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Three-dimensional soft tissue analysis for the evaluation of facial asymmetry in normal occlusion individuals

Korean Journal of Orthodontics 2012³â 42±Ç 2È£ p.56 ~ 63
ȲÇö½Ä, Yuan Dong-Hui, Jeong Kweon-Heui, ¾ö±â¼ö, Á¶ÁøÇü, À±¼÷ÀÚ,
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ȲÇö½Ä ( Hwang Hyeon-Shik ) - Chonnam National University School of Dentistry Dental Science Research Institute Department of Orthodontics
 ( Yuan Dong-Hui ) - Chonnam National University School of Dentistry Department of Orthodontics
 ( Jeong Kweon-Heui ) - Chonnam National University School of Dentistry
¾ö±â¼ö ( Uhm Gi-Soo ) - Chonnam National University School of Dentistry
Á¶ÁøÇü ( Cho Jin-Hyoung ) - Chonnam National University School of Dentistry Department of Orthodontics
À±¼÷ÀÚ ( Yoon Sook-Ja ) - Chonnam National University School of Dentistry Department of Oral and Maxillofacial Radiology

Abstract


Objective: To identify the right and left difference of the facial soft tissue landmarks three-dimensionally from the subjects of normal occlusion individuals.

Materials and Methods: Cone-beam computed tomography (CT) scans were obtained in 48 normal occlusion adults (24 men, 24 women), and reconstructed into 3-dimensional (3D) models by using a 3D image soft ware. 3D position of 27 soft tissue landmarks, 9 midline and 9 pairs of bilateral landmarks, were identifi ed in 3D coordination system, and their right and left differences were calculated and analyzed.

Results: The right and left difference values derived from the study ranged from 0.6 to 4.6 mm indicating a high variability according to the landmarks. In general, the values showed a tendency to increase according to the lower and lateral positioning of the landmarks in the face. Overall diff erences were determined not only by transverse differences but also by sagittal and vertical differences, indicating that 3D evaluation would be essential in the facial soft tissue analysis.
Conclusions: Means and standard deviations of the right and left difference of facial soft tissue landmarks derived from this study can be used as the diagnostic standard values for the evaluation of facial asymmetry.

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Th ree-dimensional;Soft tissue;Facial asymmetry;Cone-beam CT

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