Abstract

Objective The aim of this study was to compare the profile attractiveness between orthodontic camouflage of the Class III malocclusion and the predictive tracing simulating orthognathic surgery evaluated by dentists and laypeople. Settings and sample population. The sample consisted of 21 patients (9 male; 12 female) with Class III malocclusion treated with orthodontic camouflage and Class III intermaxillary elastics. Material and Methods. The mean initial age of the patients was 24.38 years (SD 3.32), and the mean ANB angle was −1.91° (SD 0.83°). Patients presented skeletal Class III and normal growth patterns. Initial and final lateral cephalograms of each patient were used. The initial cephalogram was used to perform the treatment simulation of orthognathic surgery, and its silhouette was compared to the silhouette obtained from the final cephalogram after Class III orthodontic camouflage. A subjective analysis of profile attractiveness was performed by 47 laypeople and 60 dentists, with scores from 1 (less attractive) to 10 (most attractive). Mann–Whitney tests were used to compare profile attractiveness between the orthodontic treatment and the predictive tracing groups and between dentists and laypeople. Results The predictive tracing of orthognathic surgery showed to be statistically significantly more attractive (mean score 4.57, SD 2.47) than that of the Class III camouflage orthodontic treatment (mean score 4.22, SD 2.40), with a mean numerical but significant difference of 0.35 (SD 2.01) (P < 0.001). Laypeople were more critical than dentists in evaluating profile attractiveness, but numerical difference between the groups was also small. Conclusion The profile silhouette of predictive tracing simulating orthognathic surgery showed to be more attractive than that of Class III camouflage orthodontic treatment; however, differences were small but statistically significant. Laypeople showed to be more critical than dentists.

Highlights

  • In modern society, there is a great emphasis on attractiveness and facial beauty. e face remains one of the keys in determining human physical attractiveness [1, 2].One of the problems that negatively interfere with facial and smile attractiveness is the presence of malocclusion

  • Class III malocclusion shows the greatest impairment of facial esthetics [3, 4]. is malocclusion can be orthopedically treated with maxillary expansion and reverse traction during the growth phase, but thereafter, the treatment options are camouflage orthodontic treatment or orthognathic surgery [5,6,7]

  • Is way, the present study aimed to compare the attractiveness of profile silhouettes in borderline skeletal Class III malocclusion patients treated with orthodontic camouflage and the predictive tracing, simulating orthognathic surgery of the same patients, evaluated by dentists and laypeople. e null hypothesis to be tested was that there is no difference in facial profile attractiveness between Class III malocclusion camouflage orthodontic treatment and the predictive tracing simulating orthognathic surgery

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Summary

Research Article

Mohamad Nagi Bou Wadi, Karina Maria Salvatore Freitas ,1 Daniel Salvatore Freitas, Rodrigo Hermont Cançado, Renata Cristina Gobbi de Oliveira, Ricardo Cesar Gobbi de Oliveira, Guilherme Janson, and Fabricio Pinelli Valarelli. E aim of this study was to compare the profile attractiveness between orthodontic camouflage of the Class III malocclusion and the predictive tracing simulating orthognathic surgery evaluated by dentists and laypeople. E initial cephalogram was used to perform the treatment simulation of orthognathic surgery, and its silhouette was compared to the silhouette obtained from the final cephalogram after Class III orthodontic camouflage. E predictive tracing of orthognathic surgery showed to be statistically significantly more attractive (mean score 4.57, SD 2.47) than that of the Class III camouflage orthodontic treatment (mean score 4.22, SD 2.40), with a mean numerical but significant difference of 0.35 (SD 2.01) (P < 0.001). E profile silhouette of predictive tracing simulating orthognathic surgery showed to be more attractive than that of Class III camouflage orthodontic treatment; differences were small but statistically significant.

Introduction
Material and Methods
Cephalometric variables
Results
Score of profile attractiveness
Full Text
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