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Aesthetic facial perception and need for treatment in simulated laterognathism in male faces of different ethnicities

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Abstract

Purpose

This study aimed to compare the aesthetic perception and treatment need in individuals of different ethnicities with various degrees of laterognathism assessed by orthodontists, oral and maxillofacial surgeons, and laypersons.

Methods

Three male descendants of different ethnicities were assessed, in which the mandibular deviation was manipulated digitally in different angulations (from 0 to 8°). The assessment was performed by three groups (orthodontists, maxillofacial surgeons, and laypersons (n = 20)), and it consisted of scoring the degree of pleasantness of the images presented in a numerical scale and indicating or not a corrective treatment for the respective image.

Results

The higher the degree of deviation, the lower the scores assigned to the image (p < 0.05). Laypersons assigned the highest scores, with a significant difference between laypersons and oral and maxillofacial surgeons (p < 0.05). In terms of treatment need according to the group of evaluators, there were no statistically significant differences among them (p > 0.05). Moreover, the increase in degree of deviation increased the perception of treatment need (p < 0.05). The African faces received the highest scores, with significant differences from the Caucasian faces (p < 0.05). The overall tendency was higher treatment indication for the Caucasian faces, with statistically significant differences from the African faces (p < 0.05).

Conclusion

The greater the mandibular deviation, the lower the aesthetic pleasantness. Laypersons are less critical regarding the assessment of mandibular deviation. There was no difference for treatment indication by the different groups of evaluators. In addition, ethnicity may influence the perception and treatment indication.

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References

  1. Peck H, Peck S (1970) A concept of facial esthetics. Angle Orthod 40:284–318

    CAS  PubMed  Google Scholar 

  2. Yin L, Jiang M, Chen W, Smales RJ, Wang Q, Tang L (2014) Differences in facial profile and dental aesthetic perceptions between young adults and orthodontists. Am J Orthod Dentofac Orthop 145:750–756

    Article  Google Scholar 

  3. Xia Y, Leib AY, Whitney D (2016) Serial dependence in the perception of attractiveness. J Vis 16:28

    Article  Google Scholar 

  4. Taubert J, Van der Burg E, Alais D (2016) Love at second sight: sequential dependence of facial attractiveness in an on-line dating paradigm. Sci Rep 6:1–5

    Article  Google Scholar 

  5. Pithon MM, Nascimento CC, Barbosa GC, Coqueiro Rda S (2014) Do dental esthetics have any influence on finding a job? Am J Orthod Dentofac Orthop 146:423–429

    Article  Google Scholar 

  6. Naini FB, Moss JP, Gill DS (2006) The enigma of facial beauty: aesthetics, proportions, deformity and controversy. Am J Orthod Dentofac Orthop 130:277–282

    Article  Google Scholar 

  7. Theobald AH, Wong BK, Quick AN, Thomson WM (2006) The impact of the popular media on cosmetic dentistry. N Z Dent J 102:58–63

    PubMed  Google Scholar 

  8. Coetzee V, Greeff JM, Stephen ID, Perrett DI (2014) Cross-cultural agreement in facial attractiveness preferences: the role of ethnicity and gender. PLoS One 9:e99629

    Article  Google Scholar 

  9. Duarte MEA, Machado RM, Motta AFJ, Mucha JN, Motta AT (2017) Morphological simulation of different incisal embrasures: perception of laypersons, orthodontic patients, general dentists and orthodontists. J Esthet Restor Dent 29:68–78

    Article  Google Scholar 

  10. Monnet-Corti V, Antezack A, Pignoly M (2018) Perfecting smile esthetics: keep it pink! Orthod Fr 89:71–80

    Article  Google Scholar 

  11. Springer IN, Wannicke B, Warnke PH, Zernial O, Wiltfang J, Russo PA et al (2007) Facial attractiveness: visual impact of symmetry increases significantly towards the midline. Ann Plast Surg 59:156–162

    Article  CAS  Google Scholar 

  12. Fonseca RJ (2017) Oral and maxillofacial surgery, 3rd edn. Saunders Company, Pennsylvania

    Google Scholar 

  13. Wilmot JJ, Barber HD, Chou DG, Vig KW (1993) Associations between severity of dentofacial deformity and motivation for orthodontic-orthognathic surgery treatment. Angle Orthod 63:283–288

    CAS  PubMed  Google Scholar 

  14. Epker BN (2004) Maxillofacial contour esthetic deformities. Atlas Oral Maxillofac Surg Clin North Am 12:75–89

    Article  Google Scholar 

  15. Masuoka N, Muramatsu A, Ariji Y, Nawa H, Goto S, Ariji E (2007) Discriminative thresholds of cephalometric indexes in the subjective evaluation of facial asymmetry. Am J Orthod Dentofac Orthop 131:609–613

    Article  Google Scholar 

  16. McAvinchey G, Maxim F, Nix B, Djordjevic J, Linklater R, Landini G (2014) The perception of facial asymmetry using 3-dimensional simulated images. Angle Orthod 84:957–965

