Department of Orthodontics & Dentofacial Orthopaedics, Manipal College of Dental Sciences, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, 576104, India.
Department of Public Health Dentistry, Manipal College of Dental Sciences, Manipal, Manipal Academy of Higher Education, Manipal, Karnataka, 576104, India.
F1000Res. 2024 Sep 30;12:953. doi: 10.12688/f1000research.138742.2. eCollection 2023.
Disparity in the esthetic perceptions between a patient and clinician could result in patient dissatisfaction with orthodontic treatment outcomes. The aim of this study was to compare the perceptions of a group of orthodontists, general dentists, and laypersons about the attractiveness of Indian facial profiles. In this study, a male and a female participants' photographs and lateral cephalograms were digitally manipulated by inserting them into Dolphin software; we considered four soft tissue parameters at a nasolabial angle, upper lip E-line, lower lip E-line, and pg-pg', so that 20 profiles were created for each model. A visual analog scale (VAS) along with a question about surgical correction opinion was given to 18 orthodontists, 18 general dentists, and 18 laypersons to score (1-5) from least to most attractive. Spearman's rank correlation was computed to assess correlation, as well as ANOVA, followed by Tukey analysis to compare the mean scores, and Chi-square test to determine the opinion about surgical treatment. There was an overall weak and negative correlation between the three groups, indicating that orthodontists attributed lower pleasantness scores to almost all the altered female and male facial profiles. Additionally, statistically significantly lower mean scores were attributed by orthodontists to many females and few male facial profiles. More orthodontists identified the need for surgical correction for a few severely distorted profiles but there was a statistically non-significant difference among the groups for most of the profiles. It was concluded that participants in the three groups had diverse concepts of facial attractiveness in all the parameters considered. Compared to general dentists and laypersons, orthodontists were much more precise, firmer, and meticulous in identifying a favorable or good-looking profile.
患者和临床医生之间的审美观念差异可能导致患者对正畸治疗结果不满意。本研究旨在比较一组正畸医生、普通牙医和非专业人士对印度面部轮廓吸引力的看法。在这项研究中，通过将参与者的照片和侧位头颅侧位片插入 Dolphin 软件，对一名男性和一名女性参与者的照片和侧位头颅侧位片进行了数字化处理；我们考虑了四个软组织参数，即鼻唇角、上唇 E 线、下唇 E 线和 pg-pg'，因此每个模型创建了 20 个轮廓。向 18 名正畸医生、18 名普通牙医和 18 名非专业人士提供了一条视觉模拟量表（VAS）以及关于手术矫正意见的问题，让他们对（1-5）分进行评分，从最不吸引人到最吸引人。采用 Spearman 秩相关来评估相关性，以及方差分析，然后采用 Tukey 分析比较平均得分，并采用卡方检验来确定对手术治疗的看法。三组之间总体上存在微弱的负相关，这表明正畸医生将较低的愉悦分数归因于几乎所有改变的女性和男性面部轮廓。此外，正畸医生还对许多女性和少数男性面部轮廓赋予了统计学上显著较低的平均分数。更多的正畸医生认为少数严重变形的轮廓需要手术矫正，但大多数轮廓在三组之间没有统计学上的显著差异。研究得出结论，三组参与者对所考虑的所有参数的面部吸引力都有不同的概念。与普通牙医和非专业人士相比，正畸医生在识别有利或好看的轮廓方面更加精确、坚定和细致。
