Software Designation to Assess the Proximity of Different Facial Anatomic Landmarks to Midlines of the Mouth and Face

Statement of Problem: Recognition and determination of facial and dental midline is important in dentistry. Currently, there are no verifiable guidelines that direct the choice of specific anatomic landmarks to determine the midline of the face or mouth. Objectives: The purpose of this study was...

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Main Authors: Moshkelgosha V, Zare R, Safari A
Format: Article
Language:English
Published: Shiraz University of Medical Sciences 2014-12-01
Series:Journal of Dental Biomaterial
Subjects:
Online Access:http://jdb.sums.ac.ir/index.php/jdb/article/viewFile/72/12
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author Moshkelgosha V
Zare R
Safari A
author_facet Moshkelgosha V
Zare R
Safari A
author_sort Moshkelgosha V
collection DOAJ
description Statement of Problem: Recognition and determination of facial and dental midline is important in dentistry. Currently, there are no verifiable guidelines that direct the choice of specific anatomic landmarks to determine the midline of the face or mouth. Objectives: The purpose of this study was to determine which of facial anatomic landmarks is closest to the midline of the face as well as that of the mouth. Materials and Methods: Frontal full-face digital images of 92 subjects (men and women age range: 20-30 years) in smile were taken under standardized conditions; commonly used anatomic landmarks, nasion, tip of the nose, and tip of the philtrum were digitized on the images of subjects and aesthetic analyzer software used for midline analysis using Esthetic Frame. Deviations from the midlines of the face and mouth were measured for the 3 clinical landmarks; the existing dental midline was considered as the fourth landmark. The entire process of midline analysis was done by a single observer and repeated twice. Reliability analysis and 1-sample t- tests were conducted. Results: The Intra-class correlation coefficients (ICCs) for reliability analysis of RFV and RCV measures made two times revealed that the reliabilities were all acceptable. The results indicated that each of the 4 landmarks deviated uniquely and significantly (P<.001) from the midlines of the face as well as mouth in both males and females. Conclusions: There was a significant difference between the mean ratios of the chosen anatomic landmarks and the midlines of the face and mouth. The hierarchy of anatomic landmarks closest to the midline of the face is: (1) midline of the commissures, (2) nasion , (3) tip of philtrum,(4 )dental midline, and (5) tip ofthe nose. The closest anatomic landmarks to the mouth midline are: (1) tip of philtrum, (2) dental midline, (3) tip of nose, and (4) nasion.
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spelling doaj.art-071e0230a51b48878d57d1df117490d82022-12-21T19:03:51ZengShiraz University of Medical SciencesJournal of Dental Biomaterial2383-39712383-398X2014-12-0112Software Designation to Assess the Proximity of Different Facial Anatomic Landmarks to Midlines of the Mouth and FaceMoshkelgosha V0Zare R1Safari A2Orthodontics Research Center and Department of Orthodontics, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, IranDepartment of Oral and Maxillofacial Pathology, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, IranDepartment of Prosthodontics, School of Dentistry, Shiraz University of Medical Sciences, Shiraz, IranStatement of Problem: Recognition and determination of facial and dental midline is important in dentistry. Currently, there are no verifiable guidelines that direct the choice of specific anatomic landmarks to determine the midline of the face or mouth. Objectives: The purpose of this study was to determine which of facial anatomic landmarks is closest to the midline of the face as well as that of the mouth. Materials and Methods: Frontal full-face digital images of 92 subjects (men and women age range: 20-30 years) in smile were taken under standardized conditions; commonly used anatomic landmarks, nasion, tip of the nose, and tip of the philtrum were digitized on the images of subjects and aesthetic analyzer software used for midline analysis using Esthetic Frame. Deviations from the midlines of the face and mouth were measured for the 3 clinical landmarks; the existing dental midline was considered as the fourth landmark. The entire process of midline analysis was done by a single observer and repeated twice. Reliability analysis and 1-sample t- tests were conducted. Results: The Intra-class correlation coefficients (ICCs) for reliability analysis of RFV and RCV measures made two times revealed that the reliabilities were all acceptable. The results indicated that each of the 4 landmarks deviated uniquely and significantly (P<.001) from the midlines of the face as well as mouth in both males and females. Conclusions: There was a significant difference between the mean ratios of the chosen anatomic landmarks and the midlines of the face and mouth. The hierarchy of anatomic landmarks closest to the midline of the face is: (1) midline of the commissures, (2) nasion , (3) tip of philtrum,(4 )dental midline, and (5) tip ofthe nose. The closest anatomic landmarks to the mouth midline are: (1) tip of philtrum, (2) dental midline, (3) tip of nose, and (4) nasion.http://jdb.sums.ac.ir/index.php/jdb/article/viewFile/72/12MidlineEsthetic frameSoftware
spellingShingle Moshkelgosha V
Zare R
Safari A
Software Designation to Assess the Proximity of Different Facial Anatomic Landmarks to Midlines of the Mouth and Face
Journal of Dental Biomaterial
Midline
Esthetic frame
Software
title Software Designation to Assess the Proximity of Different Facial Anatomic Landmarks to Midlines of the Mouth and Face
title_full Software Designation to Assess the Proximity of Different Facial Anatomic Landmarks to Midlines of the Mouth and Face
title_fullStr Software Designation to Assess the Proximity of Different Facial Anatomic Landmarks to Midlines of the Mouth and Face
title_full_unstemmed Software Designation to Assess the Proximity of Different Facial Anatomic Landmarks to Midlines of the Mouth and Face
title_short Software Designation to Assess the Proximity of Different Facial Anatomic Landmarks to Midlines of the Mouth and Face
title_sort software designation to assess the proximity of different facial anatomic landmarks to midlines of the mouth and face
topic Midline
Esthetic frame
Software
url http://jdb.sums.ac.ir/index.php/jdb/article/viewFile/72/12
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AT safaria softwaredesignationtoassesstheproximityofdifferentfacialanatomiclandmarkstomidlinesofthemouthandface