Comparación de 3 mediciones para determinar posición labial en radiografías de perfil digitales en un software de diagnóstico ortodóncico de pacientes de un centro radiológico de Bucaramanga Colombia

Introducción: La realización de tratamientos ortodóncicos, no solo se limita a cambios dentales, sino que implica modificaciones en los tejidos blandos del paciente, de esta manera genera cambios en la sonrisa y a su vez, tiene un impacto en la estética facial. El enfoque hacia la realización correc...

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Autores:
Castillo Mantilla, Esthefanie
Romero Peláez, Claudia Margarita
Trujillo Sánchez, Andrea Carolina
Velásquez Avilés, Daniela
Tipo de recurso:
Trabajo de grado de pregrado
Fecha de publicación:
2019
Institución:
Universidad Santo Tomás
Repositorio:
Repositorio Institucional USTA
Idioma:
spa
OAI Identifier:
oai:repository.usta.edu.co:11634/21123
Acceso en línea:
http://hdl.handle.net/11634/21123
Palabra clave:
Lip projection
Spradley vertical
Rickets esthetic line
Burstone line
Diagnóstico por imágenes
Rayos X
Ortodoncia
Apiñamiento dental
Proyección labial
Vertical de Spradley
Línea estética de Rickets
Línea de Burstone.  
Rights
openAccess
License
Atribución-SinDerivadas 2.5 Colombia
id SANTTOMAS2_a1eb710025696280f545edaf8d9dc8e6
oai_identifier_str oai:repository.usta.edu.co:11634/21123
network_acronym_str SANTTOMAS2
network_name_str Repositorio Institucional USTA
repository_id_str
dc.title.spa.fl_str_mv Comparación de 3 mediciones para determinar posición labial en radiografías de perfil digitales en un software de diagnóstico ortodóncico de pacientes de un centro radiológico de Bucaramanga Colombia
title Comparación de 3 mediciones para determinar posición labial en radiografías de perfil digitales en un software de diagnóstico ortodóncico de pacientes de un centro radiológico de Bucaramanga Colombia
spellingShingle Comparación de 3 mediciones para determinar posición labial en radiografías de perfil digitales en un software de diagnóstico ortodóncico de pacientes de un centro radiológico de Bucaramanga Colombia
Lip projection
Spradley vertical
Rickets esthetic line
Burstone line
Diagnóstico por imágenes
Rayos X
Ortodoncia
Apiñamiento dental
Proyección labial
Vertical de Spradley
Línea estética de Rickets
Línea de Burstone.  
title_short Comparación de 3 mediciones para determinar posición labial en radiografías de perfil digitales en un software de diagnóstico ortodóncico de pacientes de un centro radiológico de Bucaramanga Colombia
title_full Comparación de 3 mediciones para determinar posición labial en radiografías de perfil digitales en un software de diagnóstico ortodóncico de pacientes de un centro radiológico de Bucaramanga Colombia
title_fullStr Comparación de 3 mediciones para determinar posición labial en radiografías de perfil digitales en un software de diagnóstico ortodóncico de pacientes de un centro radiológico de Bucaramanga Colombia
title_full_unstemmed Comparación de 3 mediciones para determinar posición labial en radiografías de perfil digitales en un software de diagnóstico ortodóncico de pacientes de un centro radiológico de Bucaramanga Colombia
title_sort Comparación de 3 mediciones para determinar posición labial en radiografías de perfil digitales en un software de diagnóstico ortodóncico de pacientes de un centro radiológico de Bucaramanga Colombia
dc.creator.fl_str_mv Castillo Mantilla, Esthefanie
Romero Peláez, Claudia Margarita
Trujillo Sánchez, Andrea Carolina
Velásquez Avilés, Daniela
dc.contributor.advisor.none.fl_str_mv Álvarez Rojas, Carlos Miguel
dc.contributor.author.none.fl_str_mv Castillo Mantilla, Esthefanie
Romero Peláez, Claudia Margarita
Trujillo Sánchez, Andrea Carolina
Velásquez Avilés, Daniela
dc.subject.keyword.spa.fl_str_mv Lip projection
Spradley vertical
Rickets esthetic line
Burstone line
topic Lip projection
Spradley vertical
Rickets esthetic line
Burstone line
Diagnóstico por imágenes
Rayos X
Ortodoncia
Apiñamiento dental
Proyección labial
Vertical de Spradley
Línea estética de Rickets
Línea de Burstone.  
