scholarly journals Evaluation of Different Parameters Responsible for Perception of a Pleasing Profile - A Photographic Silhouette Study from Vadodara, India

2021 ◽  
Vol 10 (37) ◽  
pp. 3272-3276
Author(s):  
Romil Bharatkumar Shah ◽  
Manisha Dipakbhai Bhanushali ◽  
Santoshkumar Goje
Keyword(s):  
Soft Tissue ◽  
Paradigm Shift ◽  
Dental Students ◽  
Tissue Analysis ◽  
Height Ratio ◽  
Analog Scale ◽  
Lower Lip ◽  
Nasolabial Angle ◽  
Vertical Height

BACKGROUND Orthodontics has witnessed a paradigm shift in the perception of aesthetics. Soft tissue assessment and correction has become a greater concern when compared with dental and skeletal correction. In the current era, pleasing profile is a prime requisite. The purpose of this study is to evaluate different parameters responsible for perception of a pleasing profile. METHODS Hundred dental students with well-balanced faces were selected. Profile photographs of participants were taken by DSLR camera maintaining standardized photography protocol. The principal investigator had measured ten soft tissue parameters for each profile photograph. These profile photographs were further converted into profile silhouettes. 10 laypersons appraised each profile silhouette using visual analog scale (VAS). The obtained scores were again correlated with photographic measurements of each individual to identify role of different parameters responsible for pleasing profile. RESULTS When comparing the data statistically, significant differences were found amongst the parameters between less attractive and more attractive profile; parameters include facial convexity angle, naso-labial angle, protrusion of lip relative to each other, vertical lip to chin ratio and vertical height ratio. CONCLUSIONS It was clear from this study that, amongst individuals with normal overjet, overbite and a pleasing profile, those subjects with more obtuse facial convexity angle, obtuse nasolabial angle, slightly more protruded upper lip than lower lip, equivalent vertical height ratio, and smaller lip-chin ratio vertically, were found to be more attractive, as perceived by laypersons. KEY WORDS Parameters, Photographic Soft Tissue Analysis, Silhouette Study, Pleasing Profile

scholarly journals Comparative evaluation of soft tissue changes in Class I borderline patients treated with extraction and nonextraction modalities

2016 ◽  
Vol 21 (4) ◽  
pp. 50-59 ◽  
Author(s):  
Aniruddh Yashwant V. ◽  
Ravi K. ◽  
Edeinton Arumugam
Keyword(s):  
Soft Tissue ◽  
Class I ◽  
Upper Lip ◽  
Lower Lip ◽  
Borderline Cases ◽  
Skeletal Malocclusion ◽  
Nasolabial Angle ◽  
Borderline Patients ◽  
Tissue Changes ◽  
Soft Tissue Changes

Abstract Objective: To compare soft tissue changes in Class I borderline cases treated with extraction and nonextraction modalities. Methods: A parent sample of 150 patients with Class I dental and skeletal malocclusion (89 patients treated with premolar extraction and 61 patients without extraction) was randomly selected and subjected to discriminant analysis which identified the borderline sample of 44 patients (22 extraction and 22 nonextraction patients). Pretreatment and post-treatment cephalograms of the borderline subsample were analyzed using 22 soft tissue parameters. Results: Upper and lower lips were more retracted and thickness of the upper lip increased more in the borderline extraction cases (p < 0.01). The nasolabial angle became more obtuse and the interlabial gap was reduced in the borderline extraction cases (p < 0.01). Lower lip, interlabial gap and nasolabial angle showed no changes in the borderline nonextraction cases. Conclusion: The soft tissue parameters which can be used as guideline in decision making to choose either extraction or nonextraction in Class I borderline cases are upper and lower lip protrusion in relation to the E-plane and Sn-Pg' line, lower lip protrusion in relation to the true vertical line (TVL), upper lip thickness, nasolabial angle and interlabial gap.

