scholarly journals Dolphin software accuracy in soft tissue facial profile prediction of Class II patients in orthognathic surgery

2021 ◽  
Vol 69 ◽  
Author(s):  
Claudio Roberto Pacheco JODAS ◽  
Rubens Gonçalves TEIXEIRA ◽  
Marilia de Oliveira Coelho Dutra LEAL ◽  
Sarah Teixeira COSTA ◽  
Wanderley ZANFORLIN JUNIOR ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Computer Program ◽  
Surgical Planning ◽  
Class Ii ◽  
Second Phase ◽  
Profile Angle ◽  
Facial Profile ◽  
R Program ◽  
Third Phase ◽  
Made In

ABSTRACT Objective: The present study aimed to analyze the accuracy of the Dolphin Imaging 11.9® computer program in the surgical prediction of the soft tissue facial profile. Methods: The investigators designed and implemented a retrospective study. It was used a sample of 55 patients, being 14 males and 41 females, aged from 19 to 55 years old. All patients were subjected to surgery orthognathic bimaxillary combined with mentoplasty, in Class II facial profile – Angle. Patients’ actual results were compared to the obtained up to a year and a half after the surgery procedure. The study was delineated in three phases. In the first phase, cephalometric preoperative radiographs were performed; in the second phase the postoperative cephalometries were made; in the third phase, the measurements of the soft profile of the virtual analysis were compared with the real post-surgical profile. The data was collected and subjected to statistical analysis in the “R” program, using the t test and ANOVA. Results: The results demonstrated that measures A’ and Eis were underestimated in -0.15 ± 0. 52 mm and -0.47 ± 1.05 mm, respectively, while measures Pg’ and ANL were overestimated at 0.76 ± 1.98 mm and 3.31 ± 3.60° respectively. There was no evidence of measures, Ls, Li and B’, being different between real and virtual. Conclusions: The results of this study suggest that Dolphin 11.9® computer program complies with the function of preserving with reliability virtual surgical planning.

scholarly journals Changes in soft tissue facial profile of class II skeletal malocclusion patients with retrognathic mandible treated with twin block appliance

2019 ◽  
Vol 31 (1) ◽  
pp. 32
Author(s):  
Ng Hui Lin ◽  
Eky Setiawan Soeria Soemantri ◽  
Gita Gayatri
Keyword(s):  
Soft Tissue ◽  
Class Ii ◽  
Facial Soft Tissue ◽  
Profile Angle ◽  
Facial Profile ◽  
Twin Block ◽  
Skeletal Malocclusion ◽  
Soft Tissue Profile ◽  
Significant Difference ◽  
Soft Tissue Changes

Introduction: The soft tissue aspect in orthodontics treatment has gained attention in the last few years. The soft tissue profile is said to reflect the underlying skeletal profile, which causes a convex profile in patients with class II skeletal malocclusion. This research was aimed to determine the changes in the soft tissue facial profile of class II skeletal malocclusion patients with retrognathic mandible after twin block treatment. Methods: The type of research used in this study was retrospective descriptive research with paired t-test. The population was children aged 10-13 years old with class II skeletal malocclusion that were treated with twin block appliance in the Faculty of Dentistry Universitas Padjadjaran, Indonesia. The results of soft tissue changes before and after twin block treatment were compared. Results: There was an insignificant increase in soft tissue profile angle and Holdaway’s soft tissue angle after twin block treatment (p > 0.05). Whereas, Holdaway’s H-angle was decreasing and Merrifield’s Z-angle was increasing after twin block treatment, with statistically significant difference (p < 0.05). Conclusion: There was a decrease of H-angle, indicates a reduction in facial convexity and improvement of the facial profile after twin block treatment, but no difference in soft tissue profile angle and Holdaway’s soft tissue angle after twin block treatment. Keywords: Facial soft tissue profile, class II skeletal malocclusion, retrognathic mandible, twin block appliance

scholarly journals Effects of different surgical techniques and displacement distances on the soft tissue profile via orthodontic-orthognathic treatment of class II and class III malocclusions

2021 ◽  
Vol 17 (1) ◽  
Author(s):  
Stephan Christian Möhlhenrich ◽  
Florian Kötter ◽  
Florian Peters ◽  
Kristian Kniha ◽  
Sachin Chhatwani ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Orthognathic Surgery ◽  
Surgical Techniques ◽  
Class Ii ◽  
Class Iii ◽  
Lower Lip ◽  
Facial Profile ◽  
Maxillary Advancement ◽  
Soft Tissue Profile ◽  
Bimaxillary Surgery

