scholarly journals Soft-Tissue Facial Characteristics of Attractive and Normal Adolescent Boys and Girls

2008 ◽  
Vol 78 (5) ◽  
pp. 799-807 ◽  
Author(s):  
Chiarella Sforza ◽  
Alberto Laino ◽  
Raoul D'Alessio ◽  
Gaia Grandi ◽  
Gianluca Martino Tartaglia ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Three Dimensional ◽  
Optimal Timing ◽  
Age Group ◽  
Adolescent Boys ◽  
Opposite Pattern ◽  
Nasolabial Angle ◽  
Soft Tissue Profile ◽  
Quantitative Characteristics ◽  
Attractive Face

Abstract Objectives: To identify possible esthetic canons in facial size and shape of Italian adolescent boys and girls. Materials and Methods: The three-dimensional coordinates of 50 facial landmarks (forehead, eyes, nose, cheeks, mouth, jaw, ears) were collected in 231 healthy, reference adolescents (10– 17 years old) and in 93 similar age group “attractive” adolescents selected by a commercial casting organization. Soft-tissue facial angles, distances, areas, and volumes were computed. Comparisons were made with analysis of variance. Results: Attractive adolescents had wider, shorter, and less deep faces than reference adolescents, with a relatively larger forehead and maxilla, and a reduced mandible relative to the maxilla. Lips were larger and more prominent, and the nasolabial angle was reduced, but in older boys the effect was reversed. The prominence of the soft-tissue profile, and of the maxilla relative to the mandible, were larger in attractive boys, but smaller in attractive girls than in their reference peers. In the horizontal plane, attractive “young” adolescents had a flatter face, while the opposite pattern was observed in the “old” adolescents, with a relatively more prominent chin. Attractive adolescents had smaller noses than reference subjects of the same age and sex. Conclusions: Overall, all the measurements appeared sufficiently homogenous, and the quantitative characteristics of an “attractive” face well defined. Esthetic reference values can be used to determine optimal timing and goals in orthodontic treatment.

scholarly journals Three-dimensional Facial Morphometry of Attractive Children and Normal Children in the Deciduous and Early Mixed Dentition

2007 ◽  
Vol 77 (6) ◽  
pp. 1025-1033 ◽  
Author(s):  
Chiarella Sforza ◽  
Alberto Laino ◽  
Raoul D'Alessio ◽  
Claudia Dellavia ◽  
Gaia Grandi ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Three Dimensional ◽  
Mixed Dentition ◽  
Optimal Timing ◽  
Normal Children ◽  
Facial Profile ◽  
Attractive Face ◽  
Student’S T ◽  
Italian Children ◽  
Student’S T Test

Abstract Objectives: To identify possible esthetic canons in facial size and shape of Italian children. Materials and Methods: The three-dimensional coordinates of 50 facial landmarks (forehead, eyes, nose, cheeks, mouth, jaw, ears) were collected in 220 healthy reference children (4–9 years old) and in 89 “attractive” children of a similar age group selected by a commercial casting organization. Soft-tissue facial angles, distances, and volumes were computed. Comparisons were made with the Student's t-test. Results: Attractive children had a larger face than the reference children, with a larger maxilla and forehead; overall, their faces were wider and deeper, but less vertically developed. Lips were more voluminous in attractive children, with a higher mouth. The nose was larger in attractive children than in reference children. The soft-tissue facial profile was more convex in attractive children, with a more prominent maxilla relative to the mandible. Conclusions: Overall, considering that in the analyzed ages body growth and dental changes are very fast and individually determined, all the measurements appeared sufficiently homogenous, and the quantitative characteristics of an “attractive” face well defined. Esthetic reference values can be used to determine optimal timing and goals in orthodontic treatment.

