Brow Lifting and Upper Facial Esthetics: Current Techniques and Considerations

2021 ◽  
Author(s):  
Aron Kandinov ◽  
Armela Hasa ◽  
Boris Paskhover ◽  
Eric Carniol
Keyword(s):  
Facial Esthetics

Divine Proportion in Facial Esthetics

1982 ◽  
Vol 9 (4) ◽  
pp. 401-422 ◽  
Author(s):  
Robert M. Ricketts
Keyword(s):  
Divine Proportion ◽  
Facial Esthetics

Full Mouth Fixed Rehabilitation of a Young Adult with Ectodermal Dysplasia: Making Mountain Out of a Molehill in The Literal Sense

2020 ◽  
Author(s):  
Vaishnavi Rajaraman
Keyword(s):  
Ectodermal Dysplasia ◽  
Treatment Plan ◽  
Sweat Glands ◽  
Congenital Diseases ◽  
Facial Esthetics ◽  
Key Factor ◽  
Full Mouth Rehabilitation ◽  
Fixed Prosthesis ◽  
Multiple Abnormalities ◽  
Hereditary Condition

The personality of an individual is often judged by his looks. A beautiful smile brings immense pleasure, not only to the viewer but also to the wearer of the smile. Time and again in dentistry, esthetics has been the prime area of focus. Prosthodontic rehabilitation also involves esthetics as its key factor, which is challenging especially in patients with congenital diseases or syndromes. Ectodermal dysplasia is one such hereditary condition associated with failure of the development of ectoderm in the embryonic stage and can cause multiple abnormalities. The ectodermal structures like skin, nails, hair, sweat glands, and teeth are particularly affected. The management of ectodermal dysplasia is quite complex and multidisciplinary owing to the abnormal morphology in craniofacial structures, a wide array of dentofacial defects, and age of the affected individuals, as most of them are very young when they report for or are evaluated for treatment. The deciduous as well as the permanent dentition in these patients may present with anodontia, hypodontia or oligodontia or combination of these. Hypodontia is one of the most common intraoral finding among these scenarios. Therefore, the affected patients obviously require absolute attention towards prosthodontic treatments throughout their developmental years till their adulthood. This report presents a case of an adult diagnosed with having ectodermal dysplasia with hypodontia. By appropriate modification and customization, the prosthodontic management was meticulously planned for the young patient which involved a full mouth rehabilitation with tooth supported fixed prosthesis in the maxillary and mandibular arch. The devised treatment plan had a key impact on the psychological, the masticatory function, speech and facial esthetics of the patient.

scholarly journals Skeletal Class III Malocclusion with Lateral Open Bite and Facial Asymmetry Treated with Asymmetric Lower Molar Extraction and Lingual Appliance: A Case Report

2021 ◽  
Vol 18 (10) ◽  
pp. 5381
Author(s):  
Vo Truong Nhu Ngoc ◽  
Nguyen Thi Thu Phuong ◽  
Nguyen Viet Anh
Keyword(s):  
Case Report ◽  
Open Bite ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Skeletal Class ◽  
Facial Esthetics ◽  
Lingual Appliance ◽  
Lower Incisors ◽  
Mandibular Incisors ◽  
Molar Extraction

A skeletal Class III malocclusion with open bite tendency is considered very difficult to treat orthodontically without surgery. This case report describes the lingual orthodontic treatment of an adult skeletal Class III patient with mandibular deviation to the left side, lateral open bite, unilateral posterior crossbite, zero overbite and negative overjet. The lower incisors were already retroclined to compensate with the skeletal discrepancy. The patient was treated by asymmetric molar extraction in the mandibular arch to retract the lower incisors and correct the dental midline, with the help of intermaxillary elastics. Lingual appliance was used with over-torqued lower anterior teeth’s brackets to control the torque of mandibular incisors. After a 30-month treatment, satisfactory smile and facial esthetics and good occlusion was achieved. A 12-month follow-up confirmed that the outcome was stable. Asymmetric molar extraction could be a viable option to retract mandibular incisors in Class III malocclusion with lower dental midline deviation.

