Soft tissue profile changes during treatment of patients with class II malocclusion

Introduction/Objective. The class II malocclusion results in disbalanced facial harmony, primarily noticeable in the profile and the lower facial third. Aside from skeletal evaluation, orthodontic diagnosis and treatment planning should include facial soft tissue analysis. The aim of the study was t...

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Main Authors: Milutinović Jovana, Stamenković Zorana, Zelić Ksenija, Marinković Nemanja, Nedeljković Nenad
Format: Article
Language:English
Published: Serbian Medical Society 2022-01-01
Series:Srpski Arhiv za Celokupno Lekarstvo
Subjects:
Online Access:http://www.doiserbia.nb.rs/img/doi/0370-8179/2022/0370-81792200048M.pdf
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author Milutinović Jovana
Stamenković Zorana
Zelić Ksenija
Marinković Nemanja
Nedeljković Nenad
author_facet Milutinović Jovana
Stamenković Zorana
Zelić Ksenija
Marinković Nemanja
Nedeljković Nenad
author_sort Milutinović Jovana
collection DOAJ
description Introduction/Objective. The class II malocclusion results in disbalanced facial harmony, primarily noticeable in the profile and the lower facial third. Aside from skeletal evaluation, orthodontic diagnosis and treatment planning should include facial soft tissue analysis. The aim of the study was to identify the soft tissue profile outcomes of orthodontic treatment of class II, division 1 malocclusion patients and to determine if these changes are related to different treatment protocols. Methods. The first group was the non-extraction group (25 patients) initially treated with the Herbst appliance, and the second group was four premolars extraction group (25 patients) treated with a multibracket appliance. The patients’ cephalograms and pre- and post-treatment profile photographs were used. Results. The improvement in the non-extraction group was evident in the decrease of the nasomental angle, the angle representing the projection of the upper lip to the chin, as well as the upper lip angle. In the extraction group, the nasolabial angle showed a significant increase. Soft tissue variables showed significant differences between the groups: the total facial angle or facial convexity including the nose and the angle presenting the projection of the upper lip to the chin. Conclusion. The patients treated without extractions showed a significant improvement of the convex profile and favorable soft tissue changes in the lower third of the face.
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spelling doaj.art-c9cc7f576f7748678a504cf7dc2671cb2022-12-22T02:49:59ZengSerbian Medical SocietySrpski Arhiv za Celokupno Lekarstvo0370-81792406-08952022-01-011505-626126610.2298/SARH210913048M0370-81792200048MSoft tissue profile changes during treatment of patients with class II malocclusionMilutinović Jovana0https://orcid.org/0000-0002-5281-4212Stamenković Zorana1https://orcid.org/0000-0002-9716-4815Zelić Ksenija2Marinković Nemanja3Nedeljković Nenad4https://orcid.org/0000-0002-4523-9504University of Belgrade, School of Dental Medicine, Department of Orthodontics, Belgrade, SerbiaUniversity of Belgrade, School of Dental Medicine, Department of Orthodontics, Belgrade, SerbiaUniversity of Belgrade, Faculty of Medicine, Institute of Anatomy, Laboratory for Anthropology, Belgrade, SerbiaUniversity of Belgrade, School of Dental Medicine, Department of Orthodontics, Belgrade, SerbiaUniversity of Belgrade, School of Dental Medicine, Department of Orthodontics, Belgrade, SerbiaIntroduction/Objective. The class II malocclusion results in disbalanced facial harmony, primarily noticeable in the profile and the lower facial third. Aside from skeletal evaluation, orthodontic diagnosis and treatment planning should include facial soft tissue analysis. The aim of the study was to identify the soft tissue profile outcomes of orthodontic treatment of class II, division 1 malocclusion patients and to determine if these changes are related to different treatment protocols. Methods. The first group was the non-extraction group (25 patients) initially treated with the Herbst appliance, and the second group was four premolars extraction group (25 patients) treated with a multibracket appliance. The patients’ cephalograms and pre- and post-treatment profile photographs were used. Results. The improvement in the non-extraction group was evident in the decrease of the nasomental angle, the angle representing the projection of the upper lip to the chin, as well as the upper lip angle. In the extraction group, the nasolabial angle showed a significant increase. Soft tissue variables showed significant differences between the groups: the total facial angle or facial convexity including the nose and the angle presenting the projection of the upper lip to the chin. Conclusion. The patients treated without extractions showed a significant improvement of the convex profile and favorable soft tissue changes in the lower third of the face.http://www.doiserbia.nb.rs/img/doi/0370-8179/2022/0370-81792200048M.pdffacial estheticsclass ii malocclusionfacial convexityprofile changessoft tissue profile
spellingShingle Milutinović Jovana
Stamenković Zorana
Zelić Ksenija
Marinković Nemanja
Nedeljković Nenad
Soft tissue profile changes during treatment of patients with class II malocclusion
Srpski Arhiv za Celokupno Lekarstvo
facial esthetics
class ii malocclusion
facial convexity
profile changes
soft tissue profile
title Soft tissue profile changes during treatment of patients with class II malocclusion
title_full Soft tissue profile changes during treatment of patients with class II malocclusion
title_fullStr Soft tissue profile changes during treatment of patients with class II malocclusion
title_full_unstemmed Soft tissue profile changes during treatment of patients with class II malocclusion
title_short Soft tissue profile changes during treatment of patients with class II malocclusion
title_sort soft tissue profile changes during treatment of patients with class ii malocclusion
topic facial esthetics
class ii malocclusion
facial convexity
profile changes
soft tissue profile
url http://www.doiserbia.nb.rs/img/doi/0370-8179/2022/0370-81792200048M.pdf
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AT zelicksenija softtissueprofilechangesduringtreatmentofpatientswithclassiimalocclusion
AT marinkovicnemanja softtissueprofilechangesduringtreatmentofpatientswithclassiimalocclusion
AT nedeljkovicnenad softtissueprofilechangesduringtreatmentofpatientswithclassiimalocclusion