Facial Aesthetics following Edgewise and Fränkel Appliance Therapy: The Application of Chernoff Faces

1994 ◽  
Vol 21 (2) ◽  
pp. 139-149
Author(s):  
Joanna M. Battagel ◽  
N. J. Battagel
Keyword(s):  
Soft Tissues ◽  
Lower Face ◽  
Pictorial Presentation ◽  
Lower Jaw ◽  
Division 1 ◽  
The Face ◽  
Graphical Technique ◽  
The Individual ◽  
Single Figure ◽  
Relationship Of

This study investigates an application of the graphical technique of multivariate data description, ‘Chernoff faces’, to orthodontics. This method of pictorial presentation allows the simultaneous examination of several measurements in a single figure. Each variable is represented by a scaled feature of the human face: the size and position of the ears, eyes, eyebrows, nose, and mouth, as well as the face itself, are used to display data in a diagrammatic form. Using this method, the individual post-treatment results of 62 severe Class II division 1 cases treated by either Fränkel or Edgewise appliance therapy were compared. Nine cephalometric variables were chosen, describing the profile and the antero-posterior positions of the lower jaw and teeth, and stylized cartoon faces drawn for each child. These were compared with a control face prepared from untreated children of the same sex and age. Overall, children treated with Fränkel appliances showed a more normal relationship of the lips to Ricketts' aesthetic line and a greater prominence of the lower face. This difference between the two groups was most marked in the soft tissues. In a few cases, however, the appearance of the Edgewise treated children was indistinguishable from that of the controls. It is concluded that Chernoff faces, by portraying several pertinent aspects of data simultaneously, may be a useful adjunct to the presentation of orthodontic findings.

Surgical Anatomy for Extended Facelift Techniques

2020 ◽  
Vol 36 (03) ◽  
pp. 309-316
Author(s):  
Ozcan Cakmak ◽  
Ismet Emrah Emre
Keyword(s):  
Facial Nerve ◽  
Soft Tissues ◽  
Extended Techniques ◽  
Surgical Anatomy ◽  
Superficial Musculoaponeurotic System ◽  
Increased Risk ◽  
The Face ◽  
Facial Soft Tissues ◽  
Relationship Of ◽  
The Relationship

AbstractPreservation of the facial nerve is crucial in any type of facial procedure. This is even more important when performing plastic surgery on the face. An intricate knowledge of the course of the facial nerve is a requisite prior to performing facelifts, regardless of the technique used. The complex relationship of the ligaments and the facial nerve may put the nerve at an increased risk of damage, especially if its anatomy is not fully understood. There are several danger zones during dissection where the nerve is more likely to be injured. These include the areas where the nerve branches become more superficial in the dissection plane, and where they traverse between the retaining ligaments of the face. Addressing these ligaments is crucial, as they prevent the transmission of traction during facelifts. Without sufficient release, a satisfying pull on the soft tissues may be limited. Traditional superficial musculoaponeurotic system techniques such as plication or imbrication do not include surgical release of these attachments. Extended facelift techniques include additional dissection to release the retaining ligaments to obtain a more balanced and healthier look. However, these techniques are often the subject of much debate due to the extended dissection that carries a higher risk of nerve complications. In this article we aim to present the relationship of both the nerve and ligaments with an emphasis on the exact location of these structures, both in regard to one another and to their locations within the facial soft tissues, to perform extended techniques safely.

Sinhalese Astrology, South Asian Caste Systems, and the Notion of Individuality

1979 ◽  
Vol 38 (3) ◽  
pp. 477-497 ◽  
Author(s):  
Steven E. G. Kemper
Keyword(s):  
South Asian ◽  
Cultural Form ◽  
Asian Society ◽  
The Face ◽  
The Individual ◽  
Relationship Of ◽  
The Relationship

