análise facial
DESCRIPTION
Aula do curso de especialização em ortodontia.TRANSCRIPT
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ANÁLISE
FACIAL Recurso principal em nossa perspectiva de
diagnóstico. PROF. MARCELO CALVO
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Kingsley, no final do
século XIX, afirmou que a
articulação dos dentes era
claramente secundária em
relação a aparência facial.
Análise Facial
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Angle (1889) elegeu a
face de Apolo de
Belvedere como o ideal de
beleza;
Tratamento sem
exodontias (Angle);
Tweed (1944) - ERA
EXTRACIONISTA.
Análise Facial
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Os parâmetros faciais perderam sua conotação diagnóstica primária e importância na clínica a partir do advento do cefalostato.
Necessidade de estabelecer parâmetros objetivos
Análise Facial
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Análise Facial
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Análise Facial
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Análise Facial
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Análise Facial
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Análise Facial
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Análise Facial
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Análise Facial
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Análise Facial
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FACIOMETRIA
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FACIOMETRIA NORMA FRONTAL
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FACIOMETRIA NORMA FRONTAL
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FACIOMETRIA NORMA FRONTAL
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FACIOMETRIA NORMA FRONTAL
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FACIOMETRIA NORMA FRONTAL
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FACIOMETRIA NORMA LATERAL
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FACIOMETRIA NORMA LATERAL
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FACIOMETRIA NORMA LATERAL
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FACIOMETRIA NORMA LATERAL
LVV
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FACIOMETRIA NORMA LATERAL
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FACIOMETRIA NORMA LATERAL
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FACIOMETRIA NORMA LATERAL
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FACIOMETRIA NORMA LATERAL
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FACIOMETRIA NORMA LATERAL
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Âng. Nasolabial
108 / +- 10 graus
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Âng. mentolabial
132 / +- 10 graus
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Âng. Interlabial
135 / +- 11 graus
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Âng. convex. facial
total
137 / +- 4 graus
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Âng. convex. facial
12 / +- 4 graus
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Âng. terço inf. face
103 / +- 8 graus
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Proporção
AFAM/AFAI
0,93 / +- 1
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Proporção terço
inferior
0,45 / +- 0,06
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Mínimo: 80,5 graus
Máximo:127,5 graus
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Ângulo com mesmo valor
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Ângulo com mesmo valor
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A
n
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ti
v
a
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Análíse facial subjetiva
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Motivação do paciente
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Análíse facial subjetiva
estética
Análíse facial
subjetiva
morfológica
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T
exto
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PESQUISA:
Objetivo : criar parâmetros para a
aceitabilidade facial, definindo as
características faciais de indivíduos normais
brasileiros (Reis-2001).
Metodologia : critério mínimo de qualidade facial.
Ausência de assimetria , selamento labial
passivo e sem tratamento prévio;
Análíse facial subjetiva
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Amostra: Adultos, jovens, brancos de
ambos os gêneros;
Material: fotos frontal e lateral
padronizadas;
Examinadores: Ortodontistas, Artistas
plásticos e Leigos.
Análíse facial subjetiva
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Análíse facial subjetiva
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Posição Natural de Cabeça
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CLASSIFICAÇÃO:
ESTETICAMENTE DESAGRADÁVEL;
ESTETICAMENTE ACEITÁVEL;
ESTETICAMENTE AGRADÁVEL.
Análíse facial subjetiva
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RESULTADOS E CONCLUSÕES
EXAME FRONTAL
CONCLUSÃO:
A presença de selamento e assimetria são fatores
importante para aceitabilidade facial;
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EXAME FRONTAL
CONCLUSÃO:
Ainda assim, a qualificação de desagradável esteve
muito ligado à assimetria.
RESULTADOS E CONCLUSÕES
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RESULTADOS E CONCLUSÕES
EXAME PERFIL
CONCLUSÃO:
A presença de selamento labial passivo e assimetria são
fatores importantes para aceitabilidade facial;
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CONCLUSÃO:
A qualificação de desagradável esteve muito ligado ao
nariz e ao queixo.
RESULTADOS E CONCLUSÕES
EXAME PERFIL
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Avaliar o potencial de aceitabilidade;
Admitir a excepcionalidade da face agradável;
Faces desagradáveis devem ser tratadas
corretivamente.
RESULTADOS E CONCLUSÕES
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O critério de selamento labial passivo e a
relação dos lábios com o nariz e mento são
parâmetros absolutamente indispensáveis.
