Facial Analysis Flashcards
Minimum amount of photos?
- 8 extraoral
- 5 introral
What landmarks are used for asymmetry assessment? (3)
- Glabella
- midpoint of chin
- BOTH infraorbitary points
Why is a tongue depressor useful for facial analysis?
to evaluate occlusal plane
Rule of fifths: where do we draw the lines? (2)
- Ears
- internal and external aspect of each eye
Rule of thirds: where do we draw the lines? (2)
- ears
- lip comissures
Arnett & Bergman facial proportions: Where do we draw the lines? (4)
(Horizontal)
- Trichion (hair line)
- Glabela (Above and between eyebrows)
- Subnasal
- Menton
Arnett & Bergman facial proportions: Class II, Class III?
Depends on inferior 1/3
- Class II - increased
- Class III - decreased
Inferior 1/3 facial analysis: Where do we draw lines? why? (4)
- Subnasal
- Stomion (superior & inferior)
- Menton
*can measure the buccal opening
Golden ratio value?
1.618:1
What are the types of cranial index classification? (3)
- Brachyfacial
- Dolichofacial
- Mesfofacial
Cranial index classification: What do we measure? (4)
H-Me / bizygomatic ratio:
- 1.3 women
- 1.35 men
Bigonial 30% < Bizygomatic
What is H-Me
Trichion to menton (vertical)
Define mesocephalic: (2)
- Falls between brachycephalic and dolicocephalic types
- Avg cranial width
Define mesofacial:
well balanced facial features
Mesocephalic values? (3)
H/Me ratio = 1.30 or 1.35
SN.GoGn = 32º
SNGn =66º
Mesocephalic horizontal and vertical dimensions?
Equilibrium between both
Mesocephalic facial thirds?
balanced
Mesocephalic profile?
straight
Mesocephalic malocclusion? (2)
-normoocclusion OR class I malocclusion
Mesocephalic gonial angle?
120 degrees
Mesocephalic mentolabial angle?
120-140 degrees
Mesocephalic muscle/lip?
- muscular balance
- lip seal
Mesofacial somatic morphotype?
Mesomorph / athletic
Meofacial Morphotype: arch?
parabolic
Meofacial Morphotype: teeth?
square
Define Brachycephalic: (3)
- Larger cranial width
- broad square head shape
- low mandibular plane angle
Define Brachyfacial:
- Broad square face
- Strong chin
- Flat lip posture
- Low mandibular plane angle
- Straight profile
Brachycephalic vertical/horizonal? (2)
- Horizontal parameters predominance
- Horizontal growth
Brachycephalic Values? (3)
- H-Me ratio < 1.3 or 1.35
- SN.GoGn < 33 degrees
- SNGn < 66 degrees
Brachycephalic lower facial third? mandibular rotation? (2)
Decreased
- COUNTERCLOCKWISE mandibular rotation
Brachycephalic bite alterations?
deep over bite tendency
Brachycephalic gonial angle?
<120*
Brachycephalic condyle? (4)
- vertical and robust
- neck: short and wide
Brachycephalic ramus?
long
Brachycephalic mandibular canal?
curved
Brachycephalic symphysis?
prominent
Brachycephalic mentolabial depression?
increased
Brachycephalic mentolabial angle?
<120 degrees
Brachycephalic musculature?
Strong
Brachycephalic teeth? (3)
- tendency of crowing
- retroclined incisors
- barrel teeth
Brachycephalic morphotype: somatic? (2)
pyknic or endomorph
Brachycephalic arch?
square (U shaped)
Define dolicocephalic: (3)
- narrower cranial width
- long narrow face shape
- high mandibular plane angle
Define dolicofacial: (5)
-long narrow face
-high mandibular plane angle
-convex profile
poor chin development
-anterior-posterior face height imbalance
Dolicocephalic horiztonal/vertical:
- Predominance of vertical parameters
- VERTICAL GROWTH
Dolicocephalic Values? (3)
- H/Me ratio > 1.30 or 1.35
- SN.GoGn > 33 degrees
- SNGn > 66 degrees
Dolicocephalic inferior third? mandible rotation? (2)
- INCREASED lower third
- CLOCKWISE mandibular rotation
Dolicocephalic bite alterations?
open bite tendency
Dolicocephalic gonial angle?
> 120
Dolicocephalic condyle? (2)
- Thin condyle
- distal inclination
Dolicocephalic notches?
antegonial notch
Dolicocephalic ramus?
short
Dolicocephalic vertical symphysis?
thing
Dolicocephalic mentolabial depression?
flat
Dolicocephalic mentolabial angle?
> 140
Dolicocephalic muscles?
hyptonic
Dolicocephalic lips?
no lip seal
Dolicocephalic deglutition?
disfunctional
Dolicocephalic morphotypes: somatic? (2)
ectomorph or leptosome
Dolicocephalic morphotypes: arch?
triangular
Dolicocephalic morphotypes: teeth?
triangular
Ideal proportions for lower third? (2)
1/3 upper lip to nose base
2/3 lower lip to menton
Profile convity/convexity analyzes: (3)
- Glabella to subnasal
- Subnasal to pogonion
Straight profile? (2)
- Class I
- 165-180 degrees
Convex profile? (2)
- Class II
- < 165 degrees
Concave profile? (2)
- Class III
- > 180 degrees
Nasolabial angle value?
85-110 degrees
What do we use to measure rickett’s aesthetic plane? (2)
- Pronasal
- Pogonion
How do we measure chin length? (2)
- lower lip to menton