AbstractAstrology is a neglected cultural form in the study of South Asian society. It is also one which pays attention to the individual in ways that seem to fly in the face of scholarly understandings of Asian societies as places where individuality has little importance. The ideology of caste, the institution most often taken as an analytical entry to South Asian societies, gathers people into groups on the basis of their gross similarities and fixes a person's condition for life. Astrology treats individuals as distinguished by subtle differences and liable to momentary changes. The paper argues that caste ideology and astrology have a common vocabulary and logic, one which is genealogical and combinatory, and suggests in turn several conclusions about the relationship of individuals and society in South Asian cultures.

scholarly journals TREATMENT OF CLASS I MALOCCLUSION WITH MILD CROWDING AND MIDLINE SHIFT

2020 ◽  
Vol 5 (2) ◽  
pp. 145
Author(s):  
Edwin Triwidianto ◽  
Ida Bagus Narmada
Keyword(s):  
Orthodontic Treatment ◽  
Class I ◽  
Facial Appearance ◽  
Midline Shift ◽  
Skeletal Class ◽  
Lower Jaw ◽  
The Face ◽  
Maxilla And Mandible ◽  
Flat Profile ◽  
Relationship Of

ABSTRACT  Background: The main goal of orthodontic treatment is to obtain a normal relationship of the teeth with facial structures and it is generally accepted that orthodontic treatment will have effects on facial proportion. Nowadays, facial appearance has a big influence on someone's appearance. Aesthetic facial appearance will produce a proportional, harmonious, and youthful facial profile. Case: this case report aims to describe that non extraction orthodontic treatment in class I malocclusion with mild crowding and mildline shift is a treatment with considerable success. Case management: A 19 years old female came with a chief complaint of crowding in upper and lower jaw. Intraoral examination revealed bilateral Class I molar and canine relationship. Patient had crowding in upper and lower jaw, and midline shift in lower jaw. Extra oral findings included a flat profile with competent lips. Cephalometric analysis showed skeletal class I with orthognati maxilla and mandible. Patient was bonded with 0.022-inch MBT brackets orthodontic appliance without extraction.  After 20 months of treatment, an ideal arch coordination was achieved, the patient felt confident and satisfied with the treatment outcome. Conclusion: Decision to extract a tooth has to be made, not only by considering the amount of crowding, but also the eventual influence of orthodontic tooth displacement on the soft tissue surface of the face. Keywords: Crowding, Midline shift, Non – extraction.

In the openness of “own” being (on the example of Leo Tolstoy’s novel ‘The Death of Ivan Ilyich’)

2021 ◽  
Vol 4 (2) ◽  
pp. 83-106
Author(s):  
Nadezhda Kasavina
Keyword(s):  
The State ◽  
The Other ◽  
Existential Anxiety ◽  
Terminal Stage ◽  
The World ◽  
The Face ◽  
The Individual ◽  
Relationship Of ◽  
The Relationship ◽  
Boundary Situation

The article considers the work of Leo N. Tolstoy The Death of Ivan Ilyich in the context of the concept of boundary situations by K. Jaspers; the phenomena of “intercession in death”; one’s own and non-own Being-toward-death by M. Heidegger; the stages of personal acceptance of death which were identified by E. Kubler-Ross on the basis of psychotherapeutic work with incurable patients. The situation of Ivan Ilyich shows the position of a person in the face of existential anxiety and threats of loneliness, a sense of meaninglessness, despair, actualized by the boundary situation of death. The dynamics of the state of the novel’s protagonist is interpreted as the formation of “one’s own Being-towards-death”, which has the character of being in relation to “one’s own ability of being” (M. Heidegger). Presence is completely surrendered to itself, essentially open to itself. Loneliness acts as a way to open existence. In the openness of presence for the individual the world opens itself, the other and others in their unique way of being. Ivan Ilyich experiences this before his death as an epiphanic phenomenon, which unfolds the destiny of the personality, leading it beyond the limits of only his or her life and suffering. The interaction of the protagonist with others is considered from the perspective of the problems identified by E. Kuebler-Ross in the relationship of doctors, relatives and patients in the terminal stage of their illness and the transition to the acception of their own finiteness, which acquires the character of historicity.

