## 4 Discussion
The capacity to magnify individual structures on the monitor screen while marking successive reference points, coupled with the ongoing enhancement of digital cephalograms, has markedly enhanced the precision of measurements. Concurrently, the time required for the analysis using computer programs, which automatically count the individual parameters of the cephalometric analyses and place the results in tables and graphs after the doctor has entered the points, has decreased to approximately one to two minutes. It is crucial to recognize the benefits of new technologies and software that can enhance the work of dentists, particularly orthodontists. Over the past decade, advancements in virtual reality techniques, computer-enhanced technologies, cone-beam computed tomography (CBCT), and many others have significantly improved overall dental treatment. Today, 3D cephalometric measurements, 3D virtual treatment planning for skeletal, facial, jaw/bone, and teeth measurements, along with detailed 3D studies of superficial, skeletal, and skin anatomy, appear to greatly enhance success rates and reduce the occurrence of troublesome complications or limitations in treatment algorithms [62; 63; 64; 65; 66]. Despite the advancements and improvements in new techniques, it is always important to consider the potential for human and computer errors. Therefore, after each evaluation, it is crucial to double-check the results and ensure that the proposed treatment or diagnostic algorithm is sufficient and adequate for each patient's case. Some computer programs employ artificial intelligence to perform tasks previously reserved for medical professionals, such as identifying and marking reference points [67]. Nevertheless, the creators of these programs consistently advise medical professionals to verify that the program has correctly identified the relevant points. This is due to the fact that some bone and skin structures that overlap in an X-ray image may be misinterpreted by the computer program. Furthermore, the difficulty of computer programs in reading visual material is a common feature used to detect malicious bots employing CAPTCHA techniques. The most illustrative example of this type of difficulty in orthodontic practice is the determination of Downs' A-point [68]. In such instances, the bony structure may be erroneously identified as the shadow of the buccal fat pad. An erroneous determination of this point will result in a significant error in the diagnosis of the sagittal position of the maxilla in relation to the mandible, as evidenced by incorrect ANB and WITS parameters. It can be concluded that the reduction in time for the application of reference points achieved by the automatic procedure is a minor advantage, since at most two minutes of analysis time are saved. However, this does not guarantee the correctness of the diagnosis, especially in difficult cases. It is crucial to emphasize that orthodontic diagnosis is not solely dependent on the speed of the process. In turn, other factors, such as patient positioning, maintaining a good NHP, and ensuring appropriate resting positions of the jaw, teeth, facial features, skull, and body posture during examination, are areas that still warrant attention [1; 61]. The most critical aspect of evaluating facial photographs, CBCT scans, and 3D assessments lies in achieving a natural, physiologically balanced head position and patient silhouette. Many authors seem to align with this perspective [12; 69]. Consequently, the utilization of cranimetric studies in anatomical and radiological tracings can be more dependable. When the patient's head position is secured in the most reliable manner, further cephalometric analysis can be conducted [68]. In the past, such patient positioning for evaluations was pivotal in ensuring the most accurate and precise placement of cranimetric and anthropometric points within the assessed data. In today's context, this scenario still holds significant importance.