Facial Esthetics Classification and Gingival Pigmentation Index of Treatment Needs

2019 ◽  
Vol 11 (1) ◽  
pp. 77-88
Author(s):  
Puzhankara Lakshmi ◽  
Menon Sai Megha ◽  
Suresh Reshma
Keyword(s):  
Indian Population ◽  
Treatment Plan ◽  
Specific Treatment ◽  
Treatment Modalities ◽  
Treatment Needs ◽  
Complete Coverage ◽  
Facial Esthetics ◽  
Comprehensive Classification ◽  
Precise Assessment ◽  
Classification And Treatment

Background : The Indian population shows an extensive range of gingival pigmentation. A detailed description of the gingival pigmentation pattern would provide data for the formulation of an efficient plan for depigmentation. This article gives a novel comprehensive classification to aid in the precise assessment of the pattern and distribution of gingival pigmentation and decision regarding the methods for depigmentation. Methods : Previously existing, established indices and classifications for degree of pigmentation, facial complexion, smile line, lip colour and their modifications were used to differentiate various categories of Esthetics: Esthetic, Unaesthetic-mild, Unaesthetic-severe. Treatment needs were formulated based on the category of Esthetics. Results : The various categories of esthetics include E (Esthetic), M (Unaesthetic-Mild), N (UnaestheticSevere) and specific treatment modalities have been assigned based on the treatment needs. Discussion : The treatment for gingival pigmentation should be based on overall facial esthetics. The classification given in this article takes into consideration the components of facial esthetics: Facial Pigmentation, Degree and distribution of gingival pigmentation, smile line and lip colour. The treatment plan proposed considers the need for the treatment and the possible treatment for each category of esthetics. Conclusion : The classification proposed in this article attempts a complete coverage of combinations of facial esthetic components and the Treatment Index encompasses all the possible treatment modalities for each combination. Although a learning curve might exist, once mastered, the classification and treatment index would serve as a baseline for determining treatment needs in patients with gingival pigmentation.

scholarly journals The dental esthetic screening index: A new tool for assessment of dento‐facial esthetics in restorative dentistry

2019 ◽  
Vol 31 (6) ◽  
pp. 572-582 ◽  
Author(s):  
Cornelia Frese ◽  
Florian Leciejewski ◽  
Regina Specht ◽  
Theresa Wohlrab ◽  
Christopher Büsch ◽  
...  
Keyword(s):  
Restorative Dentistry ◽  
Facial Esthetics

scholarly journals A combined Surgical-Orthodontic treatment in skeletal Class II malocclusion patients

2021 ◽  
Vol 3 (2) ◽  
pp. 82-87
Author(s):  
Prathyaksha Shetty ◽  
Dipjyothi Baruah ◽  
Amit Rekhawat ◽  
Karthik Cariappa ◽  
Sujala Ganapati Durgekar ◽  
...  
Keyword(s):  
Orthodontic Treatment ◽  
Class Ii ◽  
Mandibular Advancement ◽  
Class Ii Malocclusion ◽  
Skeletal Class ◽  
Sagittal Split Osteotomy ◽  
Skeletal Class Ii ◽  
Facial Esthetics ◽  
Bilateral Sagittal Split Osteotomy ◽  
Common Problems

Skeletal Class II malocclusion with mandibular deficiency is one of the most common problems that patients seek treatment. Adult patients with severe skeletal Class II malocclusion need orthognathic surgery for successful treatment. Bilateral sagittal split osteotomy (BSSO) is the most often preferred technique for these patients. This case report briefs about two male patient of age 24 years presented with Class II Skeletal relation, mesoprosopic facial form, horizontal growth pattern and Angle’s Class II div 1 malocclusion who were treated with Bilateral sagittal split osteotomy (BSSO) mandibular advancement. The ideal anteroposterior relation was established along with a Class I molar, incisor, canine relationship and ideal overjet, overbite and the overall facial esthetics were significantly improved. Combined surgical-orthodontic treatment aims to obtain a more harmonious facial, skeletal, dental and soft tissue relationship with an added patient self esteem.