Periorbital, lower face, and neck

2021 ◽  
pp. 1379-1398
Author(s):  
Norman Waterhouse ◽  
Naresh Noshi ◽  
Niall Kirkpatrick ◽  
Lisa Brendling
Keyword(s):  
Soft Tissue ◽  
Surgical Management ◽  
Soft Tissues ◽  
Lower Eyelid ◽  
Surgical Correction ◽  
Volume Loss ◽  
Lower Face ◽  
The Face ◽  
Upper Face ◽  
Fat Pads

Facial ageing occurs as a consequence of multifactorial changes in both the external skin and underlying tissues. The ageing process may vary dramatically between individual patients and is thus influenced by genetic factors. When assessing the ageing face it is important to consider the skeletal architecture, the soft tissue layers including the anterior fat pads, the osseocutaneous ligament anchors, and finally the overlying skin. Assessment of the external skin incorporates factors such as dermal thinning, solar damage, lifestyle effects such as smoking, and Fitzpatrick skin type. Surgical correction of facial ageing attempts to reverse both gravitational change of soft tissues and also to restore volume loss. There are a variety of methods used to divide the face into regions, but for the purpose of this chapter, the surgical management of facial ageing will be separated into three anatomical areas: (1) upper face, including the upper eyelids, eyebrows, and forehead; (2) midface, including the lower eyelid/anterior cheek continuum; and (3) lower and lateral cheek, neck, and perioral region

Contouring the Mandible for Aesthetic Enhancement in Asian Patients

2020 ◽  
Vol 36 (05) ◽  
pp. 602-612
Author(s):  
Tae Sung Lee ◽  
Sanghoon Park
Keyword(s):  
Soft Tissues ◽  
Surgical Techniques ◽  
Lateral View ◽  
Frontal View ◽  
Lower Face ◽  
Asian Patients ◽  
Facial Shape ◽  
Minimal Improvement ◽  
The Face ◽  
Aesthetic Sensibility

AbstractA prominent mandible that gives a squared face in Asians is considered unattractive as it imparts a coarse and masculine image. Mandibular contouring surgery allows slender oval faces. The purpose of conventional mandible reduction is to make the lower face appear slim in frontal view and to have a smooth contour in lateral view. As shaping the lateral contour of the mandible alone may result in minimal improvement in the frontal view, surgical techniques to reduce the width of the lower face through narrowing genioplasty (i.e., the “V-line” surgery) and sagittal resection of the lateral cortex should be combined. Examination of the shape and symmetry, the relationship between the maxilla and the mandible, understanding overlying soft tissue contribution, and understanding the overall balance of the face are mandatory. An important factor influencing ideal facial shape is patient's personal preference, which is often influenced by his/her ethnic and cultural background. Especially when consulting patients of different nationalities or ethnic backgrounds, careful attention should be paid to the patient's aesthetic sensibility regarding the ideal or desirable facial shape. Narrowing the chin and modification of chin shape can be accomplished by narrowing genioplasty with central strip resection. This midsymphyseal sectioning procedure yields safe and very satisfactory results. This procedure not only augments the narrowing effect by leaving soft tissues attached to the bone but also enables modification of chin shape by altering the shape of resection. The surgeon should customize the surgery based on a comprehensive assessment of the patient's preoperative chin and mandible morphology complemented by an assessment of their aesthetic goals.

scholarly journals Clinical evaluation of the developed method effectiveness of anesthesia of the zygomaticofacial nerve

2019 ◽  
pp. 49-55
Author(s):  
O. Ya. Mokryk
Keyword(s):  
Local Anesthesia ◽  
Pain Sensitivity ◽  
Pain Perception ◽  
Soft Tissues ◽  
Classical Method ◽  
Surgical Interventions ◽  
Anatomical Features ◽  
Different Types ◽  
The Face ◽  
The Individual

