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The included patients needed to be skeletally normal and not needing esthetic skeletal surgeries or any underlying bone removals.
Esthetic, skeletal, and dental parameters were considered.
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We considered esthetic and skeletal (Figure 7) and angular dental (Figure 8) and linear dental measurements (Figure 9). Figure 5 Cephalometric landmarks.
The lateral cephalograms were analyzed for skeletal, esthetic, and dentoalveolar changes.
Patients with facial asymmetry have not only problems of facial skeletal deformity but also esthetic and morphologic problems related to skin atrophy.
Successful orthognathic surgery requires a comprehensive surgical plan, effective osteofixation system for long-term skeletal stability, and achieving satisfactory esthetic facial appearance.
However, it is conceivable that the facial skeletal structure has a greater esthetic and physiologic impact on one subject than dental morphology alone (Jefferson 1996).
Cephalometric dentoalveolar or skeletal characteristics are important when evaluating esthetic results, which were not the focus of this investigation [26].
While orthognathic surgery is considered the gold standard for skeletal open bite treatment to achieve the optimal esthetic and occlusal result [34], non-surgical orthodontic treatment for these cases has become more common since it is less expensive and more acceptable for patients.
When considering adult patients, if the discrepancy is partly or completely skeletal, orthognathic surgery may be the only way to achieve both an ideal occlusion and an esthetic outcome.
"It has this whimsical esthetic.
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