CAJ | 학술논문

背景：不同垂直骨面型的软硬组织发育特点不同已被证实，它提示着患者的发育倾向和需要对支抗的控制程度。 　　目的：评价不同垂直骨面型对面部侧貌美学评价的影响，分析不同评价人群对3种垂直骨面型侧貌感知是否一致。 　　方法：根据投影测量数据及正畸医生的审美，选取高、均、低角骨面型美貌成年女性患者各1例，要求黄色人种、双侧颜面部基本对称、无颌面部其他软硬组织疾病、以往未接受正畸及正颌治疗。收集其面部侧貌图像，利用Dolphin Imaging图像处理软件仅在矢状向做2 mm小范围移动交替改变双唇及颏部突度，使之生成每组25张照片。15位正畸医生以“可接受面部侧貌”为筛选条件，最后每组选出11张面部侧貌图。由50名正畸患者家长、50名成年正畸患者和50名外行人作为评价者分别对其行主观美学评价，并于面部侧貌评价结束后对垂直骨面型是否影响面部侧貌美观作出评价。 　　结果与结论：评价者对不同垂直骨面型的直面型侧貌都表示喜爱，评价者还认为颏部稍前突的均角型侧貌、颏部稍后缩的高角型侧貌、下颌稍突或唇部稍后缩的低角型侧貌是美观的。男性和女性间评价结果一致性较高，大多数评价者更喜爱均角和高角的垂直骨面类型。结果表明评价者对不同垂直骨面型侧貌的审美有差别，男性和女性对不同垂直骨面型面部侧貌的审美具有高度一致性，垂直骨面型对评价侧貌美观有影响，大多数评价者更喜爱均角和高角的垂直骨面类型。
배경：불동수직골면형적연경조직발육특점불동이피증실，타제시착환자적발육경향화수요대지항적공제정도。 　　목적：평개불동수직골면형대면부측모미학평개적영향，분석불동평개인군대3충수직골면형측모감지시부일치。 　　방법：근거투영측량수거급정기의생적심미，선취고、균、저각골면형미모성년녀성환자각1례，요구황색인충、쌍측안면부기본대칭、무합면부기타연경조직질병、이왕미접수정기급정합치료。수집기면부측모도상，이용Dolphin Imaging도상처리연건부재시상향주2 mm소범위이동교체개변쌍진급해부돌도，사지생성매조25장조편。15위정기의생이“가접수면부측모”위사선조건，최후매조선출11장면부측모도。유50명정기환자가장、50명성년정기환자화50명외행인작위평개자분별대기행주관미학평개，병우면부측모평개결속후대수직골면형시부영향면부측모미관작출평개。 　　결과여결론：평개자대불동수직골면형적직면형측모도표시희애，평개자환인위해부초전돌적균각형측모、해부초후축적고각형측모、하합초돌혹진부초후축적저각형측모시미관적。남성화녀성간평개결과일치성교고，대다수평개자경희애균각화고각적수직골면류형。결과표명평개자대불동수직골면형측모적심미유차별，남성화녀성대불동수직골면형면부측모적심미구유고도일치성，수직골면형대평개측모미관유영향，대다수평개자경희애균각화고각적수직골면류형。
BACKGROUND:It is confirmed that the characteristics of soft and hard tissue development vary largely in different vertical facial types, which reflect the development trend of the patients and the control ing degree on anchorage. OBJECTIVE:To evaluate the influence of different vertical facial types on the aesthetic evaluation of facial profiles in young females, and analyze the perception of facial attractiveness from different people. METHODS:Three beautiful females, with high, average and low mandibular angle, respectively were selected according to the measurement data of projection and the orthodontist’s aesthetic appreciation. They were yel ow race, bilateral facial appearance was basical y symmetrical, and no other maxil ofacial disease was found. They also received no orthodontic or orthognathic treatment. The profile digital photographs and cephalograms of three females were col ected. The positions of soft tissue lip and soft tissue chin were altered incremental y with Dolphin Imaging and Management software. Twenty-five new pictures were generated by the smal scale (2 mm per unit) modification in the sagittal direction. By using“acceptable facial appearance”as a filter, 15 orthodontists selected 11 from 25 pictures. Fifty parents of orthodontic patients, 50 orthodontic patients, and 50 amateurs were taken as the evaluators for subjective aesthetic ratings and for the assessment of the influence of vertical facial types on the facial profile attractiveness. RESULTS AND CONCLUSION:With low and average angle, straight profile, slightly protrude chin was perceived to be beautiful. With high angle, straight profile, slightly protrude profile was perceived to be beautiful, and evaluation results are consistent between men and women. Evaluators are in agreement when it comes to evaluating the perception of facial attractiveness of three different vertical facial types profile in young females. They also have certain difference in aesthetic tendencies, but when it comes to straight profile they share the same preference. Although different vertical facial types profile has an impact on the profile of lip and chin, but it can’t represent the aesthetic preference of al evaluators.