scholarly journals The Facial Shapes in Planning the Treatment with Injectable Fillers

2020 ◽  
Vol 53 (02) ◽  
pp. 230-243
Author(s):  
André Braz ◽  
Camila Cazerta de Paula Eduardo

Abstract Introduction The facial beauty is not easy to define, yet it is paramount to assess the needs of each patient to propose an appropriate treatment plan that will provide beautification or rejuvenation in a natural-looking fashion.One of the beauty aspects easily recognized is the face shape, which can give a perception of age, gender, and attractiveness, and reflects the facial anatomical structure. Because addressing the structure of the face is the basis for the aesthetic approach with dermal fillers, we find the identification of the patient’s face shape to be a very good starting point in the facial assessment. Objective To discuss important aspects of facial beauty, the characteristics of the different facial shapes (oval, heart, round, and angular), and a method of planning the aesthetic treatment with injectable fillers based on the strengths and weaknesses of each morphology of the face, that is called the AB face technique. Methods In this study, we describe seven clinical cases: two cases each of oval, heart, and round, and one case of angular shape. Results The evaluation of the face shape can help us define the priorities of the aesthetic approach, determining the areas that need to be restored in the aging face, as well as which areas could be enhanced in the younger patient. Conclusion This approach can be helpful in proposing the aesthetic treatment plan with injectable fillers to provide beautification, rejuvenation, and enhancement of the facial structure, which may benefit facial contours through aging.

2020 ◽  
Vol 53 (02) ◽  
pp. 207-218
Author(s):  
André Braz ◽  
Camila Cazerta de Paula Eduardo

AbstractThe lower third is very important for the pleasant appearance of the face. A well-contoured jawline is desirable in men and women, giving a perception of beauty and youth. It is also key to sexual dimorphism, defining masculine and feminine characteristics. The nonsurgical rejuvenation and beautification of the lower third of the face is becoming more frequent. Injectable fillers can reshape the jawline, lift soft tissues, and improve facial proportions, effectively improving the appearance of the area.It is paramount to understand the facial anatomy and perform a good facial assessment in order to propose a proper aesthetic treatment plan. The aesthetic goal of the rejuvenation approach is to redefine the mandibular angle and line. In young patients, beautification can be achieved through correction of constitutional deficit or enhancement of the contour of the face, improving the facial shape. It is very important to possess knowledge of facial anatomy and of the aging process in order to deliver effective and safe results.In this article, we discuss the anatomy of the lower third of the face, facial assessment, aging process, and treatments of the chin, prejowls and mandibular line and angle with injectable fillers. The authors’ experience in the approach of this area is discussed.


2020 ◽  
Vol 3 (1) ◽  
pp. 9-15
Author(s):  
T Singh ◽  
T R Ghimire

Introduction: Oral health not only comprises of mere absence of oral disease and dysfunction but also includes dental appearance for overall facial beauty as it has influence on person’s self confidence and social life. Dental aesthetic comprises of tooth color, shape, alignment and position of the teeth in the dental arches. For the rewarding outcome of the treatment, clinician need to understand the root of dissatisfaction with present aesthetic and desired treatment to enhance the aesthetic that will assist in development of treatment plan. Materials and Methods: Pre-tested structured questionnaire was used in 349 subjects from previous studies with slight modification for data collection. The questionnaire was divided into three parts, first part recorded the demographic data, second part consisted of the patients’ view regarding satisfaction of the dental appearance and third part consist of the Likert scale where participants will rate the satisfaction level regarding their general appearance. Results: A relationship between gender (P<0.05), education (P=0.006) and overall satisfaction of the general appearance of the teeth was seen. Males were found to be more satisfied than females and people with higher education were more satisfied with their general dental appearance. For majority of the participants, choice of treatment to improve the aesthetic was teeth whitening (37.25%) followed by orthodontic treatment (29.80%), then dental crown, veneers (27.29%). The least favoured treatment by the participants is denture (5.16%) to improve the aesthetic. Conclusions: Dissatisfaction with the color, alignment, teeth appearance and condition are the main reasons for the patients to seek aesthetic treatment.  


