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    Does facial growth pattern affect the perception of lower facial asymmetry?
    (The EH Angle Education and Research Foundation Inc., 2024) Basal, Ece; Çevik, İsmail; Acar, Yasemin Bahar; Özdemir, Fulya
    Objectives To investigate the influence of vertical facial type on esthetic perception of lower facial asymmetry as evaluated by orthodontists, dentists, and laypeople. Materials and Methods Three adult females were selected with normal growth patterns (NGP), vertical growth patterns (VGP), and horizontal growth patterns (HGP). Frontal photographs were made symmetric and digitally altered, rotating the lower facial third clockwise, ranging from 0° to 6° in 1° increments. A web-based survey was designed with 24 images (eight images for each model) in random order. Each image was rated using a scale ranging from 0 (unattractive) to 10 (the most attractive) by 75 orthodontists, 73 dentists, and 78 laypeople. Kruskal-Wallis test was used to determine whether differences among groups were significant. Pairwise comparisons were made with Mann-Whitney U test. The significance level was set at P = .05. Results In NGP, orthodontists and dentists could recognize slighter deviations (2°), while deviations in VGP and HGP under 3° were not recognized by all groups. Severe deviations (≥4°) were distinguished better in HGP by orthodontists and laypeople. In VGP and NGP, there was no significant difference over 4°. Conclusions Growth pattern has a significant influence on perception of lower facial asymmetry. Less severe asymmetry can be detected better in NGP. In severe degrees, increments of asymmetry can be perceived more in HGP by orthodontists and laypeople.
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    Does vertical pattern affect lip strain in open-bite patients?: A cephalometric study
    (Adıyaman University, 2024) Başal, Ece; Acar, Yasemin Bahar; Erdem, Buket
    Aim: To examine effect of skeletal pattern on lip strain in open-bite, in individuals with normal and increased vertical pattern. Materials and Methods: 56 open bite patients with Normovergent (NG) and Hyperdivergent (HG) vertical patterns (Mean age: 16.57 years) underwent cephalometric analysis. Soft tissue labial, hard tissue, and dental inclinations were measured. Statistical analyses were performed using Kolmogorov Smirnov, Mann Whitney-U, and independent sample t-tests; Pearson and Spearman correlation analyses; and Linear regression analysis. Results: In HG, each degree of SN-UOP increase caused 0.371 mm increase in lower lip strain. While in NG, upper lip strain was associated with IMPA and SNB (each degree caused 0.14 mm increase and 0.207 mm decrease respectively). Conclusion: IMPA, SN-UOP and SNB were found to be the determinants of lip strain. Dental, vertical, and sagittal variables showed association with lower face.

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