The branching of the trigeminal nerve on the face has an individual anatomical variability.  The individual variability of innervation of soft tissues of the maxillofacial area should be taken into account during their local anesthesia. During the blockade of the zygomaticofacial nerve in accordance with the well-known technique, only 74 % of the cases of anesthesia in the buccal and zygomatic areas were completely anesthetized. The aim of the study – to give a сlinical evaluation of the effectiveness of the developed method of anesthesia of the zygomaticofacial nerve. Materials and Methods. In the clinical observation  41 stationary  stomatological patients with planned surgical interventions on the lateral facial area took part (in the buccal area – 16 patients, in the zygomatic area – 25 patients).  In order to detect the individual anatomical features of the facial part of the head in patients, the facial index was determined by the Garson`s formula as the relation between the morphological height of the face and its width multiplied by 100. These patients were applied a developed method of conductive anesthesia of the zygomaticofacial nerve and compared its effectiveness with a known method. Pain sensitivity and perception in patients were studied using subjective and objective methods. Pain sensitivity was determined by injection of a needle (pinprick) into the epidermis. Pain perception during local anesthesia administration was evaluated by the Sounds, Eyes and Motor (SEM) scale. Results and Discussion.  Taking into account the results of craniometric studies as well as the individual topographic and anatomical features of zygomaticofacial nerve branching in people with different types of skull structure, the technique of conduction anesthesia of the branches of the zygomaticofacial nerve was developed. During surgical treatment the effectiveness of the local anesthetic developed method was evaluated as good – it was observed in patients a stable anesthesia, without psychosomatic peculiarities as well as local and general complications. Conclusions. Application in clinical conditions of the technique of conductive anesthesia of the zygomaticofacial nerve, developed by us, in combination with the classical method of local anesthesia of the buccal nerve provides painless surgical interventions on the lateral area of the face. For the successful local anesthesia of the zygomatic and buccal regions, it is necessary to take into account the anatomical variability of the branch on the face of the zygomaticofacial nerve in patients with different types of skull structure and face shape.

scholarly journals Analysis of bone-reconstructive surgery aimed at normalization of occlusal relationships of the jaws at the final stages of rehabilitation treatment of children with congenital cleft lips and palate (Literature review)

2021 ◽  
Vol 9 (3) ◽  
pp. 377-387
Author(s):  
Mikhail G. Semenov ◽  
Sofia A. Botsarova ◽  
Yulia V. Stepanova
Keyword(s):  
Surgical Treatment ◽  
Oral Cavity ◽  
Soft Tissues ◽  
Medical Rehabilitation ◽  
Clear Understanding ◽  
Lower Jaw ◽  
Reconstructive Operations ◽  
Aesthetic Results ◽  
The Face ◽  
Congenital Cleft

BACKGROUND: The completion of medical rehabilitation of children aged 1618 years with congenital cleft lips and palate is often impossible without surgical correction of occlusal relationships of the jaws and improvement of facial aesthetics. At the same time, the main efforts of the specialists engaged in the treatment of children with orofacial clefts are aimed at correcting local plastic operations of the upper lip, nose, oral cavity, and orthodontic, using non-removable arc equipment, correction of disturbed occlusion. AIM: Our aim is to study and analyze the problems of final bone reconstructive operations in patients with HRGN. MATERIALS AND METHODS: The article presents a review of the literature on this topic, based on 61 sources. The literature was searched by keywords in the databases such as PubMed, ScienceDirect, E-library, and Google Scholar from 1938 to 2020. The data on the treatment of children with combined maxillofacial anomalies and deformities with cleft lips and palate, who underwent reconstructive bone operations on the jaws in order to normalize their occlusal relationships, were analyzed. RESULTS: In order to achieve good morphofunctional and aesthetic results, as well as early socialization of patients with VRGN at the final stages of rehabilitation, complex hardware and surgical treatment are necessary. The indication for reconstructive operations on the jaws in patients is the face disorder and disharmony of the face, which cannot be corrected by orthodontic treatment. The operations should be based on careful planning, including CT modeling, the use of sparing techniques, including various modifications of Le Faure I osteotomy on the upper jaw, and retromolar sagittal osteotomy of the jaw and, according to indications, genioplasty on the lower jaw. CONCLUSIONS: Two-jaw orthognatic bone reconstructive operations on the jaws to restore the correct bite have recently been used in the complex medical rehabilitation of patients, especially in adolescents with VGN. At the same time, there are a number of unresolved issues of orthodontic and surgical treatment that require further study. There is a strong need for a clear understanding of the age of planning and timing of such operations considering the stage of completion of skeletal growth. The criteria for the patients readiness for surgery for multiple occlusive contacts also need to be evaluated. It is of paramount importance to determine the order of performing corrective operations on the soft tissues of the face and oral cavity. Hence there is a necessity to develop new methods of reconstructive operations on the jaws.

