Does Maxillary Retrusion in Skeletal Class III Malocclusion Affect the Perception of Facial Aesthetics? Evaluation of Different Groups

Background: The perception of facial aesthetics is a complex topic due to its subjective nature and it can be influenced by several factors. The purpose of this study was to compare the perception of general dentists, orthodontists, maxillofacial surgeons, and lay people by evaluating facial aesthet...

Full description

Bibliographic Details
Main Authors: Selene Barone, Fiorella Averta, Danila Muraca, Federica Diodati, Francesco Bennardo, Alessandro Antonelli, Amerigo Giudice
Format: Article
Language:English
Published: MDPI AG 2021-07-01
Series:Oral
Subjects:
Online Access:https://www.mdpi.com/2673-6373/1/3/21
_version_ 1797517716158939136
author Selene Barone
Fiorella Averta
Danila Muraca
Federica Diodati
Francesco Bennardo
Alessandro Antonelli
Amerigo Giudice
author_facet Selene Barone
Fiorella Averta
Danila Muraca
Federica Diodati
Francesco Bennardo
Alessandro Antonelli
Amerigo Giudice
author_sort Selene Barone
collection DOAJ
description Background: The perception of facial aesthetics is a complex topic due to its subjective nature and it can be influenced by several factors. The purpose of this study was to compare the perception of general dentists, orthodontists, maxillofacial surgeons, and lay people by evaluating facial aesthetics in skeletal class III patients, especially for maxillary sagittal position. Methods: A survey consisting of three sets of pre-treatment photographs of four dysmorphic patients was used. The questionnaire was submitted to a total of 200 participants divided into the following four subgroups: general dentists, orthodontists, maxillofacial surgeons, and lay people. Their opinion on facial disharmony, sagittal position of the jaws, asymmetry of the chin, projection of the cheekbone area, and lip aesthetics was recorded. Results: Significant differences were found between experts and non-experts in the perception of the maxillary position, asymmetry of the chin and zygomatic area (<i>p</i> < 0.01). No statistically significant differences were found among the groups in the perception of mandibular position and lip aesthetics. Conclusion: The respondents with a medical or dental background perceived the presence of maxillary retrusion more than others. Only orthodontists and maxillofacial surgeons have recognized an alteration of the middle facial third as a greater component of skeletal class III malocclusion.
first_indexed 2024-03-10T07:20:05Z
format Article
id doaj.art-353f3f2ffb58416cbd6078131857322c
institution Directory Open Access Journal
issn 2673-6373
language English
last_indexed 2024-03-10T07:20:05Z
publishDate 2021-07-01
publisher MDPI AG
record_format Article
series Oral
spelling doaj.art-353f3f2ffb58416cbd6078131857322c2023-11-22T14:40:55ZengMDPI AGOral2673-63732021-07-011321622310.3390/oral1030021Does Maxillary Retrusion in Skeletal Class III Malocclusion Affect the Perception of Facial Aesthetics? Evaluation of Different GroupsSelene Barone0Fiorella Averta1Danila Muraca2Federica Diodati3Francesco Bennardo4Alessandro Antonelli5Amerigo Giudice6Department of Health Sciences, School of Dentistry, Magna Graecia University of Catanzaro, 88100 Catanzaro, ItalyDepartment of Health Sciences, School of Dentistry, Magna Graecia University of Catanzaro, 88100 Catanzaro, ItalyDepartment of Health Sciences, School of Dentistry, Magna Graecia University of Catanzaro, 88100 Catanzaro, ItalyDepartment of Health Sciences, School of Dentistry, Magna Graecia University of Catanzaro, 88100 Catanzaro, ItalyDepartment of Health Sciences, School of Dentistry, Magna Graecia University of Catanzaro, 88100 Catanzaro, ItalyDepartment of Health Sciences, School of Dentistry, Magna Graecia University of Catanzaro, 88100 Catanzaro, ItalyDepartment of Health Sciences, School of Dentistry, Magna Graecia University of Catanzaro, 88100 