scholarly journals Esthetic Considerations in Orthodontics: An Overview

2021 ◽  
Author(s):  
Swati Singh ◽  
Litesh Singla ◽  
Tanya Anand
Keyword(s):  
Soft Tissue ◽  
Profile Analysis ◽  
Dental Occlusion ◽  
Facial Profile ◽  
Mandibular Plane ◽  
The Face ◽  
Facial Proportions ◽  
Posterior Position ◽  
Anterior Posterior ◽  
The Ideal

Abstract Esthetics has been an ever-evolving concept and has gained considerable importance in the field of orthodontics in the last few decades. The re-emergence of the soft tissue paradigm has further catapulted the interest of the orthodontist. So much so that achieving a harmonious profile and an esthetically pleasing smile has become the ideal goal of treatment and is no longer secondary to achieving a functional dental occlusion and/or a rigid adherence to skeletal and dental norms. Esthetics in the orthodontic sense can be divided into three categories: macroesthetics, miniesthetics, and microesthetics. Macroesthetics includes the evaluation of the face and involves frontal assessment and profile analysis. The frontal assessment involves assessment of facial proportions, while the profile analysis involves evaluation of anterior–posterior position of jaws, mandibular plane, and incisor prominence and lip posture. Miniesthetics involves study of the smile framework involving the vertical tooth–lip relationship, smile type, transverse dimensions of smile, smile arc, and midline. Microesthetics involves the assessment of tooth proportions, height-width relationships, connectors and embrasures, gingival contours and heights, and tooth shade and color. The harmony between these factors enables an orthodontist to achieve the idealized esthetic result and hence these parameters deserve due consideration. The importance placed on a pleasing profile cannot be undermined and the orthodontist should aim for a harmonious facial profile over rigid adherence to standard average cephalometric norms. This article aims to give an overview of the macro, mini, and microesthetic considerations in relation to orthodontic diagnosis and treatment planning.

Comparison of Two Computer-Animated Imaging Programs for Quantifying Facial Profile Preference

1996 ◽  
Vol 82 (3_suppl) ◽  
pp. 1251-1264 ◽  
Author(s):  
Donald B. Giddon ◽  
Carla A. Evans ◽  
Debbie Lynn Bernier ◽  
Jason A. Kinchen
Keyword(s):  
Soft Tissue ◽  
Dental Occlusion ◽  
Facial Appearance ◽  
Facial Morphology ◽  
Mouse Button ◽  
Facial Soft Tissue ◽  
Facial Profile ◽  
Computer Mouse ◽  
Soft Tissue Profile ◽  
User Friendly

To establish the physical basis of subjective judgments of facial appearance, two novel computer-imaging programs differing in method of preparation and presentation of 5 features of the facial soft-tissue profile of 4 faces representing 4 different classifications of dental occlusion were compared. Images of facial soft tissue of 5 features were digitized and “animated” from 16 discrete distortions or morphed from the two extremes of each feature. 12 volunteer judges responded to both the “animated” and morphed presentations by pressing the computer mouse button when the image became acceptable and releasing the button when the image was no longer acceptable. They also pressed the mouse button when the most pleasing distortion appeared from either direction. Aggregating responses to counterbalanced trials and features across judges yielded high correlations between the programs for midpoint of acceptability. Although both programs provide reliable and valid measures of subjective acceptability of present and proposed changes in facial morphology, the new morphing program is more user-friendly than the “animated” method.

Soft tissue facial profile in Class III malocclusion: long-term post-pubertal effects produced by the Face Mask Protocol

2019 ◽  
Vol 41 (5) ◽  
pp. 531-536 ◽  
Author(s):  
Chiara Pavoni ◽  
Francesca Gazzani ◽  
Lorenzo Franchi ◽  
Saveria Loberto ◽  
Roberta Lione ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Face Mask ◽  
Treated Group ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Lower Lip ◽  
Facial Profile ◽  
Facial Mask ◽  
The Face

SummaryObjectivesThe objective of this study was to analyze soft tissue changes produced by rapid maxillary expansion and facial mask therapy in growing Class III patients.MaterialsThe treated group consisted of 32 Caucasian patients (15 females and 17 males) with dentoskeletal Class III malocclusion treated with the Face Mask Protocol (FMP, rapid maxillary expander, facial mask, and removable lower bite-block). All patients were evaluated before treatment (T1; mean age, 8.4 years), at the end of active treatment (T2; mean age, 10.7 years), and at a post-pubertal follow-up observation (T3; mean age, 15.8 years). The treated group was compared with a matched control group of 20 untreated subjects (10 females and 10 males) with dentoskeletal Class III malocclusion. Statistical comparisons between two groups were performed with the independent samples t-test (P < 0.05).ResultsSignificant improvements were found during the long-term T1–T3 interval for profile facial angle (–5.8°), nasolabial angle (–4.4°), mandibular sulcus (–10.3°), upper lip protrusion (+0.7 mm), and lower lip protrusion (–1.1 mm) in the treated group. No significant post-pubertal effects were found in terms of lower face percentage between two groups.LimitationsThis study has a retrospective design and it used a historical control sample.ConclusionThe FMP induced positive effects on soft tissue facial profile with a good long-term post-pubertal stability.