dc.subject.lemb.spa.fl_str_mv Diagnóstico por imágenes
Rayos X
Ortodoncia
Apiñamiento dental
dc.subject.proposal.spa.fl_str_mv Proyección labial
Vertical de Spradley
Línea estética de Rickets
Línea de Burstone.  
description Introducción: La realización de tratamientos ortodóncicos, no solo se limita a cambios dentales, sino que implica modificaciones en los tejidos blandos del paciente, de esta manera genera cambios en la sonrisa y a su vez, tiene un impacto en la estética facial. El enfoque hacia la realización correcta de los diagnósticos faciales iniciales conlleva a la selección de correctos planos de referencia para cada población. Se han utilizado múltiples líneas para determinación de la posición labial tanto en investigación como en práctica clínica como lo son Rickets, Burstone, Sushner, Steiner; investigaciones previas han evaluado el nivel de consistencia y sensibilidad entre éstas ya que son propensas a una alta variabilidad por tener como referencia puntos de tejidos blandos que no son estables en el tiempo. Objetivos: Establecer el grado de concordancia entre las mediciones de Rickets, Burstone y Spradley para determinar la posición labial en radiografías de perfil digitales en el software Nemoceph de pacientes de un centro radiológico de Bucaramanga, Colombia. Materiales y métodos: Radiografías digitales de un centro radiológico de Bucaramanga tomadas en posición natural de la cabeza incluidas en el software Nemoceph para determinación de puntos cefalométricos con el fin construir los planos Rickets, Spradley y Burstone. Toma de medidas y diagnósticos para análisis de variables y comparación de las mismas. Resultados: No existe concordancia entre los diagnósticos dados por cada una de las líneas de referencia, asociado probablemente a la variación significativa y contínua de los puntos de referencia anatómicos de tejidos blandos. Conclusiones: Existe una alta variabilidad en todas las medidas en términos de concordancia por lo cual no es confiable la utilización de una sola medida para diagnosticar la posición de los labios. La línea de Spradley se presenta como una opción un poco más fiable al no depender de estructuras anatómicas variables y solo depende una toma de radiografía en posición natural de la cabeza.
publishDate 2019
dc.date.issued.none.fl_str_mv 2019-12-11
dc.date.accessioned.none.fl_str_mv 2020-01-23T20:12:04Z
dc.date.available.none.fl_str_mv 2020-01-23T20:12:04Z
dc.type.none.fl_str_mv bachelor thesis
dc.type.local.spa.fl_str_mv Tesis de pregrado
dc.type.version.none.fl_str_mv info:eu-repo/semantics/acceptedVersion
dc.type.coar.none.fl_str_mv http://purl.org/coar/resource_type/c_7a1f
dc.type.drive.none.fl_str_mv info:eu-repo/semantics/bachelorThesis
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dc.identifier.citation.spa.fl_str_mv Castillo Mantilla, E., Romero Peláez, C. M., Trujillo Sánchez, A. C. y Velásquez Avilés, D. (2019). Comparación de 3 mediciones para determinar posición labial en radiografías de perfil digitales en un software de diagnóstico ortodóncico de pacientes de un centro radiológico de Bucaramanga Colombia [Tesis de Especialización]. Universidad Santo Tomás, Bucaramanga, Colombia
dc.identifier.uri.none.fl_str_mv http://hdl.handle.net/11634/21123
dc.identifier.reponame.spa.fl_str_mv reponame:Repositorio Institucional Universidad Santo Tomás
dc.identifier.instname.spa.fl_str_mv instname:Universidad Santo Tomás
dc.identifier.repourl.spa.fl_str_mv repourl:https://repository.usta.edu.co
identifier_str_mv Castillo Mantilla, E., Romero Peláez, C. M., Trujillo Sánchez, A. C. y Velásquez Avilés, D. (2019). Comparación de 3 mediciones para determinar posición labial en radiografías de perfil digitales en un software de diagnóstico ortodóncico de pacientes de un centro radiológico de Bucaramanga Colombia [Tesis de Especialización]. Universidad Santo Tomás, Bucaramanga, Colombia
reponame:Repositorio Institucional Universidad Santo Tomás
instname:Universidad Santo Tomás
repourl:https://repository.usta.edu.co
url http://hdl.handle.net/11634/21123
dc.language.iso.spa.fl_str_mv spa
language spa
dc.relation.references.spa.fl_str_mv 1. Mejia-Maidl M, Evans CA. Soft tissue facial considerations andorthodontic treatment. Semin Orthod [Internet]. 2000 Mar;6(1):3–20. Available from: http://www.nature.com/articles/vital1329
2. Formby WA, Nanda RS, Currier GF. Longitudinal changes in the adult facial profile. Am J Orthod Dentofac Orthop. 1994;105(5):464–76.
