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Oral and Maxillofacial Surgery

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01-06-2019 | Original Article

Anteroposterior and vertical soft tissue cephalometric norms of Iranians, interethnic comparisons, sex dimorphism, and the effect of age on cephalometric variables

Authors: Vahid Rakhshan, Fataneh Ghorbanyjavadpour

Published in: Oral and Maxillofacial Surgery | Issue 2/2019

Abstract

Introduction

This study established about 50 anteroposterior and vertical cephalometric norms of five tracing analyses in Iranians, using a large sample.

Methods

Lateral cephalographs of 130 subjects (85 females, 45 males, with an average age of 22.77 ± 2.55 years (range 20–29)) were traced manually using the Ricketts, Holdaway, Z-Merrifield, Epker, and Legan-Burstone soft tissue analyses. The role of age and sex on measurements, as well as the comparisons between Iranian norms with Caucasians from European decent, was determined statistically (α = 0.001).

Results

Age had no significant effect (all P values > 0.01). Sexual dimorphism existed in terms of numerous parameters. Compared to analysis standards, upper lip to E-plane, nose prominence, upper lip thickness, nasomental angle, Z angle, interlabial distance, subnasale perp to chin, subnasale-stomion:stomion-menton, subnasale-lower lip:lower lip-menton, interlabial gap, and vertical lip-chin ratio were smaller in Iranians. Superior sulcus depth, skeletal profile convexity, upper lip strain, upper lip curvature, H-angle, soft tissue chin thickness, nasofacial angle, subnasale perp to upper lip, subnasale perp to lower lip, maxillary prognathism, lower face throat angle, upper lip protrusion, lower lip protrusion, mentolabial sulcus, and lower vertical height-depth ratio were greater in Iranians compared to the norm (P ≤ 0.001).

Conclusions

A great degree of sex dimorphism might exist among Iranians. Many textbook norms might not be the best options for diagnosis or treatment of Iranians.

Lehman JA Jr (1987) Soft-tissue manifestations of aesthetic defects of the jaws: diagnosis and treatment. Clin Plast Surg 14:767–783PubMed

Bayat M, Shariati M, Rajaeirad F, Yekaninejad MS, Momen-heravi F, Davoudmanesh Z (2018) Facial anthropometric norms of the young Iranian population. J Maxillofac Oral Surg 17:150–157CrossRefPubMed

Halazonetis DJ (2007) Morphometric evaluation of soft-tissue profile shape. Am J Orthod Dentofac Orthop 131:481–489CrossRef

Amini F, Razavian ZS, Rakhshan V (2016) Soft tissue cephalometric norms of Iranian class I adults with good occlusions and balanced faces. Int Orthod 14:108–122PubMed

Holdaway RA (1983) A soft-tissue cephalometric analysis and its use in orthodontic treatment planning. Part I. Am J Orthod 84:1–28CrossRefPubMed

Albarakati SF, Bindayel NA (2012) Holdaway soft tissue cephalometric standards for Saudi adults. King Saud Univ J Dent Sci 3:27–32

Bowman SJ (1999) More than lip service: facial esthetics in orthodontics. J Am Dent Assoc 130:1173–1181CrossRefPubMed

Khosravanifard B, Rakhshan V, Raeesi E (2013) Factors influencing attractiveness of soft tissue profile. Oral Surg Oral Med Oral Pathol Oral Radiol 115:29–37CrossRefPubMed

Mohajerani H, Karimi F, Mohajerani A, Rakhshan V (2013) Incidence and risk factors of functional upper airway complications of primary esthetic closed rhinoplasty in two residency programs: a 6-month preliminary prospective cohort study. Dent Res J (Isfahan) 10:74–80

10.

Sobouti F, Rakhshan V, Chiniforush N, Khatami M (2014) Effects of laser-assisted cosmetic smile lift gingivectomy on postoperative bleeding and pain in fixed orthodontic patients: a controlled clinical trial. Prog Orthod 15:66CrossRefPubMedPubMedCentral

11.

Peck H, Peck S (1970) A concept of facial esthetics. Angle Orthod 40:284–318PubMed

12.

Oh HS, Korn EL, Zhang X, Liu Y, Xu T, Boyd R et al (2009) Correlations between cephalometric and photographic measurements of facial attractiveness in Chinese and US patients after orthodontic treatment. Am J Orthod Dentofac Orthop 136:762 e1–762 14 discussion -3

13.