Catanzaro, ItalyBackground: The perception of facial aesthetics is a complex topic due to its subjective nature and it can be influenced by several factors. The purpose of this study was to compare the perception of general dentists, orthodontists, maxillofacial surgeons, and lay people by evaluating facial aesthetics in skeletal class III patients, especially for maxillary sagittal position. Methods: A survey consisting of three sets of pre-treatment photographs of four dysmorphic patients was used. The questionnaire was submitted to a total of 200 participants divided into the following four subgroups: general dentists, orthodontists, maxillofacial surgeons, and lay people. Their opinion on facial disharmony, sagittal position of the jaws, asymmetry of the chin, projection of the cheekbone area, and lip aesthetics was recorded. Results: Significant differences were found between experts and non-experts in the perception of the maxillary position, asymmetry of the chin and zygomatic area (<i>p</i> < 0.01). No statistically significant differences were found among the groups in the perception of mandibular position and lip aesthetics. Conclusion: The respondents with a medical or dental background perceived the presence of maxillary retrusion more than others. Only orthodontists and maxillofacial surgeons have recognized an alteration of the middle facial third as a greater component of skeletal class III malocclusion.https://www.mdpi.com/2673-6373/1/3/21angle class III malocclusionfacial componentsaestheticsmaxillary retrusionlaypeopleorthodontists
spellingShingle Selene Barone
Fiorella Averta
Danila Muraca
Federica Diodati
Francesco Bennardo
Alessandro Antonelli
Amerigo Giudice
Does Maxillary Retrusion in Skeletal Class III Malocclusion Affect the Perception of Facial Aesthetics? Evaluation of Different Groups
Oral
angle class III malocclusion
facial components
aesthetics
maxillary retrusion
laypeople
orthodontists
title Does Maxillary Retrusion in Skeletal Class III Malocclusion Affect the Perception of Facial Aesthetics? Evaluation of Different Groups
title_full Does Maxillary Retrusion in Skeletal Class III Malocclusion Affect the Perception of Facial Aesthetics? Evaluation of Different Groups
title_fullStr Does Maxillary Retrusion in Skeletal Class III Malocclusion Affect the Perception of Facial Aesthetics? Evaluation of Different Groups
title_full_unstemmed Does Maxillary Retrusion in Skeletal Class III Malocclusion Affect the Perception of Facial Aesthetics? Evaluation of Different Groups
title_short Does Maxillary Retrusion in Skeletal Class III Malocclusion Affect the Perception of Facial Aesthetics? Evaluation of Different Groups
title_sort does maxillary retrusion in skeletal class iii malocclusion affect the perception of facial aesthetics evaluation of different groups
topic angle class III malocclusion
facial components
aesthetics
maxillary retrusion
laypeople
orthodontists
url https://www.mdpi.com/2673-6373/1/3/21
work_keys_str_mv AT selenebarone doesmaxillaryretrusioninskeletalclassiiimalocclusionaffecttheperceptionoffacialaestheticsevaluationofdifferentgroups
AT fiorellaaverta doesmaxillaryretrusioninskeletalclassiiimalocclusionaffecttheperceptionoffacialaestheticsevaluationofdifferentgroups
AT danilamuraca doesmaxillaryretrusioninskeletalclassiiimalocclusionaffecttheperceptionoffacialaestheticsevaluationofdifferentgroups
AT federicadiodati doesmaxillaryretrusioninskeletalclassiiimalocclusionaffecttheperceptionoffacialaestheticsevaluationofdifferentgroups
AT francescobennardo doesmaxillaryretrusioninskeletalclassiiimalocclusionaffecttheperceptionoffacialaestheticsevaluationofdifferentgroups
AT alessandroantonelli doesmaxillaryretrusioninskeletalclassiiimalocclusionaffecttheperceptionoffacialaestheticsevaluationofdifferentgroups
AT amerigogiudice doesmaxillaryretrusioninskeletalclassiiimalocclusionaffecttheperceptionoffacialaestheticsevaluationofdifferentgroups