Tanpure Vijaysinh R, Palagiri Firoz B, Wajekar Nimish A, Pathak Snehal S, Devaki Sathish B, Shah Mithun J
Department of Orthodontics and Dentofacial Orthopedics, Rural Dental College, Pravara Institute of Medical Science, Ahmednagar, Maharashtra, India.
Department of Orthodontics and Dentofacial Orthopedics, CKS Teja Institute of Dental Sciences and Research, Tirupati, Andhra Pradesh, India.
J Pharm Bioallied Sci. 2024 Jul;16(Suppl 3):S2803-S2805. doi: 10.4103/jpbs.jpbs_267_24. Epub 2024 Jul 31.
Orthodontic treatment is known to significantly impact facial esthetics, but there is a lack of long-term studies examining its effects, particularly in conjunction with the natural aging process. This study aims to fill this gap by investigating the enduring effects of orthodontic treatment on facial esthetics and aging over a 15-year period.
Three hundred orthodontic patients aged 12 to 25 at the start of treatment were included. Dental alignment, soft tissue transformations, skeletal changes, and patient-reported outcomes were measured objectively. Statistical analyses were conducted to compare pretreatment and post-treatment measurements.
Significant improvements were observed across various aspects following orthodontic treatment. Dental alignment showed a marked reduction in crowding, with an average decrease of 5.2 mm. Soft tissue transformations revealed notable advancements in lip positioning, averaging 3.8 mm, along with increased lip thickness. Skeletal changes were relatively modest, characterized by subtle alterations in chin positioning and mandibular angles. Patients reported high levels of satisfaction, reflected by an average score of 9.2 on the satisfaction scale. Despite treatment efficacy, the aging process continued to manifest natural changes in skin elasticity and fat distribution over the 15-year follow-up period. These findings underscore the multifaceted nature of orthodontic outcomes and highlight the importance of considering long-term effects on facial esthetics and aging.
This longitudinal study provides valuable insights into the long-term effects of orthodontic treatment on facial esthetics and aging. It highlights significant improvements in dental alignment and soft tissue transformations, along with sustained patient satisfaction. However, modest skeletal changes and the ongoing aging process emphasize the need for managing patient expectations. These findings can guide practitioners and patients in making informed decisions regarding orthodontic interventions.
正畸治疗对面部美观有显著影响，但缺乏长期研究来考察其效果，尤其是与自然衰老过程相关的影响。本研究旨在通过调查正畸治疗在15年期间对面部美观和衰老的持久影响来填补这一空白。
纳入300例治疗开始时年龄在12至25岁之间的正畸患者。客观测量牙齿排列、软组织变化、骨骼改变以及患者报告的结果。进行统计分析以比较治疗前和治疗后的测量结果。
正畸治疗后在各个方面均观察到显著改善。牙齿排列拥挤明显减少，平均减少5.2毫米。软组织变化显示唇部位置有显著前移，平均前移3.8毫米，同时唇部厚度增加。骨骼变化相对较小，表现为下巴位置和下颌角的细微改变。患者报告的满意度较高，满意度量表平均得分为9.2分。尽管治疗有效，但在15年的随访期内，衰老过程继续表现为皮肤弹性和脂肪分布的自然变化。这些发现强调了正畸治疗结果的多面性，并突出了考虑对面部美观和衰老的长期影响的重要性。
这项纵向研究为正畸治疗对面部美观和衰老的长期影响提供了有价值的见解。它突出了牙齿排列和软组织变化的显著改善，以及患者持续的满意度。然而，适度的骨骼变化和持续的衰老过程强调了管理患者期望的必要性。这些发现可以指导从业者和患者在正畸干预方面做出明智的决策。
