Evaluation of Facial Esthetics in Rehabilitated Adults with Complete Unilateral Cleft Lip and Palate: A Comparison between Professionals with and without Experience in Oral Cleft Rehabilitation

Abstract

Objectives. e aim of this study was to evaluate the facial esthetics of White-Brazilian adults with complete unilateral cle lip and palate (UCLP) rehabilitated at a single center. Design. 30 patients (13 females; 17 males; mean age of 24.0 years), rehabilitated at a single center, were photographed and evaluated by 25 examiners, 5 orthodontists, and 5 plastic surgeons dealing with oral cles, 5 orthodontists and 5 plastic surgeons with no experience in the cle treatment, and 5 laymen. eir facial pro�les were classi�ed into esthetically unpleasant, esthetically acceptable, and esthetically pleasant. Results. Orthodontists dealing with oral cles classi�ed the majority of the sample as esthetically pleasant. Plastic surgeons dealing with oral cle, orthodontists, and plastic surgeons without experience with oral cles classi�ed most of the sample as esthetically acceptable. Laymen evaluation also considered the majority of the sample as esthetically acceptable. Conclusions. e facial pro�les of rehabilitated adults with UCLP were classi�ed mostly as esthetically acceptable, with variations among the categories of examiners. e examiners dealing with oral cles gave higher scores to the facial esthetics when compared to professionals without experience in oral cles and laypersons, probably due to their knowledge of the limitations involved in the rehabilitation process.

Avaliação do perfil de nipo-brasileiros através de análise subjetiva e numérica

“…Para o ângulo nasolabial o valor médio obtido por (Almeida et al, 2013;Ferrari Junior et al, 2015;Morihisa & Maltagliati., 2009;Reche et al, 2002;Reis et al, 2006b).…”

Apresentação

“…A face humana deve ser estudada com muito critério sob todos os ângulos, e o ortodontista deve fazer o possível para favorecer o aspecto facial do paciente, preserva-lhes as características étnicas e obter sua satisfação profissional (Bronfman et al, 2014;Capelozza Filho, 2004;Denize et al, 2014;Reche et al, 2002;Wuerpel, 1937 (Almeida et al, 2013;Ferrari Junior et al, 2015;Morihisa & Maltagliati., 2009;Reche et al, 2002;Reis et al, 2006b Injuries. Shoulder joint.…”

Facial profile esthetics in operated children with bilateral cleft lip and palate

“…6 - 9 In the few studies that judged facial esthetics of patients with oral clefts, there is consensus regarding the dissatisfaction with the cosmetic results obtained by the professionals involved in their rehabilitation, as well as by the patients themselves. 10 , 11 Chetpakdeechit et al 12 analyzed the facial esthetic outcome of patients with BCLP after orthodontic treatment and found that the upper lip, the nose and the scar were negative features affecting the esthetical evaluation. A recent study has evaluated the facial profile esthetics of BCLP after complete rehabilitation and classified most of the sample as esthetically acceptable.…”

“…1 The main goals of rehabilitation is reaching good facial esthetics and speech intelligibility. 11 The few previous studies on facial esthetics evaluation in CLP were performed in adulthood after complete rehabilitation. 11 - 16 However, facial appearance in the school age is very important for children interrelationship, sociability, self-esteem and learning productivity.…”

“… 11 The few previous studies on facial esthetics evaluation in CLP were performed in adulthood after complete rehabilitation. 11 - 16 However, facial appearance in the school age is very important for children interrelationship, sociability, self-esteem and learning productivity. 17 - 19 Therefore, the aim of this study was to evaluate the esthetics of facial profile in children with complete BCLP and compare the assessment of laypersons and professionals related and not related to cleft rehabilitation.…”