Sequencing of panfacial fracture repair

2021 ◽  
pp. 827-830
Author(s):  
Jiten D. Parmar ◽  
Lachlan M. Carter
Keyword(s):  
Soft Tissues ◽  
Fracture Repair ◽  
Three Dimensions ◽  
Facial Skeleton ◽  
Multiple Fractures ◽  
Face Height ◽  
The Face ◽  
Panfacial Fractures ◽  
The Individual ◽  
Panfacial Fracture

Panfacial fractures involve multiple fractures of the upper, middle, and lower thirds of the face. In management of panfacial fractures, the individual fracture techniques and approaches described in the previous chapters in Section 7 are combined to restore bony continuity of the facial skeleton and provide an aesthetic and functional drape of the overlying soft tissues. The aim in treatment of panfacial fractures is to restore the anatomical buttresses of the face in three dimensions, thus restoring vertical face height, horizontal width, and anteroposterior projection.

Cephalometric features of connective tissue dysplasia manifestation in children and adolescents

2020 ◽  
Vol 20 (3) ◽  
pp. 174-183 ◽  
Author(s):  
B. N. Davydov ◽  
D. A. Domenyuk ◽  
S. V. Dmitrienko ◽  
T. A. Kondratyeva ◽  
Yu. S. Harutyunyan
Keyword(s):  
Connective Tissue ◽  
Morphological Features ◽  
Short Branch ◽  
Lower Jaw ◽  
Carious Lesions ◽  
High Prevalence ◽  
Care Facilities ◽  
The Face ◽  
Connective Tissue Dysplasia ◽  
Brain Parts

Relevance. The high prevalence of dysplastic disorders involving connective tissue, and its negative effecton the development of dentoalveolar anomalies, carious and non-carious lesions of the teeth, periodontopathy, temporomandibular joint issues in the child population, lay the basis for improving diagnostics algorithms. Enhancing the already available standards is of greatest importance for children at the initial stages of diagnostics when evaluating the external signs of dysplastic disorders.Purpose – improving diagnostics algorithms for connective tissue dysplasia (CTD) in children in primary dental care facilities based on the evaluation of external phenotype signs and maxillofacial morphological features.Materials and methods. Depending on the external phenotype manifestations severity, as well as on laboratory, clinical and instrumental signs, the 92 children with CTD were divided into groups with mild, moderate and severe degrees of undifferentiated dysplasia. Gnathometric and biometric examinations of the maxillofacial area were performed through traditional methods, whereas the diagnosis was set following the generally accepted classifications. The diagnosis confirmation implied evaluation through cone beam computed imaging.Results. The nature and the intensity of morphofunctional disorders in the craniofacial structures (“small” stigmas) depend on the severity of connective tissue dysplastic disorders.Conclusions. The change direction vector in the facial and brain parts of cranium in children with CTD is aimed at increasing hypoplastic tendencies and dolichocephalia, proof to that being the following constitutional and morphological features: the prevalence of the vertical type of face skeleton growth over the horizontal and neutral ones; a convex face profile with a disproportionate general heights of the face skeleton; reduction of latitudinal with an increase in altitude facial parameters; a narrow short branch of the lower jaw; the upper jaw displaced downwards and forward; a decrease in the size of the apical basis of the lower dentition, the lower jaw body, as well as the height and width of the lower jaw branches. 

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