scholarly journals Soft tissue thickness of face profile conditioning by dento-skeletal anomalies

2011 ◽  
Vol 139 (7-8) ◽  
pp. 439-445
Author(s):  
Tatjana Tanic ◽  
Zorica Blazej ◽  
Vladimir Mitic
Keyword(s):  
Soft Tissue ◽  
Class Ii ◽  
Class Iii ◽  
Upper Lip ◽  
Tissue Thickness ◽  
Facial Soft Tissue ◽  
Lower Lip ◽  
Skeletal Anomalies ◽  
Soft Tissue Thickness ◽  
Soft Tissue Profile

Introduction. Orthodontic treatment of dento-skeletal anomalies is generally based on the correction of teeth and jaws relationship, while it is expected that soft facial tissue spontaneously adapts to therapeutically achieved relationship and to accompany hard tissue changes. Objective. To establish facial soft tissue thickness conditioning by the presence of dento-skeletal anomalies. Methods. The study was performed at the Dental Clinic of Nis, and involved the analysis of cephalometric rendgenograms in 121 patients, aged 12-18 years, with no previous orthodontical treatment. According to dento-skeletal relationship between teeth and jaws the patients were divided into four groups; class I (control group), class II of division 1, class II of division 2 and class III. The standard analysis of dento-skeletal profile was done according to Steiner and soft tissue profile according to Burstone was done in all. Results. The patients of class II/1 had a significantly thinner upper lip (t=2.650; p<0.05) and thinner upper lip sulcus (t=1.999; p<0.05). The patients of class II/2 had a significantly thicker upper lip (t=2.912; p<0.01), while those of class III had a significantly thinner lower lip (t=3.900; p<0.001). Conclusion. The thickness of facial soft tissue considerably influences facial profile appearance in persons with a dento-skeletal anomaly. Not only do soft tissues adapt to the existing jaws relationship, but can also camouflage present anomalies.

scholarly journals Modifications of Midfacial Soft-Tissue Thickness Among Different Skeletal Classes in Italian Children

2018 ◽  
Vol 10 (1) ◽  
pp. 1-8
Author(s):  
Daniele Gibelli ◽  
Matteo Zago ◽  
Annalisa Cappella ◽  
Claudia Dolci ◽  
Chiarella Sforza
Keyword(s):  
Soft Tissue ◽  
Soft Tissues ◽  
Class Ii ◽  
Class Iii ◽  
Tissue Thickness ◽  
Facial Soft Tissue ◽  
Skeletal Class ◽  
Soft Tissue Thickness ◽  
Italian Children ◽  
The Relationship

Background: The anatomical assessment of the arrangement of facial soft tissues has important applications in different fields from orthodontics to plastic surgery. One of the issues concerns the relationship between facial soft tissue thickness and skeletal class. Literature mainly deals with adult populations, whereas very few studies have been focused on children. Objective: This study aims at investigating the relationship between midline facial soft tissue thickness and skeletal classes in Italian pre-treatment orthodontic child patients. Methods: Lateral cephalometric X-ray films were obtained from 220 healthy Caucasoid children (91 males and 129 females), aged between 6 and 18 years (Class I: 41 males and 70 females; Class II: 18 males and 25 females; Class III: 32 males and 34 females). All the films were digitized and 14 soft tissue thicknesses were measured on the midface; in addition, the skeletal class was assessed according to the corrected ANB angle (ANBc). Differences in facial soft tissue thickness according to sex and skeletal class were assessed through two-way ANOVA test (p<0.01). Results: Statistically significant differences according to sex were found for labrale superius, stomion and labrale inferius, with thicker soft tissues in males than in females (p<0.01). Only measurements at labrale superius and gnathion showed statistically significant differences according to skeletal class, with thicker soft tissues in Class III children and thinner ones in Class II children (p<0.01). Conclusion: The limited number of investigations, as well as the differences in protocols, renders the comparison of results from different studies difficult, suggesting further investigations to enlighten this complex and debated anatomical issue.

scholarly journals Analysis of soft tissue thickness in persons with malocclusions of class II division 1 and class II division 2

2012 ◽  
Vol 140 (7-8) ◽  
pp. 412-418
Author(s):  
Tatjana Tanic ◽  
Zorica Blazej ◽  
Vladimir Mitic
Keyword(s):  
Soft Tissue ◽  
Profile Analysis ◽  
Class Ii ◽  
Upper Lip ◽  
Facial Soft Tissue ◽  
Lower Lip ◽  
Soft Tissue Profile ◽  
Division 1 ◽  
Division 2 ◽  
Class Ii Division 1

