Analysis of the aesthetic parameters of the faces of patients with skeletal class II before and after surgical correction of the lower third of the face

2021 ◽  
Vol 14 (4) ◽  
pp. 21
Author(s):  
A.O. Levkina ◽  
E.G. Sviridov ◽  
O.I. Izotov ◽  
M.S. Sorokina ◽  
A.Y. Drobychev
Keyword(s):  
Class Ii ◽  
Surgical Correction ◽  
Skeletal Class ◽  
Skeletal Class Ii ◽  
Before And After ◽  
The Face ◽  
The Aesthetic

scholarly journals Effects of different nose types on class II treatments for female patients

2019 ◽  
Vol 20 (1) ◽  
Author(s):  
Ozkan Semih Cankaya ◽  
Fatih Celebi ◽  
Ali Altug Bicakci
Keyword(s):  
Orthognathic Surgery ◽  
Planning Process ◽  
Computer Software ◽  
Class Ii ◽  
Skeletal Class ◽  
Female Patients ◽  
Lay People ◽  
Skeletal Class Ii ◽  
Pre Treatment ◽  
The Aesthetic

Abstract Background The aim of this study was to evaluate the effect of different nose types on the perception of facial aesthetics following camouflage treatment and orthognathic surgery for skeletal class II female patients. Methods A pre-treatment profile photograph of a skeletal class II adult patient was selected from the department archive. Two constructed photographs were created to represent orthognathic surgery and camouflage treatments with the aid of computer software. A total of 18 constructed images was composed using three profiles (pre-treatment, post-camouflage, and post-orthognathic surgery) and six nose types. These photographs were shown to the three groups (orthodontists, plastic surgeons, and lay people), and they were asked to assign an attractiveness score to each photo ranging from 0 to 100, with 0 indicating the least attractive and 100 indicating the most attractive. Results For the convex nose profiles, anterior movement of the mandible obtained by orthognathic surgery did not result in a significant change in the scores given by the lay people. When surgical or camouflage treatment was not implemented and, instead, just rhinoplasty was performed for these profiles, there was a significant increase in the aesthetic scores given by all groups. For the straight nose profiles, orthognathic surgery increased the attractiveness scores given by all groups. Furthermore, for all the profiles, extraction treatment did not affect the aesthetic scores given by any of the groups (P > 0.05). Conclusions The lay people perceived that having a convex-bridged nose was a bigger problem than having a retrognathic profile. Overall, in terms of skeletal and dental orthodontic treatments, nose shape should be considered during the treatment planning process.

scholarly journals Effect of Class II functional treatment on facial attractiveness, as perceived by professionals and laypeople

2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Federica Santori ◽  
Francesco Masedu ◽  
Domenico Ciavarella ◽  
Edoardo Staderini ◽  
Claudio Chimenti ◽  
...  
Keyword(s):  
Facial Attractiveness ◽  
Class Ii ◽  
Aesthetic Perception ◽  
Functional Appliance ◽  
Online Questionnaire ◽  
Two Phase ◽  
Skeletal Class ◽  
Black And White ◽  
Skeletal Class Ii ◽  
Before And After

AbstractThe literature offers different perspectives for and against two-phase treatment of skeletal Class II malocclusion. Facial attractiveness is an important aspect to take into account, given that children with skeletal Class II are often bullied by their peers and have low self-esteem and a lower social perception. The aim of the present study was to evaluate the aesthetic perception of facial profiles by a large number of observers, before and after treatment with a functional appliance, compared to untreated controls. The pre- and post-treatment cephalograms of 20 Class II subjects treated with Sander’s bite-jumping appliance and 20 untreated historical controls were collected and transformed into black and white silhouettes depicting only the lower third of the face. An online questionnaire comprising the silhouettes of the two groups, three “calibration” profiles and an “ideal” profile was submitted to dentists, orthodontists, undergraduates and laypeople, asking them to rate the profile’s attractiveness using a Visual Analogue Scale (VAS). The effect of treatment, and observers’ age, expertise and gender were analysed. The calibration images and the ideal profiles were used to evaluate the coherence of each observer’s judgement. The protocol was approved by the local Ethics Committee. Nine-hundred and ten questionnaires were collected. Treated subjects showed a larger improvement of facial attractiveness compared to controls. A significant effect of gender on the observer’s ratings was observed. Some observers showed incoherent judgement, which had a significant effect on the regression model. In conclusion, early treatment with functional appliances seems to improve patients’ facial aesthetics. This improvement is perceived equally by dental professionals and laypeople.