Skinazi GL, Lindauer SJ, Isaacson RJ (1994) Chin, nose, and lips. Normal ratios in young men and women. Am J Orthod Dentofac Orthop 106:518–523CrossRef

14.

Jacobson A (1978) The craniofacial skeletal pattern of the South African Negro. Am J Orthod 73:681–691CrossRefPubMed

15.

Brons R (1998) Facial harmony: standards for orthognathic surgery and orthodontics. Quintessence, London

16.

Bass NM (1991) The aesthetic analysis of the face. Eur J Orthod 13:343–350CrossRefPubMed

17.

Khosravanifard B, Raeisi E, Oliadarani FK, Rakhshan V (2018) Soft-tissue anthropometric norms of Iranians with proper occlusion and inter-ethnic norm comparisons. J Maxillofac Oral Surg 17:(4)588–596

18.

Fernandez-Riveiro P, Suarez-Quintanilla D, Smyth-Chamosa E, Suarez-Cunqueiro M (2002) Linear photogrammetric analysis of the soft tissue facial profile. Am J Orthod Dentofac Orthop 122:59–66CrossRef

19.

Ferrario VF, Sforza C, Dellavia C, Schmitz JH (2001) Harmonic analysis of facial profiles: a 10-year evaluation. Int J Adult Orthodon Orthognath Surg 16:54–60PubMed

20.

Argyropoulos E, Sassouni V (1989) Comparison of the dentofacial patterns for native Greek and American-Caucasian adolescents. Am J Orthod Dentofac Orthop 95:238–249CrossRef

21.

Trevisan F, Gil CTLA (2006) Photogrametric and subjective analysis of the facial profile in young subjects with normal occlusion. Rev Dent Press Ortodon Ortop Facial 11:24–35CrossRef

22.

Uysal T, Baysal A, Yagci A, Sigler LM, McNamara JA, Jr ( 2012) Ethnic differences in the soft tissue profiles of Turkish and European-American young adults with normal occlusions and well-balanced faces. Eur J Orthod 34(3):296–301. https://doi.org/10.1093/ejo/cjq165

23.

Oshagh M, Salehi P, Pakshir H, Bazyar L, Rakhshan V (2011) Associations between normative and self-perceived orthodontic treatment needs in young-adult dental patients. Korean J Orthod 41:440–446CrossRef

24.

Hwang HS, Kim WS, McNamara JA Jr (2002) Ethnic differences in the soft tissue profile of Korean and European-American adults with normal occlusions and well-balanced faces. Angle Orthod 72:72–80PubMed

25.

Moghbel B, Sodagar A, Etezadi T (2010) Determination of Holdaway soft tissue norms in Iranian adolescents. Iran J Orthod 5:32–38

26.

Legan HL, Burstone CJ (1980) Soft tissue cephalometric analysis for orthognathic surgery. J Oral Surg 38:744–751PubMed

27.

Sforza C, Laino A, D'Alessio R, Grandi G, Tartaglia GM, Ferrario VF (2008) Soft-tissue facial characteristics of attractive and normal adolescent boys and girls. Angle Orthod 78:799–807CrossRefPubMed

28.

Hamdan AM (2010) Soft tissue morphology of Jordanian adolescents. Angle Orthod 80:80–85CrossRefPubMed

29.

Farkas LG, Hreczko TA, Kolar JC, Munro IR (1985) Vertical and horizontal proportions of the face in young adult North American Caucasians. Plast Reconstr Surg 75:328–337CrossRefPubMed

30.

Matoula S, Pancherz H (2006) Skeletofacial morphology of attractive and nonattractive faces. Angle Orthod 76:204–210PubMed

31.

Nguyen DD, Turley PK (1998) Changes in the Caucasian male facial profile as depicted in fashion magazines during the twentieth century. Am J Orthod Dentofac Orthop 114:208–217CrossRef

32.

Foster EJ (1973) Profile preferences among diversified groups. Angle Orthod 43:34–40PubMed

33.

Erbay EF, Caniklioglu CM (2002) Soft tissue profile in Anatolian Turkish adults: part II. Comparison of different soft tissue analyses in the evaluation of beauty. Am J Orthod Dentofac Orthop 121:65–72CrossRef

34.

Czarnecki ST, Nanda RS, Currier GF (1993) Perceptions of a balanced facial profile. Am J Orthod Dentofac Orthop 104:180–187CrossRef

35.

