Effect of different incisor movements on the soft tissue profile measured in reference to a rough-surfaced palatal implant

2016 ◽  
Vol 149 (3) ◽  
pp. 349-357 ◽  
Author(s):  
Mirjam Kuhn ◽  
Goran Markic ◽  
Ioannis Doulis ◽  
Peter Göllner ◽  
Raphael Patcas ◽  
...  
2018 ◽  
Vol 17 (4) ◽  
pp. 638-643
Author(s):  
Mohammad Khursheed Alam ◽  
Shifat A Nowrin

Background: Enlightening facial esthetic is reflecting as one of the main influences in orthodontic treatment during establishing of ideal occlusion.Method: In present study, a determination was made to subsidize to the existing pool of information on the soft-tissue profile and facial awareness. Main aim of the study is to investigate how the Bangladeshi laypersons are aware of their own faces by analyzing the data collected through a structured questionnaire.Result: This study involved total 200 Bangladeshi Individuals age ranged 19 to 23 years old. A validated structured questionnaire was used to assess subjects’ evaluation of their own facial appearance. The mean awareness score for the subjects of Bangladeshi individuals ranged from 1.4 to 2.3 in male and from 1.7 to 1.9 in female for the overall impressions and from 1.3 to 2.1 in male and from 1.2 to 2.3 in female for the facial parts. Satisfaction score for the 9 items out of 24 items differed significantly between Bangladeshi female and male. An average profile of the jaw and lips are desired over more retrusive or protrusive profiles among Bangladeshi laypersons.Conclusion: It can be determined that Bangladeshi laypersons are adept to understand their own faces in the various commands and most of the peoples are worry about their profile in their everyday survives. We must evaluate our existing data to find orthodontic standards that are valid for specific ethnic groups.Bangladesh Journal of Medical Science Vol.17(4) 2018 p.638-643


2003 ◽  
Vol 40 (5) ◽  
pp. 544-549 ◽  
Author(s):  
Virgilio F. Ferrario ◽  
Chiarella Sforza ◽  
Claudia Dellavia ◽  
Gianluca M. Tartaglia ◽  
Davide Sozzi ◽  
...  

Objective To supply quantitative information about the facial soft tissues of adult operated patients with cleft lip and palate (CLP). Design, Setting, and Patients The three-dimensional coordinates of soft tissue facial landmarks were obtained using an electromagnetic digitizer in 18 Caucasian patients with CLP (11 males and 7 females aged 19 to 27 years) and 162 healthy controls (73 females and 89 males aged 18 to 30 years). From the landmarks, 15 facial dimensions and two angles were calculated. Data were compared with those collected in healthy individuals by computing z-scores. Two summary anthropometric measurements for quantifying craniofacial variations were assessed in both the patients and reference subjects: the mean z-score (an index of overall facial size), and its SD, called the craniofacial variability index (an index of facial harmony). Results In treated patients with CLP, facial size was somewhat smaller than in normal individuals, but in all occasions the mean z-score fell inside the normal interval (mean ± 2 SD). Almost all patients had a craniofacial variability index larger than the normal interval, indicating a global disharmonious appearance. Overall, in patients pronasale, subnasale, and pogonion were more posterior, the nose was shorter and larger, the face was narrower, and the soft tissue profile and upper lip were flatter than in the reference population. Conclusions The facial soft tissue structures of adult operated patients with CLP differed from those of normal controls of the same age, sex, and ethnic group. In this patient group, surgical corrections of CLP failed to provide a completely harmonious appearance, even if the deviations from the reference were limited. Further analyses of larger groups of patients are needed.


1993 ◽  
Vol 30 (5) ◽  
pp. 454-468 ◽  
Author(s):  
Rolf S. Tindlund ◽  
Per Rygh

During the last 15 years, cleft lip and palate (CLP) patients with maxillary deficiency in the care of the Bergen CLP team have undergone an interceptive orthopedic treatment phase during the deciduous and mixed dentition period. The present study includes 68 patients who received maxillary transverse expansion by use of a modified quad-helix appliance and 98 cases given maxillary protraction by a facial mask. All cases were treated until an acceptable normal occlusion was attained. Lateral cephalograms were taken immediately before and after the active treatment periods. Sagittal changes of the soft-tissue profile during transverse expansion and protraction were analyzed separately for unilateral complete cleft lip and palate (UCLP) patients and bilateral complete cleft lip and palate (BCLP) patients. The soft-tissue profiles of the groups were compared to growth changes of noncleft age-matched children (NORM group). During the short period of maxillary transverse expansion (mean period, 3.5 months) no significant change of the soft-tissue profile was found, except in the protrusion of the lower lip in the BCLP group. During the period of maxillary protraction (mean periods, 12 months in the UCLP group and 15 months in the BCLP group) the soft-tissue profile improved significantly by reducing the characteristic tendency towards a concave profile in CLP patients with maxillary deficiency. Significant Increases of the sagittal maxillomandlbular lip relation (angle SS-N-SM: mean Increase, 2.5 degrees) and the Holdaway-angle (H-angle: mean increase, 3.0 degrees) were found to be similar in the UCLP and BCLP groups. However, the use of different reference lines for evaluation of treatment effects upon the soft-tissue profile resulted in conflicting findings suggesting that anteriorly situated reference lines are more suitable for the evaluation of CLP patients. Thus, the esthetic line (E.line) indicated a favorable position of the lips after treatment; the subspinale-pogonlon line (ss.pg) revealed an Improved soft-tissue profile; the soft-tissue-facial line (N.PG) showed a retruded nose and upper lip; whereas basal references such as the nasion-sella line (NSL) and the occlusal-line perpendicular (OLP) mainly showed major differences between the CLP groups and the NORM groups.


