: Measurement of orbital space and height of the mandible are used as tools for estimation of sex, which can be done by using different radiographic techniques like CT, MRI, frontal and lateral skull view, which gives superior accuracy and reproducibility. Aims: To determine the sex of the individual using orbital and mandibular height. Materials and Methods: A cross sectional retrospective study was conducted using a study group consisting of 100 lateral cephalograms both male and female of 18-30 years of age. Lateral cephalograms available in orthodontics department ar- chives were used. In the lateral cephalogram height of orbit was measured by marking the points at supra orbital and infra orbital margin & height of mandible was measured by marking the points at condylion superior (the most superior point on the mandibular condyle) and gonion with the help of GIMPS (GNU Image Manipulation Program) software. The data obtained were analyzed by descriptive statistics, discriminant function analysis using Wilk’s Lambda test. Results: Discriminant function analysis was used to describe the data with appropriate method of presentation. Descriptive statistics showed that mandibular height was statistically significant between males and females. However, the orbital height difference was not statistically significant. Conclusion: Mandibular height can be used in sex determination, which can be utilized as an adjunct in forensic identification
ABSTRACT
If a mandibular prognathic patient has an extremely unnatural anteroposterior and vertical maxilla or keen esthetical perception for facial profile, orthognathic surgery must be performed along with orthodontic treatment, which alone cannot provide satisfactory results in this case. Esthetical improvement becomes an important factor in the satisfaction level of the patient's treatment result, but an attempt to objectively measure beauty holds many problems. Therefore, in the end, the patient submits the final esthetical evaluation based on his/her subjective viewpoint. Because Korean People have a tendency to prefer the facial appearance of westerners, they favor an oval shaped face over the traditional round face. This research was conducted in response to the complaints raised by patients who claim that their face had become more round from widening of facial width after the orthognathic surgery for manidubular prognathism than before the surgery. The following results were obtained on the changes in facial appearance and patient satisfaction level by analyzing the skull P-A analysis of total of 14 patients (8 male and 6 female) who underwent orthognathic surgery primarily chief complaint for manidibular prognathism and from their responses on questionnaires. These results are to be used in the research on the pre- and post- operative changes in facial height and width from orthognatic surgery. 1. There (21.4%) of 14 patients said their face had widened. 2. The A group showed no change in mandibular width but B group showed a 0.7mm reduction. The facial width increased by 0.45mm and 0.66mm in groups A and B, respectively, after the orthognathic surgery. 3. After the surgery the facial length changed by an 0.52mm increase in upper facial height, 1.19mm reduction in lower facial height, and 0.7mm reduction in mandibular height in group A. In group B group, there was a 0.67mm reduction in upper facial height, 3.66 mm reduction in lower facial height, and 5mm reduction in mandibular height. 4. In reference to facial width, the facial height showed 1.5% reduction in group A and 3.6 reduction in group B after the surgery. 5. In reference mandibular height-to-facial width ratio, there was a 1.3% reduction in group A, and 4.4% reduction in group B after the surgery. 6. In reference to the mandibular height-to-width ratio, there was a 1.3% reduction in group A 4.3% reduction in group B after the surgery. 7. Although the change in the facial width due to surgery can be ignored, sufficient explanation should be provided to the patient before surgery on the fact that the face can appear to be relatively wide because of the reduced facial length as result of the surgery.