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Facial Guide

Dr. Rayane Pinto is a highly qualified orthodontist with a PhD in Orthodontics and a Master's degree in Rehabilitation Sciences. The document outlines various aspects of facial analysis used in orthodontics, including facial types, convexity, lip relationships, and symmetry. It also references several scientific articles and provides normative values for different facial measurements.

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mohebeman9
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0% found this document useful (0 votes)
52 views8 pages

Facial Guide

Dr. Rayane Pinto is a highly qualified orthodontist with a PhD in Orthodontics and a Master's degree in Rehabilitation Sciences. The document outlines various aspects of facial analysis used in orthodontics, including facial types, convexity, lip relationships, and symmetry. It also references several scientific articles and provides normative values for different facial measurements.

Uploaded by

mohebeman9
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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/drarayanepinto

Rayane de Oliveira Dr. Rayane Pinto

Pinto, PhD @dr_rayanepinto

DDS - MS - PHD
@dr_rayanepinto
CROSP: 110.005

PHD IN ORTHODONTICS
Unesp - Araraquara

MASTER'S DEGREE IN
REHABILITATION SCIENCES
Rehabilitation Hospital
of Craniofacial Anomalies of
São Paulo’s University (HRAC-USP)

SPECIALIST IN ORTHODONTICS
CPO - UNINGÁ

COORDINATOR OF THE
CERTIFICATE PROGRAM
Intercept and Fórmula Correctiva
Odontología Sin Fronteras

COORDINATOR OF THE
CERTIFICATE PROGRAM
IN CORRECTIVE ORTHODONTICS
Dental Courses
Ecuador

COORDINATOR OF THE
SPECIALTY IN ORTHODONTICS
UNICPO/SOROCABA

AUTHOR OF SCIENTIFIC ARTICLES


IN NATIONAL AND INTERNATIONAL
JOURNALS
FACIAL ANALYSIS
1. FACIAL TYPE:
Mesofacial Dolicofacial Brachyfacial

There are two reference lines: the horizontal line corresponds to the greatest width of the zygomatic region,
and the vertical line is the line that passes through the lowest point of the chin and the midpoint between the
eyebrows.

2. CONVEXITY:

Recto

Concave

Convex

The angle is formed by connecting the glabella, subnasale and pogonion. The proposed
normative value is 140.2º ± 4.9º for males and 138.9º ± 6.2º for females.

3. PROPORTION OF FACIAL THIRDS

Presents

Not present, increased third medium

Not present, diminished third

Superior Inferior Middle

The ratio between the middle and lower facial thirds — measured from subnasale to glabella and
from subnasale to soft menton — is 1 ± 0.08 in the normal standard.

1. 4. LIP SEAL:

Presents

Not Present interlabial


space

With the lips relaxed, there is a 1 to 3 mm space between the lower border of the upper lip and
the upper border of the lower lip.

3
5. ANTEROPOSTERIOR LIP RELATIONSHIP:
Upper and lower
Upper lip in front of lip on the same Lower lip in front of
the lower lip line the upper lip

Measured by the line formed by the subnasale and soft pogonion points, the subnasale-
pogonion line (Sn-Pg’), Upper lip in front of the Sn-Pog’ line: 3.5 mm + - 1.4 mm. Lower lip in front
of the Sn-Pog’ line: 2.2 mm + - 1.6 mm.

1. 6. FACIAL SYMMETRY AT REST:

Present
Right Left
Not Present

It is the horizontal and vertical balance between the two sides,


True
i.e. proportions of size of the lateral structures to the true vertical horizontal line
line. The asymmetrical side must be indicated.

1. 7. FACIAL SYMMETRY IN MOUTH OPENING

Presents
Right Left
Not Present

It refers to the horizontal and vertical balance between the two


sides of the face, that is, the proportional sizes of the lateral
structures relative to the true vertical line. Any asymmetrical side
should be identified.

8. NASOLABIAL ANGLE

Normal Open Diminished

The angle is formed by the intersection of the base of the nose and the
upper lip. The normative values are 111.9° ± 8.4° for females and
111.4° ± 11.7° for males.

4
9. MENTOLABIAL GROOVE

Normal

Deep

Shallow

The angle formed between the lower lip and the anterior projection of the chin. Its proposed
normative value is 124º ± 10º.

10. ZYGOMATIC PROJECTION:

Decreased Normal Increased

IIt requires simultaneous frontal and profile examination. Evaluation is performed using the
nasal implantation line, which extends from the lowest point of the orbit to the nasal wing.
Diagnosis is based on the infraorbital depression: it appears deficient in cases of maxillary
hypoplasia (resulting in a straighter line) and increased in cases of maxillary protrusion (resulting
in a line with greater angulation).

11. CHIN-NECK LINE:

Normal Increased Decreased

It is defined as the distance from the chin-neck junction to the soft tissue
of the chin. Although no precise measurement is required, a
morphological assessment of normality, excess, or deficiency is
necessary.

12. CHIN-NECK ANGLE:

Normal Open Closed

It is the angle formed between the chin and the neck. Patients with
exaggerated clockwise rotation of the mandibular joint present a closed
chin-neck angle, while counterclockwise rotation increases this angle.

5
1. 13. FACIAL PATTERN

Pattern I

Pattern II
With
Mandibular Maxillary With increased decreased
retrusion protrusion AFAI AFAI

Pattern III
With
Mandibular Maxillary With increased decreased
protrusion Retrusion AFAI AFAI

Short Face

Long Face

Pattern I Pattern II Pattern III

Short Face Long Face

6
REFERENCES

SCHEIDEMAN , G. B. ; BELL, W. H.; LEGAN, H. L.; FINN, R. A.; REISCH, J. S.


Cephalometric analysis of dentofacial normals. Am J Orthod, St. Louis, MO Louis,
v. 78, no. 4, p. 404-420, Oct. 1980.

CAPELOZZA FILHO, L. Diagnosis in Orthodontics, Maringá: Dental Press, 2004.

ARNETT, W. G.; BERGMAN, R. Facial keys to orthodontic diagnosis and treatment


planning – Part ll. Am J Orthod Dentofacial Orthop, St. Louis, v. 103, no. 5, p. 395-
411, May 1993.

REIS, A.B.R.; ABRÃO, J.; CAPELOZZA FILHO, L.; CLARO, C.A.A. Numerical facial
analysis of the profile of Brazilians Standard I. R Dental Press Ortodon Ortop
Facial, Maringá, v. 11, n. 6, p. 24-34, Nov. 2006.
FOLLOW ME ON
SOCIAL MEDIA
/drarayanepinto

Dr. Rayane Pinto

@dr_rayanepinto

@dr_rayanepinto

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