scholarly journals Facial Soft Tissue in Subjects with Class II and Class III Facial Deformities: Preliminary Results

2014 ◽  
Vol 32 (3) ◽  
pp. 1022-1025
Author(s):  
Sergio Olate ◽  
Mario Cantín ◽  
Bélgica Vásquez ◽  
Mariano del Sol ◽  
Márcio de Moraes
Keyword(s):  
Soft Tissue ◽  
Class Ii ◽  
Class Iii ◽  
Facial Soft Tissue ◽  
Preliminary Results

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.

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 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 Evaluation of facial soft-tissue values and craniofacial morphology in obese adolescent patients with different skeletal classes

2022 ◽  
Vol 11 ◽  
pp. 270-278
Author(s):  
Ahmet Karaman ◽  
Esra Genc
Keyword(s):  
Soft Tissue ◽  
Cranial Base ◽  
Craniofacial Morphology ◽  
Obese Group ◽  
Class Iii ◽  
Facial Soft Tissue ◽  
Obese Adolescent ◽  
Anterior Cranial Base ◽  
The Mean ◽  
Body Mass Indexes

Objectives: The purpose of this study was to evaluate the facial soft tissue and craniofacial morphological structures in adolescent obese individuals with different skeletal patterns. Materials and Methods: The study was carried out on 292 adolescents examined under three groups based on their body mass indexes (BMIs) as obese, healthy, and overweight. The subjects were also categorized based on skeletal classes as Class I, Class II, and Class III. Results: The glabella, nasion, labiale inferius, labiomentale, and pogonion values of the female patients were significantly higher in obese group. In the obese and overweight groups, effective midfacial and mandibular length, anterior and posterior facial heights, and SN values of the females were higher than males. In the obese group, the mean effective midfacial and mandibular length (Co-A and Co-Gn), anterior and posterior facial heights (S-Go and N-Me), and anterior cranial base (SN) values were significantly higher than other groups. Conclusion: Soft-tissue thicknesses increase as BMI value increases. Craniofacial morphology reveals significant differences between BMI groups.

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 Three-Dimensional Evaluation of Soft Tissues in Hyperdivergent Skeletal Class II Females in Guangdong

2021 ◽  
Author(s):  
Xueqin Zhang ◽  
Jianqing Deng ◽  
Zhaoxiang Wen ◽  
Zhengyuan Chen ◽  
Liyi Gan ◽  
...  
Keyword(s):  
Soft Tissue ◽  
Three Dimensional ◽  
Morphological Characteristics ◽  
Class Ii ◽  
Hard Tissue ◽  
Facial Soft Tissue ◽  
Linear Measurements ◽  
Skeletal Class ◽  
Adult Females ◽  
Skeletal Class Ii

Abstract Background: To establish the three-dimensional facial soft tissue morphology of adolescent and adult females in the Guangdong ethnic group and to study the morphological characteristics of hyperdivergent skeletal class Ⅱ females in Guangdong compared with the characteristics of normal groups.Materials and Methods: The 3dMDface system was used to capture face scans of 160 patients, including 45 normal and 35 hyperdivergent skeletal class II adolescents (aged 11–14 years old) and 45 normal and 35 hyperdivergent skeletal class II adults (aged 18–30 years old). Thirty-two soft tissue landmarks were mapped, and 21 linear, 10 angular and 17 ratio measurements were obtained by 3dMDvultus analysis software. Data were assessed with a t-test of two independent samples between the normal adolescent and adult groups and between the normal and hyperdivergent skeletal class II groups.Results: The linear measurements of the Guangdong adult females were larger than those of the adolescents. However, the angular and ratio measurements had little difference. The vertical linear measurements were higher and the sagittal and transverse linear measurements were smaller in the hyperdivergent class II group (p<0.05). The soft tissue ANB angle, chin-lip angle, and mandibular angle were significantly larger and the soft tissue facial convexity angle and nasal convexity angle were significantly smaller in the hyperdivergent class II group (p<0.05). Additionally, there were significant differences in the ratio measurements between the hyperdivergent class II groups and the control groups (p<0.05).Conclusions: The three-dimensional facial morphology of Guangdong adolescent and adult females was acquired. The facial soft tissue measurements of the adults were higher in height, width and depth, suggesting that from the adolescent to adult period, facial soft tissue grows in three dimensions. However, the facial convexity and proportional relationships were similar, suggesting that the growth pattern remained the same. The three-dimensional facial soft tissue features of hyperdivergent skeletal class II were characterized by the terms “long, convex, and narrow”, which was similar to the hard tissue features of hyperdivergent skeletal class II seen in previous studies. Three-dimensional facial measurements can reflect intrinsic hard tissue characteristics.

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.

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