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A comparative assessment of the perception of Chinese facial profile esthetics.

INTRODUCTION: The aim of this study was to compare the perception of male and female Chinese facial profile esthetics between dental professionals, dental students, and laypersons. MATERIAL: The sample comprised 31 dental professionals (20 orthodontists, 11 oral surgeons), 92 dental students, and 152 laypersons in an Asian community. The facial profile photographs and lateral cephalometric radiographs of a Chinese man and a woman, each with a normal profile, a Class I incisor relationship, and a Class I skeletal pattern, were digitized. The digital images were modified to obtain 7 facial profiles for each sex. The images were constructed by altering cephalometric skeletal and dental hard tissue Chinese normative values by 2 standard deviations in the anteroposterior plane only. The 7 profiles were (1) bimaxillary protrusion, (2) protrusive mandible, (3) retrusive mandible, (4) normal profile (Class I incisor with Class I skeletal pattern), (5) retrusive maxilla, (6) protrusive maxilla, and (7) bimaxillary retrusion. RESULTS: Normal and bimaxillary retrusion Chinese male and female profiles were perceived to be highly attractive by all 3 groups. Profiles with a protrusive mandible were perceived to be the least attractive. Dental professionals, dental students, and laypersons were highly correlated for the perception of male (r > 0.67) and female (r > 0.93) profile esthetics. All correlation coefficients were found to be significant for the perception of female profiles, but, for male profiles, only the correlation coefficient between dental students and laypersons was significant. CONCLUSIONS: Chinese male and female profiles that were normal or had bimaxillary retrusion were perceived to be highly attractive by dental professionals, dental students, and laypersons, and profiles with a protrusive mandible were perceived to be the least attractive. Dental students and laypersons were more tolerant of a male profile with a retrusive mandible than were dental professionals, and all groups were more tolerant of bimaxillary protrusion in women than in men. Dental professionals, dental students, and laypersons had a similar trend in male and female esthetic preferences. The perception of female profiles by all 3 groups was highly and significantly correlated. Only the perception of male esthetics by dental students and laypersons was not significantly correlated with dental professionals.

Adult↗

[A critical evaluation of Class-II anomalies treated with functional orthodontic appliances].

In the course of a clinical and radiological follow-up study of 55 patients with class II malocclusions, who had been treated with functional appliances, the dental and skeletal changes were critically studies and statistically analyzed in relation to long term aesthetic, dental, and skeletal changes. Differences between class II, division 1 cases and class II, division 2 cases were also compared. The study revealed that at the end of the treatment period 80% of the functionally treated patients displayed much better nose to upper lip relations than at treatment begin. Aesthetically the best treatment results were in the class II, first group patients with an average 4.2 degree reduction of the soft tissue H-angle in the course of functional therapy. It was shown that both dental and skeletal changes were responsible fo the in most cases good treatment results, whereas the changes in patients in the two subgroups with class II malocclusions showed significant differentiations. This paper describes these changes in detail. Viewed in its entirety this study clearly supports the efficacy of functional therapy in adolescents. In relation to long-term stability the results of functional balanced occlusion and the stability of the maxillo-mandibular relationship should be especially emphasized, whereas the therapeutically induced protrusion of the mandibular incisors and their relapse should be critically viewed.

Adolescent↗

Anterior Z250 resin composite restorations: one-year evaluation of clinical performance.

The purpose of this practice-based study was to compare the clinical performance of a new universal composite resin material (Z250) used for Class III and V cavities in anterior teeth. Restorative materials (Z250 and Z100; 3 M ESPE) placed by six operators were used for a total of 150 restorations during the 6-month enrollment period. After 1 year, 141 restorations (76 Z250 and 66 Z100) were available and evaluated for overall quality, color match, marginal adaptation, surface appearance and the presence of secondary caries, using modified USPHS criteria. The overall quality was excellent for both materials and no significant changes were noted during the follow-up. None of the scores between the two materials were statistically significant. Major changes were seen in color match and surface appearance. At baseline, the color match of 71% of Z250 and 62% of Z100 was rated as Alfa, after 1 year the figures were 60 and 65%. Regarding surface appearance, 97% of the Z250 were rated Alfa at baseline, whereas at 1 year the figure was 76%. For Z100, the scores were 94 and 79%, respectively. After 1 year, the clinical performance of Z250 restorative composite resin was clinically acceptable and similar to that of Z100.

Adult↗