Classe II, divisão 1 – da dentição mista à permanente com aparelho ortopédico funcional e fixo

2021 ◽  
Vol 14 (54) ◽  
pp. 62-72
Author(s):  
Ivan Pedro Taffarel ◽  
Fernando Augusto Casagrande ◽  
Itamar Antonio Taffarel ◽  
Thiago Martins Meira ◽  
Orlando Tanaka
Keyword(s):  
Orthodontic Treatment ◽  
Functional Results ◽  
Class Ii ◽  
Class Ii Malocclusion ◽  
Maxillary Expansion ◽  
Two Phase ◽  
Skeletal Class ◽  
Skeletal Class Ii ◽  
Division 1 ◽  
The Face

Orthodontic treatment of Class II, division 1 malocclusion in one or two phases is still controversial in contemporary Orthodontics. The present clinical case presents the orthodontic treatment of a 6-year-old patient with aesthetic complaint regarding the smile and bullying, presenting skeletal Class II, Class II malocclusion, Angle division 1, overjet with exaggerated protrusion of the maxillary incisors, exaggerated overbite with the lower incisors touching the palatal mucosa, absence of lip sealing and concave inferior face profile. In Phase I, rapid maxillary expansion was performed with Hyrax-type expander together with the Herbst fixed functional orthopedic device for 11 months. In Phase II, the fixed orthodontic appliance associated with intermaxillary elastics was used for 13 months. The two-phase treatment of Class II malocclusion, division 1 showed to be effective after 24 months, establishing adequate occlusal and functional results and improving the aesthetics of the lower third of the face.

scholarly journals Combined orthodontic and surgical correction of adult skeletal class II with hyperdivergent jaws

2012 ◽  
Vol 3 (1) ◽  
pp. 65 ◽  
Author(s):  
Hemant Gupta ◽  
Ram Autar ◽  
Jiku Abraham ◽  
Paulami Bagchi ◽  
Swati Gupta
Keyword(s):  
Class Ii ◽  
Surgical Correction ◽  
Skeletal Class ◽  
Skeletal Class Ii

scholarly journals Discomfort, Expectations and Experiences during Treatment of Class II Malocclusion with Clear Block and Twin Block Appliance - A Pilot Survey

2021 ◽  
Vol 10 (15) ◽  
pp. 1064-1068
Author(s):  
Navjeet Singh Gurudatta ◽  
Ranjit H. Kamble ◽  
Jimmy K. Sangtani ◽  
Zynul A. John ◽  
Monika M. Ahuja ◽  
...  
Keyword(s):  
Class Ii ◽  
Orthodontic Appliances ◽  
Twin Block ◽  
Skeletal Class ◽  
Skeletal Class Ii ◽  
Dental Aesthetics ◽  
The Face ◽  
The Difference ◽  
Maxilla And Mandible ◽  
Posterior Discrepancy

BACKGROUND Skeletal class II division 1 malocclusion is an antero posterior discrepancy between maxilla and mandible which is usually treated by functional appliances when the patient is in the growing phase. It has been shown that these functional orthodontic appliances may lead to pressure on the oral mucosa, soft tissue tension, oral constriction, toothache and pain. They may also lead to fatigue or to functional speech and respiratory disorders, and they may affect the appearance of the face. All of these undesired consequences affect the patients’ degree of compliance in a negative manner, and may in turn affect the patients’ perception towards the treatment. This study was conducted to investigate patient perception of treatment need, appliance acceptance, expectations of treatment influence on oral health, value of dental aesthetics and information concerning treatment procedures. METHODS Total 30 samples were selected 15 samples were cases treated with twin block appliance and other 15 samples were treated with clear block appliance. After 8 months of treatment, a questionnaire survey was conducted assessing discomfort, expectations and experiences of all patients being treated with clear block appliance and twin block appliance. RESULTS Clear block seemed to be better with regard to all the parameters used in the study but on statistical analysis the difference between the two groups was insignificant. CONCLUSIONS Clear block appliance was designed to increase the compliance of the patient. However, clear block and twin block appliance have similar effects. KEY WORDS Class II, Clear Block, Twin Block

scholarly journals Perubahan harmoni wajah pasca perawatan kelas II skeletal dengan pencabutan dua premolar satu atas menurut analisis Arnett dan BergmanChanges in facial harmony after skeletal class II treatment with extraction of two maxillary first premolars based on Arnett and Bergman analysis

