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Facial Aesthetics: Concepts and Clinical Diagnosis

Facial Aesthetics: Concepts and Clinical Diagnosis

9781119510703
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Description

The definitive reference on facial aesthetic analysis for aesthetic and reconstructive surgery and aesthetic dentistry

Facial Aesthetics:: Concepts and Clinical Diagnosis is a unique resource for facial aesthetic surgery and dentistry. Providing a comprehensive guide to both the art and science of facial aesthetics, the book incorporates all aspects relevant to the work of the clinician involved in the management of facial deformities. Revised and expanded with extensive additions, the second edition is structured over 24 easy-to-follow chapters with numerous illustrations and diagrams.

Part I of Facial Aesthetics covers the historical evidence for facial aesthetics canons and concepts in depth. It incorporates all aspects relevant to the work of the clinician, including the philosophical and scientific theories of facial beauty, facial attractiveness research, facial proportions, facial expression, and the psychological ramifications of facial deformities. Part II of the book goes on to examine clinical evaluation and diagnosis in considerable detail under four sections, from the initial consultation interview and acquisition of diagnostic records, complete clinical examination and analysis of the craniofacial complex, in-depth analysis of each individual facial region, and the comprising craniodentoskeletal and soft tissue units and subunits, using a top-down approach, and finally focusing on smile and dentogingival aesthetic evaluation.

Written by a highly qualified practitioner and researcher in the field, Facial Aesthetics also provides::

  • Examines facial aesthetics in a clinical context
  • Step-by-step aesthetic analysis of each facial region
  • Detailed descriptions of the systematic clinical evaluation of the facial soft tissues and craniodentoskeletal complex
  • In-depth analysis of 2D and 3D clinical diagnostic records
  • An evidence-based approach, from antiquity to contemporary scientific evidence, to the guidelines employed in planning the correction of facial deformities
  • Treatment planning from first principles highlighted

Facial Aesthetics is a comprehensive, practical reference and essential guide for practitioners with interest in refining their understanding and appreciation of the human face and applying practical protocols to their clinical diagnosis and treatment planning. It is essential reading for facial aesthetic surgeons and aesthetic dentists, orthodontists, oral and maxillofacial surgeons, as well as plastic and reconstructive surgeons.

Product Details
103719
9781119510703

Data sheet

Publication date
2025
Issue number
2
Cover
hard cover
Pages count
512
Dimensions (mm)
221 x 276
  • Reviews of the First Edition xvi

    Preface to Second Edition xviii

    Preface to the First Edition xx

    Acknowledgements xxii

    Part I Concepts

    Chapter 1 Facial Beauty
    with Hengameh B. Naini 3

    Definition of beauty and aesthetics 3

    Is beauty ‘in the eye of the beholder’? 5

    The enigma of facial beauty 6

    Beauty and facial beauty: historical and philosophical perspectives 11

    Facial Beauty: Scientific perspectives 17

    Importance of facial beauty 22

    Striving for form 23

    References 24

    Chapter 2 Facial Proportions: Classical Canons to Modern Craniofacial Anthropometry 26

    Introduction 26

    Ancient Egypt 26

    Ancient Greece 27

    Ancient Rome 34

    The Renaissance 36

    The Enlightenment and neoclassicism 51

    Twentieth century 53

    The golden proportion 55

    Conclusion 61

    References 61

    Chapter 3 Facial Expression: Influence and Significance 63

    Introduction 63

    Importance of facial expressions 63

    History of research into facial expressions 64

    References 70

    Chapter 4 Psychological Ramifications of Facial Deformities 72

    Introduction 72

    Health and psychosocial well-being 72

    Self-image 73

    The effect of the response of others on those with facial deformities 74

    To treat or not to treat? The controversial debate 75

    Body dysmorphic disorder: the delusion of deformity 76

    Managing facial deformity in a neurotic-dysmorphic patient 81

    Conclusion 82

    References 82

    Further reading 83

    Part II Clinical Diagnosis

    Section 1 Patient Interview and Clinical Diagnostic Records 87

    Introduction to Section 1 87

    Diagnosis 87

    Chapter 5 Patient Interview and Consultation 89

    Introduction 89

    Presenting complaint 89

    History of presenting complaint 90

    Psychosocial history 91

    Medical history 93

    Danger signals and the ‘problem’ patient 93

    Concluding remarks 93

    References 94

    Chapter 6 Clinical Diagnostic Records, Natural Head Position and Craniofacial Anthropometry 95