scholarly journals Establishment of a new relationship between posed smile width and lower facial height: A cross-sectional study

2015 ◽  
Vol 09 (03) ◽  
pp. 394-399 ◽  
Author(s):  
Aby Abraham ◽  
Jinu George ◽  
Elbe Peter ◽  
Koshi Philip ◽  
Rajesh Chankramath ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Facial Height ◽  
The Face ◽  
Facial Proportions ◽  
Males And Females ◽  
The Mean ◽  
The Difference

ABSTRACT Objective: The present study is intended to add a new parameter that would be useful in orthodontic clinical evaluation, treatment planning, and determination of vertical dimension (at occlusion). Materials and Methods: Standardized videographic recording of 79 subjects during posed smile was captured. Each video was then cut into 30 photos using the free studio software. The widest commissure-to-commissure posed smile frame (posed smile width [SW]) was selected as one of 10 or more frames showing an identical smile. Lower third of the face is measured from subnasale to soft tissue menton using a digital vernier caliper. Two values were then compared. Ratio between lower facial height and posed SW was calculated. Results: The co-relation between smiling width and lower facial height was found to be statistically significant (P < 0.01). The ratio of lower facial height and smiling width was calculated as 1.0016 with a standard deviation (SD) = 0.04 in males and 1.0301 with an SD = 0.07 in females. The difference between the mean lower facial height in males and females was statistically significant with a t = 10.231 and P = 0.000. The difference between the mean smiling width in males and females was also statistically significant with a t = 5.653 and P = 0.000. Conclusion: In class I subjects with pleasing appearance, normal facial proportions, normal overjet and overbite, and average Frankfort mandibular angle, the lower facial height (subnasale to soft tissue menton) is equal to posed SW.

scholarly journals Nonsurgical orthodontic treatment of a hypodivergent adult patient with bilateral posterior scissors bite and excessive overjet

2018 ◽  
Vol 89 (2) ◽  
pp. 333-349
Author(s):  
Masahiro Nakamura ◽  
Noriaki Kawanabe ◽  
Rie Adachi ◽  
Takashi Yamashiro ◽  
Hiroshi Kamioka
Keyword(s):  
Adult Patient ◽  
Orthodontic Treatment ◽  
Maxillary Incisor ◽  
Bite Block ◽  
Facial Profile ◽  
Skeletal Class ◽  
Mandibular Plane ◽  
Division 1 ◽  
Vertical Relationship ◽  
Anterior Posterior

ABSTRACT This report illustrates successful nonsurgical orthodontic treatment of a hypodivergent adult patient with bilateral posterior scissors bite (Brodie bite) and excessive overjet. A 26-year-old woman primarily reported maxillary incisor protrusion. She was diagnosed with Class ll division 1 malocclusion with skeletal Class I, short face, low mandibular plane angle and bilateral posterior scissors bite. A lingual arch with anterior bite block and posterior miniscrews with preadjusted edgewise appliances were used to improve the bilateral scissors bite. After achieving molar occlusion, the maxillary first premolars were extracted, and six miniscrews were used to improve the anterior-posterior and vertical discrepancies. After active treatment for 56 months, the convex facial profile with excessively protruded lips was improved and good interdigitation with ideal incisor relationship was achieved. Additionally, the irregular movements of the incisal path and the bilateral condyles during lateral excursion were improved. At 13 months of retention, a satisfactory facial profile, occlusion, and jaw movements were maintained. The treatment results suggest that miniscrews and fixed bite blocks were effective and efficient to facilitate correction of the bilateral scissors bite, excessive overjet, and vertical relationship correction in this nonsurgical orthodontic treatment.

