Self-perception of the facial profile: an aid in treatment planning for orthognathic surgery. 2014

Ryan Newell Bullen, and Yoon-Ah Kook, and Kibum Kim, and Jae Hyun Park
Former Orthodontic Resident, Postgraduate Orthodontic Program, Arizona School of Dentistry & Oral Health, A. T. Still University, Mesa, AZ.

OBJECTIVE To investigate the difference between the self-perception of the facial profile and analogous measurements of profile photographs in 2 age groups, adolescents and young adults, and adults. METHODS A prototypical Caucasian profile was constructed for each gender by averaging the profiles of 28 subjects with normal occlusion. Each prototypical profile was manipulated by protruding and retruding the lips in 1-mm increments to construct a series of 13 silhouettes. Next, 85 laypeople were divided into 2 groups: adolescents and young adults (age, 15 to 25 years) and adults (age, 26 to 55 years). They were asked to complete a questionnaire that included choosing the facial profile in the constructed series they thought most resembled their own profile photograph. For each group, the difference between the chosen and actual profile was compared using a 1-sample t test. The differences between the 2 groups in identifying their own profile were compared using a 2-sample t test. RESULTS The 2 groups were different in their ability to recognize their own profile (P = .040 for the upper lip and P = .006 for the lower lip). The adolescent and young adult group was most accurate, showing no significant difference from 0 for the chosen and actual profiles. However, the adult group was significantly different for both the upper (P = .040) and lower (P = .003) lips. CONCLUSIONS From our study results, most laypeople aged 15 to 25 years could accurately evaluate the fullness of their own facial profile, although adults aged 26 to 55 years had more difficulty in this evaluation and tended to overestimate the protrusion of their lips.

UI MeSH Term Description Entries
D008046 Lip Either of the two fleshy, full-blooded margins of the mouth. Philtrum,Lips,Philtrums
D008297 Male Males
D008875 Middle Aged An adult aged 45 - 64 years. Middle Age
D009666 Nose A part of the upper respiratory tract. It contains the organ of SMELL. The term includes the external nose, the nasal cavity, and the PARANASAL SINUSES. External Nose,External Noses,Nose, External,Noses,Noses, External
D010347 Patient Care Planning Usually a written medical and nursing care program designed for a particular patient. Nursing Care Plans,Goals of Care,Plans, Nursing Care,Care Goal,Care Goals,Care Plan, Nursing,Care Planning, Patient,Care Plans, Nursing,Nursing Care Plan,Plan, Nursing Care,Planning, Patient Care
D010549 Personal Satisfaction The individual's experience of a sense of fulfillment of a need or want and the quality or state of being satisfied. Life Satisfaction,Satisfaction,Life Satisfactions,Satisfaction, Life,Satisfaction, Personal,Satisfactions, Life
D010781 Photography Method of making images on a sensitized surface by exposure to light or other radiant energy. Photographies
D002508 Cephalometry The measurement of the dimensions of the HEAD. Craniometry
D002680 Chin The anatomical frontal portion of the mandible, also known as the mentum, that contains the line of fusion of the two separate halves of the mandible (symphysis menti). This line of fusion divides inferiorly to enclose a triangular area called the mental protuberance. On each side, inferior to the second premolar tooth, is the mental foramen for the passage of blood vessels and a nerve. Mental Region,Mentum
D004954 Esthetics The branch of philosophy dealing with the nature of the beautiful. It includes beauty, esthetic experience, esthetic judgment, esthetic aspects of medicine, etc. Aesthetics

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