scholarly journals A photogrammetric and cephalometric evaluation of facial symmetry and smile in relation to attractiveness.

2021 ◽  
Vol 6 (3) ◽  
pp. 1-8
Author(s):  
Akshita ◽  
Arun K. Chauhan ◽  
Riddhi Chawla

Introduction: Human find symmetrical face more attractive than are asymmetrical faces. The smile is one of the most important facial expressions and is essential in expressing friendliness, agreement, and appreciation. The aim of the present study was to evaluate the relationship between smile and symmetry in attributing to attractiveness.   Materials & Method: The study was conducted in the Department Of Orthodontics and Dentofacial Orthopedics, on 150 samples. 150 good quality radiographs and photographs of the patients were obtained. The subjects were divided into three groups:  Group I – Horizontal growth pattern Group II – Average growth pattern Group III – Vertical growth pattern. The frontal facial photograph and PA cephalometric radiograph were used to assess the facial symmetry. Posed smile photograph and Lateral cephalometric radiograph were used to assess the smile. Digimizer Image Analyzer (bvba software) were used for the analysis. The ratings were given by the expert panellist based on attractiveness   Results: In the present study, Left facial symmetry parameters is marginally higher than right side in cephalometric analysis and converse for photographic analysis, right facial symmetry parameters is marginally higher than left side but this is not statistically significant. There are no statistically significant difference among the groups for smile -photographic parameters and lateral cephalometric smile parameters. There is statistically significant difference among the groups for Visual Analog Scale readings for attractiveness given by orthodontist, general dentist and layperson for frontal profile for the subjects of three study groups.   Conclusion: The study revealed that in cephalometric analysis, left hemiface is wider than right hemiface while in photographic analysis, right hemiface is wider than left hemiface. Vertical grower shows maximum upper incisor exposure and upper and lower vermilion lip thickness. On the contrary full smile length was minimum in vertical grower. The most favored profile by VAS was horizontal growth pattern.

2021 ◽  
Vol 11 (1) ◽  
pp. 24-28
Author(s):  
Rajiv Yadav ◽  
Kishor Dutta ◽  
Nabin Gosain ◽  
Anil K Yadav ◽  
Neelam Yadav ◽  
...  

Introduction: Balance in vertical facial proportion is an important criteria for good esthetics. Variations in vertical growth are common and have certain orthodontic implications. The objectives of this study were to determine mean upper anterior facial height and lower anterior facial height, ratio between UAFH to LAFH and their difference among genders in skeletal Class I patients with different vertical growth pattern among patients visiting department of Orthodontic and Dentofacial orthopedics, Tribhuvan University Dental Teaching Hospital, Kathmandu. Materials and Method: This study was descriptive observational cross sectional study with 105 sample aged from 18-25 years. Pretreatment cephalometric radiograph of Skeletal Class I patients were taken and divided into three growth patterns as group I (normal growth pattern), group II (horizontal growth pattern ) and group III (vertical growth pattern ). Upper anterior facial height (N-ANS) and lower anterior facial height (ANS-Me) of all samples were measured on lateral cephalogram with cephalometric tracing ruler parallel to true vertical line. Descriptive statistics was used to calculate mean, minimum, and maximum values standard deviations with p value <0.05. Result: The upper anterior facial height (UAFH) and lower anterior facial height (LAFH) measurements in normal growth pattern was 52.37 and 64.4 , in horizontal growth pattern was 53.0 and 62.2, in vertical growth pattern was 53.37 and 64.42 respectively. The mean ratio of upper and lower anterior facial height in normal, horizontal and vertical growth pattern was 0.81, 0.85 and 0.79 respectively. There was no statistically significant difference in upper and lower facial heights between males and females. There was no statistically significant difference in UAFH between normal, horizontal and vertical growth pattern but statistically significant difference was observed in LAFH between groups. Conclusion: The cephalometric values for different vertical groups in skeletal class I can be used more specifically for diagnosis and treatment planning of Nepali population.


2017 ◽  
Vol 51 (1) ◽  
pp. 7-11
Author(s):  
Dhaval Ranjitbhai Lekhadia ◽  
Rohan Rai ◽  
Niveditha Hegde ◽  
Abhinay Sorake

