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We aimed to determine the association of different cephalometric skeletal configurations on midface parameters as measured in 3D CT datasets.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Materials and methods<\/jats:title>\n                <jats:p>After sample size calculation, a total of 240 fully dentulous patients between 20 and 79\u00a0years of age (mean age: 42\u2009\u00b1\u200915), who had received a CT of the skull within the scope of trauma diagnosis or intracranial bleeding, were retrospectively selected. On the basis of cephalometric analysis, using MPR reconstructions, patients were subdivided into three different vertical skull configurations (brachyfacial, mesofacial, dolichofacial) and the respective skeletal Class I, II, and III relationships. Anatomic parameters were measured using a three-dimensional post-processing console: the thickness of the maxillary and palatine bones as well as the alveolar crest, maxillary body and sutural length, width and height of the hard palate, maxillary facial wall thickness, and masseter muscle thickness and length.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Results<\/jats:title>\n                <jats:p>Individuals with brachyfacial configurations had a significantly increased palatal and alveolar ridge thicknesses compared to those with dolichofacial- or mesofacial configurations. Brachyfacial configurations presented a significantly increased length and thickness of the masseter muscle (4.599\u00a0cm; 1.526\u00a0cm) than mesofacial (4.431\u00a0cm; 1.466\u00a0cm) and dolichofacial configurations (4.405\u00a0cm; 1.397\u00a0cm) (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.001). Individuals with a skeletal Class III had a significantly shorter palatal length (5.313\u00a0cm) than those with Class I (5.406\u00a0cm) and Class II (5.404\u00a0cm) (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.01). Sutural length was also significantly shorter in Class III (<jats:italic>p<\/jats:italic>\u2009&lt;\u20090.05).<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Conclusions<\/jats:title>\n                <jats:p>Skeletal configurations have an impact on parameters of the bony skull. Also, measurable adaptations of the muscular phenotype could result.<\/jats:p>\n              <\/jats:sec><jats:sec>\n                <jats:title>Clinical relevance<\/jats:title>\n                <jats:p>The association between viscerocranial morphology and midface anatomy might be beneficial for tailoring orthodontic appliances to individual anatomy and planning cortically anchored orthodontic appliances.<\/jats:p>\n              <\/jats:sec>","DOI":"10.1007\/s00784-023-05472-7","type":"journal-article","created":{"date-parts":[[2023,12,29]],"date-time":"2023-12-29T07:01:41Z","timestamp":1703833301000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Impact of different cephalometric skeletal configurations on anatomic midface parameters in adults"],"prefix":"10.1007","volume":"28","author":[{"given":"Ines","family":"Willershausen","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Amelie","family":"Ehrenfried","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Franziska","family":"Krautkremer","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Armin","family":"Str\u00f6bel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Corinna Lesley","family":"Seidel","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Friedrich","family":"Paulsen","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Markus","family":"Kopp","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Michael","family":"Uder","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Lina","family":"G\u00f6lz","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Matthias Stefan","family":"May","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"297","published-online":{"date-parts":[[2023,12,29]]},"reference":[{"key":"5472_CR1","doi-asserted-by":"publisher","first-page":"88","DOI":"10.2319\/020520-82.1","volume":"91","author":"F Savoldi","year":"2021","unstructured":"Savoldi F, Massetti F, Tsoi JKH, Matinlinna JP, Yeung AWK, Tanaka R, Paganelli C, Bornstein MM (2021) Anteroposterior length of the maxillary complex and its relationship with the anterior cranial base. 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