2015 ◽  
Vol 15 (2) ◽  
pp. 27
Author(s):  
Jamhari Jamhari

<p>Abstract: Abdullah An-Na'im is the figure of the modern<br />thinker; his work is a good starting point of radical Islam<br />modernist and fundamentalist position that both of them<br />dominate contemporary thinking in the Islamic world.<br />According to Shari'ah are no longer relevant and no longer<br />adequate for the needs of modern society, it has led to serious<br />problems when dealing with human rights standards. An-Na'im<br />transformed basic understandings of traditional Islamic law. In<br />terms of Shari'ah, An-Na'im advocated a new system of Islamic<br />law which is believed to provide a thorough foundation more in<br />line with Islamic life in the contemporary world. This article<br />will explore formulation in the face of political structures, social<br />order, criminal law, international law and human rights.</p><p><br />ملخص: عبد لله النعیم ھو الرقم المفكر المعاصر؛ عملھ ھو نقطة انطلاق جیدة ل<br />الحداثیة الإسلام المتطرفة و الموقف الأصولي أن كلا منھم تھیمن على التفكیر<br />المعاصر في العالم الإسلامي . وفقا ل أحكام الشریعة الإسلامیة لم تعد مناسبة والتي لم<br />تعد كافیة لتلبیة احتیاجات المجتمع الحدیث، وقد أدى ذلك إلى مشاكل خطیرة عند<br />التعامل مع معاییر حقوق الإنسان. النعیم تتحول التفاھمات الأساسیة للقانون الإسلامي<br />التقلیدي. من ناحیة الشریعة الإسلامیة، دعا النعیم نظام جدید للشریعة الإسلامیة التي<br />یعتقد أنھا توفر أساسا شاملا أكثر انسجاما مع الحیاة الإسلامیة في العالم المعاصر.<br />ھذه المادة سوف تستكشف صیاغة في مواجھة البنى السیاسیة والنظام الاجتماعي،<br />والقانون الجنائي والقانون الدولي و حقوق الإنسان.</p><p>Kata Kunci : Reformasi Syariah, Abdullah An-Na’im</p>


2021 ◽  
Vol 49 (10) ◽  
pp. 030006052110501
Author(s):  
Květuše Lovásová ◽  
Branislav Borza ◽  
Peter Kizek ◽  
Milan Almaši ◽  
David Kachlík ◽  
...  

Ameloblastoma is a benign odontogenic tumor characterized by slow growth causing painless facial swelling. The tumor can behave locally aggressively, and may have direct destructive effects on the surrounding soft and hard tissues. This paper reports the unique case of a female patient with giant ameloblastoma of the mandible. Computed tomography (CT) revealed an enormous swelling of the left side of the face, resorption of the affected hemi-mandible, left maxilla, and tissues of the temporal, infratemporal, and pterygopalatine fossae. Pressure from the tumor resulted in displacement and destruction of the facial skeleton, upper aero-digestive tract structures, and some structures of the neck. The patient was treated by radical hemimandibulectomy with removal of the tumorous mass. Precise knowledge of the anatomical structures, and their locations and topographical relationships is required in the diagnosis and treatment plan for each surgical procedure in cases of giant ameloblastoma. CT imaging can be used to determine the extent and exact location of the lesion, revealing other important details that may help in selecting appropriate treatment.


2018 ◽  
Vol 8 ◽  
pp. 184-199 ◽  
Author(s):  
Jose Nelson Mucha

An excellent orthodontic finishing is essential and involves a series of procedures such as a good diagnosis, appropriate treatment plan, and implementing the treatment plan. However, the most critical phase corresponds to finish properly or closely to the appliance removal. It is not enough only to say that it was a good finish. Specifically why, or what details are needed to be observed and obtained, and in what order to conclude that a great orthodontic finishing was done. In this article, I intend to discuss and propose procedures considered indispensable for the excellence in orthodontic finish. The goals are results with excellent oral health; facial, dental and smile harmony; functional occlusion; and especially long-term stability. In this matter, it is important to follow a series of procedures that can be summarized in 10 steps: (1) define clearly your goals; (2) have a checklist; (3) improve bracket placement; (4) repositioning of brackets; (5) make adjustments in the archwires; (6) look at the face, teeth and smile, not the appliance; (7) improve the functional occlusion; (8) reshape teeth anatomically; (9) plan the retention; and (10) plan the appliance removal. The conclusions are that following this steps and keeping in mind that in clinical orthodontic practice is necessary to clearly define the objectives, to know the basic and have technical domain; the result will be inevitable: Success.


2020 ◽  
Vol 23 (2) ◽  
pp. 28-33
Author(s):  
Indira Apriantika ◽  
Agung Krismariono

A healthy and beautiful smile can affect appearance and confidence. One of the aesthetic problems in dentistry that is often complained of by patients is excessive gingival display (gummy smile). The excessive gingival display can be caused by several factors, one of which is altered passive eruption (APE). One of the treatments to correct gummy smile related to APE is crown lengthening. Crown lengthening can be with bone reduction (gingivectomy with bone reduction) or without bone reduction (gingivectomy). Crown Lengthening with bone reduction is a surgical procedure that aims to maintain the dentogingival complex and to improve smile aesthetics. The purpose of this case report is to determine the crown lengthening with bone reduction (gingivectomy with bone reduction) procedure as a gummy smile treatment related to APE .A23-year-old female patient, came to Dental Hospital of Universitas Airlangga with complaints of her upper gum which not in the same length and the teeth looked short, she considered her smile was less aesthetic. After conducting analyses relating to aesthetics and periodontal tissue, crown lengthening with bone reduction was chosen for this patient treatment. The treatment results are quite good, visible gingival margins that matched the gingival zenith and improved patient's smile profile. APE as the etiology of patient's gummy smile can be corrected. There are no post-surgical complications such as excessive pain and infection. A proper diagnosis, treatment plan, and good techniques can produce a harmonious smile on the patient.