    Introduction 95

    Radiographs 95

    Clinical photographs 97

    Clinical videography 97

    Study models 97

    Serial height measurement 98

    Three-dimensional hard and soft tissue imaging 98

    The Frankfort Craniometric Agreement and the Frankfort Plane 99

    The unreliability of anatomical reference planes 101

    Natural head position: the key to diagnosis 102

    Choice of horizontal and vertical reference planes 103

    Orientation of the patient in natural head position 104

    Equipment for digital photography and data storage 105

    Patient consent forms 105

    Background and lighting 105

    Facial views 106

    Intraoral views 107

    Anthropometric craniofacial surface landmarks 108

    References 112

    Chapter 7 Cephalometry and Cephalometric Analysis 113

    Introduction 113

    Cephalometric landmarks and planes of reference 114

    Landmarks, lines, planes and volumes 114

    Cephalometric planes of reference 119

    Posteroanterior cephalometric radiography 122

    Cephalometric analysis and geometric principles 125

    Description of dentofacial deformities 125

    Sagittal skeletal relationships 127

    Sagittal dentoalveolar relationships 137

    Vertical skeletal relationships 142

    Vertical dentoalveolar relationships 148

    Transverse skeletal relationships 149

    References 149

    Section 2 Facial Aesthetic Analysis: Facial Type, Proportions and Symmetry 151

    Introduction to Section 2 151

    The diagnostic process – clinical evaluation 152

    Clinical evaluation – the sequence 154

    References 155

    Chapter 8 Facial Type 157

    Introduction 157

    The fictional conception of the ‘normal’ 157

    Proportion indices 157

    Head type 159

    Cephalic index 159

    Head circumference 160

    Facial type: frontal view (norma frontalis) 160

    Facial shape 160

    Facial index 161

    Facial type: profile view (norma lateralis) 162

    Facial divergence 162

    Sagittal facial profile contour 164

    Parasagittal facial profile contour 167

    Facial curves and curvilinear relationships 171

    Curvilinear relationships – frontal and profile views 172

    Angularity of facial contour lines 172

    Facial profile curves and ‘S-shaped’ curvilinear considerations 172

    Contour defects 173

    Sexual variation: the main differences between male and female faces 174

    ‘Ethnic’ variation: considerations in facial aesthetic evaluation 175

    Historical background 175

    Considerations in facial aesthetic evaluation 175

    Clinical implications 176

    Facial ageing 178

    Current understanding, controversies and future research 179

    Recognizing the visible effects of ageing 181

    References 182

    Chapter 9 Facial Proposition 184

    Introduction 184

    Craniofacial height to standing height proportion 185

    Vertical Facial Proportions 190

    Transverse facial proportions 194

    Concluding remarks 198

    References 198

    Chapter 10 Facial Symmetry and Asymmetry 199

    Introduction 199

    Relationship between symmetry and proportion 199

    Balance and harmony: a note on terminology 200

    Aetiology and classification of facial asymmetry 200

    Clinical evaluation 201

    Dynamic clinical evaluation 206

    Dental midlines 209

    Radiographic/cephalometric evaluation 210

    Three-dimensional imaging evaluation 214

    Craniofacial growth and treatment timing 218

    References 222

    Section 3 Facial Aesthetic Analysis: Regional Analysis 223

    Introduction to Section 3 223

    The modified subunit principle 223

    Relativity and the five facial prominences 224

    References 225

    Upper Facial Analysis 226

    Chapter 11 The Forehead 227

    Introduction and Terminology 227

    Anatomy 227

    Clinical evaluation 228

    References 232

    Chapter 12 The Orbital Region 233

    Introduction 233

    Terminology 234

    Anatomy 234

    Clinical evaluation 236

    References 240

    Midfacial Analysis 242

    Chapter 13 The Ears 243

