Comparision of profile macro-estethic perception among orthodontists, dentistry students, orthodontic patients and surgical orthodontic patients

Michele Cassetta; Rosanna Guarnieri; Martina Mezio; Federica Altieri; Giulia Brandetti; Gabriella Padalino; Roberto Di Giorgio; Ersilia Barbato

doi:10.4317/jced.57593

Comparision of profile macro-estethic perception among orthodontists, dentistry students, orthodontic patients and surgical orthodontic patients

J Clin Exp Dent. 2020 Dec 1;12(12):e1109-e1116. doi: 10.4317/jced.57593. eCollection 2020 Dec.

Authors

Michele Cassetta¹, Rosanna Guarnieri², Martina Mezio³, Federica Altieri⁴, Giulia Brandetti⁵, Gabriella Padalino⁴, Roberto Di Giorgio⁶, Ersilia Barbato⁷

Affiliations

¹ Associated Professor, DDS, PhD, Department of Oral and Maxillofacial Sciences, School of Dentistry, "Sapienza" University of Rome, Italy.
² Research Assistant, DDS, PhD, Department of Oral and Maxillofacial Sciences, School of Dentistry, "Sapienza" University of Rome, Italy.
³ DDS, School of Orthodontics, "Sapienza" University of Rome, Italy.
⁴ Research Assistant, DDS, PhD Student, Department of Oral and Maxillofacial Sciences, School of Dentistry, "Sapienza" University of Rome, Italy.
⁵ MS, Statistician.
⁶ Associated Professor, MD, DDS, PhD, Department of Oral and Maxillofacial Sciences, School of Dentistry, "Sapienza" University of Rome, Italy.
⁷ Full Professor and Department Chair, DDS, PhD, Department of Oral and Maxillofacial Sciences, School of Dentistry, "Sapienza" University of Rome, Italy.

Abstract

Background: The patient's needs should guide the orthodontist in choosing the most appropriate therapy. The purpose of the present survey was to compare the esthetic perception of the facial profile by orthodontists (O), dentistry students (DS), orthodontic patients (OP) and surgical-orthodontic patients (SOP) and to evaluate the influence of gender, age and level of study.

Material and methods: A facial profile photograph of a young female was taken and twelve modified images were made, altering the position of the jaws in protrusion and in retrusion. Two hundred caucasian examiners, divided into four groups (O, DS, OP, SOP), were selected. Each examiner was asked to complete the questionnaire with an approval rating from 1 to 10. An ordinary least square OLS model was applied. Significant levels were set at P ≤ 0.05.

Results: All examiners considered a straight profile or a slight retrusion of the maxilla as the most attractive profile. Slight discrepancies (up to 2 mm) in jaw protrusion were barely perceived by patients. Mandibular retrusion (2 and 4 mm) was one of the least appreciated condition by all examiners. Surgical-orthodontic patients assigned lower ratings compared to orthodontic patients. Female subjects assigned lower ratings than males. Patients with secondary school education assigned higher statistically significant values compared to other levels of study. The lowest values were attributed by the sample of age > = 17 years.

Conclusions: The choice of the most appropriate therapy is based not only on a correct diagnosis, but on the evaluation of esthetic and psychological aspects. Key words:Estethic, profile, orthodontic, surgical orthodontic patients.