Reproducibility of natural head position in profile photographs of children aged 8 to 12 years with and without the aid of a cephalostat

Objectives: The present study assessed the reproducibility of the natural head position (NHP) in children. Methods: Twenty-five children (12 females and 13 males) aged 8 to 12 years (patients at the School of Dentistry of the Universidade Estadual de Maringa PR, Brazil) were photographed. Photographs were taken in the NHP using a digital camera with and without the aid of a cephalostat. A vertical line (VL) was used as reference for the measurements. The photographs were taken again after a 15-day interval using the same protocol. Reproducibility of the NHP between both photograph sessions was evaluated using an angular measurement between the reference vertical line and a profile line pass ing through the soft pogonion and the upper lip point. Results and Conclusion: Although positional variations have suggested that patients in this age group should receive additional orientation on NHP photographs, there were no significant differences in the NHP within a 15-day interval with or without the aid of a cephalostat. The NHP proved to be a method with good reproducibility in children.

[1]  Coenraad F. A. Moorrees,et al.  Natural head position, a basic consideration in the interpretation of cephalometric radiographs , 1958 .

[2]  Charles J. Burstone,et al.  The integumental profile , 1958 .

[3]  B Solow,et al.  Natural head position in standing subjects. , 1971, Acta odontologica Scandinavica.

[4]  M. Marcotte Head posture and dentofacial proportions. , 2009, The Angle orthodontist.

[5]  T. D. Foster,et al.  Variation in Cephalometric Reference Lines , 1981, British journal of orthodontics.

[6]  B. Solow,et al.  Intra- and interexaminer variability in head posture recorded by dental auxiliaries. , 1982, American journal of orthodontics.

[7]  M S Cooke,et al.  A summary five-factor cephalometric analysis based on natural head posture and the true horizontal. , 1988, American journal of orthodontics and dentofacial orthopedics : official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics.

[8]  M. S. Cooke Five-year reproducibility of natural head posture: a longitudinal study. , 1990, American journal of orthodontics and dentofacial orthopedics : official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics.

[9]  Viazis Ad A cephalometric analysis based on natural head position. , 1991 .

[10]  H. Westergren,et al.  A comparison between estimated and registered natural head posture. , 1991, European journal of orthodontics.

[11]  A. D. Viazis A cephalometric analysis based on natural head position. , 1991, Journal of clinical orthodontics : JCO.

[12]  G. W. Arnett,et al.  Facial keys to orthodontic diagnosis and treatment planning--Part II. , 1993, American journal of orthodontics and dentofacial orthopedics : official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics.

[13]  G. W. Arnett,et al.  Facial keys to orthodontic diagnosis and treatment planning. Part I. , 1993, American journal of orthodontics and dentofacial orthopedics : official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics.

[14]  V. Ferrario,et al.  Head posture and cephalometric analyses : An integrated photographic ~ radiographic technique , 2006 .

[15]  C F Moorrees,et al.  Natural head position--a revival. , 1994, American journal of orthodontics and dentofacial orthopedics : official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics.

[16]  F Lundström,et al.  The Frankfort horizontal as a basis for cephalometric analysis. , 1995, American journal of orthodontics and dentofacial orthopedics : official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics.

[17]  M. S. Cooke,et al.  Fifteen-year reproducibility of natural head posture: A longitudinal study. , 1990, American journal of orthodontics and dentofacial orthopedics : official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics.

[18]  G. W. Arnett,et al.  Soft tissue cephalometric analysis: diagnosis and treatment planning of dentofacial deformity. , 1999, American journal of orthodontics and dentofacial orthopedics : official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics.

[19]  D. Halazonetis Estimated natural head position and facial morphology. , 2002, American journal of orthodontics and dentofacial orthopedics : official publication of the American Association of Orthodontists, its constituent societies, and the American Board of Orthodontics.

[20]  B. Tom,et al.  Natural head posture--considerations of reproducibility. , 2002, European journal of orthodontics.

[21]  [Longitudinal study of the stability and reproducibility of natural head position in adolescents with different facial types over time]. , 2005, Shanghai kou qiang yi xue = Shanghai journal of stomatology.

[22]  João Batista de Paiva,et al.  Avaliação cefalométrica radiográfica da posição craniocervical de pacientes orientados em posição natural da cabeça pré e pós-expansão rápida da maxila , 2005 .

[23]  "Three-Year Reproducibility of Natural Head Position; A Longitudinal Study " , 2006 .

[24]  Jiuxiang Lin,et al.  The relationship between estimated and registered natural head position. , 2007, The Angle orthodontist.

[25]  Y. Tseng,et al.  Simple technique to achieve a natural head position for cephalography. , 2008, The British journal of oral & maxillofacial surgery.