Facial Profile Of Bataknese Based On Nose, Lips And Chin Proportions

2017 ◽  
Vol 16 (2) ◽  
Author(s):  
Siti Bahirrah
Keyword(s):  
Soft Tissue ◽  
Soft Tissues ◽  
Upper Lip ◽  
Cross Sectional ◽  
Lower Lip ◽  
Facial Profile ◽  
Male And Female ◽  
The Face ◽  
Cross Sectional Design ◽  
Lateral Cephalometry

Introduction: The success of orthodontic treatment is often associated with the improvement of facial appearance. Soft tissues of the nose, lips and chin are important factors in determining the beauty of the face. The aim of this study was to determine the facial profile of the Bataknese based on the proportion of soft tissue facial components such as nose, lips and chin. Materials and Methods: This research was an observational study with a cross-sectional design. The samples of this research consists of 48 Batak tribe students in FKG USU Medan. This research was carried out by using 48 lateral cephalometry obtained from Batak tribe students who fit the inclusion criteria.Determination of soft tissue facial profile was carried out with Skinazi method. Results: The mean proportion results obtained from the soft tissue facial components of the nose was 64.41%, upper lip 13.79%, lower lip 14.80% and chin 6.86%. The results showed soft tissue facial profile obtained descriptively from the Bataknese were highest in nose proportion followed by lower lip, upper lip and the smallest were chin proportion. Large proportion of the nose and small proportion of chin showed that facial profile of the Bataknese were convex. The results of t- test and Mann Whitney analysis of nose, upper lip, lower lip and chin proportion showed there were no difference between male and female (p>0.05). Conclusion(s): The findings of this research showed that the soft tissue facial profile based on nose, lips and chin propotions in male and female from Batak tribe were convex.

scholarly journals Methods of Analysis of the Nasal Profile: A Systematic Review with Meta-analysis

2021 ◽  
Vol 2021 ◽  
pp. 1-18
Author(s):  
Agnieszka Jankowska ◽  
Joanna Janiszewska-Olszowska ◽  
Maciej Jedliński ◽  
Katarzyna Grocholewicz
Keyword(s):  
Profile Analysis ◽  
Meta Analysis ◽  
Genetic Disorders ◽  
Facial Profile ◽  
Skeletal Class ◽  
Nasolabial Angle ◽  
Ethnic Variability ◽  
The Face ◽  
Bimaxillary Surgery ◽  
Nasal Development

The nose is the most prominent structure of the face, influencing facial appearance and profile. Orthodontists have an awareness of facial structures, including nasal morphology, when diagnosing and treatment planning. Maxillofacial surgeons influence facial profile by bimaxillary surgery, improving facial aesthetics and harmony. The aim of this review was to summarize the available methods of analysing nasal morphology and profile, and to assess their complexity. A literature search was conducted in PubMed, Scopus, Web of Science, and Embase using the following search terms: “nasal profile analysis”, “nasolabial angle”, and “nasal profile cephalometric” in order to select studies providing knowledge on correlations between occlusion and nasal development, differences between skeletal classes, ethnic variability, and differences between the sexes. Studies concerning genetic disorders were excluded. Finally, 17 full-text papers were analysed, which pertained to nasolabial angle, or facial profile including the nose. Data concerning methods, ethnic group, reference landmarks used, and measurements made were extracted and placed in tables. Numerous methods of nasal profile analysis can be found in the literature. These methods describe various numbers of parameters, which have influence on facial aesthetic. Nasal parameters are correlated to skeletal class and nasolabial angle, positions of upper incisors, and maxillary inclination.

Soft Tissue Facial Profile Analysis of Adult Iraqis with Different Classes of Malocclusion

2013 ◽  
Vol 25 (4) ◽  
pp. 151-159
Author(s):  
Layth M. K. Nissan ◽  
Shaymaa Sh. Taha ◽  
Shahbaa A. Mohammed
Keyword(s):  
Soft Tissue ◽  
Profile Analysis ◽  
Facial Profile

scholarly journals Angular Photogrammetric Soft Tissue Facial Profile Analysis of Bangladeshi Young Adults

2017 ◽  
Vol 7 ◽  
pp. 279-286
Author(s):  
Lubna Akter ◽  
Md. Zakir Hossain
Keyword(s):  
Young Adults ◽  
Soft Tissue ◽  
Profile Analysis ◽  
Mean Value ◽  
Upper Lip ◽  
Cross Sectional ◽  
Lower Lip ◽  
Facial Profile ◽  
Nasolabial Angle ◽  
Soft Tissue Profile

