Facial patterns and skeletal configurations

Roth, R.H.

Asdc Journal of Dentistry for Children 40(5): 377-387


ISSN/ISBN: 1945-1954
PMID: 4582960
Document Number: 5313
The cases presented in this article exemplify the importance of assessing the skeletal characteristics for proper diagnosis and treatment planning and the importance of the selection of treatment mechanics in terms of force direction for the individual skeletal type. Perhaps the entire point of this presentation could be summed up by saying that regardless of how orthodontic treatment is performed or by whom, one must not treat the dentition at the expense of the facial and profile esthetics. I wish to emphasize, also, the importance of delivering to the patient a good functional occlusion. It is just as important, however, to deliver the best possible facial esthetics. To do this requires a knowledge of growth and development and the ability to recognize the ramifications of dentofacial skeletal relationships on orthodontic treatment. Neither the diagnosis nor the mechanics of treatment are based on a simple formula. Great emphasis is placed on the dental relationships of opposing teeth, and many cephalometric analyses that are commonly used relate only to the effect anterior teeth have on the profile. More emphasis must be placed on the actual skeletal relationships of the dentofacial complex that exist in malocclusion so that treatment planning will result in fewer failures. It should be continually emphasized, furthermore, that a similarity in the dental appearance of malocclusion does not always indicate that the same treatment approach should be used. The use of an appliance is no better than the diagnostician who uses it. Appliances for orthodontic correction must be carefully selected on an individual basis, and based upon a thorough evaluation of the skeletal pattern and facial type of the patient.

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Facial patterns and skeletal configurations