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Case Reports
. 2013 Mar;6(1):43-8.
doi: 10.1055/s-0032-1332209. Epub 2013 Jan 7.

Controversies in the satisfaction of surgeons and orthodontists on facial aesthetics after orthognathic surgery

Leonardo Faverani  1 , Gabriel Ramalho-Ferreira  1 , Ellen Jardim  1 , Marcelo Goiato  2 , Flavia Pereira  1 , Claudio Pastori  3 , Idelmo Garcia Junior  1
Affiliations
Case Reports

Controversies in the satisfaction of surgeons and orthodontists on facial aesthetics after orthognathic surgery

Leonardo Faverani et al. Craniomaxillofac Trauma Reconstr. 2013 Mar.

Abstract

Aim Acceptable facial aesthetics is a common desire among patients presenting with dentofacial deformities planning to undergo orthognathic surgeries. Thus, professionals must be alert to their patients' complaints as well as their desires regarding facial morphology, because this is quite subjective and personal. This research aimed at evaluating the different views of orthodontists and oral maxillofacial surgeons regarding the facial analysis of patients who undergo orthognathic surgery. Methods Thirty individuals were selected with a minimum postoperative period of 6 months and photographed in the frontal and profile norm. Facial morphology characteristics were recorded to observe the agreement of the assessments of four professionals (two orthodontists and two surgeons). Results A significant agreement was seen between the orthodontists regarding the nasolabial angle (80%). In the frontal analysis, the agreement percentage (60%) between orthodontists and surgeons was considerable regarding facial asymmetry assessment. Conclusions Professionals must keep alert to facial analysis, especially in terms of tegumental harmony, for the orthognathic surgery to reestablish, satisfactorily, the facial aesthetics in all parameters set.

Keywords: aesthetics; profile; surgery.

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Figures

Figure 1
Figure 1
Patient's image in the frontal aspect.
Figure 2
Figure 2
Patient's image in profile.
See this image and copyright information in PMC

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