3. Arnett GW, Bergman RT. Facial keys to orthodontic diagnosis and treatment planning. Part I. Am J Orthod Dentofac Orthop [Internet]. 1993 Apr;103(4):299–312. Available from: papers2://publication/uuid/C16BC9D1-C397-45E2-A1BE-610C25AE1773
4. Scott CR, Goonewardene MS, Murray K. Influence of lips on the perception of malocclusion. Am J Orthod Dentofac Orthop. 2006;130(2):152–62.
5. Yin L, Jiang M, Chen W, Smales RJ, Wang Q, Tang L. Differences in facial profile and dental esthetic perceptions between young adults and orthodontists. Am J Orthod Dentofac Orthop [Internet]. 145(6):750–6. Available from: http://dx.doi.org/10.1016/j.ajodo.2014.01.021
6. Nijkamp PG, Habets LLMH, Aartman IHA, Zentner A. The influence of cephalometrics on orthodontic treatment planning. Eur J Orthod. 2008;30(November):630–5.
7. Skinazi GLS, Lindauer SJ, Isaacson RJ. Chin, nose, and lips. Normal ratios, in young men and women. Am J Orthod Dentofac Orthop [Internet]. 1994 Nov;106(5):518–23. Available from: http://linkinghub.elsevier.com/retrieve/pii/S0889540694700753
8. Lindsey Eidsona, Lucia H. S. Cevidanesb, Leonardo Koerich de Paulac HG, Hersheyd, Gregory Welche and PER. Three-dimensional evaluation of changes in lip position from before to after orthodontic appliance removal. Am J Orthod Dentofac Orthop. 2012;142(3):410–8.
9. Lee SJ, Kim TW, Donatelli RE. Three-dimensional analysis of lip and perioral soft tissue changes after debonding of labial brackets. Orthod Craniofacial Res. 2012;16(2):65–74.
10. Janson G, Mendes LM, Helena C, Junqueira Z, Garib DG. Soft-tissue changes in Class II malocclusion patients treated with extractions : a systematic review. Eur J Orthod. 2015;6(38):631–7.
11. Xu T, Liu Y, Yang M, Huang W. Comparison of extraction versus nonextraction orthodontic treatment outcomes for borderline Chinese patients. Am J Orthod. 129(5):672–7.
12. Lared WD silva E. Esthetic perception of changes in facial profile resulting from orthodontic treatment with extraction of premolars. Am Dent Asoc. 2016;148(1):9–16.
13. Bishara SE, Orth D, Hession TJ, Dc U. Longitudinal soft-tissue pro$le changes: A study of three analyses. Am J Orthod. 1985;88(3):209–23.
14. Spring B. Comparisons of the five analytic reference lines of the horizontal lip position: Their consistency and sensitivity. Am J Orthod Dentofac Orthop. 1993;104(4):355–60.
15. Fardy JM, Barrett BJ. Chapter 17 Evaluation of Diagnostic Tests. Humana Press New York, NY. 2015;1281:289–300.
16. Vargas LC. Medición en salud diagnostico y evaluacion de resultados. 2010th ed. Bucaramanga; 2010. 73-82 p.
17. Friedenberg JAY. LATERAL FEATURE DISPLACEMENT AND PERCEIVED FACIAL ATTRACTIVENESS ’. phychol Rep. 2001;88(1):295–305.
18. Zarif Najafi H, Sabouri SAA, Ebrahimi E, Torkan S. Esthetic evaluation of lip position in silhouette with respect to profile divergence. Am J Orthod Dentofac Orthop. 2016;149(6):863–70.
19. Bolas-colvee B, Tarazona B, Paredes-gallardo V, Arias-de S. Relationship between perception of smile esthetics and orthodontic treatment in Spanish patients. PloS one,. 2018;13(8):1–12.
