Psomiadis Simos, Gkantidis Nikolaos, Sifakakis Iosif, Iatrou Ioannis
Department of Oral and Maxillofacial Surgery, School of Dentistry, National and Kapodistrian University of Athens, GR-11527 Athens, Greece.
Department of Orthodontics and Dentofacial Orthopedics, School of Dental Medicine, University of Bern, CH-3010 Bern, Switzerland.
J Clin Med. 2023 Dec 23;13(1):91. doi: 10.3390/jcm13010091.
Increased facial profile convexity has a common occurrence in the population and is a primary reason for seeking orthodontic treatment. The present study aimed to compare the perceived changes in facial profile appearance between patients treated with combined orthognathic/orthodontic treatment versus only orthodontic camouflage treatment. For this reason, 18 pairs of before- and after-treatment facial profile photos per treatment group (n = 36 patients) were presented to four types of assessors (surgeons, orthodontists, patients, laypeople). Ratings were recorded on 100 mm visual analogue scales depicted in previously validated questionnaires. All rater groups identified minor positive changes in the facial profile appearance after exclusively orthodontic treatment, in contrast to substantial positive changes (14% to 18%) following combined orthodontic and orthognathic surgery. The differences between the two treatment approaches were slightly larger in the lower face and the chin than in the lips. The combined orthodontic and orthognathic surgery interventions were efficient in improving the facial appearance of patients with convex profile, whereas orthodontic treatment alone was not. Given the significant influence of facial aesthetics on various life aspects and its pivotal role in treatment demand and patient satisfaction, healthcare providers should take these findings into account when consulting adult patients with a convex facial profile.
面部侧貌凸度增加在人群中很常见，是寻求正畸治疗的主要原因。本研究旨在比较接受正颌/正畸联合治疗的患者与仅接受正畸掩饰治疗的患者对面部侧貌外观变化的感知。为此，向四种类型的评估者（外科医生、正畸医生、患者、外行人）展示了每个治疗组18对治疗前后的面部侧貌照片（n = 36名患者）。评分记录在先前验证过的问卷中描述的100毫米视觉模拟量表上。与正畸和正颌联合手术后的显著正向变化（14%至18%）相比，所有评估者组都发现仅正畸治疗后面部侧貌外观有轻微的正向变化。两种治疗方法之间的差异在下半脸和下巴处比在嘴唇处略大。正畸和正颌联合手术干预在改善凸面型患者的面部外观方面是有效的，而仅正畸治疗则不然。鉴于面部美学对生活各个方面有重大影响，且在治疗需求和患者满意度方面起着关键作用，医疗保健提供者在为凸面型成年患者提供咨询时应考虑这些发现。
