The influence of sagittal position of the mandible in facial attractiveness and social perception

Abstract

OBJECTIVE: This study aims at comparing the perception of orthodontists, maxillofacial surgeons, visual artists and laypersons when evaluating the influence of sagittal position of the mandible - in lateral view - in facial attractiveness; at a job hiring; and in the perception of socioeconomic profile. METHODS: A black male, a white male, a black female and a white female with harmonic faces served as models to obtain a facial profile photograph. Each photograph was digitally manipulated to obtain seven facial profiles: an ideal, three simulating mandibular advancement and three simulating mandibular retrusion, producing 28 photographs. These photographs were evaluated through a questionnaire by orthodontists, maxillofacial surgeons, visual artists and laypersons.RESULTS: The anteroposterior positioning of the mandible exerted strong influence on the level of facial attractiveness, but few significant differences between the different groups of evaluators were observed (p < 0.05).CONCLUSIONS: The profiles pointed as the most attractive were also pointed as more favorable to be hired to a job position and pointed also as having the best socioeconomic condition.

Association of facial sagittal and vertical characteristics with facial aesthetics in the Northern Finland Birth Cohort 1966

“…Conversely, orthodontists evaluated subjects with a concave facial profile (low ANB angle) as more attractive than dentists and laypersons. In a previous investigation, there was a statistically significant difference in the perceived level of attractiveness between orthodontists and laypersons based on facial convexity angle (29).…”

Effects of deviations in the nose and chin prominence on facial attractiveness

“…Each rater received a pack of photographs independently and was requested to rate the facial profile attractiveness of the photograph using a VAS of 0-100. Each rater was provided with a checklist to express his/her opinion about each photograph using a VAS (0−100) (Sena et al, 2017). The order of photographs in each pack was random and only the first author knew their order.…”

“…A number of studies have assessed single and multiple deviations in facial parameters (Khosravanifard et al, 2013;Naini et al, 2012b;Sena et al, 2017;Torsello et al, 2010). However, no previous study has assessed the interaction effect of deviations in nose and chin prominence on facial attractiveness.…”

Perception of Facial Profile Esthetics by Iranian Dental Patients, Dentists, and Orthodontists

“…They also showed that the profile outline influences the orthodontists' opinions more than the laypersons' opinion, despite the good agreement between them [13]. Sena et al [7] suggested that the anteroposterior position of the mandible has a great impact on facial profile attractiveness; however, they found a few significant differences among the perceptions of orthodontists, surgeons, visual artists, and laypersons. Cochrane et al [14] found a significant difference in esthetic perception among clinicians, dental students, and laypersons.…”

“…Facial profile analysis is of such paramount importance in treatment planning that it has been called "poor man's cephalometric analysis" [6]. Sena et al [7] have shown that individuals with more attractive facial profiles have a higher chance to be hired for a job position. Occasionally, orthodontists and dentists ignore the patients' perception of esthetics, and this leads to dissatisfaction with the treatment outcome since the patients' esthetic perception may be different from that of the clinicians'.…”