2021 ◽  
Vol 5 (1) ◽  
pp. 43
Author(s):  
Muslim Yusuf ◽  
Nurhayati Harahap ◽  
Dhita Kartika Nasution
Keyword(s):  
Soft Tissue ◽  
Orthodontic Treatment ◽  
Class Ii ◽  
Class Ii Malocclusion ◽  
Purposive Sampling ◽  
Skeletal Class ◽  
Class Ii Treatment ◽  
Skeletal Class Ii ◽  
Before And After ◽  
Facial Harmony

Pendahuluan: Arnett dan Bergman (1999) membuktikan bahwa perawatan ortodonti, analisis jaringan lunak wajah, diagnosis dan rencana perawatan memiliki parameter nilai harmoni sebagai kunci penetapan estetika wajah. Perawatan maloklusi klas II skeletal disertai proganotisme maksilaris umumnya dilakukan dengan pencabutan dua premolar satu atas untuk mengkoreksi profil wajah pasien. Tujuan penelitian untuk menganalisis perubahan nilai harmoni wajah pasca perawatan maloklusi kelas II dengan pencabutan premolar satu atas menurut analisa Arnett dan Bergman. Metode: Jenis penelitian analitik observasional dengan teknik pengambilan sampel purposive sampling. Sampel penelitian 72 foto sefalometri lateral maloklusi kelas II skeletal sebelum dan setelah perawatan ortodonti. Penilaian harmoni jaringan lunak dibagi menjadi 4, yaitu harmoni intramandibular, harmoni antar rahang, orbita ke rahang dan keseimbangan wajah. Data menggunakan Shapiro Wilk menunjukkan tidak berdistribusi normal. Uji yang digunakan Shapiro Wilk dan  analisis Spearman. Hasil: Terdapat perubahan harmoni intramandibular dan keseimbangan wajah pada maloklusi kelas II skeletal dengan pencabutan premolar satu atas sebelum dan setelah perawatan (p=0,025;p=0,032). Tidak terdapat perubahan nilai harmoni antar rahang dan orbita ke rahang pada maloklusi kelas II skeletal dengan pencabutan premolar satu atas sebelum dan setelah perawatan. Ada pengaruh besar retraksi gigi insisivus terhadap nilai harmoni wajah sebelum dan setelah perawatan pada perawatan kelas II dengan pencabutan dua premolar atas (p= 0.001). Simpulan: Perawatan maloklusi kelas II skeletal dengan pencabutan dua premolar satu atas  memiliki hubungan antara besar retraksi dengan perubahan nilai harmoni wajah berdasarkan analisa Arnett dan Bergmann. Kata kunci: Maloklusi kelas II skeletal, pencabutan dua premolar pertama atas, nilai harmoni wajah. ABSTRACT Introduction: Arnett and Bergman (1999) have proved that orthodontic treatment, facial soft tissue analysis, diagnosis, and treatment plan have parameters of harmony values as the key to determining facial aesthetics. Treatment of skeletal class II malocclusion with maxillary prognathism is generally performed by extracting two maxillary first premolars to correct the patient’s facial profile. This study was aimed to analyse changes in the facial harmony values after class II malocclusion treatment with the extraction of the maxillary first premolar following Arnett and Bergman’s analysis. Methods: This research was observational analytic with a purposive sampling technique. The study sample was 72 images of skeletal class II malocclusion lateral cephalometry before and after orthodontic treatment. Assessment of soft tissue harmony was divided into four, namely intramandibular harmony, intermaxillary harmony, orbital to jaw harmony, and facial balance. Data was not normally distributed, as resulted from Shapiro Wilk analysis. The analysis in this study was conducted using Shapiro Wilk and Spearman’s analysis. Results: There were changes in intramandibular harmony and facial balance in skeletal class II malocclusion with the maxillary first premolar extraction before and after treatment (p=0.025 and p=0.032, respectively ). There was no change found in the value of intermaxillary harmony and the orbital to the jaw harmony in skeletal class II malocclusion with extraction of the maxillary first premolar before and after treatment. There was a high effect of incisor retraction on the facial harmony values before and after treatment in class II treatment with extraction of two maxillary premolars (p=0.001). Conclusion: Treatment of skeletal class II malocclusion with extraction of two maxillary first premolars has a relationship between the magnitude of retraction and changes in facial harmony values based on Arnett and Bergmann’s analysis.Keywords: Class II skeletal malocclusion, extraction of two maxillary first premolar, facial harmony.