RESULTADOS E CONCLUSÕES
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Avaliação
criteriosa
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Análíse facial
subjetiva
morfológica
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Análise Subjetiva
Morfológica
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Anamnese e Exame Clínico;
Análise Facial Subjetiva Estética;
Análise Facial Morfológica;
Análise morfológica da telerradiografia;
Análise morfológica Panorâmica;
Análise morfológica de modelos.
METODIZAÇÃO
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AVALIAÇÃO
TRIDIMENSIONAL
ANTEROPOSTERIOR
VERTICAL TRANSVERSA
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Posição Natural de Cabeça
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CRESCIMENTO
EQUILIBRADO;
GRAU MODERADO DE
CONVEXIDADE FACIAL.
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FACIOMETRIA NORMA FRONTAL
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PROTRUSÃO MAXILAR E OU
DEFICIÊNCIA MANDIBULAR;
CONVEXIDADE FACIAL
AUMENTADA.
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O PACIENTE PODE TER
CARACTERÍSTICAS DE PADRÃO I NA
ANÁLISE FRONTAL;
ESTES APRESENTAM UM
PROGNÓSTICO MELHOR.
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MAXILA-
Projeção zigomático;
Depressão infraorbitária;
A linha de implantação do nariz;
Sulco naso-geniano com leve inclinação
posterior;
Ângulo nasolabial não característico.
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MANDÍBULA-
Linha queixo-pescoço curta;
Ângulo queixo-pescoço aberto;
Sulco mentolabial marcado pela eversão do
lábio inferior;
AFAI normal ou diminuído- relação ao médio.
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AFAI normal ou diminuído- relação ao médio;
Lábio inferior - excesso de vermelhão inferior;
Lábio superior com muita variação;
Mento mesmo c/ defic. mandib.- pode ser bom;
Ângulo linha do queixo com Camper- tipo facial-
acúmulo de gordura nesta região.
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DEFICIÊNCIA MAXILAR E OU
PROGNATISMO MANDIBULAR;
CONVEXIDADE FACIAL REDUZIDA,
RESULTANDO EM UM PERFIL RETO OU
CÔNCAVO.
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DIFERENCIAL PADRÃO III
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MAXILA-
Expressão facial prejudicada
Projeção zigomático deficiente real ou relativa;
Depressão infraorbitária- mais importante;
A linha de implantação do nariz;
Sulco naso-geniano com leve inclinação posterior;
Ângulo nasolabial não característico.
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MANDÍBULA-
Linha queixo-pescoço expressiva ou
aumentada;
Ângulo queixo-pescoço adequado-
Importante;
Sulco mentolabial ausente ou muito discreto.
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AFAI aumentada ou normal- relação ao médio;
Lábio inferior verticalizado e a frente no perfil;
Lábio superior curto no sorriso;
Desproporção na expressão dos lábios;
Mento marca a face do paciente no frontal principalmente no
gênero feminino;
Ângulo linha do queixo com Camper- tipo facial- acúmulo de
gordura nesta região.
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DISCREPÂNCIA ESQUELÉTICA NO
SENTIDO VERTICAL IMPOSSIBILITANDO
SEU PORTADOR DO VEDAMENTO
LABIAL PASSIVO.
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Nariz longo e de base estreita
Deficiência na projeção zigomático
Depressão infra-orbitária pouco evidente
Sulco nasogeniano discreto
Excesso de terço inferior- essência da doença
Ausência de selamento labial passivo
Mento duplo no selamento
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Exposição de incisivos superiores no repouso e
gengival sorrindo;
Lábio superior curto;
Lábio inferior vermelhão desproporcional;
Dist. Interlabial aumentada;
Linha queixo pescoço curta;
Ângulo queixo pescoço fechado- característico.
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DISCREPÂNCIA ESQUELÉTICA NO
SENTIDO VERTICAL QUASE SEMPRE
IMPOSSIBILITANDO EXPOSIÇÃO DE
INCISIVOS EM REPOUSO E POUCA NO
SORRISO.
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Deficiência do terço inferior em relação ao médio;
Expressão zigomática plena e nariz normal ou
largo;
Lábios, sulcos e mento comprimidos e marcados;
Cantos da boca abaixo da relação labial;
Ausência de selamento labial passivo.
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Perfil reto ou moderadamente convexo;
Lábio inferior vermelhão desproporcional;
Linha queixo pescoço e o ângulo são normais;
Ângulo queixo pescoço c/ Camper paralelo ou pouco
convergente.
Face larga e quadrada com musculatura forte na
região do ângulo goníaco.
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Texto
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Análise morfológica
telerradiografia
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Identificação do problema
Análise facial criteriosa
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Privilegiar a forma para
qualificar
Privilegiar a metria para
quantificar
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OBRIGADO!!!
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