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The

beautiful Orthodontics
Face 2001
The Next
Odyssey
Malcolm E. Meistrell, Jr., D.D.S.

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Beauty Beauty

 Every culture is a  A Pleasure to the


BEAUTY culture senses

Esthetics ESTHETICS

 A branch of  A Study of Beauty


philosophy that  Application of
gives way to Beauty and its
science Psychological
Response

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Notion of beauty LOCAL
FASHIONS
 Transcends  Rest on bedrock
Culture of shared
preferences

Looking good

 A universal
human obsession

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PHYSICAL
Physical beauty
BEAUTY
 Why do we put so  How do we
much stock in it? perceive it?

Outward
beauty
ATTRACTIVENESS
 May be a
reliable indicator  Certifies biological
of underlying quality
quality

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Judgement Of JUDGEMENT
Beauty OF BEAUTY
 Observation of  Visceral attention
another to small variations
 Size
 Do you want your
 Symmetry of facial
children to carry
bones
his/her genes?
 Body weight

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Average faces

 More pleasing
than faces with
features that
deviate from
the norm

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Extremely FEATURES OF
beautiful people ATTRACTIVENESS

 Share exceptional  Large Eyes


qualities  High Cheekbones
 Body symmetry  Narrow Jaw
 Facial symmetry
 Average-ness

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Ideal male faces

 Broad
forehead
 Prominent
brow and
cheekbones
 Large jaw
and strong
chin

Ideal female
face
 Forehead
higher than
average
 Fuller lips
 Shorter jaw
 Smaller chin
and nose

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EGYPTIAN
PROPORTIONAL
STANDARD

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Facial Analyses
of Leonardo
and Durer

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Profile analysis
lines
 Burstone- B line
 Holdaway- H Line
 Ricketts- E Line
 Steiner- S Line
 Sushner- S’ Line
 Merrifield- Profile
Line, Z angle

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Burstone line Holdaway H-
Line
 Soft tissue  Upper lip- Soft
subnasale- soft Tissue Pogonion
tissue pogonion

Ricketts E-Line Steiner S-Line

 Tip of nose- soft  Soft Tissue


tissue pogonion Pogonian-
Center Shape
Curve
Between tip of
nose and
Subnasale

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Merrifield -
Sushner S’ Line Profile Line, Z
Angle
 Profile Line-
 Soft Tissue
Nasion- Soft Soft Tissue Pog-
Most Prominent Lip
Tissue Pogonion
 Z Angle-
Frankfort Horizontal
- Profile Line

Smile Line

 How much
Gingiva?

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Frontal analysis

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Nasocillary Line

Nasal Length

 Length from Nasion to Nasal Tip


 Should be Approximately 1.5 Times
Width at Base

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Midline

 A Vertical line
Drawn through the
Forehead, Nose,
Upper Lip
(columnella),
Dental Midline
and Chin that
Divides the Face
in Hair

Facial Thirds

 Face Horizontally
Divided Into
Thirds with Lines
Drawn at Hairline,
Eyebrows, Base
of Nose and Chin

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Lower face third

 1/3 from base of


nose to where lips
meet
 2/3 from where
lips meet to
bottom of chin

Ala base

 Width of Nose at
Nostrils Equals
one Eye Width

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Rule of fifths

 Perfect Face
Width is Five
Times the Width
of One Eye

Width of the
mouth
 Should Equal the
distance between
the Limbus of the
Eyes

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Frankfort
Horizontal (1)
 A Line from the
top of the External
Auditory Canal to
the Infraorbital
Rim

“O” Meridian (II)

 Gonzales- lloa Line


 A Line from Soft
Tissue Nasion
Perpendicular to
Frankfort Horizontal
 Soft Tissue Poroion-
0 ± 3 mm to line

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Maxillary Depth (III)

 Perpendicular to
Frankfort Plane
that connects N
and A = O

Angle of Facial
Convexity (IV)
 Angle Formed by
Soft Tissue
Glabella,
Subnasale, and
Soft Tissue
Pogonian
 Ideal is 11
degrees

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Nasolabial Angle (V)
 Line Tangent to Inferior
Aspect of Nose through
Subnasale
 Line from Subnasale
Tangent to Upper Lip
 Males - Angle = 90-95
 Females - Angle = 100-
105

Upper Lip to Incisal


Edge
 1-4 mm at rest
 2/3 of Entire
Clinical Crown-
Smiling

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Interlabial gap Upper Lip

 0-3 mm when the  Males- 22 mm


lips are relaxed  Females- 20 mm

Harmonic Equation

 Beauty lies in Proportion


Facial analysis  Ideal or Standard is needed
with  Best Order is found at the
the golden Peak of the Curve
proportion  Biology is the Same for all
Races
 Locate the Most Treatable
Dysplasia

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25 YEAR OLD
Facial features FEMALE
 We obsess over  Abundant lips of a
the ones which 14 year old
diverge in males  Delicate jaw of an
and females at 11 year old
puberty  Relatively
prominent eyes
and cheekbones

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