Objective: To clarify, by three-dimensional (3D) facial scans, if 4- to 6-year-old children with intraoral sagittal discrepancies and open-bite occlusion show differences in facial morphology when compared to children without anomalies.
Materials and methods: Scans of 290 children presenting with occlusal abnormalities were compared to 1772 face scans of age-matched individuals photographed with a faceSCAN II® 3D data acquisition system. From these, three study groups were formed comprising 188 children with distal occlusion/increased overjet (Class II), 37 with mesial occlusion/inverse overjet (Class III), and 65 with open-bite occlusion. These groups were evaluated by age and gender for each group compared to the control individuals.
Results: The Class II group showed statistically significant reduced dimensions of head width, upper face width, and midface length. In addition, the mean values for mouth width and lip thickness were higher, and their upper lips were located more anteriorly than in the control group. The Class III group exhibited more markedly retruded upper lips. The facial profile of female 5-year-old Class III patients was significantly more concave. Patients in the open-bite group showed reduced upper lip length, with differences only being statistically significant in male 4-year-olds.
Conclusion: Dental Class II with increased overjet and dental Class III with decreased overjet influence soft tissue morphology and are represented on 3D facial scans.