Structured Abstract Objective To correlate traditional Steiner's skeletal and dental measurements to similar measurements that use the eyes and natural head position as references instead of the cranial base. Setting and Sample One hundred and fifty‐two lateral cephalometric radiographs (66 female and 86 male) from the Harvard Forsyth twin sample were included in the study based on record availability. Material and Methods This was an observational study in which all cephalometric radiographs were traced and analysed using Steiner's cephalometric analysis. Each cephalogram was then altered to perform a similar analysis that uses the maximum convexity of the cornea together with natural head position as references instead of the cranial base. A Pearson product‐moment correlation coefficient was measured to determine the correlation between the conventional Steiner's analysis measurements and the novel measurements relying on the eyes and natural head position. Results Steiner's cephalometric measurements of the jaws to each other, the divergency and the orientation of the incisors had a strong positive correlation with their counterparts that relied on true horizontal and/or the eyes (P < 0.001). Conclusion The eyes and true horizontal can be used as alternatives to the cranial base when diagnosing the relationship between the jaws and the position and orientation of the teeth. Since the eyes and natural head position are identifiable without ionizing radiation, future research should focus on the use of radiographic exposures limited to the upper and lower jaws for orthodontic diagnosis and outcome assessment.

Objectives The study aimed to assess the longitudinal changes in the ANB angle before and after adolescence, and determine Class I normative values for childhood and adolescent Caucasian patients based on cervical vertebral maturation stages (CVMS) and gender. Setting and sample population The sample included 71 (41 females and 30 males) untreated Caucasian subjects who took part in a growth study between 1959 and 1976. Materials and methods Lateral cephalometric radiographs were analysed at CVMS1 (childhood) and again at CVMS4-5 (adulthood). A paired sample t-test was used to analyse ANB angle differences between the two time points. Subjects who were skeletally and dentally Class I at adulthood (51 subjects) had their radiographs at CVMS1 (childhood) and CVMS2-3 (adolescence) used to establish Caucasian normative values for those stages. Data were also analysed for gender and skeletal classification differences. Results There was a statistically significant decrease in ANB value (2.3°) from CVMS1 to CVMS4-5 in the combined sample as well as the skeletal Class I and Class III groups (2.5° and 3.3° for Class I and Class III subjects, respectively). The reduction was smaller and not statistically significant in Class II individuals (1.5°). In Class I individuals, ANB values were 4.68° (SD:1.76°) at CVMS1, 2.86° (SD:1.18°) at CVMS2-3, and 2.13° (SD:0.99°) at CVMS4-5. No significant gender differences were found. Conclusions Statistically significant decreases in the ANB angle can be expected between childhood and adulthood in Class I and Class III patients but not Class II untreated subjects. Adult normative values should not be used for children.