Siécola Gustavo Silva, Capelozza Leopoldino, Lorenzoni Diego Coelho, Janson Guilherme, Henriques José Fernando Castanha
Doctoral program in Orthodontics, Bauru School of Dentistry, Universidade de São Paulo (Bauru/SP, Brazil).
Professor of Orthodontics, Department of Oral Biology, Universidade do Sagrado Coração (Bauru/SP, Brazil).
Dental Press J Orthod. 2017 Mar-Apr;22(2):87-94. doi: 10.1590/2177-6709.22.2.087-094.oar.
: Subjective facial analysis is a diagnostic method that provides morphological analysis of the face. Thus, the aim of the present study was to compare the facial and dental diagnoses and investigate their relationship.
: This sample consisted of 151 children (7 to 13 years old), without previous orthodontic treatment, analyzed by an orthodontist. Standardized extraoral and intraoral photographs were taken for the subjective facial classification according to Facial Pattern classification and occlusal analyses. It has been researched the occurrence of different Facial Patterns, the relationship between Facial Pattern classification in frontal and profile views, the relationship between Facial Patterns and Angle classification, and between anterior open bite and Long Face Pattern.
: Facial Pattern I was verified in 64.24% of the children, Pattern II in 21.29%, Pattern III in 6.62%, Long Face Pattern in 5.96% and Short Face Pattern in 1.99%. A substantial strength of agreement of approximately 84% between frontal and profile classification of Facial Pattern was observed (Kappa = 0.69). Agreement between the Angle classification and the Facial Pattern was seen in approximately 63% of the cases (Kappa = 0.27). Long Face Pattern did not present more open bite prevalence.
: Facial Patterns I and II were the most prevalent in children and the less prevalent was the Short Face Pattern. A significant concordance was observed between profile and frontal subjective facial analysis. There was slight concordance between the Facial Pattern and the sagittal dental relationships. The anterior open bite (AOB) was not significantly prevalent in any Facial Pattern.
主观面部分析是一种对面部进行形态分析的诊断方法。因此，本研究的目的是比较面部和牙齿诊断，并研究它们之间的关系。
本样本由151名儿童（7至13岁）组成，他们之前未接受过正畸治疗，由一名正畸医生进行分析。根据面部模式分类和咬合分析拍摄标准化的口外和口内照片，以进行主观面部分类。研究了不同面部模式的发生率、正面和侧面视图中面部模式分类之间的关系、面部模式与安氏分类之间的关系，以及前牙开颌与长面型之间的关系。
64.24%的儿童被证实为面部模式I，21.29%为模式II，6.62%为模式III，5.96%为长面型，1.99%为短面型。观察到面部模式的正面和侧面分类之间的一致性强度约为84%（Kappa = 0.69）。在约63%的病例中观察到安氏分类与面部模式之间的一致性（Kappa = 0.27）。长面型并未表现出更高的开颌患病率。
面部模式I和II在儿童中最为普遍，短面型最不常见。在侧面和正面主观面部分析之间观察到显著的一致性。面部模式与矢状向牙齿关系之间存在轻微的一致性。前牙开颌（AOB）在任何面部模式中均未显著普遍存在。