scholarly journals The Comparison of Patient Satisfaction after “Surgery First” and Conventional Orthognathic Surgery: An Original Research

2017 ◽  
Vol 7 ◽  
pp. 123-129 ◽  
Author(s):  
Pritam Mohanty ◽  
Swati Saraswata Acharya ◽  
Nivedita Sahoo ◽  
Sushila Sah ◽  
Sanjeeb Kumar Sahu
Keyword(s):  
Patient Satisfaction ◽  
Orthognathic Surgery ◽  
Rating Scale ◽  
Common Factor ◽  
Original Research ◽  
Analog Scale ◽  
Facial Esthetics ◽  
Point Rating Scale ◽  
Surgery First ◽  
Open Question

Aims and Objectives We evaluated the factors which affect patient satisfaction and their expectations toward “surgery first” and conventional orthognathic surgery. Materials and Methods Questionnaires consisting of 17 questions were given to the subjects postoperatively who had undergone Le fort 1 maxillary superior impaction for skeletal gummy smile correction with conventional orthognathic surgery and “surgery first” approach. Eleven-point rating scale based on a (visual analog scale; 0 = poor; 10 = excellent) were used to answer six questions. Ten closed-form questions were also included as well as one open question for “further remarks.” Results Nineteen patients (12 females, 07 males; mean age, 23.4 ± 4.9 [standard deviation] years) gave their consent to participate in the study. The intention to undergo surgery only for esthetics was noted in 42.11% of patients; only improvement of chewing function in 21.05% and both in 36.84%. Conclusion The most common factor for patient satisfaction after “surgery first” and conventional orthognathic surgery was facial esthetics, but masticatory function and even psychological aspects should be considered equally when planning surgery. The patient satisfaction was more in “surgery first” than conventional orthognathic surgery. The timing of treatment and immediate results are important factors toward patient satisfaction.

scholarly journals Comparison between Steiner cephalometric and modified Andrews photometric method for assessing antero-posterior position of the maxillary central incisors.

2019 ◽  
Vol 147 (11-12) ◽  
pp. 670-675
Author(s):  
Predrag Vucinic ◽  
Djordje Petrovic ◽  
Stojan Ivic ◽  
Sanja Vujkov
Keyword(s):  
Vertical Line ◽  
Photometric Method ◽  
Facial Features ◽  
Tooth Position ◽  
Facial Esthetics ◽  
Lateral Cephalograms ◽  
Significant Difference ◽  
Low Levels ◽  
Relationship Of ◽  
Posterior Position

Introduction/Objective. Maxillary incisors, when exposed during smile, are one of the most important facial features. In an attempt to overcome limitations of standard cephalometric methods, Andrews described an approach to determine ideal anteroposterior (AP) position of maxillary central incisors in smiling profile in relation to the forehead. We compared traditional Steiner cephalometric method, using surrounding skeletal landmarks, to the method proposed by Andrews, with the aim of determining whether distant but very noticeable craniofacial structures can affect our impression of tooth position. Methods. The study comprised 90 randomly selected lateral cephalograms, divided into three groups according to maxillary central incisors AP position according to Steiner cephalometric norms. The AP relationship of the maxillary central incisors was measured as a perpendicular distance from facial axis point to the nasion A line and to the vertical line through forehead facial axis point respectively. Student?s t-test and Pearson?s correlation were used to compare tested variables. Results. There was statistically significant difference between two methods (p = 0.01108). According to the Steiner method 46.67% subjects had retrusive incisors and 53.33% subjects had protrusion. Andrews?s method showed different results; 35.56% subjects had retrusion, while 64.4% had protrusion. Conclusion. The method proposed by Andrews showed consistently more protrusion than the traditional cephalometric method according to Steiner. Slightly retruded position of maxillary central incisors according to Steiner analysis does not always imply poor facial esthetics, if they have favorable position to the forehead. Low levels of correlation indicate that we should never rely on just one set of parameters.

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