Analisi della cefalometria di Bimler

Objectives. A clinical case of dentoskeletal II Class with overjet and overbite increased was tracted to obtain of the physiological occlusal conditions, respecting the individual biotypological growth of the patient. Materials and methods. During diagnosis was used the Bimler chephalometric analysis that offers angular and linear measurements of the skull profile offering morphological information (nature and seriousness of the malocclusion), biotypological notions (predominant growth direction of the face), and data about the cranial developmental harmony (vector uniformity of growth of the separate facial areas). After definung the severity of malocclusion and have understood the nature and direction of facial growth, balanced forward and downward, by means of biotypological and harmony analyses, we performed a therapeutic positional change of the jaw, advancing and post-rotating it, using the functional Bimler apparatus. The biotypological and harmony Bimler analyses confirmed that our therapeutic action would be supported, without impediments, by the facial development. Results. After two years from the beginning of the treatment, the malocclusion had resolved with all the dentoskeletal parameters in normal, physiological ranges (as evidenced by the morphological Bimler analysis of end treatment) without modifications in the biotypological growth of the face. Conclusions. Bimler chephalometric analysis represents a fundamental diagnostic tool for some orthodontic schools that work for the correction of dental and skeletal malocclusion by means of neurocclusal rehabilitation methods. Its advantage consists in offering a double analysis simultaneously, that is “morphological” and of “growth prevision”. More than other analysis, this cephalometric approach drives the physician, from the first measurements, to understand the maxillary growth direction, representing an interesting prognostic aid to treatment.