    Introduction 243

    Terminology 243

    Anatomy 243

    Clinical evaluation 244

    References 248

    Chapter 14 The Nose 249

    Introduction 249

    Terminology 251

    Anatomy 252

    Nasal type, topography and the subunit principle 254

    Clinical evaluation 257

    Normative values for nasal dimensions 271

    Nasal function 272

    References 272

    Chapter 15 The Malar Region 274

    Introduction 274

    Terminology 274

    Anatomy 275

    Clinical evaluation 275

    Principles in planning the correction of malar deficiency 280

    References 282

    Chapter 16 The Maxilla and Midface 283

    Introduction 283

    Terminology 283

    Anatomy 286

    Clinical evaluation 288

    Maxillary deficiency 297

    Maxillary excess 301

    Maxillary asymmetry 305

    References 306

    Lower Facial Analysis 307

    Introduction 307

    Chapter 17 The Lips 308

    Introduction 308

    Anatomy 308

    Terminology 310

    Clinical evaluation 310

    References 326

    Chapter 18 Mentolabial (Labiomental) Fold 328

    Introduction 328

    Mentolabial fold (sulcus) depth 328

    Mentolabial angle 328

    Attractiveness research 331

    Vertical position of the mentolabial fold 331

    Mentolabial fold morphology 331

    References 334

    Chapter 19 The Mandible 335

    Terminology 335

    Anatomy, morphology and size 335

    Sagittal and vertical relationships 339

    Mandibular deficiency 339

    Mandibular excess 342

    Transverse relationships 346

    Mandibular asymmetries 347

    References 352

    Chapter 20 The Chin 353

    Introduction 353

    Anatomy 353

    Terminology 354

    Classification of chin deformities 359

    Clinical evaluation 362

    Sagittal evaluation and chin projection 362

    Sagittal position of hard tissue (skeletal) pogonion 367

    Indirect morphological influences on sagittal chin projection 369

    Soft tissue chin pad 370

    Mentolabial fold and chin pad morphology 370

    Dynamic chin pad evaluation 370

    Mentalis muscle – anatomy, activity and significance 371

    Vertical chin height 374

    Transverse chin width 374

    References 375

    Chapter 21 Submental-Cervical Region 377

    Introduction 377

    Anatomy 377

    Terminology 377

    Aetiology 378

    Clinical evaluation 379

    Relative submental projection and aesthetics 391

    References 391

    Section 4 Smile and Dentogingival Aesthetic Analysis 393

    Introduction to Section 4 393

    Chapter 22 Dental-Occlusal Relationships: Terminology, Description and Classification 395

    Introduction 395

    Terminology 395

    Dental occlusion 397

    Classification of dental-occlusal relationships 400

    The term ‘Class’ and classification 404

    The aetiology of malocclusion 406

    Oral health 409

    Occlusal function 410

    References 410

    Chapter 23 Smile Aesthetics
    with Daljit S. Gill 412

    Introduction 412

    Clinical evaluation 413

    Lip aesthetics 413

    Lip lines 413

    Upper lip–maxillary incisor relationship 414

    Incisor exposure and phonetic analysis 418

    Incisor exposure in oblique lateral view 419

    Incisor exposure and anterior occlusal guidance 419

    Smile symmetry 420

    Dynamic upper lip curvature 420

    Orientation of the transverse occlusal plane 420

    Orientation of the sagittal occlusal plane 421

    Smile curvature (smile arc) 421

    Dental midlines 425

    Buccal corridors (negative space) 425

    Smile aesthetics in profile view 427

    References 431

    Chapter 24 Dentogingival Aesthetics
    with Daljit S. Gill 432

    Introduction 432

    Anatomy 432

    Clinical evaluation 434

    Tooth shape 434

    Tooth size 436

    Tooth proportions 438

    Tooth symmetry 439

    Arch form 440

    Maxillary incisor axial angulations 441

    Gradation (front-to-back progression) 441

    Gingival aesthetics 442

    Contacts, connectors and embrasures 445

    Tooth colour 446

    References 448

    Index 450

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