2021 ◽  
Vol 14 (3) ◽  
pp. 203 ◽  
Author(s):  
Shurong Hou ◽  
Juan Diez ◽  
Chao Wang ◽  
Christoph Becker-Pauly ◽  
Gregg B. Fields ◽  
...  

Meprin α and β are zinc-dependent proteinases implicated in multiple diseases including cancers, fibrosis, and Alzheimer’s. However, until recently, only a few inhibitors of either meprin were reported and no inhibitors are in preclinical development. Moreover, inhibitors of other metzincins developed in previous years are not effective in inhibiting meprins suggesting the need for de novo discovery effort. To address the paucity of tractable meprin inhibitors we developed ultrahigh-throughput assays and conducted parallel screening of >650,000 compounds against each meprin. As a result of this effort, we identified five selective meprin α hits belonging to three different chemotypes (triazole-hydroxyacetamides, sulfonamide-hydroxypropanamides, and phenoxy-hydroxyacetamides). These hits demonstrated a nanomolar to micromolar inhibitory activity against meprin α with low cytotoxicity and >30-fold selectivity against meprin β and other related metzincincs. These selective inhibitors of meprin α provide a good starting point for further optimization.


2021 ◽  
Vol 13 (7) ◽  
pp. 3816
Author(s):  
Javier Rodrigo-Ilarri ◽  
Camilo-A. Vargas-Terranova ◽  
María-Elena Rodrigo-Clavero ◽  
Paula-A. Bustos-Castro

For the first time in the scientific literature, this research shows an analysis of the implementation of circular economy techniques under sustainable development framework in six municipalities with a depressed economy in Colombia. The analysis is based on solid waste data production at a local scale, the valuation of the waste for subsequent recycling, and the identification and quantification of the variables associated with the treatment and final disposal of waste, in accordance with the Colombian regulatory framework. Waste generation data are obtained considering three different scenarios, in which a comparison between the simulated values and those established in the management plans are compared. Important differences have been identified between the waste management programs of each municipality, specifically regarding the components of waste collection, transportation and disposal, participation of environmental reclaimers, and potential use of materials. These differences are fundamentally associated with the different administrative processes considered for each individual municipality. This research is a good starting point for the development of waste management models based on circular economy techniques, through the subsequent implementation of an office tool in depressed regions such as those studied.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Masayoshi Koike ◽  
Mie Yoshimura ◽  
Yasushi Mio ◽  
Shoichi Uezono

Abstract Background Surgical options for patients vary with age and comorbidities, advances in medical technology and patients’ wishes. This complexity can make it difficult for surgeons to determine appropriate treatment plans independently. At our institution, final decisions regarding treatment for patients are made at multidisciplinary meetings, termed High-Risk Conferences, led by the Patient Safety Committee. Methods In this retrospective study, we assessed the reasons for convening High-Risk Conferences, the final decisions made and treatment outcomes using conference records and patient medical records for conferences conducted at our institution from April 2010 to March 2018. Results A total of 410 High-Risk Conferences were conducted for 406 patients during the study period. The department with the most conferences was cardiovascular surgery (24%), and the reasons for convening conferences included the presence of severe comorbidities (51%), highly difficult surgeries (41%) and nonmedical/personal issues (8%). Treatment changes were made for 49 patients (12%), including surgical modifications for 20 patients and surgery cancellation for 29. The most common surgical modification was procedure reduction (16 patients); 4 deaths were reported. Follow-up was available for 21 patients for whom surgery was cancelled, with 11 deaths reported. Conclusions Given that some change to the treatment plan was made for 12% of the patients discussed at the High-Risk Conferences, we conclude that participants of these conferences did not always agree with the original surgical plan and that the multidisciplinary decision-making process of the conferences served to allow for modifications. Many of the modifications involved reductions in procedures to reflect a more conservative approach, which might have decreased perioperative mortality and the incidence of complications as well as unnecessary surgeries. High-risk patients have complex issues, and it is difficult to verify statistically whether outcomes are associated with changes in course of treatment. Nevertheless, these conferences might be useful from a patient safety perspective and minimize the potential for legal disputes.


Thesis Eleven ◽  
2021 ◽  
pp. 072551362110351
Author(s):  
Katariina Kaura-aho

This article analyses the aesthetics of silent political resistance by focusing on refugees’ silent political action. The starting point for the analysis is Jacques Rancière’s philosophy and his theorisation of the aesthetics of politics. The article enquires into the aesthetic meaning of silent refugee activism and interprets how refugees’ silent acts of resistance can constitute aesthetically effective resistance to what can be called the ‘speech system’ of statist, representative democracy. The article analyses silence as a political tactic and interprets the emancipatory meaning of silent politics for refugees. It argues that refugees’ silent acts of political resistance can powerfully affect aesthetic, political subversion in prevailing legal-political contexts.


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