Al-Gunaid T, Yamada K, Yamaki M, Saito I (2007) Soft-tissue cephalometric norms in Yemeni men. Am J Orthod Dentofac Orthop 132:576.e7–576e14CrossRef

36.

Lew KK, Ho KK, Keng SB, Ho KH (1992) Soft-tissue cephalometric norms in Chinese adults with esthetic facial profiles. J Oral Maxillofac Surg 50:1184–1189 discussion 9-90CrossRefPubMed

37.

Mantzikos T (1998) Esthetic soft tissue profile preferences among the Japanese population. Am J Orthod Dentofac Orthop 114:1–7CrossRef

38.

Scavone H Jr, Trevisan H Jr, Garib DG, Ferreira FV (2006) Facial profile evaluation in Japanese-Brazilian adults with normal occlusions and well-balanced faces. Am J Orthod Dentofac Orthop 129:721 e1–721 e5CrossRef

39.

Nomura M, Motegi E, Hatch JP, Gakunga PT, Ng’ang’a PM, Rugh JD et al (2009) Esthetic preferences of European American, Hispanic American, Japanese, and African judges for soft-tissue profiles. Am J Orthod Dentofac Orthop 135:S87–S95CrossRef

40.

Turkkahraman H, Gokalp H (2004) Facial profile preferences among various layers of Turkish population. Angle Orthod 74:640–647PubMed

41.

Celebi AA, Tan E, Gelgor IE, Colak T, Ayyildiz E (2013) Comparison of soft tissue cephalometric norms between Turkish and European-American adults. Sci World J 2013:806203CrossRef

42.

Alavi S, Okhravi SM, Mamavi T (2013) Evaluation of facial soft tissue profile in 6-15 years old children with normal occlusion in Isfahan. Res J Med Sci 7:80–85

43.

Ricketts RM (1957) Planning treatment on the basis of the facial pattern and an estimate of its growth. Angle Orthod 27:14–37

44.

Epker BN, Stella JP, Fish LC (1995) Dentofacial deformities: integrated orthodontic and surgical correction, 2nd edn. Mosby, Missouri

45.

Porter JP (2001) Anthropometric facial analysis of the African American woman. Arch Facial Plast Surg 3:191–197CrossRef

46.

Teck Sim RS (2000) Comparison of the aesthetic facial proportions of southern Chinese and white women. Arch Facial Plast Surg 2:113–120CrossRef

47.

Dawei W, Guozheng Q, Mingli Z, Farkas LG (1997) Differences in horizontal, neoclassical facial canons in Chinese (Han) and North American Caucasian populations. Aesthet Plast Surg 21:265–269CrossRef

48.

Kasai K, Kanazawa E, Aboshi H, Tuisuva J, Takahashi M, Matsuno M (1998) Comparative study of craniofacial morphology and bite force in Fijians and Japanese. Am J Hum Biol 10:63–72CrossRefPubMed

49.

Kasai K, Richards LC, Brown T (1993) Comparative study of craniofacial morphology in Japanese and Australian aboriginal populations. Hum Biol 65:821–834PubMed

50.

Maurya R, Sharma V, Tandon P, Nagar A, Verma S (2014) Soft-tissue characteristics of class II division 2 malocclusion in North Indian adult population: a comparative study. J Orthod Res 2:97CrossRef

51.

Ghorbanyjavadpour F, Rakhshan V (2019) Factors associated with the beauty of soft-tissue profile. Am J Orthod Orofacial Orthop. https://doi.org/10.1016/j.ajodo.2018.07.020

52.

Ghorbany Javadpour F, Khanemasjedi M (2014) Soft tissue facial profile and anteroposterior lip positioning in Iranians. Shahid Beheshti Dent J 32:90–95

53.

Jacobson A, Jacobson RL (2007) Radiographic cephalometry: from basics to 3-D imaging, 2nd edn. Quintessence, Hanover Park

54.

Taki AA, Oguz F, Abuhijleh E (2009) Facial soft tissue values in Persian adults with normal occlusion and well-balanced faces. Angle Orthod 79:491–494CrossRefPubMed

55.

Hajighadimi M, Dougherty HL, Garakani F (1981) Cephalometric evaluation of Iranian children and its comparison with Tweed’s and Steiner’s standards. Am J Orthod 79:192–197CrossRefPubMed

56.

Mafi P, Ghazisaeidi MR, Mafi A (2005) Ideal soft tissue facial profile in Iranian females. J Craniofac Surg 16:508–511CrossRefPubMed

57.