A Quantitative Three-Dimensional Assessment of Abnormal Variations in Facial Soft Tissues of Adult Patients with Cleft Lip and Palate

2003 ◽  
Vol 40 (5) ◽  
pp. 544-549 ◽  
Author(s):  
Virgilio F. Ferrario ◽  
Chiarella Sforza ◽  
Claudia Dellavia ◽  
Gianluca M. Tartaglia ◽  
Davide Sozzi ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Cleft Lip ◽  
Soft Tissues ◽  
Cleft Lip And Palate ◽  
Three Dimensional ◽  
Z Score ◽  
Soft Tissue Profile ◽  
Variability Index ◽  
The Mean ◽  
Facial Soft Tissues

Objective To supply quantitative information about the facial soft tissues of adult operated patients with cleft lip and palate (CLP). Design, Setting, and Patients The three-dimensional coordinates of soft tissue facial landmarks were obtained using an electromagnetic digitizer in 18 Caucasian patients with CLP (11 males and 7 females aged 19 to 27 years) and 162 healthy controls (73 females and 89 males aged 18 to 30 years). From the landmarks, 15 facial dimensions and two angles were calculated. Data were compared with those collected in healthy individuals by computing z-scores. Two summary anthropometric measurements for quantifying craniofacial variations were assessed in both the patients and reference subjects: the mean z-score (an index of overall facial size), and its SD, called the craniofacial variability index (an index of facial harmony). Results In treated patients with CLP, facial size was somewhat smaller than in normal individuals, but in all occasions the mean z-score fell inside the normal interval (mean ± 2 SD). Almost all patients had a craniofacial variability index larger than the normal interval, indicating a global disharmonious appearance. Overall, in patients pronasale, subnasale, and pogonion were more posterior, the nose was shorter and larger, the face was narrower, and the soft tissue profile and upper lip were flatter than in the reference population. Conclusions The facial soft tissue structures of adult operated patients with CLP differed from those of normal controls of the same age, sex, and ethnic group. In this patient group, surgical corrections of CLP failed to provide a completely harmonious appearance, even if the deviations from the reference were limited. Further analyses of larger groups of patients are needed.

scholarly journals A Perioral Soft Tissue evaluation after Orthognathic Surgery Using Three-Dimensional Computed Tomography Scan

2018 ◽  
Vol 12 (1) ◽  
pp. 366-376
Author(s):  
Rahul Tiwari ◽  
P. Srinivas Chakravarthi ◽  
Vivekanand S. Kattimani ◽  
Krishna Prasad Lingamaneni
Keyword(s):  
Computed Tomography ◽  
Soft Tissue ◽  
Orthognathic Surgery ◽  
Soft Tissues ◽  
Three Dimensional ◽  
Computed Tomography Scan ◽  
Nasolabial Angle ◽  
Tissue Changes ◽  
Soft Tissue Changes ◽  
Tomography Scan

Background: Facial appearance is an important factor, affects social and psychological well-being. The ideal positioning of jaws and soft tissues is crucial during orthognathic surgery for a better outcome, but the response of facial soft tissues does not always reflect the exact movements of the underlying jaws in 1:1 ratio. So, soft tissue changes following orthognathic surgery require utmost attention during surgical correction to make successful treatment. Aims and Objectives: Evaluation of perioral soft tissue changes after orthognathic surgical procedures. The objectives of the study were to assess and compare pre and post-operative perioral soft tissue changes of lip width, nasolabial and mentolabial angle using Three Dimensional Computed Tomography scan (3DCT). Patient and Methods: The study involved ten patients for evaluation requiring orthognathic surgical procedures (maxillary or mandibular anteroposterior excess or deficiency, transverse deformities, vertical maxillary excess and facial asymmetry) presented to the department of oral and maxillofacial surgery during 2014-2016. Pre and post-operative 3DCT scan were taken after 12 months using iCT 256 slice whole body CT scanner and evaluated for changes using Dicom PMS D view. Results: Significant changes were observed in nasolabial angle after maxillary advancement (1.81°) and maxillary setback procedure (2.73°). The mentolabial angle was significantly increased with mandibular setback procedures (3.27°). Mandibular advancement procedures showed both increase (3.6°) and decrease (7.6°) in mentolabial angle. Conclusion: 3DCT showed a significant difference in perioral soft tissue changes in nasolabial and mentolabial angle but no significant change was observed in lip width. 3DCT is a reliable tool for 3D assessment. The conventional thought of changes in Nasolabial angle after surgery is changing due to the underlying factors which should be considered for prediction.