scholarly journals The facial profile in brazilian adults

2017 ◽  
Vol 16 ◽  
pp. 1-8
Author(s):  
Taísa Figueiredo Chagas ◽  
Mariana Martins e Martins ◽  
José Nelson Mucha
Keyword(s):  
Soft Tissue ◽  
Correlation Coefficient ◽  
T Test ◽  
Tissue Analysis ◽  
Lower Lip ◽  
Facial Profile ◽  
Pearson’S Correlation Coefficient ◽  
Analysis Methods ◽  
Student’S T ◽  
Student’S T Test

AIM: To investigate if there is agreement between measurement values obtained for Brazilian adults and the values recommended by Holdaway, Merrifield, Burstone, Steiner and Ricketts, for facial profile soft tissue analysis. METHODS: A sample of 30 cephalometric radiographs was used, consisting of 15 women and 15 men, aged 18 to 31 years, all exhibiting excellent occlusion and balanced facial profile. Comparisons were made with the measurement values proposed by the aforementioned authors using Student’s t-test and to determine the correlation between the ANB and Â-H measurement values described by Holdaway, using Pearson's correlation coefficient. RESULTS: Among the measures evaluated, 4 showed statistically significant differences: Â.Z (Merrifield), S-LS and S-LI (Steiner), and E-LI (Ricketts) relative to the standards recommended by the authors. The measurement values advocated by Merrifield, Steiner and Ricketts showed statistical differences, and as for the Z-angle, Brazilians feature a slightly more convex profile, which appeared slightly concave according to Steiner, and according to the E-Plane (Ricketts), it meant an increased protrusion of the lower lip. CONCLUSION: It could be asserted that adult Brazilians have a slightly more convex facial profile than US standards, but these differences should be viewed with caution, as they are clinically unimportant.

scholarly journals Longitudinal study of cephalometric soft tissue profile traits between the ages of 6 and 18 years

2013 ◽  
Vol 84 (1) ◽  
pp. 48-55 ◽  
Author(s):  
Robert T. Bergman ◽  
John Waschak ◽  
Ali Borzabadi-Farahani ◽  
Neal C. Murphy
Keyword(s):  
Soft Tissue ◽  
Class I ◽  
Profile Angle ◽  
Lower Lip ◽  
Lower Face ◽  
Facial Profile ◽  
Face Height ◽  
Nasolabial Angle ◽  
Soft Tissue Profile ◽  
Growth And Change

ABSTRACT Objective: To study the longitudinal changes in 19 soft tissue cephalometric traits (according to the Bergman cephalometric soft tissue facial analysis). Materials and Methods: Cephalograms and photographs of 40 subjects (20 male, 20 female, from the Burlington Growth Centre) that were obtained at ages 6, 9, 12, 14, 16, and 18 years were used. Subjects were orthodontically untreated whites and had Class I dentoskeletal relationships (ideal overjet and overbite). Images were obtained with the lips in a relaxed position or lightly touching. Results: Three groups of soft tissue traits were identified: (1) traits that increased in size with growth (nasal projection, lower face height, chin projection, chin-throat length, upper and lower lip thickness, upper lip length, and lower lip–chin length); (2) traits that decreased in size with growth (interlabial gap and mandibular sulcus contour [only in females]); and (3) traits that remained relatively constant during growth (facial profile angle, nasolabial angle, lower face percentage, chin-throat/lower face height percentage, lower face–throat angle, upper incisor exposure, maxillary sulcus contour, and upper and lower lip protrusion). Conclusion: Current findings identify areas of growth and change in individuals with Class I skeletal and dental relationships with ideal overjet and overbite and should be considered during treatment planning of orthodontic and orthognathic patients.

scholarly journals Incisal and Soft Tissue Effects of Maxillary Premolar Extraction in Class II Treatment