Basciftci FA, Uysal T, Buyukerkmen A (2003) Determination of Holdaway soft tissue norms in Anatolian Turkish adults. Am J Orthod Dentofac Orthop 123:395–400CrossRef

58.

Burstone CJ (1959) Integumental contour and extension patterns. Angle Orthod 29:93–104

59.

Arnett GW, Jelic JS, Kim J, Cummings DR, Beress A, Worley CM Jr et al (1999) Soft tissue cephalometric analysis: diagnosis and treatment planning of dentofacial deformity. Am J Orthod Dentofac Orthop 116:239–253CrossRef

60.

Alessandra P, Barnett J (1959) The integumental profile and its supporting dentoskeletal framework. Master of Science Thesis, University of Texas

61.

Basciftci FA, Uysal T, Buyukerkmen A (2004) Craniofacial structure of Anatolian Turkish adults with normal occlusions and well-balanced faces. Am J Orthod Dentofac Orthop 125:366–372CrossRef

62.

Abdul-Qadir MY, Ne’am FA (2013) Evaluation of Holdaway soft tissue analysis for Iraqi adults with Class I normal occlusion. Al-Rafidain Dent J:8

63.

Ahangar Atashi MH, Kachooei M (2008) Soft tissue cephalometric standards based on NHP in a sample of Iranian adults. J Dent Res Dent Clin Dent Prospects 2:53–57PubMedPubMedCentral

64.

Thomas M, Reddy VD, Lakshmi HV (2012) Soft-tissue cephalometric norms for the Lambada population in Telangana Region of Andhra Pradesh. Indian J Dent Res 23:353–358CrossRefPubMed

65.

Sahin Saglam AM, Gazilerli U (2001) Analysis of Holdaway soft-tissue measurements in children between 9 and 12 years of age. Eur J Orthod 23:287–294CrossRefPubMed

66.

Nanda RS, Meng H, Kapila S, Goorhuis J (1990) Growth changes in the soft tissue facial profile. Angle Orthod 60:177–190PubMed

67.

Imani MM, Hosseini SA, Arab S, Delavarian M (2018) Characterization of soft tissue cephalometric norms of Kurdish population of Iran. J Res Med Dent Sci 6:335–342

68.

Burstone CJ (1967) Lip posture and its significance in treatment planning. Am J Orthod 53:262–284CrossRefPubMed

69.

Farkas LG, Kolar JC (1987) Anthropometrics and art in the aesthetics of women’s faces. Clin Plast Surg 14:599–616PubMed

70.

Alcalde RE, Jinno T, Orsini MG, Sasaki A, Sugiyama RM, Matsumura T (2000) Soft tissue cephalometric norms in Japanese adults. Am J Orthod Dentofac Orthop 118:84–89CrossRef

71.

Al-Jasser NM (2003) Facial esthetics in a selected Saudi population. Saudi Med J 24:1000–1005PubMed

72.

Al-Azemi R, Al-Jame B, Artun J (2008) Lateral cephalometric norms for adolescent Kuwaitis: soft tissue measurements. Med Princ Pract 17:215–220CrossRefPubMed

73.

Jain P, Kalra JP (2011) Soft tissue cephalometric norms for a North Indian population group using Legan and Burstone analysis. Int J Oral Maxillofac Surg 40:255–259CrossRefPubMed

74.

Ioi H, Nakata S, Nakasima A, Counts AL (2007) Comparison of cephalometric norms between Japanese and Caucasian adults in antero-posterior and vertical dimension. Eur J Orthod 29:493–499CrossRefPubMed

Title: Anteroposterior and vertical soft tissue cephalometric norms of Iranians, interethnic comparisons, sex dimorphism, and the effect of age on cephalometric variables
Authors: Vahid Rakhshan
Fataneh Ghorbanyjavadpour
Publication date: 01-06-2019
Publisher: Springer Berlin Heidelberg
Published in: Oral and Maxillofacial Surgery / Issue 2/2019
Print ISSN: 1865-1550
Electronic ISSN: 1865-1569
DOI: https://doi.org/10.1007/s10006-019-00755-4

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Anteroposterior and vertical soft tissue cephalometric norms of Iranians, interethnic comparisons, sex dimorphism, and the effect of age on cephalometric variables

Abstract

Introduction

Methods

Results

Conclusions

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Introduction

Methods

Results

Conclusions

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