scholarly journals Soft-Tissue Facial Characteristics of Attractive Italian Women as Compared to Normal Women

2009 ◽  
Vol 79 (1) ◽  
pp. 17-23 ◽  
Author(s):  
Chiarella Sforza ◽  
Alberto Laino ◽  
Raoul D'Alessio ◽  
Gaia Grandi ◽  
Miriam Binelli ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Analysis Of Variance ◽  
Reference Values ◽  
Three Dimensional ◽  
Volume Ratio ◽  
Facial Landmarks ◽  
Soft Tissue Profile ◽  
Italian Women ◽  
Normal Women ◽  
Reduced Surface

Abstract Objective: To compare the facial characteristics of two different groups of attractive women with those of reference women. Materials and Methods: The three-dimensional coordinates of 50 facial landmarks were collected in 71 healthy reference women (18–30 years old) and in 24 coetaneous “attractive” women selected during two different beauty competitions; soft tissue facial angles, distances, areas, and volumes were computed and compared using analysis of variance. Results: When compared with reference women, both groups of attractive women shared several similar facial characteristics: relatively large forehead (P < .001), reduced mandible (P = .008), and rounded face (reduced surface-to-volume ratio, P = .002). They had a more acute soft tissue profile, an increased upper facial width (P < .001) and middle facial depth, larger mouth, and more voluminous lips (P = .005) than reference women. Conclusions: Both groups of attractive women had several facial characteristics suggesting babyness. Nonetheless, each group of women was characterized by a different development of these features. Esthetic reference values can be a useful tool for clinicians, but should always consider the characteristics of individual faces.

scholarly journals Soft Tissue Profile in White Brazilian Adults with Normal Occlusions and Well-Balanced Faces

2008 ◽  
Vol 78 (1) ◽  
pp. 58-63 ◽  
Author(s):  
Helio Scavone ◽  
Wesley Zahn-Silva ◽  
Karyna Martins do Valle-Corotti ◽  
Ana Carla Raphaelli Nahás
Keyword(s):  
Soft Tissue ◽  
Treatment Plan ◽  
American Women ◽  
White American ◽  
North Americans ◽  
The North ◽  
Nasolabial Angle ◽  
Soft Tissue Profile ◽  
Student’S T ◽  
White American Women

Abstract Objective: To analyze anteroposterior soft tissue facial parameters for a sample of white Brazilian adults and to compare these measurements with the values proposed for white North American adults. Materials and Methods: Facial profile photographs were taken of 59 white Brazilians (30 men and 29 women) with normal occlusions and balanced faces with ages ranging from 18 to 30 years. The independent Student's t-test (P < .05) was used to compare the soft tissue parameters of the Brazilians with those of the North Americans. Results: White Brazilian women presented a less protruded face compared with white American women except for the glabella region. White Brazilian women showed a smaller nasal projection, less protruded upper and lower lips, a more obtuse nasolabial angle, and a smaller projection of the B′ point and chin than white American women. Conversely, the two male groups demonstrated less evident soft tissue profile differences, with the exception of the nose projection, which was smaller in white Brazilian men than in white American men. Conclusions: A universal standard of facial esthetic is not applicable to diverse white populations. Differences regarding the soft tissue profile features were found between white Brazilians and white Americans. These differences should be considered in the orthodontic/orthognathic surgery diagnosis and treatment plan for white Brazilians together with the patient's individual opinion and perception of beauty.

scholarly journals Soft Tissue Profile Changes in Patients With Class II malocclusion

