ABSTRACT
OBJECTIVE: The aim of this study was to assess the degree of perception of occlusal plane inclination and mandibular deviation in facial esthetics, assessed by laypeople, dentists and orthodontists. METHODS: A woman with 5.88° of inclination and 5.54 mm of mandibular deviation was selected and, based on her original photograph, four new images were created correcting the deviations and creating more symmetric faces and smiles. Examiners assessed the images by means of a questionnaire. Their opinions were compared by qualitative and quantitative analyses. RESULTS: A total of 45 laypeople, 27 dentists and 31 orthodontists filled out the questionnaires. All groups were able to perceive the asymmetry; however, orthodontists were more sensitive, identifying asymmetries as from 4.32° of occlusal plane inclination and 4.155 mm of mandibular deviation (p< 0.05). The other categories of evaluators identified asymmetries and assigned significantly lower grades, starting from 5.88° of occlusal plane inclination and 5.54 mm of mandibular deviation (p< 0.05). CONCLUSION: Occlusal plane inclination and mandibular deviation were perceived by all groups, but orthodontists presented higher perception of deviations.
Subject(s)
Esthetics, Dental/psychology , Esthetics, Dental/statistics & numerical data , Facial Asymmetry/psychology , Cephalometry , Dental Occlusion , Dentists/psychology , Humans , Malocclusion/psychology , Mandible , Orthodontists/psychology , Surveys and QuestionnairesABSTRACT
Objective:The aim of this study was to assess the degree of perception of occlusal plane inclination and mandibular deviation in facial esthetics, assessed by laypeople, dentists and orthodontists.Methods:A woman with 5.88° of inclination and 5.54 mm of mandibular deviation was selected and, based on her original photograph, four new images were created correcting the deviations and creating more symmetric faces and smiles. Examiners assessed the images by means of a questionnaire. Their opinions were compared by qualitative and quantitative analyses.Results:A total of 45 laypeople, 27 dentists and 31 orthodontists filled out the questionnaires. All groups were able to perceive the asymmetry; however, orthodontists were more sensitive, identifying asymmetries as from 4.32° of occlusal plane inclination and 4.155 mm of mandibular deviation (p< 0.05). The other categories of evaluators identified asymmetries and assigned significantly lower grades, starting from 5.88° of occlusal plane inclination and 5.54 mm of mandibular deviation (p< 0.05).Conclusion:Occlusal plane inclination and mandibular deviation were perceived by all groups, but orthodontists presented higher perception of deviations.
Objetivo: o objetivo do presente estudo foi avaliar o grau de percepção, de leigos, dentistas e ortodontistas, quanto à influência das inclinações do plano oclusal e dos desvios mandibulares na estética facial.Métodos:uma mulher com 5,88o de desvio do plano oclusal e 5,54mm de desvio mandibular foi selecionada. A partir de sua fotografia original, quatro novas imagens foram criadas, corrigindo os desvios e criando rostos e sorrisos mais simétricos. Os examinadores avaliaram as imagens por meio de um questionário, sendo realizadas análises qualitativas e quantitativas.Resultados:45 leigos, 27 dentistas e 31 ortodontistas preencheram os questionários. Todos os grupos foram capazes de perceber a assimetria, no entanto, os ortodontistas foram mais sensíveis, sendo capazes de perceber a assimetria de 4,32o de inclinação do plano oclusal e 4,155mm de desvio mandibular (p > 0,05). Os demais avaliadores perceberam a assimetria apenas a partir de 5,88o de desvio do plano oclusal e 5,54mm de desvio mandibular (p > 0,05).Conclusão:inclinações do plano oclusal e desvios mandibulares foram percebidos por todos os grupos, mas os ortodontistas apresentaram maior sensibilidade aos desvios.
Subject(s)
Humans , Esthetics, Dental/psychology , Esthetics, Dental/statistics & numerical data , Facial Asymmetry/psychology , Cephalometry , Surveys and Questionnaires , Dental Occlusion , Dentists/psychology , Orthodontists/psychology , Malocclusion/psychology , MandibleABSTRACT
OBJECTIVES: It has been postulated that symmetric faces are considered more attractive than asymmetric ones because symmetry may signal high quality due to developmental stability. However, other studies showed that both symmetric and slightly asymmetric faces are considered attractive. Here we aim to explore this discrepancy, beginning with the analysis of the normal prevalence of facial symmetry in a population as a necessary first step prior to any attractiveness assessment. METHODS: We collected facial landmarks from two-dimensional digital images of a sample of Mexican individuals (280 females and 285 males aged 18-68 years) that were analyzed using geometric morphometric methods. Then, we chose a subsample of 100 photographs (50 females and 50 males aged 18-27 years) selected to represent a broad range of asymmetrical variation, in order to evaluate attractiveness using a sex-opposite test. Finally, we analyzed the linear correlation between attractiveness and asymmetry. RESULTS: We found that every evaluated subject presents some degree of facial asymmetry, and that both fluctuating asymmetry and directional asymmetry were significant (P < 0.0001) components of total facial asymmetry. Fluctuating asymmetry was slightly associated with age (r = 0.0858, P = 0.0414) and there were no differences between geographical regions (P = 0.413). Attractiveness was not correlated to levels of asymmetry in either sex (males: P = 0.0973; females P = 0.7415). CONCLUSIONS: Asymmetry was a prevalent feature in the present sample, and preferences for symmetric faces were not operating in the studied population.
Subject(s)
Beauty , Facial Asymmetry/psychology , Adolescent , Adult , Aged , Female , Humans , Male , Mexico , Middle Aged , Phenotype , Prevalence , Young AdultABSTRACT
This article describes the surgical and orthodontic treatment of a 12-year-old boy with a significant deformity and functional involvement caused by hemifacial microsomia. The left mandibular ramus and condyle were hypoplastic and abnormal in form and location. The lower third of the face was increased, with mandibular retrusion and significant facial asymmetry. He had difficulties in speaking and chewing and problems related to his facial appearance, which caused severe psychosocial disturbances. The patient received orthodontic treatment and temporomandibular joint reconstruction with a costochondral graft on the left side while he was still growing. Three-year follow-up records are presented.
Subject(s)
Facial Asymmetry/therapy , Mandibular Advancement , Maxilla/surgery , Orthodontics, Corrective/methods , Temporomandibular Joint/surgery , Bone Transplantation/methods , Cartilage/transplantation , Cephalometry , Child , Facial Asymmetry/psychology , Facial Asymmetry/surgery , Follow-Up Studies , Humans , Interpersonal Relations , Male , Open Bite/therapy , Osteotomy, Sagittal Split Ramus , Plastic Surgery Procedures , Treatment OutcomeABSTRACT
BACKGROUND: The therapeutic uses of botulinum toxin have been expanding due to deeper knowledge of its molecular behaviour and different mechanisms of action. OBJECTIVE: To present suggested doses of Botox and Dysport for controlling the muscle hyperkinetic activity in facial palsy in the perioral area and to review other uses. METHODS: An extensive updated literature review on the success and limits of the botulinum neurotoxin (BoNT) therapeutic treatments. RESULTS/CONCLUSION: BoNT can be considered to be the preferred single method for many disorders; it has substituted for some conventional surgical methods and it can be associated with other therapies to increase overall treatment performance. Depending on the disorder, the lack of permanent effect causes no major inconvenience.