Introduction Angular photogrammetric soft tissue facial profile analysis provides a permanent record for the actual appearance of a person, which would also serve to establish an ideal esthetic treatment goal. The aim of the present study was to evaluate the average angular variables that define the soft tissue facial profile of a Bangladeshi sample. Materials and Methods This cross-sectional study was carried out at Department of Orthodontics and Dentofacial Orthopedics of Dhaka Dental College and Hospital, Bangladesh, from July to December 2015. Soft tissue facial profiles of 200 participants (100 males and 100 females) between 18 and 25 years of age, with a dental Class I occlusal relationship and harmonious soft tissue profile, were selected by convenience sampling among students, doctors, and patients of Dhaka Dental College. Standardized photographs of 200 samples were taken in the natural head position. The photographic records were analyzed with the software for Windows, Microsoft Visio 2007, Standard Edition. All data were analyzed through standard methods using Statistical Package for the Statistical Package for Social Science Software (SPSS Version-20, IBM Corp, USA). Results The average angular measurements for nasofrontal, total facial angle, facial angle, upper lip angle, projection of lower lip to chin, and mentolabial angle were wider in females. The mean value for nose tip angle, nasolabial angle, nasomental angle, and projection of upper lip to chin angle was higher in males compared to females. Nasofrontal angle (G-N-Nd) (P = 0.000) and mentolabial angle (Li-Sm-Pg) (P = 0.001) showed statistically significant differences. The greatest variability was found for mentolabial angle. Conclusion The study of angular photogrammetric soft tissue facial profile analysis of Bangladeshi young adults contributes to the establishment of standardized normal values for the population. This study provides data which can be used in treatment planning by specialists such as orthodontists, prosthodontists, plastic surgeons, and maxillofacial surgeons, who have the capability to change the soft tissue facial features.

scholarly journals Accuracy and Reproducibility of Facial Measurements of Digital Photographs and Wrapped Cone Beam Computed Tomography (CBCT) Photographs

Diagnostics ◽  
2021 ◽  
Vol 11 (5) ◽  
pp. 757
Author(s):  
Maged Sultan Alhammadi ◽  
Abeer Abdulkareem Al-mashraqi ◽  
Rayid Hussain Alnami ◽  
Nawaf Mohammad Ashqar ◽  
Omar Hassan Alamir ◽  
...  
Keyword(s):  
Computed Tomography ◽  
Soft Tissue ◽  
Cone Beam Computed Tomography ◽  
High Reliability ◽  
Three Dimensional ◽  
Cone Beam ◽  
Cross Sectional ◽  
Facial Profile ◽  
Digital Photographs ◽  
Gonial Angle

The study sought to assess whether the soft tissue facial profile measurements of direct Cone Beam Computed Tomography (CBCT) and wrapped CBCT images of non-standardized facial photographs are accurate compared to the standardized digital photographs. In this cross-sectional study, 60 patients with an age range of 18–30 years, who were indicated for CBCT, were enrolled. Two facial photographs were taken per patient: standardized and random (non-standardized). The non-standardized ones were wrapped with the CBCT images. The most used soft tissue facial profile landmarks/parameters (linear and angular) were measured on direct soft tissue three-dimensional (3D) images and on the photographs wrapped over the 3D-CBCT images, and then compared to the standardized photographs. The reliability analysis was performed using concordance correlation coefficients (CCC) and depicted graphically using Bland–Altman plots. Most of the linear and angular measurements showed high reliability (0.91 to 0.998). Nevertheless, four soft tissue measurements were unreliable; namely, posterior gonial angle (0.085 and 0.11 for wrapped and direct CBCT soft tissue, respectively), mandibular plane angle (0.006 and 0.0016 for wrapped and direct CBCT soft tissue, respectively), posterior facial height (0.63 and 0.62 for wrapped and direct CBCT soft tissue, respectively) and total soft tissue facial convexity (0.52 for both wrapped and direct CBCT soft tissue, respectively). The soft tissue facial profile measurements from either the direct 3D-CBCT images or the wrapped CBCT images of non-standardized frontal photographs were accurate, and can be used to analyze most of the soft tissue facial profile measurements.

Maxillofacial Bony Considerations in Facial Transplantation

2021 ◽  
Author(s):  
Aurora G. Vincent ◽  
Anne E. Gunter ◽  
Yadranko Ducic ◽  
Likith Reddy
Keyword(s):  
Soft Tissue ◽  
Current Literature ◽  
Preoperative Planning ◽  
Surgical Anatomy ◽  
The Past ◽  
Facial Transplantation ◽  
Tissue Transfer ◽  
Reconstructive Ladder ◽  
The Face ◽  
Facial Wounds

AbstractAlloplastic facial transplantation has become a new rung on the proverbial reconstructive ladder for severe facial wounds in the past couple of decades. Since the first transfer including bony components in 2006, numerous facial allotransplantations across many countries have been successfully performed, many incorporating multiple bony elements of the face. There are many unique considerations to facial transplantation of bone, however, beyond the considerations of simple soft tissue transfer. Herein, we review the current literature and considerations specific to bony facial transplantation focusing on the pertinent surgical anatomy, preoperative planning needs, intraoperative harvest and inset considerations, and postoperative protocols.

Sign in / Sign up

Export Citation Format

Share Document