The impact of orthodontic treatment on the soft tissue profile – case report
DOI:
https://doi.org/10.20883/jofa.78Keywords:
orthodontic treatment, facial profile, extraction therapy, tooth reductionAbstract
The planning of orthodontic treatment involves not only defining desired tooth movements to achieve a proper bite but, above all, predicting the impact of these actions on the soft facial tissues. The position of teeth, especially in the front part of the upper and lower jaw, determines the support of the lips, whose harmonious arrangement is a significant factor determining facial aesthetics. The case of a patient is presented in this work, who was diagnosed with a deficiency of space for the correct alignment of teeth, excessive protrusion and inclination of incisor teeth, increased tension of the muscles around the mouth, and chin during lip closure. After a thorough analysis of diagnostic data, it was decided to undergo orthodontic treatment combined with the extraction of 4 premolars, which, after 28 months, led to achieving proper occlusal conditions and a significant improvement in the aesthetics and function of the soft tissues of the facial profile.
Downloads
References
Kanavakis G, Halazonetis D, Katsaros C, Gkantidis N. Facial shape affects self-perceived facial attractiveness. PLoS One. 2021 Feb 3;16(2):e0245557. DOI: 10.1371/journal.pone.0245557.
Felemban OM, Alharabi NT, A Alamoudi RA, Alturki GA, Helal NM. Factors influencing the desire for orthodontic treatment among patients and parents in Saudi Arabia: A cross-sectional study. J Orthod Sci. 2022 May 4;11:25. DOI: 10.4103/jos.jos_181_21.
Blatz MB, Chiche G, Bahat O, Roblee R, Coachman C, Heymann HO. Evolution of aesthetic dentistry. J Dent Res. 2019 Nov;98(12):1294–1304. DOI: 10.1177/0022034519875450.
Coppola G, Christopoulou I, Gkantidis N, Verna C, Pandis N, Kanavakis G. The effect of orthodontic treatment on smile attractiveness: A systematic review. Prog Orthod. 2023 Feb 6;24(1):4. DOI: 10.1186/s40510-023-00456-5.
Dierkes JM. The beauty of the face: An orthodontic perspective. J Am Dent Assoc. 1987 Dec; Spec No: 89E–95E. DOI: 10.14219/jada.archive.1987.0313. Erratum in: J Am Dent Assoc. 1988 May;116(6):614.
Ackerman JL, Proffit WR, Sarver DM. The emerging soft tissue paradigm in orthodontic diagnosis and treatment planning. Clin Orthod Res. 1999 May;2(2):49–52. DOI: 10.1111/ocr.1999.2.2.49.
Gaikwad S, Doshi S, Mhatre A, Tandur A, Khushalani N. Orthodontic treatment: The soft tissue paradigm. J Contemp Dent. 2012;2(1):43–46. DOI: 10.5005/jcd-2-1-43.
Travess H, Roberts-Harry D, Sandy J. Orthodontics. Part 8: Extractions in orthodontics. Br Dent J. 2004 Feb 28;196(4):195–203. DOI: 10.1038/sj.bdj.4810979.
Case CS. The question of extraction in orthdontia. Am J Orthod. 1964;50:658–691.
Tweed CH. Indications for the extraction of teeth in orthodontic procedure. Am J Orthod Oral Surg. 1944–1945;42:22–45.
Prakash A, Tandur AP. Orthodontic extraction – evidence based review. KLEU Health Sc Jr. 2010;3:7–13.
Corruccini RS. Australian aboriginal tooth succession, interproximal attrition, and Begg's theory. Am J Orthod Dentofacial Orthop. 1990 Apr;97(4):349–357. DOI: 10.1016/0889-5406(90)70107-N.
de Oliveira Ruellas AC, de Oliveira Ruellas RM, Romano FL, Pithon MM, Lacerda dos Santos R. Tooth extraction in orthodontics: An evaluation of diagnostic elements. Dental Press J Orthod. 2010;15:134–157.
Bills DA, Handelman CS, BeGole EA. Bimaxillary dentoalveolar protrusion: Traits and orthodontic correction. Angle Orthod. 2005 May;75(3):333–339. DOI: 10.1043/0003-3219(2005)75[333:BDPTAO]2.0.CO;2.
Talass MF, Talass L, Baker RC. Soft-tissue profile changes resulting from retraction of maxillary incisors. Am J Orthod Dentofacial Orthop. 1987 May;91(5):385–394. DOI: 10.1016/0889-5406(87)90391-x.
Komisarek O, Kożuch K, Tuczyńska A, Matthews-Brzozowska M. Pilot study on comparative assessment of facial profile changes using photographic images and cephalometric radiographs: A pre and post-orthodontic treatment analysis. J Face Aesthet. 2023;6(1):9–15. DOI: https://doi.org/10.20883/jofa.66.
Leonardi R, Annunziata A, Licciardello V, Barbato E. Soft tissue changes following the extraction of premolars in nongrowing patients with bimaxillary protrusion. A systematic review. Angle Orthod. 2010 Jan;80(1):211–216. DOI: 10.2319/010709-16.1.
Saghafi N, Heaton LJ, Bayirli B, Turpin DL, Khosravi R, Bollen AM. Influence of clinicians' experience and gender on extraction decision in orthodontics. Angle Orthod. 2017 Sep;87(5):641–650. DOI: 10.2319/020117-80.1.
Downloads
Published
Issue
Section
License
Copyright (c) 2024 The copyright to the submitted manuscript is held by the Author, who grants the Journal of Face Aesthetics (JoFA) a nonexclusive licence to use, reproduce, and distribute the work, including for commercial purposes.
This work is licensed under a Creative Commons Attribution 4.0 International License.