2021 ◽  
Author(s):  
Jovana Milutinovic ◽  
Zorana Stamenkovic ◽  
Ksenija Zelic ◽  
Nemanja Marinkovic ◽  
Nenad Nedeljkovic
Keyword(s):  
Soft Tissue ◽  
Orthodontic Treatment ◽  
Class Ii ◽  
T Test ◽  
Upper Lip ◽  
Positive Effects ◽  
Nasolabial Angle ◽  
Soft Tissue Profile ◽  
Division 1 ◽  
Class Ii Division 1

Abstract BackgroundThe objective of this study was to identify the soft tissue profile outcomes of orthodontic treatment of Class II, division 1 malocclusion patients and to determine if these changes are related with different treatment protocol.MethodsThe sample of this study consisted of 50 Caucasian patients [22 males; 28 females], with a mean age of 15.8 years. The sample was divided in two groups (both groups treated with multibracket therapy): first group was non-extraction group [25 patients] treated first with the Herbst appliance, and second group was four premolars extraction group [25 patients] treated with a multibracket appliance. The patients’ pre- and post-treatment profile photographs were used, and the soft tissue landmarks were identified. Afterwards, the angular parameters were determined on each photo. Paired-sample t-test was used for intragroup comparisons. For testing the differences in all parameter values between groups, two-sample t test was used.ResultsThe improvement in the non-extraction group was evident in the decrease of the nasomental angle [P=0.02], the angle representing the projection of the upper lip to the chin [P=0.01], as well as the upper lip angle [P=0.01]. On the other hand, the nasolabial angle increased significantly [P=0.01], as well as the mentolabial angle [P=0.02]. In the extraction group, the nasolabial angle showed a significant increase [P=0.03]. Two soft tissue variables showed significant differences between the groups: the total facial angle or facial convexity including the nose [P=0.04] and the angle presenting the projection of the upper lip to chin [P=0.01].ConclusionsThe patients treated without extractions showed a significant improvement of the convex profile and favorable soft tissue changes in the lower third of the face. The orthodontic treatment of Class II, division 1 malocclusions induce positive effects on the soft tissue facial profile, which depends on different treatment protocols.

scholarly journals Soft Tissue Profile Response in Adult Orthodontic Patients following Extractions

2019 ◽  
Vol 07 (02) ◽  
pp. 074-080
Author(s):  
Mandeep Bhullar ◽  
Amita Badhan ◽  
Sanjay Mittal ◽  
Isha Aggarwal ◽  
Divya Singla ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Adult Patients ◽  
Hard Tissue ◽  
Premolar Extraction ◽  
Nasolabial Angle ◽  
Soft Tissue Profile ◽  
Lateral Cephalograms ◽  
Angular Measurements ◽  
Tissue Alteration ◽  
Cephalometric Changes

Abstract Introduction The position of the incisors is considered as a key landmark in treatment planning to provide the patient with the most attractive and well-balanced smile. It is important to quantify the relationship between anteroposterior position of incisors to overlying soft tissue structures. Aim The purpose of this study was to evaluate cephalometric changes on the soft tissue profile of the adult patients after first premolar extraction. Materials and Methods The study included pretreatment and posttreatment lateral cephalograms of 24 adult patients (Class II div 1 malocclusion and Class I bimaxillary protrusion) treated with preadjusted edgewise appliance following first premolar extractions. Seven angular and twelve linear soft tissue parameters were evaluated. Six hard tissue parameters were evaluated. Results All the linear and angular measurements pertaining to soft tissue and hard tissue showed significant changes. When posttreatment values were compared with pretreatment values, certain parameters (nasolabial angle, Z angle, UL and LL length, and UL strain) were found to be increased, whereas other parameters showed decrease in their posttreatment values. The tissue alteration showed statistically significant increase in nasolabial angle, Z angle, and decrease in soft tissue profile and interlabial gap. Conclusion Facial profile improvement can be enhanced by dentoalveolar and soft tissue retraction following premolar extraction.

scholarly journals Three-Dimensional Evaluation of Soft Tissue Changes after Functional Therapy