Introduction. Different malocclusions indicate different thickness of facial soft tissue. Objective. The aim of the study was to establish the differences in the thickness of facial soft tissue profile in persons with dentoskeletal Class II/1 and II/2 relationship. Methods. In the study we used cephalometric rendgenograms profile analysis of 60 patients aged 12-18 years of the Dental Clinic in Nis who had not previously undergone orthodontical treatment. According to the dentoskeletal jaws relations the patients were divided into two groups with Class II division 1 and Class II class division 2. In all of them the standard dentoskeletal profile analysis by Steiner and soft tissue profile analysis by Burston was done. The obtained findings were statistically analyzed and the comparison between the studied groups was performed. Results. The results indicated the following: in the patients with Class II/1 relationship there was a significantly thinner upper lip (t=5.741; p<0.0001), thinner upper lip sulcus (t=3.858; p<0.001) and significantly thinner lower lip (t=2.009; p<0.05) in relation to the patients with Class II/2. Compensatory effect in the Class II/1 patients was more distinctive in females, as their soft tissue profiles were thicker. In Class II/2 patients this relationship was in favor of males. Conclusion. The facial soft tissue profile indicated significant differences in the thickness dependant on the type of malocclusion and gender. Because of their great variability and a significant participation in the formation of the profile, while planning orthodontic therapy, it is necessary to pay them full attention, with obligatory analysis of the dentoskeletal profile.

Assessment of Facial Soft Tissue Dimensions in Adult Patients with Different Sagittal Skeletal Classes using Cone beam Computed Tomography

2016 ◽  
Vol 17 (7) ◽  
pp. 542-548 ◽  
Author(s):  
Mohammad Y Hajeer ◽  
Mowaffak A Ajaj ◽  
Heba M Jazmati
Keyword(s):  
Computed Tomography ◽  
Soft Tissue ◽  
Cone Beam Computed Tomography ◽  
Class Ii ◽  
Adult Patients ◽  
Class I ◽  
Cone Beam ◽  
Class Iii ◽  
Facial Soft Tissue ◽  
Lower Lip

ABSTRACT Introduction Few studies utilized cone beam computed tomography (CBCT) to evaluate soft tissue dimensions in malocclusion patients. The aim of this study was to analyze the three-dimensional (3D) soft tissue relationships of adult patients according to their gender and skeletal sagittal class using CBCT. Materials and methods The study sample consisted of 96 CBCT images of patients of both genders; aged 18 to 25 years with a normal vertical skeletal pattern. Patients were segregated into three groups according to their skeletal sagittal class: Class I (2 < ANB < 4), class II (ANB > 4), and class III (ANB < 2). The soft tissue measurements were analyzed in both the sagittal views and frontal volumetric rendered views using 3D-OnDemand software. Results In males, the measurements (U1-stom, nasal width, mouth width) were greater in class I than in class II group. Lower lip thickness was greater in class I than in class III group (p < 0.05). In females, both labiomental fold thickness and upper lip height measurements showed greater mean values in class II than in class I group. In contrast, lower lip height was greater in class I than in class III group. Ls-Pr, U1-stom, and face width at Cheilion revealed greater values in class III patients than in class II patients. On the other hand, the lower lip thickness, upper lip height, and lower lip height measurements showed greater values in class II than in class III group (p < 0.05). Soft tissue thicknesses and measurements were greater in males than in females. However, statistically significant differences between the two sexes were not detected for all of the variables measured in each skeletal class. Conclusion The current study indicates the presence of differences in soft tissue thicknesses and facial soft tissue dimensions among skeletal classes and between the two sexes. Clinical significance Cone beam computed tomography imaging is a very valuable tool to analyze 3D soft tissue characteristics of patients with different skeletal patterns of malocclusion. How to cite this article Jazmati HM, Ajaj MA, Hajeer MY. Assessment of Facial Soft Tissue Dimensions in Adult Patients with Different Sagittal Skeletal Classes using Cone beam Computed Tomography. J Contemp Dent Pract 2016;17(7):542-548.