Abstract Background Orthognathic surgery can be carried out using isolated mandibular or maxillary movement and bimaxillary procedures. In cases of moderate skeletal malocclusion, camouflage treatment by premolar extraction is another treatment option. All these surgical procedures can have a different impact on the soft tissue profile. Methods The changes in the soft tissue profile of 187 patients (Class II: 53, Class III: 134) were investigated. The treatment approaches were differentiated as follows: Class II: mandible advancement (MnA), bimaxillary surgery (MxS/MnA), upper extraction (UpEX), or Class III: maxillary advancement (MxA), mandible setback (MnS), bimaxillary surgery (MxA/MnS), and lower extraction (LowEX) as well as the extent of skeletal deviation (moderate Wits appraisal: − 7 mm to 7 mm, pronounced: Wits <− 7 mm, > 7 mm, respectively). This resulted in five groups for Class II treatment and seven groups for Class III treatment. Results In the Class II patients, a statistically significant difference (p ≤ 0.05) between UpEX and moderate MnA was found for facial profile (N′-Prn-Pog’), soft tissue profile (N′-Sn-Pog’), and mentolabial angle (Pog’-B′-Li). In the Class III patients, a statistically significant differences (p ≤ 0.05) occurred between LowEX and moderate MxA for facial profile (N′-Prn-Pog’), soft tissue profile (N′-Sn-Pog’), upper and lower lip distacne to esthetic line (Ls/Li-E-line), and lower lip length (Sto-Gn’). Only isolated significant differences (p < 0.05) were recognized between the moderate surgical Class II and III treatments as well between the pronounced Class III surgeries. No statistical differences were noticed between moderate and pronounced orthognathic surgery. Conclusions When surgery is required, the influence of orthognathic surgical techniques on the profile seems to be less significant. However, it must be carefully considered if orthognathic or camouflage treatment should be done in moderate malocclusions as a moderate mandibular advancement in Class II therapy will straighten the soft tissue profile much more by increasing the facial and soft tissue profile angle and reducing the mentolabial angle than camouflage treatment. In contrast, moderate maxillary advancement in Class III therapy led to a significantly more convex facial and soft tissue profile by decreasing distances of the lips to the E-Line as well as the lower lip length.

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.

Correlation of ANB, Beta and Yen angle with soft tissue profile angle in class I and class II patients: A retrospective cephalometric study.

2019 ◽  
Vol 11 (2) ◽  
pp. 22-28
Author(s):  
Dr. Chandrika G Katti ◽  
Dr. Girish Katti ◽  
Dr. Archana Mohan ◽  
Dr. Ashok Kumar Talapaneni ◽  
Dr. Prasad Konda
Keyword(s):  
Soft Tissue ◽  
Class Ii ◽  
Class I ◽  
Profile Angle ◽  
Soft Tissue Profile ◽  
Lateral Cephalograms ◽  
Skeletal Pattern ◽  
Beta Angle ◽  
Maxilla And Mandible ◽  
Cephalometric Study

In orthodontics, various methods of assessing sagittal jaw base relationship areformulated.Earlier, skeletal pattern was analysed only clinically, with the introduction of Cephalometrics by Broadbent and Hofrath in 1931, ANB angle and Beta angle are being used to describe skeletal discrepancies between the maxilla and mandible. YEN angle is also used as a sagittal dysplasia indicator after its introduction in 2009. The aim of our study was tocorrelate ANB, Beta and Yen angle with soft tissue profile angle in class I and class II patientsTotal of 140 lateral cephalograms of class I and class II patients were selected based on soft tissue profile angle. In each cephalogram, ANB, Beta and YEN angle were measured and compared with soft tissue profile angle. Statistical analysis carried out. Our study concluded that soft tissue drape in both Class I and class II individuals are not significantly correlated with skeletal alignment of maxilla and mandible.

scholarly journals The changes of soft tissue profile in skeletal class II patients with mandibular retrognathy treated by the extraction of maxillary first premolars

2008 ◽  
Vol 20 (2) ◽  
Author(s):  
H. Hendri ◽  
Tono S. Hambali ◽  
Jono Salim ◽  
Endah Mardiati
Keyword(s):  
Soft Tissue ◽  
Class Ii ◽  
Treatment Result ◽  
Facial Profile ◽  
Fixed Appliance ◽  
Skeletal Class ◽  
Skeletal Class Ii ◽  
Soft Tissue Profile ◽  
Tissue Changes ◽  
Soft Tissue Changes

