Skip to content

Understanding Your Laboratory Test: What It Is, How It Is Done, and What Your Results Mean

Published: August 9, 2026Updated: August 16, 2026

This test measures the angle between jaw structures on a skull X-ray to evaluate jaw alignment and facial growth patterns.

Quick summary

{"Measures jaw relationship using special skull X-ray","Helps plan orthodontic treatment and jaw surgery","Normal range is typically 1-4 degrees","Performed by orthodontist or oral surgeon"}

Medically reviewed by WellAlly Editorial TeamLast reviewed August 16, 2026Editorial policy

Key facts at a glance

LOINC
60608-7
Short code
LI-NB-ANGLE
Synonyms
1L-NB Angle Skull XR
Category
chemistry
Sample
serum
Container
Not applicable - this is a radiographic imaging study, not a specimen-based test
Units
N/A
Ref low
20
Ref high
30
Fasting
false
Population
adult
Sex
all
Age range
≥ 10 years
Method
xr-measured
CPT
70350 (Cephalometric radiograph)
SNOMED
3631008 (Skull X-ray)
Specimen volume
Not applicable - radiographic measurement
Stability
Not applicable - imaging study
Hemolysis max
500
Lipemia max
1000
Icterus max
500
TAT
24–72 hours
Order
routine

This test is a laboratory analysis performed on a small sample of your blood, urine, or other body material to help your doctor evaluate how well your body is working and to look for signs of illness or disease. It may be ordered during a routine health checkup, to investigate specific symptoms you are experiencing, or to monitor a condition you already have.

This test, also called cephalometric analysis, measures a specific angle (ANB angle) on a special X-ray of your head called a cephalogram. The measurement shows the relationship between your upper jaw, lower jaw, and the base of your skull. It helps doctors understand how your jawbones are positioned relative to each other and plan appropriate treatment.

The test is usually performed by a trained health care professional who collects a sample from you, most often by drawing blood from a vein in your arm with a sterile needle. The collection typically takes only a few minutes, and you may feel a brief pinch or sting. The sample is then sent to a laboratory where specialized equipment and trained staff analyze it.

You will sit or stand in a special X-ray machine with your head positioned precisely against a support. The machine takes a side-view X-ray of your entire skull and jaw area. The dentist or orthodontist then traces specific points on the X-ray (nasion, A point, and B point) and calculates the angle between them. The procedure is quick, painless, and takes only a few minutes.

Your results are compared with reference ranges that show the values considered typical for healthy people. Values within these ranges generally suggest normal function, while values that are higher or lower may point to an infection, a deficiency, or another condition that needs closer attention. Your doctor will review the report with you, explain what each finding means, and discuss any follow-up steps.

The ANB angle typically ranges from 1 to 4 degrees in a normal bite. An angle less than 1 degree may suggest a skeletal Class III bite (lower jaw protrudes). An angle greater than 4 degrees may indicate a skeletal Class II bite (upper jaw protrudes). Your doctor will compare this with other measurements to create a complete picture of your jaw and facial structure.

Reference range

Reference range: 20° to 30° (varies by population and diagnostic criteria). Values below 20° may indicate maxillary or mandibular protrusion, while values above 30° may suggest retrusion. Clinical interpretation should consider ethnic variations and treatment objectives.N/A

Specimen: serum

Remove all metallic objects including earrings, necklaces, hairpins, and orthodontic appliances if possible. Remove dentures or retainers. Inform the radiology technician of any recent facial trauma or surgery. No special dietary preparation required.

Clinical interpretation

How abnormal results are interpreted and what conditions they suggest.

◆Associated findings1

Frequently asked questions

Is the X-ray safe?
The radiation dose from a cephalogram is very low, similar to the natural background radiation you receive in a day. Modern digital X-rays use even less radiation. Your dentist will only recommend this test when necessary for your treatment.
Do I need to prepare for the test?
No special preparation is needed. You may be asked to remove jewelry, glasses, or any metal objects that might interfere with the X-ray. You should inform your doctor if you are pregnant.
How long does it take to get results?
The X-ray itself takes only seconds. Your orthodontist will typically analyze the image during your appointment and discuss the results with you right away or at your next visit.
Will I need this test more than once?
You may have repeat X-rays during treatment to monitor progress and evaluate how your jaw is responding to orthodontic treatment or surgery.
  1. 1
  2. 2

Click any link to access the full source. PubMed Central (PMC) links provide free full-text access.

This information is for educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment.

Medical Disclaimer

This content is for general informational and educational purposes only and is not a substitute for professional medical advice, diagnosis, or treatment. Always seek the guidance of a qualified healthcare provider with any questions you have about a medical condition, and never disregard professional medical advice or delay seeking it because of something you read here.

If you think you may have a medical emergency, call your local emergency number or go to the nearest emergency department immediately.

Medically reviewed by WellAlly Editorial Team Last reviewed August 16, 2026. · Read our editorial policy