2007 ◽  
Vol 77 (5) ◽  
pp. 808-816 ◽  
Author(s):  
Nevenka Tadic ◽  
Michael G. Woods
Keyword(s):  
Soft Tissue ◽  
Class Ii ◽  
Individual Response ◽  
Lower Lip ◽  
Fixed Appliance ◽  
Premolar Extraction ◽  
Class Ii Treatment ◽  
Nasolabial Angle ◽  
Lateral Cephalograms ◽  
Wide Range

Abstract Objective: This retrospective study was designed to show likely upper incisal and soft tissue lip changes accompanying Class II fixed appliance treatment with only two upper premolar extractions and to assess whether the lips, especially, are predictably and directly affected with such treatment. Materials and Methods: Pretreatment and posttreatment lateral cephalograms and study casts from 61 growing Class II patients (aged 11 to 18 years; 39 division 1 and 22 division 2) were assessed. Upper and lower lip curve depths, nasolabial angle, and upper incisal position and angulation were all assessed and compared with changes in other cephalometric variables. Results: A wide range of individual response in both lip and upper incisor behavior were noted. The observed soft tissue lip changes were most likely to be related to the preexisting morphology of the lips themselves, while upper incisal changes were mainly related to their own pretreatment positions and changes occurring with treatment in the underlying bony structures. Conclusion: Orthodontic treatment involving the extractions of only two upper premolars is likely to result in a wide range of variation in lip and upper incisor behavior. The preexisting soft tissue morphology is likely to be the greatest determinant of lip behavior.

IMPACT OF MALOCCLUSION OF CLASS ІІ1 ACCORDING TO ANGLE’S CLASSIFICATION METHOD ON FACIAL ESTHETICS

2021 ◽  
Vol 74 (7) ◽  
pp. 1600-1604
Author(s):  
Liudmyla V. Halych ◽  
Liudmyla B. Halych
Keyword(s):  
Soft Tissue ◽  
Tissue Analysis ◽  
Photometric Study ◽  
Convex Shape ◽  
Profile Angle ◽  
Nasolabial Angle ◽  
Facial Esthetics ◽  
Different Types ◽  
The Face ◽  
Horizontal Type

The aim: There is no information on the esthetic features of the face, which are typical of the patients with late mixed occlusion with maxillodental anomalies of Angle’s class II1 depending on the types of mandible growth in domestic and foreign literature. To study the esthetic peculiarities in the face profile, which are typical of the patients aged 10-13 with maxillodental anomalies of Angle’s class II1 with different types of mandible growth. Materials and methods: 55 patients aged 10-13 with maxillodental anomalies of Angle’s class II1 were examined. Teenagers were divided into five groups depending on the type of mandible growth. 82 photostatic images in profile were analyzed. Soft tissue analysis was performed using the Viasis method. Results: Face profile was studied based on the following indicators: convexity angle of the face profile Viazis (<V), profile angle by Schwarz (<T), the angle of the face profile shape (<gl-UL -pg), Th-me / NoV angle, nasolabial angle, labial angle (<L), mentolabial angle. Conclusions: Photometric study in 55 patients aged 10-13 with maxillodental anomalies of Angle’s class I and analysis of the results depending on the types of mandible growth prove the presence of a retrogenic type of the lower third of the face, convex shape of the profile, the development of posterior bite of varying severity. All patients were reported to have changes in the indicators of the lips position and non-harmonious development of their faces. The greatest esthetic changes were reported in the group of patients with a component of horizontal type of mandible growth.

scholarly journals A Systematic Review of Skeletal, Dental and Soft Tissue Treatment Effects of Twin Block Appliance

2020 ◽  
Vol 10 (1) ◽  
pp. 65-72
Author(s):  
Suchita Daokar ◽  
Mitali Sharma
Keyword(s):  
Systematic Review ◽  
Soft Tissue ◽  
Treatment Effects ◽  
Cochrane Library ◽  
Control Group ◽  
Mandibular Incisor ◽  
Lower Lip ◽  
Twin Block ◽  
Nasolabial Angle ◽  
Mandibular Molar