2018 ◽  
Vol 8 (2) ◽  
pp. 45-49 ◽  
Author(s):  
Shabbir Hussain ◽  
Muhammad Azeem ◽  
Waheed Ul Hamid ◽  
Faiz Rasool

Introduction: Facial profile improvement is goal of cotemporary orthodontics and a reason to seek orthodontic therapy. The soft tissue profile plays a important role on orthodontic diagnosis and treatment planning. The objective of this study is to investigate the relationship between positive clinical VTO and actual post-treatment soft tissue profile after phase l therapy of growth modification in Class II. Materials & Method: Pretreatment simulation of post-treatment and actual post-treatment profile photographs of 30 class ll div l patients treated with twin block appliance were compared. Three profile photographs of each subject; pretreatment, positive clinical VTO and post-treatment were taken and on each photograph four angles; Nasofacial (NF), Nasomental (NM), Mentocervical (MC) and Nasolabial (NL) were drawn and measured. Mean, standard deviation, success and coefficient of determination of each angle was measured and linear regressions analysis was applied to find out the correlation. Result: Nasolabial and nasomental angles showed greater success i.e. 81.4% and 68.1% respectively showing greater correlation, while nasofacial and mentocervical angles showed less success i.e. 48.1% and 48.3% respectively showing less correlation. Linear regression analysis revealed that positive clinical VTO significantly predicted post-treatment profile whereas coefficient of determination for nasomental and mentocervical angles was 76.5% and 60% representing a better goodness of fit while nasolabial and nasofacial angles was 53.6% and 51.6% demonstrating poor fit of regression lines. Conclusion: Even though there is improved facial profile obtained by protracting the mandible into class l relation in a chair side maneuver in class ll div l malocclusions, yet the orthodontist should be tentative when predicting the outcome of growth modification to get benefit of this therapy.


2016 ◽  
Vol 04 (03) ◽  
pp. 189-194
Author(s):  
Isha Aggarwal ◽  
Manu Wadhawan

Abstract Introduction: The great variance in soft-tissue drape of the human face complicates accurate assessment of the soft-tissue profile and it is a known fact that facial features of different ethnic groups differ significantly. This study was undertaken to establish soft tissue norms for Himachali ethnic population. Method: The sample comprised lateral cephalograms taken in natural head position of 100 normal subjects (50 males, 50 females). The cephalograms were analyzed by Arnett soft tissue cephalometric analysis for orthodontic diagnosis and treatment planning. The Student t test was used to compare the means of the 2 groups. Results: Statistically significant differences were found between Himachali males and females in certain key parameters. Males have thicker soft-tissue structures than females. Whereas females have greater interlabial gap when compared with Himachali males. When compared with other ethnic groups, Himachali subjects have thicker soft tissue structures. Conclusions: Statistically significant differences were found between Himachali males and females in certain key parameters. Differences were also noted between other ethnic groups and Himachali faces.


2007 ◽  
Vol 132 (4) ◽  
pp. 475-480 ◽  
Author(s):  
Francesca Romana Dimaggio ◽  
Veronica Ciusa ◽  
Chiarella Sforza ◽  
Virgilio F. Ferrario

2008 ◽  
Vol 78 (5) ◽  
pp. 799-807 ◽  
Author(s):  
Chiarella Sforza ◽  
Alberto Laino ◽  
Raoul D'Alessio ◽  
Gaia Grandi ◽  
Gianluca Martino Tartaglia ◽  
...  

Abstract Objectives: To identify possible esthetic canons in facial size and shape of Italian adolescent boys and girls. Materials and Methods: The three-dimensional coordinates of 50 facial landmarks (forehead, eyes, nose, cheeks, mouth, jaw, ears) were collected in 231 healthy, reference adolescents (10– 17 years old) and in 93 similar age group “attractive” adolescents selected by a commercial casting organization. Soft-tissue facial angles, distances, areas, and volumes were computed. Comparisons were made with analysis of variance. Results: Attractive adolescents had wider, shorter, and less deep faces than reference adolescents, with a relatively larger forehead and maxilla, and a reduced mandible relative to the maxilla. Lips were larger and more prominent, and the nasolabial angle was reduced, but in older boys the effect was reversed. The prominence of the soft-tissue profile, and of the maxilla relative to the mandible, were larger in attractive boys, but smaller in attractive girls than in their reference peers. In the horizontal plane, attractive “young” adolescents had a flatter face, while the opposite pattern was observed in the “old” adolescents, with a relatively more prominent chin. Attractive adolescents had smaller noses than reference subjects of the same age and sex. Conclusions: Overall, all the measurements appeared sufficiently homogenous, and the quantitative characteristics of an “attractive” face well defined. Esthetic reference values can be used to determine optimal timing and goals in orthodontic treatment.


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