    Article  Google Scholar 

  17. Crerand CE, Sarwer DB, Kazak AE, Clarke A, Rumsey N (2017) Body image and quality of life in adolescents with craniofacial conditions. Cleft Palate Craniofac J 54:2–12

    Article  Google Scholar 

  18. Jackson TH, Mitroff SR, Clark K, Proffit WR, Lee JY, Nguyen TT (2013) Face symmetry assessment abilities: clinical implications for diagnosing asymmetry. Am J Orthod Dentofac Orthop 144:663–671

    Article  Google Scholar 

  19. Barbosa PBC, Santos PL, De Carli JP, Luiz de Freitas PH, Pithon MM, Paranhos LR (2017) Aesthetic facial perception and need for intervention in laterognathism in women of different ethnicities. J Craniomaxillofac Surg 45:1600–1606

    Article  Google Scholar 

  20. McKeta N, Rinchuse DJ, Close JM (2012) Practitioner and patient perceptions of orthodontic treatment: is the patient always right? J Esthet Restor Dent 24:40–50

    Article  Google Scholar 

  21. Chisini LA, Noronha TG, Ramos EC, Dos Santos-Junior RB, Sampaio KH, Faria-E-Silva AL, Corrêa MB (2018) Does the skin color of patients influence the treatment decision-making of dentists? A randomized questionnaire-based study. Clin Oral Investig 23:1023–1030. https://doi.org/10.1007/s00784-018-2526-7

    Article  PubMed  Google Scholar 

  22. von Elm E, Altman DG, Egger M, Pocock SJ, Gøtzsche PC, Vandenbroucke JP (2007) Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) statement: guidelines for reporting observational studies. BMJ 335:806–808

    Article  Google Scholar 

  23. Falkensammer F, Loesch A, Krall C, Weiland F, Freudenthaler J (2014) The impact of education on the perception of facial profile aesthetics and treatment need. Aesthet Plast Surg 38:620–631

    Article  Google Scholar 

  24. Pithon MM, Santos AM, Coutto FS, Freitas LMA, Coqueiro RS (2012) Comparative evaluation of aesthetic perception of black spaces in patients with mandibular incisor extraction. Angle Orthod 82:806–811

    Article  Google Scholar 

  25. Lu KH (1965) Harmonic analysis of the human face. Biometrics 21(2):491–505

    Article  CAS  Google Scholar 

  26. Meyer-Marcotty P, Stellzig-Eisenhauer A, Bareis U, Hartmann J, Kochel J (2011) Three-dimensional perception of facial asymmetry. Eur J Orthod 33(6):647–653

    Article  Google Scholar 

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Authors and Affiliations

  1. Department of Dentistry, Federal University of Sergipe, R. Cláudio Batista, s/n, Aracaju, SE, 49060-108, Brazil

    Priscilla Bispo de Carvalho Barbosa

  2. Department of Restorative Dentistry, Endodontics Division, Piracicaba Dental School, State University of Campinas, UNICAMP, Av. Limeira, 901, Piracicaba, SP, 13414-903, Brazil

    Walbert de Andrade Vieira

  3. Department of Dentistry, State University of Paraíba, Rua Baraúnas, 351, Campina Grande, PB, 58429-500, Brazil

    Ítalo de Macedo Bernardino

  4. School of Dentistry, Area of Removable Prosthesis and Dental Materials, Federal University of Uberlandia, Campus Umuarama, Av. Pará, 1720, Uberlândia, MG, 38405-320, Brazil

    Marcio Magno Costa

  5. Postgraduate Program in Pediatric Dentistry and Orthodontics, Federal University of Rio de Janeiro, R. Prof. Rodolpho Paulo Rocco, 325, Rio de Janeiro, RJ, 21941-617, Brazil

    Matheus Melo Pithon

  6. School of Dentistry, Area of Preventive and Social Dentistry, Federal University of Uberlandia, Campus Umuarama, Av. Pará, 1720, Bloco 2G, sala 1, Uberlândia, MG, 38405-320, Brazil

    Luiz Renato Paranhos

Authors
  1. Priscilla Bispo de Carvalho Barbosa
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  2. Walbert de Andrade Vieira
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  3. Ítalo de Macedo Bernardino
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  4. Marcio Magno Costa
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  5. Matheus Melo Pithon
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  6. Luiz Renato Paranhos
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Correspondence to Luiz Renato Paranhos.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Informed consent was obtained from all individual participants included in the study. Additional informed consent was obtained from all individual participants for whom identifying information is included in this article.

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Bispo de Carvalho Barbosa, P., de Andrade Vieira, W., de Macedo Bernardino, Í. et al. Aesthetic facial perception and need for treatment in simulated laterognathism in male faces of different ethnicities. Oral Maxillofac Surg 23, 407–413 (2019). https://doi.org/10.1007/s10006-019-00784-z

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  • DOI: https://doi.org/10.1007/s10006-019-00784-z

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