The purpose of this research is to measure the change of soft tissue profile, both anteroposteriorly as well as vertically in skeletal class II patients with mandibular retrognathy cases, treated with extraction of the maxillary first premolars. Pre and post treatment result of 16 patient treated with the Standard Edgewise fixed appliance were compared using a Canon D646u series scanner and Corel Draw 12 computer programme, utilizing the TVL line as a plane of orientation. The result was analyzed with a paired t-test. Statistical analysis shows significant anteroposterior and vertical soft tissue changes in facial profile in skeletal class II patients with mandibular retrognathy treated with extraction of maxillary first premolars using the Standard Edgewise fixed appliance, measured with the STCA-VTL method.

scholarly journals Changes in soft tissue profile following the treatment using a Herbst appliance: A photographic analysis

2014 ◽  
Vol 71 (1) ◽  
pp. 9-15 ◽  
Author(s):  
Nenad Nedeljkovic ◽  
Danka Cubrilo ◽  
Milos Hadzi-Mihailovic
Keyword(s):  
Soft Tissue ◽  
Computer Program ◽  
Free Space ◽  
Treatment Effects ◽  
Class Ii ◽  
Herbst Appliance ◽  
Soft Tissue Profile ◽  
Before And After ◽  
Tissue Changes ◽  
Soft Tissue Changes

Background/Aim. Aesthetics is the reason for most of the class II malocclusion patients to opt for orthodontic treatment. In order to regulate retrognathic profile Herbst appliance for anterior movement of the mandible can be a treatment of choice. The aim of this study was to determine the soft tissue profile changes following Herbst appliance therapy on before and after treatment photos, using the computer program. Methods. This investigation was performed on profile photographs of 20 class II patients (12 females and 8 males) aged 18-23 years. Analysis of the changes in soft tissue facial structure relationships evident on the photographs before and after the Herbst appliance therapy was performed using Bentley Micro Station program. The first contour of the soft tissue profile was marked. The following reference lines were subsequently traced: Ricketts aesthetic E line and Juanita line. The area enclosed by these two lines included the nose, upper and lower lip, chin and free space in front of the lips. Using the computer program, the surfaces of the soft tissue structures and free space defined by the reference lines and profile contours were measured. Calculation of the relative proportion of surfaces was done for each photograph. The data obtained were then compared for each patient before and after the treatment. Skeletal and dentoalveolar treatment effects that support soft tissue changes were presented by the profile cephalometric parameters of sagital occlusion (SO) analysis. Results. A reduction in the relative surface of the upper lip in males (p < 0.01) and females (p < 0.05) was shown by the pictures. The space occupied by the chin was reduced after the treatment for females only (p < 0.05). The relative surface of the nasal soft tissues, that was included in the reference space was increased (p < 0.01) in both genders. The relationship between the soft tissue and empty surface was changed in favor of the empty surface (p < 0.05) in females. No statistically significant differences were found between the males and the females, before or after the Herbst appliance therapy. The soft tissue changes were the consequence of skeletal and dentoalveolar treatment effects: upper incisors retrusion, lower incisor protrusion and forward movement of the lower jaw. Conclusions. The Herbst appliance therapy caused a significant improvement of the profile appearance. The extent of soft tissue changes that occur on its dentoalveolar and skeletal support is a complex issue.

Soft-tissue changes after Class II malocclusion treatment using the Sander bite-jumping appliance: a retrospective study

2019 ◽  
Vol 68 (3) ◽  
Author(s):  
Michele Tepedino ◽  
Maria V. Della Noce ◽  
Domenico Ciavarella ◽  
Patrizia Gallenzi ◽  
Massimo Cordaro ◽  
...  
Keyword(s):  
Retrospective Study ◽  
Soft Tissue ◽  
Class Ii ◽  
Class Ii Malocclusion ◽  
Tissue Changes ◽  
Soft Tissue Changes

PENERAPAN MODEL QUANTUM LEARNING UNTUK MENINGKATKAN HASIL BELAJAR AUTOCAD SISWA KELAS X TEKNIK PEMESINAN SMK NEGERI 1 STABAT

2013 ◽  
Vol 5 (1) ◽  
Author(s):  
Abdul Hasan Saragih
Keyword(s):  
Positive Response ◽  
Phase 1 ◽  
First Grade ◽  
Learning Model ◽  
Second Phase ◽  
Phase 2 ◽  
Phase 3 ◽  
The Third ◽  
Third Phase ◽  
Quantum Learning