ABSTRACT Introduction The aim of this study was to establish a new cephalometric parameter, named the Dhaval—Rohan angle (DR), to assess the vertical skeletal patterns on a lateral cephalogram with accuracy and reproducibility. Materials and methods One hundred and twenty pretreatment lateral cephalograms of the patients visiting the department of orthodontics and dentofacial orthopedics for treatment were obtained and divided into three groups. i.e., horizontal growth pattern, average growth pattern, and vertical growth pattern cases based on the routinely used cephalometric parameters; FMA, SN-GoGn, Y-axis angle and Jarabak ratio. This angle uses three skeletal landmarks, the point C (center of the condyle), point M (midpoint of premaxilla), and point G (center of the largest circle that is tangent to the internal inferior, anterior, and posterior surfaces of the mandibular symphysis). Results The one-way analysis of variance (ANOVA) test showed that the three groups studied were not the same for DR angle and the post hoc Tukey test found the groups to be significantly different. According to the Student's t-test, there was no statistically significant difference in mean values of DR angle between males and females. Conclusion Cephalometric evaluation of young adults shows that the DR angle below 28.5° indicates a horizontal growth pattern, between 28.5 and 32.5° indicate an average growth pattern and above 32.5° indicate a vertical growth pattern. How to cite this article Lekhadia DR, Rai R, Hegde N, Hegde G, Sorake A, Kumar A. Assessment of Vertical Skeletal Patterns using a New Cephalometric Parameter: The Dhaval—Rohan Angle. J Postgrad Med Edu Res 2017;51(1):7-11.


Circulation ◽  
2008 ◽  
Vol 118 (suppl_18) ◽  
Author(s):  
Vy-Van Le ◽  
Marco Perez ◽  
Matthew Wheeler ◽  
Ingela Schnittger ◽  
Euan Ashley

Hypertrophic cardiomyopathy (HCM) is characterized by LVH and myocardial disarray which result in ischemia, diastolic dysfunction and arrhythmias. While many experience functional limitation, the precise mechanisms are still unknown. We aim to determine the relation between echocardiogram findings and exercise capacity. We studied 48 patients (48 ± 15 years; 15 females) referred for symptom-limited cardiopulmonary testing and stress echocardiography for clinical reasons: 23 had a proximal HCM pattern (group I), 7 had a classic reverse curvature pattern (group II), 4 had an apical pattern (group III) and 14 had a concentric pattern (group IV). At baseline, patients in group I were significantly older than in other groups (54 ± 13 (I) vs. 41 ± 12 (II), 38 ± 12(III) and 44 ± 17 years (IV); p=0.04). No other significant difference in clinical characteristics was noted between groups. The maximal septum thickness was higher in groups I and II than in III and IV (19 (16 – 23), 22 (17–33), 17, and 16 (13–18) mm, respectively; p=0.05). Groups I and II were more likely to have resting gradient of >10 mm Hg (68% and 18%, respectively vs. 14% in IV; p=0.01) and to present rest systolic anterior movement (74% and 15% vs. 11% in IV; p <0.001). A higher prevalence of abnormal transmitral inflow E to lateral E′ ratio (E/E′) was also noted in Group I (80%, p=0.05): high ratios are known to be associated with high pulmonary wedge pressure in non-HCM populations. At peak exercise, group I achieved a lower peak VO 2 (21.8 ±2.1 vs. 27.1±6.6 in II 36.6 ±5.1 in III and 29.4 ±2.7 ml/kg/min in IV; p=0.03). No significant differences in Valsalva and exercise gradients and delta rest-to-peak gradients were noted between patterns. In age-adjusted multivariate analysis, only negative correlations between E/E′ (R2=0.45; p=0.03) and indexed LA volume (R2=0.39; p=0.009) and peak VO 2 were significant. In contrast, no correlation was found between maximal exercise capacity and LV dimensions, conventional Doppler indices of diastolic function, lateral E′ or gradients. Lateral E/E′ and indexed LA volume are negatively correlated with functional capacity even after age-adjustment. Although patients with proximal HCM achieved the lowest peak VO 2 , gradient and morphology were not related to exercise capacity.


2014 ◽  
Vol 04 (02) ◽  
pp. 034-038
Author(s):  
Swathi Gupta ◽  
Ravi M. Subrahmanya

Abstract: Background and objectives: The relationship between airway patency and craniofacial development is highly debated and controversial subject. Hence this was conducted with the aims and objectives of comparing and correlating the upper & lower Oropharyngeal widths in individuals with horizontal growth pattern with that of individuals having vertical growth pattern. Methodology: 60 subjects (30 males & 30 females) in the age group of 16 to 20 years were selected as per inclusion criteria. They were divided into two groups (Group I and Group II) according to their skeletal pattern in vertical plane based on Jarabak' sratio and Y axis. . Pharyngeal width measurement was done based on McNamara analysis The data obtained was statistically evaluated using Mann-Whitney U test (Z test). Results: Significant correlation was found between facial skeletal patterns and upper and lower Oropharyngeal widths. The subjects with vertical skeletal pattern were found to have significantly narrower upper airways and broader lower airways than those with horizontal skeletal pattern. Interpretation and conclusion: The study supports the existence of a relationship between facial skeletal patterns and upper and lower oropharyngeal widths.


