A 3-dimensional method for analyzing facial soft-tissue morphology of patients with jaw deformities

Am J Orthod Dentofacial Orthop. 2009 Jun;135(6):715-22. doi: 10.1016/j.ajodo.2007.06.017.

Abstract

Introduction: Traditional cephalometric radiographs can analyze facial soft-tissues 2 dimensionally. Because they cannot provide information about the nose, lips, cheeks, and mouth, another method is needed to analyze these soft tissues. We introduce a new method for analyzing the 3-dimensional (3D) shape and size of facial soft-tissue morphology.

Methods: A 3D average face model was constructed based on 3D computed tomography images of Japanese male and female adult volunteers who had well-balanced faces and normal occlusions. To test the feasibility of evaluating the quantitative effects of surgery, preoperative and postoperative 3D computed tomography images of facial soft tissues of 1 man and 1 woman were superimposed on the average faces.

Results: This quantitative assessment provided a comprehensive evaluation of the characteristics that separate size and shape. It was possible to view the superimposed images from any desired angle on a personal computer.

Conclusions: This method provides easy-to-understand information for patients and appears to be useful for clinical diagnosis and pretreatment and posttreatment soft-tissue morphologic evaluations of patients with jaw deformities.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Adult
  • Cephalometry / methods*
  • Ear Canal / anatomy & histology
  • Eye / anatomy & histology
  • Face*
  • Feasibility Studies
  • Female
  • Humans
  • Image Processing, Computer-Assisted / methods
  • Imaging, Three-Dimensional / methods*
  • Jaw Abnormalities / pathology*
  • Jaw Abnormalities / surgery
  • Male
  • Malocclusion, Angle Class III / pathology
  • Malocclusion, Angle Class III / surgery
  • Mouth / anatomy & histology
  • Nose / anatomy & histology
  • Orbit / anatomy & histology
  • Osteotomy / methods
  • Osteotomy, Le Fort / methods
  • Prognathism / pathology
  • Prognathism / surgery
  • Software
  • Tomography, X-Ray Computed / methods