This classroom research was conducted on the autocad instructions to the first grade of mechinary class of SMK Negeri 1 Stabat aiming at : (1) improving the student’ archievementon autocad instructional to the student of mechinary architecture class of SMK Negeri 1 Stabat, (2) applying Quantum Learning Model to the students of mechinary class of SMK Negeri 1 Stabat, arising the positive response to autocad subject by applying Quantum Learning Model of the students of mechinary class of SMK Negeri 1 Stabat. The result shows that (1) by applying quantum learning model, the students’ achievement improves significantly. The improvement ofthe achievement of the 34 students is very satisfactory; on the first phase, 27 students passed (70.59%), 10 students failed (29.41%). On the second phase 27 students (79.41%) passed and 7 students (20.59%) failed. On the third phase 30 students (88.24%) passed and 4 students (11.76%) failed. The application of quantum learning model in SMK Negeri 1 Stabat proved satisfying. This was visible from the activeness of the students from phase 1 to 3. The activeness average of the students was 74.31% on phase 1,81.35% on phase 2, and 83.63% on phase 3. (3) The application of the quantum learning model on teaching autocad was very positively welcome by the students of mechinary class of SMK Negeri 1 Stabat. On phase 1 the improvement was 81.53% . It improved to 86.15% on phase 3. Therefore, The improvement ofstudent’ response can be categorized good.

Mixed-Methods Evaluation as Scaffold to the Development of a Mobile Health Application to Support the Prescription of Wheelchairs and Postural Support Devices (Preprint)

2020 ◽  
Author(s):  
Adriana Klein ◽  
Roseli de Deus Lopes ◽  
Rodrigo Suigh
Keyword(s):  
Mixed Methods ◽  
Mobile Health ◽  
Second Phase ◽  
The Third ◽  
Evaluation Approach ◽  
Mixed Methods Evaluation ◽  
Usability Tests ◽  
Third Phase ◽  
Postural Support ◽  
Support Devices

BACKGROUND EasySeating is a mobile health (mHealth) app that supports the prescription of wheelchair and postural support devices (WPSD). It can be used by occupational therapists (OT) and physiotherapists (PT) who prescribe WPSD. The app offers a standardization of the prescription procedure, showing images, metrics and details that guide the prescriber to decide on the best equipment. It was developed with an iterative mixed-methods evaluation approach. Objective: The aim of this study was to investigate the processes involved in the prescription of WPSD and to propose, develop and evaluate a mHealth to support OT and PT prescribers. OBJECTIVE The aim of this study was to investigate the processes involved in the prescription of WPSD and to propose, develop and evaluate a mHealth to support OT and PT prescribers. METHODS This study was divided into three phases and was carried out as an iterative process composed of user consulting/testing (using a mixed-methods evaluation approach), system (re)design and software development. The first phase consisted of the collection of qualitative and quantitative data to map and understand the users requirements and of the development of the first prototype (v1) of the app. This data collection was performed through semi-structured interviews with 14 OT and PT prescribers, 5 specialized technicians and 5 WPSD users. The second phase aimed at improving the overall functionality of the app and consisted in the development, test and evaluation of the prototypes v1, v2, v3 and v4. A total of 59 prescribers tested and evaluated these prototypes by means of open interviews, semi-structured questionnaires and focus groups. The third phase focused in the usability aspects of the app. It consisted in the development and test of the prototype v5. Eight technology specialists assessed its usability through heuristics evaluation. RESULTS Data collected in phase one indicated there is a lack of standardization on the prescription of postural support devices (PSD). A divergent nomenclature for the PSDs was also found and classified in eight categories. These information guided the development of the first prototype of the EasySeating app. Phase two results pointed that the prescribers value the insertion of the app into their clinical practice, as it accelerates and increases the quality of the evaluation process and improves the organization of the prescription information. Significant suggestions for the improvement of the app were given during the users tests, including the use of images to represent the PSDs. The usability tests from the third phase revealed two strong issues that must be solved: the need of greater feedback and failures in the persistence of the input data. CONCLUSIONS This study demonstrated that there is a lack of systematization of the WPSD prescription process. The evaluation of the developed EasySeating app demonstrated that there is a potential to standardize, integrate and organize the WPSD prescription information, supporting and facilitating the decision making process of the prescribers. CLINICALTRIAL This study was approved by the Research Ethics Board of the Universidade de São Paulo (registered protocol n°53929516.6.0000.0065) URL - http://plataformabrasil.saude.gov.br/login.jsf

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