2016 ◽  
Vol 7 (2) ◽  
pp. 73-77 ◽  
Author(s):  
Sunita Shrivastav ◽  
Deoashish D Gupta ◽  
Priyanka Niranjane ◽  
Narendra Sharma ◽  
Rakesh Nathani

ABSTRACT Purpose The purpose of this study was to analyze and comparethe association between cervical spine and face in subjects with vertical and horizontal growth pattern using lateral cephalogram. Materials and methods Lateral cephalograms of 75 subjects between ages of 18 and 35 years were taken and analyzed. The study sample was divided into three groups of 25 individuals each; i.e., vertical growth pattern (gonial angle > 125°); horizontal growth pattern (gonial angle < 121°); and control group with average growth pattern (gonial angle 123° ± 2.5°). The relation between upper cervical vertebrae and face was compared between three groups by taking linear measurements. Results A statistically significant difference was observed in vertical dimensions of second cervical vertebra when it was correlated with anterior cranial base, maxilla and mandible in adults having horizontal and vertical growth pattern as compared to individuals with average growth pattern. Linear vertical measurements between maxilla to cervical spine and mandible to cervical spine were less in horizontal growth pattern as compared to vertical and average growth pattern. The p-value of SCV2—0.001, GoCV2—0.405, and PmCV2—0.001 showed significant results within intergroups. Conclusion It can be concluded that there exists an association between the morphology of the cervical vertebrae and the vertical and horizontal skeletal growth patterns. How to cite this article Gupta DD, Niranjane P, Sharma N, Shrivastav S, Kamble RH, Nathani R. Comparison of Association between Cervical Spine and Face in Subjects with Vertical and Horizontal Growth Pattern: An in vitro Study using Lateral Cephalogram. World J Dent 2016;7(2):73-77.


2020 ◽  
Vol 11 (SPL3) ◽  
pp. 1975-1983
Author(s):  
Abirami S ◽  
Navaneethan R ◽  
Remmiya Varghese

In orthodontics and dentofacial orthopaedics, a thorough knowledge of growth and development is essential in order to understand various factors that contribute as to how a particular type of growth takes place. When planning of orthodontic treatment for a malocclusion, one has to take into account the growth pattern, because it would considerably affect the success of the treatment. The purpose of this study was to compare antegonial notch depth, symphysis morphology, and ramus morphology in different growth patterns in skeletal class I and class II subjects. In this study, a total of 60 cephalograms were taken which comprised 30 cephalograms in skeletal class I and 30 cephalograms of skeletal class II patients. The groups were further divided into three groups, namely average, horizontal, and vertical growth patterns based on Jarabak’s ratio. Antegonial notch depth, symphysis width and symphysis angle, and ramus height were measured and compared between the growth patterns and between class I and class II skeletal patterns. An analysis of variance (ANOVA) test was performed to determine the comparison between groups for all these variables in both skeletal class I and class II. Independent 't' test was done to determine the comparison between skeletal class I and class II subjects for all variables. Mean and SD values for all variables were determined for all the groups. Depth of antegonial notch was found to be greater in vertical growth patterns compared to horizontal and average growth patterns. Large symphysis angle and symphysis width were noted in a horizontal growth pattern. Increased ramus height was noted in horizontal and average growth patterns. There was no significant difference between skeletal class I and class II malocclusion for all parameters.


2021 ◽  
pp. 030157422110159
Author(s):  
Shetty Suhani Sudhakar ◽  
K. Mithun ◽  
Abhinay Sorake ◽  
K. Nillan Shetty ◽  
Thankam C. Susan

Aim: To determine the correlation between palatal rugae (PR) pattern and subjects with vertical, average, and horizontal growth pattern and to determine gender variation if any. Material and Methods: One hundred and twenty study models were divided into horizontal, vertical, and average growth patterns with 40 (20 males and 20 females) samples in each group. The pattern of PR was assessed in each group using a template. Result: Type B (wavy type) PR occurs more often in horizontal and average growth pattern (80% and 72.5% respectively), whereas its occurrence in vertical growth pattern subject is the least among other growth patterns, that is, 42.5% of the total subjects. Type E (curved type) PR has appeared highest in 27.5% of average growth pattern patient followed by 12.5% of vertical growth pattern subjects. The occurrence of type E PR is least in horizontal growth pattern which is just 5% of the total subjects. Conclusion: Curved-type PR was more prevalent in vertical and average growth patterns. Diverging PR pattern was mainly seen in vertical growth pattern. PR also shows sexual dimorphism. The association is clinically significant as it will lead to determination of facial vertical growth pattern at early age; thus, it serves as a diagnostic adjunct for different malocclusions very early in life and aids in preventive or interceptive orthodontic measures to alleviate forthcoming growth pattern.