This systematic review aims to assess skeletal, dental and soft tissue treatment effects of the conventional Twin-block appliance compared to control in Class II malocclusion till date. The electronic databases of Medline, PubMed and Cochrane library were systematically searched until September 2019. The human studies that had used the conventional Twin block appliance with a control group evaluated by a Lateral Cephalogram were included. A total of 321 articles were examined. 10 articles were selected. Majority studies reported a significant improvement in the mandible and in the vertical height, maxillary restrictive effect was less consistently reported. A restrictive maxillary molar effect and an advancement in the mandibular molar has been suggested. Retroclination of the maxillary incisors and proclination of mandibular incisor inclination has been reported. There is some evidence to suggest a retrusive upper lip effect and a protrusive lower lip effect. Increase in Nasolabial angle and some decrease in the mentolabial sulcus to be expected. In conclusion the conventional Twin Block appliance have shown desirable skeletal, dental and soft tissue effects. However certain inevitable side effects are also seen mainly its effect on lower anterior proclination.

scholarly journals DENTOSKELETAL, SOFT TISSUE AND AIRWAY EFFECTS OF THE ADVANSYNC2 IN PATIENTS WITH CLASS II DIV 1 MANDIBULAR RETROGNATHISM: A RETROSPECTIVE STUDY

2020 ◽  
pp. 1-3
Author(s):  
Pasupureddi Keerthana ◽  
Prasad Chitra
Keyword(s):  
Soft Tissue ◽  
Class Ii ◽  
Control Group ◽  
Class Ii Malocclusion ◽  
Lower Lip ◽  
Skeletal Class Ii ◽  
Nasolabial Angle ◽  
Soft Tissue Profile ◽  
Lateral Cephalograms ◽  
Mandibular Retrognathism

Objective: To evaluate dentoskeletal, soft tissue and airway changes in Class II malocclusion patients treated with AdvanSync2 Class II corrector in conjunction with fixed appliances. Methods: Forty-five subjects with skeletal and dental Class II malocclusion requiring fixed functional therapy were included. Pre-treatment cephalograms served as control group (Group 1), post treatment cephalograms of patients treated using AdvanSync2, as experimental group (Group 2). Changes in skeletal, dental, soft tissue profile and airway were analyzed on lateral cephalograms using 21 variables from multiple cephalometric analysis. Results were tabulated and data was analyzed using Wilcoxon signed rank test for linear parameters and paired student t test for angular parameters. Results: Maxillary skeletal and dental effects included restriction of growth, upper incisor retrusion and retroclination at p<0.001. Mandibular incisors proclined during treatment. Forward mandibular relocation was noted, though not statistically significant. Upper and lower lip repositioning was achieved, establishing lip competency. Changes in Z angle and nasolabial angle were positive, reducing facial convexity. Significant airway dimensional improvements were noted. Conclusion: AdvanSync2 Class II corrector was effective in treating skeletal Class II malocclusions with mandibular retrognathism. It produced its effects mainly through maxillary restriction and mandibular dentoalveolar changes which furthermore helped in achieving good soft tissue profiles in patients. Positive airway changes were also noted.

scholarly journals Perubahan profil jaringan lunak bibir sebelum dan setelah perawatan ekspansi lengkung gigi menggunakan alat ortodonti lepasanChanges of the lip soft tissue profile before and after dental arch expansion treatment using removable orthodontic appliances

2021 ◽  
Vol 5 (1) ◽  
pp. 1
Author(s):  
Araminta Nariswari Candraningtyas ◽  
Iwa Rahmat Sunaryo ◽  
Avi Laviana
Keyword(s):  
Soft Tissue ◽  
Dental Arch ◽  
Orthodontic Appliances ◽  
Upper Lip ◽  
Orthodontic Appliance ◽  
Lower Lip ◽  
Nasolabial Angle ◽  
Soft Tissue Profile ◽  
Before And After ◽  
Removable Orthodontic Appliances

