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Evaluation of facial asymmetry in patients with juvenile idiopathic arthritis: Correlation between hard tissue and soft tissue landmarks.

Abstract The aims of this study were to assess the correlation between facial hard and soft tissue asymmetry in patients with juvenile idiopathic arthritis, to identify valid soft tissue points for clinical examination, and to assess the smallest clinically detectable level of dentofacial asymmetry.
PMID
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Evaluation of facial hard and soft tissue asymmetry using cone-beam computed tomography.

Authors

Mayor MeshTerms

Cone-Beam Computed Tomography

Photography

Keywords
Journal Title american journal of orthodontics and dentofacial orthopedics : official publication of the american association of orthodontists, its constituent societies, and the american board of orthodontics
Publication Year Start




PMID- 29706214
OWN - NLM
STAT- MEDLINE
DCOM- 20180510
LR  - 20180510
IS  - 1097-6752 (Electronic)
IS  - 0889-5406 (Linking)
VI  - 153
IP  - 5
DP  - 2018 May
TI  - Evaluation of facial asymmetry in patients with juvenile idiopathic arthritis:
      Correlation between hard tissue and soft tissue landmarks.
PG  - 662-672.e1
LID - S0889-5406(18)30055-6 [pii]
LID - 10.1016/j.ajodo.2017.08.022 [doi]
AB  - INTRODUCTION: The aims of this study were to assess the correlation between
      facial hard and soft tissue asymmetry in patients with juvenile idiopathic
      arthritis, to identify valid soft tissue points for clinical examination, and to 
      assess the smallest clinically detectable level of dentofacial asymmetry.
      METHODS: Full-face cone-beam computed tomography scans and 3-dimensional
      photographs were used to assess facial hard and soft tissue asymmetry in 21
      patients with juvenile idiopathic arthritis. A survey was conducted to assess how
      asymmetry is perceived observationally based on cone-beam computed tomography
      scans and 3-dimensional photographs. RESULTS: Significant linear correlations
      were seen between the hard and soft tissue landmark deviations at both the
      transverse and vertical positions. Among medial soft tissue points, glabella had 
      the smallest deviation and pogonion the largest deviation from the midsagittal
      plane. Professionals could identify facial asymmetry based on images beyond a
      cutoff threshold of 2 mm for both pogonion and gonion. CONCLUSIONS: Soft tissue
      pogonion and gonion were identified as the most appropriate landmarks to
      clinically predict hard tissue facial asymmetry. Facial asymmetries are most
      pronounced in the lower facial third in patients with juvenile idiopathic
      arthritis. Professionals can accurately identify asymmetry exceeding 2 mm.
CI  - Copyright (c) 2018 American Association of Orthodontists. Published by Elsevier
      Inc. All rights reserved.
FAU - Economou, Stalo
AU  - Economou S
AD  - Section of Orthodontics, Aarhus University, Aarhus, Denmark. Electronic address: 
      [email protected]
FAU - Stoustrup, Peter
AU  - Stoustrup P
AD  - Section of Orthodontics, Aarhus University, Aarhus, Denmark.
FAU - Kristensen, Kasper Dahl
AU  - Kristensen KD
AD  - Section of Orthodontics, Aarhus University, Aarhus, Denmark; Specialist Oral
      Health Center for Western Norway, Stavanger, Norway.
FAU - Dalstra, Michel
AU  - Dalstra M
AD  - Section of Orthodontics, Aarhus University, Aarhus, Denmark.
FAU - Kuseler, Annelise
AU  - Kuseler A
AD  - Section of Orthodontics, Aarhus University, Aarhus, Denmark; Department of Oral
      and Maxillofacial Surgery, Aarhus University Hospital, Aarhus, Denmark.
FAU - Herlin, Troels
AU  - Herlin T
AD  - Department of Pediatrics, Aarhus University Hospital, Aarhus, Denmark.
FAU - Pedersen, Thomas Klit
AU  - Pedersen TK
AD  - Section of Orthodontics, Aarhus University, Aarhus, Denmark; Department of Oral
      and Maxillofacial Surgery, Aarhus University Hospital, Aarhus, Denmark.
LA  - eng
PT  - Journal Article
PL  - United States
TA  - Am J Orthod Dentofacial Orthop
JT  - American journal of orthodontics and dentofacial orthopedics : official
      publication of the American Association of Orthodontists, its constituent
      societies, and the American Board of Orthodontics
JID - 8610224
SB  - D
SB  - IM
MH  - Adolescent
MH  - Anatomic Landmarks/*diagnostic imaging
MH  - Arthritis, Juvenile/*complications
MH  - *Cone-Beam Computed Tomography
MH  - Cross-Sectional Studies
MH  - Face/diagnostic imaging/pathology
MH  - Facial Asymmetry/*diagnostic imaging/*etiology/pathology
MH  - Facial Bones/diagnostic imaging/pathology
MH  - Female
MH  - Humans
MH  - Imaging, Three-Dimensional
MH  - Male
MH  - *Photography
EDAT- 2018/05/01 06:00
MHDA- 2018/05/11 06:00
CRDT- 2018/05/01 06:00
PHST- 2017/04/01 00:00 [received]
PHST- 2017/08/01 00:00 [revised]
PHST- 2017/08/01 00:00 [accepted]
PHST- 2018/05/01 06:00 [entrez]
PHST- 2018/05/01 06:00 [pubmed]
PHST- 2018/05/11 06:00 [medline]
AID - S0889-5406(18)30055-6 [pii]
AID - 10.1016/j.ajodo.2017.08.022 [doi]
PST - ppublish
SO  - Am J Orthod Dentofacial Orthop. 2018 May;153(5):662-672.e1. doi:
      10.1016/j.ajodo.2017.08.022.