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 Effect of soft tissue thickness on profile appearance in persons with class III malocclusion

2010 ◽  
Vol 63 (7-8) ◽  
pp. 470-474
Author(s):  
Maja Stosic ◽  
Mirjana Janosevic ◽  
Mirjana Buric ◽  
Gordana Filipovic
Keyword(s):  
Soft Tissue ◽  
X Rays ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Tissue Thickness ◽  
Lower Lip ◽  
Soft Tissue Thickness ◽  
Individual Variations ◽  
Compensatory Effect

The aim of the research was to determine the characteristics of soft tissue in persons with class III malocclusion, through the analysis of profile X-rays. The research was carried out on fifty profile X-rays of people with class III malocclusion (eighteen males and thirty two females, from the age of fifteen to twenty five). Linear and angular parameters were analyzed by Burston?s and Steiner?s method. The increased soft tissue thickness in subspinal region in both genders had a partial compensatory effect. The reduced upper and lower lip thickness in females created more harmonious profile in relation to males, in whom lip thickness shows great individual variations. The increased soft tissue thickness in supramental region in males emphasized the abnormality in relation to females.

scholarly journals Evaluation of facial soft tissue thickness in asymmetric mandibular deformities after orthognathic surgery

2021 ◽  
Vol 43 (1) ◽  
Author(s):  
Luo Huang ◽  
Zhicong Li ◽  
Jing Yan ◽  
Lunqiu Chen ◽  
Zheng-guo Piao
Keyword(s):  
Soft Tissue ◽  
Orthognathic Surgery ◽  
Class Iii ◽  
Class Iii Malocclusion ◽  
Tissue Thickness ◽  
Facial Soft Tissue ◽  
Thickness Change ◽  
Skeletal Class ◽  
Soft Tissue Thickness ◽  
The Face

Abstract Objectives The purpose of this study was to compare differences in facial soft tissue thickness in three-dimensional (3D) images before and after orthognathic surgery in patients with skeletal Class III malocclusion and to obtain a better understanding of the relationship between hard and soft tissue changes after surgery. Materials and method The present retrospective study included 31 patients with skeletal Class III malocclusion with mandibular chin deviation greater than 4 mm who had undergone cone-beam computed tomography before and 6 months after surgery. Seven bilateral points were established. Measurements were taken from software-generated multiplanar reconstructions. The predictor variables were timing (pre- and postoperatively) and side (deviated vs. nondedicated). A regression model and correlation analysis were conducted for statistical analysis. Results The difference of bilateral facial soft tissue thickness was statistically significantly different between deviated and nondeviated sides (P < 0.05), with lower values observed on the deviated side. The soft tissue thickness has become nearly symmetric at local regions of the lower thirds of the face after orthognathic surgery. However, most measurements showed a negative correlation between changes in soft tissue thickness and changes in bone tissues. Conclusions Skeletal Class III malocclusion with facial asymmetry is accompanied by differences in soft tissue thickness when comparing Dev and N-Dev sides of the posterior region of the mandible, where soft tissues are thinner on the Dev side. Soft tissue thickness can compensate for or camouflage the underlying asymmetric mandible. In addition, the asymmetric soft tissue thickness on the lower third of the face can be partially improved by orthognathic surgery, but the amount of soft tissue thickness change is not consistent with that of hard tissue positional change.

scholarly journals Growth changes in the soft tissue facial profile

1991 ◽  
Vol 17 (1) ◽  
pp. 10-21
Author(s):  
Ram Nanda ◽  
◽  
Hanspeter Meng ◽  
Sunil Kapila ◽  
Jolande Goorhuis ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Relative Size ◽  
Adult Size ◽  
Upper Lip ◽  
Lower Lip ◽  
Length Growth ◽  
Soft Tissue Thickness ◽  
Soft Tissue Profile ◽  
Growth Changes ◽  
Size At Age

Longitudinal growth changes in the soft tissue profile of 40 caucasians between the ages of 7 and 18 were studied. The sample consisted of 17 males and 23 females who had Class I dentitions and balanced faces at age 7 and 18 years. None of the subjects received any orthodontic treatment. Cephalometric radiographs were available, as a rule, on a yearly basis. Soft tissue thickness, measured at the nose, upper lip, lower lip and chin, as well as the length of the upper and lower lip, all increased by varying amounts over the period of the study. Females acquired more growth as a percentage of their adult size (at age 18) than males in all variables except the angle of inclination of the skeletal chin which increased more in males. The largest increase in relative size was noted in the nose measurements. In males, the nose had not attained adult size even at age 18. Upper lip length growth, on the other hand, in both males and females was complete by the 15th year. The difference between male and female lip length growth was clinically significant; the average aggregate increase in upper and lower lips combined in males was 6.9 millimeters compared to 2.65 millimeters in females. The total gain in thickness at laberale superius was over four times as much in males as in females and continued to increase in males even at age 18. The change in thickness of the soft tissue at pogonion was not large, an average of 2.4 millimeters in males and 1.5 millimeters in females. The major contribution to the anterior growth of the chin was translatory, contributed largely by growth in the skeletal length from pogonion to pterygomaxillary plane.

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