The Effect Of Facial Vertical Dimension Changes On The Value Of Facial Harmony In Malocclusion Class II Skeletal In RSGM USU

2020 ◽  
Vol 23 (2) ◽  
pp. 39-44
Author(s):  
Muslim Yusuf ◽  
Siti Bahirrah ◽  
Bernadetta Sembiring
Keyword(s):  
Soft Tissues ◽  
Class Ii ◽  
Class Ii Malocclusion ◽  
Skeletal Class ◽  
Premolar Extraction ◽  
Skeletal Class Ii ◽  
Significant Difference ◽  
The Face ◽  
Facial Harmony ◽  
Significant Change

Treatment of Class II malocclusion have impact in relation to the vertical dimensions of the skeletal and facial soft tissues mainly to the facial balancing and proportion which relate to patient facial harmony. The aim of this study was to determine the changes and differences in facial vertical dimensions to the total value of facial harmony in skeletal Class II after treatment with extraction and non-extraction of the maxillary first premolar based on Arnett and Bergmann at the Orthodontic Specialist Clinic of RSGM, Universitas Sumatera Utara. The sample consisted of initial and final cephalometry of 36 patients with age 18-35 years old, skeletal Class II malocclusion ANB > 4o, divided into extraction of maxillary first premolar and non-extraction group. Cephalometric tracing with the required points, then the photos are processed into image J software. Then the data that obtained is tested statistically with Pearson’s Correlation Test and T-Test Independent. There was a significant change between MP-SN and Pog-Imd (P=0,036) in the first premolar extraction group, but there was not a significant change in the non-extraction first premolar group. There was a significant difference in the face harmony value at point G-A between the extraction and non-extraction groups (P=0,038). There was a significant difference on the face harmony value in the treatment of malocclusion Class II orthodontic with maxillary first premolar extraction. 

scholarly journals The Logopedic Evaluation of Adult Patients after Orthognathic Surgery

2021 ◽  
Vol 11 (12) ◽  
pp. 5732
Author(s):  
Anna Lichnowska ◽  
Marcin Kozakiewicz
Keyword(s):  
Speech Therapy ◽  
Combined Treatment ◽  
Surgical Correction ◽  
Speech Pathology ◽  
Facial Skeleton ◽  
Skeletal Class ◽  
Skeletal Malocclusion ◽  
Skeletal Class Ii ◽  
Before And After ◽  
The Impact

Orthodontists correct dental malocclusion, but major facial skeleton deformations (skeletal malocclusion) are often subject to surgical correction. Several speech pathologies are associated with both of the occlusal anomalies mentioned above. The majority of articulation disorders and primary functions cannot be improved without skeletal correction. This study aimed to investigate the outcome of the multimodal and logopaedics treatment of Polish adults affected by skeletal malocclusion and speech-language pathology. A total of 37 adults affected by skeletal Class II and III malocclusion were included, along with the relationship between the malocclusion and speech deficiency (20 phonemes tested) in the subjects before and after surgical correction. The impact of surgery on pronunciation improvement and types of Polish phonemes most often misarticulated by Polish adults were also examined. Patients underwent combined treatment and received a full speech pathology examination. The treatment improved speech (p < 0.05), but the study did not prove that a specific surgery type was associated with pronunciation improvement. Some patients were provided with speech therapy during childhood, yet most had some minor difficulties with lip and tongue movements. Palatal, alveolar (p < 0.05), fricatives (p < 0.05), and labiodental consonant pronunciation (p < 0.05) improved. The surgical correction of malocclusion leads to better articulation of Polish consonants in adults and improves some primary functions.

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