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Cephalometrics Values and Classifications

The document discusses cephalometric values and classifications related to orthodontics, specifically focusing on the SNA and SNB angles that indicate the positional relationships of the maxilla and mandible to the cranial base. Normal values for SNA and SNB suggest appropriate positioning, while deviations indicate prognathism or retrognathism. The document also notes that age and sex have minimal effects on these angles, with specific mean values provided for assessing maxillary and mandibular positions.

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60 views2 pages

Cephalometrics Values and Classifications

The document discusses cephalometric values and classifications related to orthodontics, specifically focusing on the SNA and SNB angles that indicate the positional relationships of the maxilla and mandible to the cranial base. Normal values for SNA and SNB suggest appropriate positioning, while deviations indicate prognathism or retrognathism. The document also notes that age and sex have minimal effects on these angles, with specific mean values provided for assessing maxillary and mandibular positions.

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joannamhie.esponja
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DM 222 - ORTHODONTICS 1

3rd Year - Second Semester

Cephalometrics Values and Classifications


SNA, SNB

Normal SNA and SNB

●​ This indicates a normal position of the maxillary and mandibular bases relative to the cranial base and
also to each other

Normal SNA
●​ Normal SNA angles indicate normal relations between maxilla and cranial base, with
○​ small SNB angle = mandible retrognathic
○​ Large SNB angle = mandible prognathic

Normal SNB
●​ Normal SNB angles indicate normal relations between mandible and cranial base, with
○​ Small SNA angle = maxilla retrognathic
○​ Large SNA angle = maxilla prognathic

Both Angles (SNA and SNB) Large or Small


●​ Large angles constitute prognathism of maxillary and mandibular bases; small angles constitute
retrognathism of maxillary and mandibular bases.
○​ ANB angle normal: relation of maxillary to mandibular base normal
○​ ANB angle greater/smaller than normal: abnormal relation of maxilla to mandible.

SNA Angle
●​ The SNA angle defines the anteroposterior position of point A relative to the anterior cranial base. Its
mean value, 81°, indicates a normal relationship between maxilla and anterior cranial base. If the angle
is less than normal, the maxilla lies more posterior in relation to the cranial base, if the angle is too
large, the maxilla lies more anterior. The angle therefore defines the degree of prognathism for the
maxilla. A large SNA angle (greater than 84º) makes the anteroposterior position of the maxilla
prognathic, a small angle (less than 78º) makes it retrognathic.
●​ Variations due to age and sex are minimal with this angle (80.5-82°).

SNB Angle
●​ The SNB angle determines the anteroposterior position of the mandible in relation to the anterior cranial
base, analogous to the SNA angle for the maxilla. This angle defines prognathism for the mandible, the
mean value being 79°. If it is greater than 82°, the mandible is prognathic relative to the anterior cranial
base, if it is less than 77°, the mandible is retrognathic. The mandible is described as orthognathic if the
angle is between 77° and 82°.
●​ The size of this angle increases with age (from 76º at 6 years to 79º at 16 years of age). Retrognathism
may thus be compensated in the course of growth, and it is often difficult to distinguish the effects of
therapy from those of growth when Class Il anomalies are treated.

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