2011 ◽  
Vol 1 (1) ◽  
pp. 36-41
Author(s):  
Jyoti Dhakal

The dentoskeletal characteristics of Class II malocclusion subjects were evaluated using cephalometric radiograph and dental cast of 60 untreated patients. The sample included 30 Class II Division 1 and 30 Class II Division 2 malocclusion patients. The inter-canine, inter-premolar, inter-molar, inter-canine alveolar, inter-premolar alveolar, inter-molar alveolar widths are measured on study models. The result showed statistically significant difference between the groups for mandibular inter-canine width only. The cephalometric analysis revealed that SNB angle was responsible for the skeletal sagittal difference between the two groups except for the position of maxillary incisors. No basic difference in dentoskeletal morphology existed between Class II Division 1 and Class II Division 2 malocclusions.


Author(s):  
Hanny Tioho ◽  
Maykel A.J Karauwan

The minimum size of coral transplants, Acropora formosa, was assessed to support their survival and growth. For this, 150 coral fragments of different sizes (5, 10, 15 cm) were transplanted close to the donor colony. Their survivorship and growth were observed for 12 months. At the end of the observation time, 90% of 15 cm-transplanted coral fragments survived, while the others (10cm and 5 cm) did 86% and 82% respectively. The average growth rate of 5 cm-coral fragments was 0.860 cm/month, while 10 and 15 cm-fragments were 0.984 cm/month and 1.108 cm/month respectively. One-way ANOVA showed that there was significant difference (p<0.05) among the three (5, 10, 15 cm) transplant initial sizes in which the longest fragment size tended to survive longer than the smaller one.  However, the smaller transplants grew better than the bigger one, 10.318 cm/year (206%) for 5 cm-transplant, 11.803 cm/year (118%) for 10 cm-transplant, and 13.299 cm/year (89%) for 15 cm-transplant, respectively. Ukuran minimal fragmen karang Acropora formosa yang ditransplantasi diduga untuk mendukung ketahanan hidup dan pertumbuhannya. Untuk itu, 150 fragmen karang ditransplantasi ke lokasi yang berdekatan dengan koloni induknya.  Ketahanan hidup dan pertumbuhan semua fragmen karang yang ditransplantasi diamati selama 12 bulan.  Pada akhir pengamatan, 90% dari fragmen karang berukuran 15 cm yang ditransplantasi dapat bertahan hidup, sedangkan yang lainnya (ukuran 10 cm dan 5 cm) masing-masing sebesar 86% dan 82%.  Rata-rata laju pertumbuhan fragmen karang dengan ukuran awal 5 cm adalah 0,860 cm/bulan, sedangkan ukuran fragmen 10 dan 15 cm masing-masing adalah 0,984 cm/bulan and 1,108 cm/bulan. ANOVA satu arah menunjukkan adanya perbedaan yang nyata (p<0.05) antara ketiga ukuran fragmen yang berbeda, di mana ukuran fragmen karang yang lebih panjang cenderung mempunyai ketahanan hidup yang lebih baik. Namun demikian, ukuran transplant yang lebih kecil memiliki pertumbuhan lebih baik dibandingkan dengan ukuran yang lebih besar, yakni10,318 cm/tahun (206%) untuk transplant berukuran 5 cm, 11,803 cm/tahun (118%) untuk 10 cm, dan 13,299 cm/tahun (89%) untuk ukuran 15 cm.


2017 ◽  
Vol 05 (02) ◽  
pp. 084-089
Author(s):  
Alisha Dhingra ◽  
Ashu Gupta ◽  
Anshu Minocha ◽  
Nayantara Sen

Abstract Aim: The aim of this study was to compare the reversal of shear bond strength of composite to bleached enamel immediately after bleaching followed by application of various antioxidant solutions. Material and Methods: Seventy central incisors were divided into seven groups. Groups I and II served as unbleached and bleached controls respectively. Groups III, IV, V, VI and VII served as the experimental groups and were subjected to 37.5% hydrogen peroxide bleaching followed by 10 min application of 10% sodium ascorbate, 25% alpha-tocopherol, 6.5% grape seed extract, 5% lycopene and 5% green tea extract respectively. Following composite bonding, shear bond strength was determined and the results were analyzed using ANOVA followed by Post Hoc Multiple Comparisons test. Results: The bond strength values for Group I (positive control) were maximum and significantly different than all the other groups except Grape seed extract group (Group V). When compared to Group II (bleached control), all the groups showed significantly higher bond strength. Significant difference in the bond strength values were seen between Group III (10% sodium ascorbate) and Group V. Also values for Group V were significantly different from Group VI (5% lycopene). All the other values showed insignificantly different results. Conclusion: All the antioxidant solutions improved the shear bond strength values after bleaching but only Grape seed extract application reversed the values to the non bleached levels. Lycopene was least effective. Other antioxidants showed comparable results.


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