Improvement in facial aesthetics of orthognathic patients after surgery-first approach Article Swipe
Noura Alotaibi
,
Chieh-Han Liu
,
Philip Benington
,
Ashraf Ayoub
·
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.1016/j.bjoms.2023.08.213
YOU?
·
· 2023
· Open Access
·
· DOI: https://doi.org/10.1016/j.bjoms.2023.08.213
Facial appearance significantly affects psychosocial wellbeing, and an improvement in facial aesthetics is considered an essential outcome of orthognathic treatment. The surgery-first approach (SFA) has emerged as a promising alternative to the conventional orthodontics-first approach (OFA) due to its potential advantages in reducing treatment duration and cost, delivering early aesthetic improvement, and increasing patient satisfaction. However, its impact on final facial aesthetics and how it compares with the OFA has, to our knowledge, not yet been investigated. This retrospective study aimed to compare the improvement in facial aesthetics after orthognathic surgery in an SFA and an OFA group. Preoperative and postoperative 3-dimensional stereophotogrammetry facial images of 40 patients were evaluated by five professional assessors using the Global Aesthetic Improvement Scale (GAIS). Similar aesthetic improvement outcomes were found in both the SFA and OFA groups. The GAIS score significantly correlated with the following facial variables: upper lip projection, chin prominence, facial proportions, paranasal hollowing, lip competence, mandibular projection, and facial profile. No significant correlation was found between a change in aesthetic score and the surgical variables. There was a positive association between overall GAIS score and the gender and experience level of the individual assessors. This study suggests that aesthetic facial improvement achieved with the SFA is satisfactory and comparable to that of the OFA.
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Metadata
- Type
- article
- Language
- en
- Landing Page
- https://doi.org/10.1016/j.bjoms.2023.08.213
- http://www.bjoms.com/article/S026643562300431X/pdf
- OA Status
- hybrid
- Cited By
- 6
- References
- 34
- Related Works
- 10
- OpenAlex ID
- https://openalex.org/W4386645308
All OpenAlex metadata
Raw OpenAlex JSON
- OpenAlex ID
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https://openalex.org/W4386645308Canonical identifier for this work in OpenAlex
- DOI
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https://doi.org/10.1016/j.bjoms.2023.08.213Digital Object Identifier
- Title
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Improvement in facial aesthetics of orthognathic patients after surgery-first approachWork title
- Type
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articleOpenAlex work type
- Language
-
enPrimary language
- Publication year
-
2023Year of publication
- Publication date
-
2023-09-12Full publication date if available
- Authors
-
Noura Alotaibi, Chieh-Han Liu, Philip Benington, Ashraf AyoubList of authors in order
- Landing page
-
https://doi.org/10.1016/j.bjoms.2023.08.213Publisher landing page
- PDF URL
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https://www.bjoms.com/article/S026643562300431X/pdfDirect link to full text PDF
- Open access
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YesWhether a free full text is available
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hybridOpen access status per OpenAlex
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https://www.bjoms.com/article/S026643562300431X/pdfDirect OA link when available
- Concepts
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Medicine, Orthognathic surgery, Chin, Psychosocial, Orthodontics, Dentistry, Patient satisfaction, Aesthetics, Surgery, Anatomy, Psychiatry, PhilosophyTop concepts (fields/topics) attached by OpenAlex
- Cited by
-
6Total citation count in OpenAlex
- Citations by year (recent)
-
2025: 3, 2024: 3Per-year citation counts (last 5 years)
- References (count)
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34Number of works referenced by this work
- Related works (count)
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10Other works algorithmically related by OpenAlex
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