Clinicians have always had difficulty finding the apex of the lower central
incisor on a lateral cephalometric radiograph. This study was undertaken t
o define the radiographic anatomy surrounding the true apex. Standard cepha
lograms were taken of 38 skulls with metallic markers in the socket apex of
1 lower central incisor. Similar cephalograms were taken with the lower ce
ntral incisor apex positioned in the central ray of the x-ray source. The c
omparison of the marked apices in the complete skulls and their separate ma
ndibles showed that there was no distortion. Measurements from the markers
to the lingual and labial symphyseal borders located the apices labial of c
enter.