Evaluation of long-term sagittal lip changes using Burstone line:pPilot tudy

Objective Lip position has become one of the most important soft tissue analyses as it influences the occlusion, tooth stability and facial aesthetic. Hence, the objective of this study was to compare the short-term and long-term sagittal lip positions/changes using the Burstone line (B-line). Methods The sample consisted of 18 Caucasoid females only (14 extractions, 4 non-extractions) who were successfully treated with edgewise appliances. All the patients were evaluated before treatment (T1),at the end of active treatment (T2), and at a long-term follow-up observation (T3). The mean age at commencement was 13.2 years with the range of 10.5-19 years. The linear distance between the tip of the lips and the B-line were measured. Results T1-T2 time intervals showed the upper lip underwent a mean change of 1.272 mm relative to the B-line (-32.8%) which was statistically significant. The lower lip showed a mean change of 1.549 mm (-22.2%), but these changes were not statistically significant. Lip protrusion relative to the B-line continued to reduce during the long term follow up period. The upper lip showed slight changes (-9.2%), whereas the lower lip demonstrated greater change (-53.8%). Conclusion Using B-line, the sagittal soft tissue lip positions were more retrusive on the long-term follow-up records for both extraction and non-extraction cases, their values were not very different from the normal values of the untreated cases. Although the differences were not statistically significant, upper lips were retrusive post treatment from T1-T2, while were statistically significant the lower lips were retrusive from T1-T2

Long term soft tissue LIP changes following orthodontic treatment

Student Number : 0204056G - MD research report - School of Oral Health Science - Faculty of Health SciencesEvaluating facial profiles and facial balance is a continuous learning process for orthodontists. Hence, the importance of studying the intermediate and long term effects of treatment on soft tissues cannot be overemphasized. The objective of this study was to evaluate the lip changes occuring in response to tooth movement, not only immediately post-treatment but also to following the long-term monitoring when cranio-facial growth has ceased. The lip changes were measured relative to the Burstone (B-line) line. The sample was taken from the records successfully treated orthodontic cases in the Department of Orthodontics at the University of the Witwatersrand, Johannesburg. This sample comprised 18 Caucasoid females (14 extracttion, 4 non-extraction). Pre-treatment, post-treatment, and long term follow-up lateral cephalometric radiographs were evaluated. Statistical evaluation of the lips in the long term follow-up records revealed no statistically significant changes. The lips remained, relatively, in a similar position to that which had been attained immediately post-treatment. This was the case for both the extraction and non-extraction groups. The general lack of consistency in post-treatment correlations between dental variables and the soft tissue form supports the hypothesis that the soft tissues, having their own inherent architecture, respond independently. This varied response to tooth movement makes lip movement difficult to predict on a reliable basis. The concept that is better to finish the cases slightly more protrusive because the lips tend to lose elasticity with age and, as a result, become more retrusive, is therfore supported by these observations

Multinational study on profile preference of laypersons

BACKGROUND: This study aimed to assess the facial profile preferences of lay people in seven locations from different countries and whether their place of residence, sex, age, race, education, or income influenced the decision. METHODS: After altering the lip and nose in 1 mm increments in the sagittal and sagittal/vertical directions, 50 profile silhouettes with white-like facial features were rated by evaluators. The soft tissue values were integrated into the profiles, and profile preferences were identified for each location. An ANOVA with post hoc Tukey test was used to compare the differences in mean preference in each location. A multivariable regression model was used to assess the effect of the demographics of the evaluator on preference. RESULTS: Thirteen profiles were ultimately analyzed. The mean for profile preference was significantly different across locations (P < 0.0001). For evaluators in the United States and Lebanon, the most preferred profile had the original lip and original nose. In Switzerland and South Africa, retrusive lips, and a small and less upturned nose was most preferred. In Japan and Saudi Arabia, the most preferred profile had the original lip and a protrusive nose that was less upturned. A protrusive lip with a small, upturned nose was preferred in Turkey. Profile change (P < 0.0001), location (P < 0.0001), sex (P < 0.0001), and race (P = 0.02) were significant confounders; in contrast, age, education, and income were not significant. CONCLUSIONS: Profile preference is different among the seven locations. For the most part, lay people prefer profiles within one SD from white norms. Also, an upturned nose is the least favored in most of the locations. Sex and race are also significant confounders. CLINICAL RELEVANCE: An orthodontic treatment plan decision is affected by an individual's preference for their facial appearance. This study helps clinicians understand how racial and regional differences may affect patients' preferences and, therefore, their expectations for orthodontic treatment results