ABSTRAK Pendahuluan: Penggunaan alat ortodonti lepasan dengan sekrup ekspansi bertujuan untuk memperoleh ruangan pada kasus gigi berjejal dengan cara melebarkan lengkung gigi. Pergerakan gigi yang dihasilkan dapat berpengaruh pada salah satu komponen estetika wajah yaitu profil jaringan lunak. Tujuan penelitian ini untuk mengevaluasi perubahan profil jaringan lunak bibir sebelum dan setelah  perawatan ekspansi lengkung gigi menggunakan alat ortodonti lepasan. Metode: Jenis penelitian ini adalah deskriptif analitik menggunakan metode purposive sampling pada subjek yang merupakan pasien ortodonti di Klinik Profesi Dokter Gigi RSGM Unpad yang dirawat menggunakan alat lepasan akrilik dengan sekrup ekspansi lateral maksila dan mandibula. Terdapat 4 subjek yang memenuhi kriteria inklusi yaitu sepuluh kali aktivasi yang dilakukan setiap minggu dalam waktu tiga bulan.  Subjek dilakukan foto lateral wajah dengan posisi standar sebelum dan setelah aktivasi. Pengukuran dilakukan menggunakan jangka sorong digital dari bibir atas (Ls) terhadap E-line (Ns-Pog), bibir bawah (Li) terhadap E-line (Ns-Pog), dan busur derajat digital untuk mengukur sudut nasolabial(Ns-Sn-Ls). Hasil dan Pembahasan: Nilai rerata perubahan jarak bibir atas terhadap E-line yaitu 0,59 mm, nilai rerata perubahan jarak bibir bawah terhadap E-line yaitu 0,63 mm dan nilai rerata perubahan sudut nasolabial yaitu -2,03o. Penelitian ini menunjukkan adanya perubahan posisi bibir  menjadi lebih ke anterior setelah dilakukan aktivasi sekrup ekspansi lateral rahang atas dan rahang bawah sebanyak 10 kali. Simpulan: Hasil penelitian menunjukkan adanya perbedaan yaitu  posisi bibir atas dan bibir bawah yang menjadi lebih ke anterior dan tidak terdapat perbedaan pada sudut nasolabial setelah dilakukan 10 kali aktivasi sekrup ekspansi lateral pada alat ortodonti lepasan.Kata kunci: perbedaan profil jaringan lunak; alat ortodonti lepasan; ekspansi lengkung gigi; sekrup ekspansi. ABSTRACT Introduction: The use of removable orthodontic appliance with expansion screws aim to gain a space in crowding teeth by expanding the dental arch. The resulting tooth movement can affect one of the aesthetic components of the face, the  soft tissue profile. The aim of this study to evaluate the change of lip soft tissue profile before and after treatment of dental arch expansion using removable orthodontic appliance. Method: The research method used is descriptive analysis and purposive sampling in patients of Rumah Sakit Gigi dan Mulut Universitas Padjadjaran’s Orthodontic Clinic treated by using removable appliance with lateral expansion screw in maxilla and mandible. There are 4 patients who meet the inclusion, namely the srew is activated 10 times, once every week in 3 months. Subjects photographed in lateral position before and after activation. Measurement is done by using a calipers from upper lip to E-line, lower lip to E-line, and nasolabial angle using a digital protractor. Results and Discussion: The average of the changes in upper lip to E-line distance are 0,59 mm, the average of the changes in lower lip to E-line distance are 0,63 mm, and the average of the changes in nasolabial angle are -2,03o . This study showed a lip position that became more anterior after 10 times the activation of the maxillary and mandibular expansion screws. Conclusions: The results showed a difference in the position of the upper lip and lower lip which became more anterior and there is no difference in nasolabial angle after 10 times the activation of lateral screws in removable appliances.Keywords: soft tissue profile differences; removable orthodontic appliances; dental arch expansion;  expansion screws.

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.

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