COMPARISON OF FACIAL AESTHETIC PERCEPTION BETWEEN TWO METHODS OF MAXILLOMANDIBULAR SAGITTAL POSITIONING IN ORTHOGNATHIC SURGERY
Face, Aesthetics, Orthognathic Surgery
The individual perception of what is aesthetically pleasing is shaped by a variety of factors, including cultural influences and personal experiences. (HERNÁNDEZ-ALFARO et al., 2023) Quality of life is directly influenced by how the individual perceives themselves in relation to body and facial aesthetics, suffering interference from the opinion and reaction of other people in relation to themselves when comparing or being compared to beauty standards. (RIZZI et al., 2022) Facial preferences are a response to the search for beauty in the human face, which is common among observers, and can be influenced by gender, age or cultural aspects, but are mainly attributed to specific visual characteristics that contribute to facial attractiveness, which include aspects such as proportions, symmetry and size of the face. (YANIN; MENDOZA, 2023)
Dentofacial deformities are defined by skeletal changes in the cheekbones, directly impacting the maxillo-mandibular relationship and the patient's occlusion, with orthognathic surgery being the treatment of choice for these cases, involving orthodontics and oral and maxillofacial surgery to restore function and aesthetics to patients. (MEGER et al., 2021) (BRUCOLI et al., 2019) (FARHAD B. NAINI; DALJIT S. GILL, 2017) In this context, the patient's aesthetic perception assumes crucial importance, since orthognathic surgery, in addition to correcting dentoskeletal changes through jaw movement, also impacts facial aesthetics, affecting their social and psychological well-being. (RUPPERTI et al., 2022) Although the results of the surgery bring many benefits, it is known that in some cases the final aesthetics of the treatment do not satisfy the patient. (RUPPERTI et al., 2022) (GRIBEL et al., 2011)
The final prediction of the soft tissue profile is of great importance both in treatment planning and in patient motivation, but determining the ideal sagittal position of the maxillomandibular relationship is still one of the challenges in treatment planning for patients with anteroposterior alterations. (RUPPERTI et al., 2022) In the diagnosis of maxillary alterations, there are different cephalometric analyses, which can generate discrepant results for the same patient, making the determination of an accurate result even more complex. (HERNÁNDEZ-ALFARO et al., 2023) (RESNICK et al., 2018)
There is no consensus in the literature on the best analysis of maxillomandibular sagittal positioning to aesthetically and functionally resolve dentofacial deformities, becoming a combination of occlusal correction and subjective aesthetic preferences of the surgeon. Therefore, the present study aims to compare two different methods of maxillary-mandibular sagittal positioning, according to the aesthetic perception of groups of orthodontists, oral and maxillofacial surgeons and laypeople.