Scanning ◽  
2021 ◽  
Vol 2021 ◽  
pp. 1-7
Author(s):  
Ersin Yıldırım ◽  
Şeniz Karaçay ◽  
Dilek Tekin
Keyword(s):  
Soft Tissue ◽  
Three Dimensional ◽  
Female Participant ◽  
Functional Therapy ◽  
Lower Lip ◽  
Color Mapping ◽  
Soft Tissue Profile ◽  
Tissue Changes ◽  
Soft Tissue Changes ◽  
Mandibular Retrognathia

This study was aimed at proposing a three-dimensional (3D) evaluation method for the soft tissue effects of Twin Block (TB) functional appliance therapy by using cone beam computed tomography (CBCT) images. In this retrospective study, a total of 60 pre- and posttreatment (T0 and T1) CBCT images of Class II patients with mandibular retrognathia treated with a TB appliance were used. Volumetric and linear soft tissue changes were evaluated quantitatively with 3D measurements and qualitatively with color mapping visual. Linear (NV-A and NV-Pog) and angular (SNA, SNB, and ANB) skeletal changes were also measured on 3D images. The Wilcoxon signed-rank test was used to compare statistical differences, and the scores of male and female participant differences were observed with the Mann–Whitney U test. In this study, a decrease was observed in SNA ( p < 0.05 ), ANB ( p < 0.01 ), and NV-Pog ( p < 0.05 ) while an increase in SNB ( p < 0.01 ) was found. However, decrease in NV-A distance was not statistically significant ( p > 0.05 ). As a result of the evaluation of soft tissue changes, while the anterior reposition of the lower lip, soft tissue pogonion, and soft tissue gnathion was found to be significant ( p < 0.01 , p < 0.01 , and p < 0.05 , respectively), the upper lip and subnasale repositions were not statistically significant ( p > 0.05 ). 3D soft tissue changes after TB therapy can be evaluated quantitatively and qualitatively by using CBCT images. Anterior repositioning of the mandible with functional therapy also provides improvement in soft tissue profile, especially in the lower facial region.

scholarly journals Comparison of Reproducibility of Nasolabial Angle Constructed by Anatomic point method and Tangent line method

2016 ◽  
Vol 6 (2) ◽  
pp. 10-23
Author(s):  
Jamal Giri ◽  
Prabhat Ranjan Pokharel ◽  
Rajesh Gyawali ◽  
Bhushan Bhattarai ◽  
Gunjan Kumar Shrestha
Keyword(s):  
Soft Tissue ◽  
Principal Investigator ◽  
Tangent Line ◽  
Point Method ◽  
Observer Agreement ◽  
Line Method ◽  
Nasolabial Angle ◽  
Soft Tissue Profile ◽  
Lateral Cephalograms ◽  
Reproducible Method

Introduction: Investigators have drawn nasolabial angle using different soft tissue landmarks. This has created confusion among the orthodontic students and clinicians regarding its construction.Objective: To evaluate two commonly used methods of constructing the nasolabial angle in order to establish a single reproducible method. Materials & Method: Lateral cephalograms of 120 patients undergoing orthodontic treatment were obtained from the records of the patients. Soft tissue profile on the lateral cephalograms were traced manually by the principal investigator. All the tracings were photocopied and 6 copies of each tracing were made. Nasolabial angles were constructed and measured on photocopied copies of the tracings first using the anatomic point method and then using the tangent line method by the principal investigator and another investigator independently.  Result: The average nasolabial angle values for anatomic point method and tangent line method were found to be 94.32° ± 14.05° and 92.4° ± 14.59° respectively. The intra-class correlation coefficient demonstrated excellent intra-observer and interobserver agreement among the two methods of nasolabial angle construction.Conclusion: Both anatomic point method and tangent line method of nasolabial angle construction have excellent reproducibility in terms of intra-observer and inter-observer agreement. 

Sign in / Sign up

Export Citation Format

Share Document