20. Kiekens RMA, Maltha JC, Hof MA Van, Straatman H, Kuijpers-jagtman AM. Panel perception of change in facial aesthetics following orthodontic treatment in adolescents. Eur J Orthod. 2008;30(February):141–6.
21. Stefani L. Estética y ortodoncia. Rev del ateneo argentino Odontol. 2012;19–24.
22. Farkas LG, Katic MJ, Hreczko TA, Deutsch C, Munro IR. Anthropometric proportions in the upper lip-lower lip-chin area of the lower face in young white adults. Am J Orthod [Internet]. 1984 Jul;86(1):52–60. Available from: http://linkinghub.elsevier.com/retrieve/pii/0002941684902768
23. AJ P. Roentgen ray anthropometry of the skull. J Radiol. 1992;3(1):322–31.
24. Nanda RS, Ghosh J. Facial soft tissue harmony and growthin orthodontic treatment. Semin Orthod. 1995;1(2):67–81.
25. Freitas B V., Rodrigues VP, Rodrigues MF, de Melo HVF, dos Santos PCF. Soft tissue facial profile changes after orthodontic treatment with or without tooth extractions in Class I malocclusion patients: A comparative study. J Oral Biol Craniofacial Res [Internet]. 2018;(June):0–1. Available from: https://doi.org/10.1016/j.jobcr.2018.07.003
26. Mackley RJ. An evaluation of smiles before and after orthodontic treatment. Vol. 63, Angle Orthodontist. 1993. p. 183–189; discussion 190.
27. Burstone CJ. Lip posture and its significance in treatment planning. Am J Orthod. 1967;53(4):262–84.
28. Samsonyanová L, Broukal Z. A Systematic Review of Individual Motivational Factors in Orthodontic Treatment : Facial Attractiveness as the Main Motivational Factor in Orthodontic Treatment. Int J Dent. 2014;
29. Faysal Talass M, Tollaae L, Baker RC. Soft-tissue profile changes resulting from retraction of maxillary incisors. Am J Orthod Dentofac Orthop [Internet]. 1987 May;91(5):385–94. Available from: http://linkinghub.elsevier.com/retrieve/pii/088954068790391X
30. Zhi-Yu Liua, b Jie Yuc Fan-Fan Daib, d Ruo-Ping Jianga, b Tian-Min Xua B, A. Three-dimensional changes in lip vermilion morphology of adult female patients after extraction and non-extraction orthodontic treatment. korean J Orthod. 2019;49(4):222–34.
31. LD G. Soft tissue changes concurrent with orthodontic tooth movement. Am J Orthod. 1974;66(1):481–507.
32. Reyneke JP, Ferretti C. Clinical Assessment of the Face. Semin Orthod [Internet]. 2012 Sep;18(3):172–86. Available from: http://dx.doi.org/10.1053/j.sodo.2012.04.002
33. Peck S. The gingival smile line. Angle Orthod. 1992;62(1):91–11.
34. Bustone C. The inthegumental profile. Am J Orthod. 1958;44(1):1–25.
35. Aljabaa AH. Lateral cephalometric analysis of the nasal morphology among Saudi adults. Clin Cosmet Investig Dent. 2019;11:9–17.
36. Gulsen A, Okay C, Aslan I, Uner O, Yavuzer R. The relationship between craniofacial structures and the nose in Anatolian Turkish adults: A cephalometric evaluation. Am J Orthod Dentofac Orthop. 2006;130(2):15–25.
37. Scavone H, Zahn-silva W, Martins K. Soft Tissue Profile in White Brazilian Adults with Normal Occlusions and Well-Balanced Faces. Angle Orthod. 2008;78(1):58–63.
38. Ichim, I., Swain, M., & Kieser JA. Mandibular Biomechanics and Development of the Human Chin. J Dent Res. 2006;85(7):638–42.
39. Evangelista K, Arruda M, Neto JV, Almeida GDA. Assessment of the mandibular symphysis of Caucasian Brazilian adults with well-balanced faces and normal occlusion : The influence of gender and facial type. Dental Press J Orthod. 2012;17(3):40–50.
40. Naini FB, Garagiola U, Wertheim D. Analysing chin prominence in relation to the lower lip : The lower lip-chin prominence angle. J Cranio-Maxillofacial Surg [Internet]. 2019;47(8):1310–6. Available from: https://doi.org/10.1016/j.jcms.2019.06.002
41. Alam MK, Farid N, Noor M, Basri R, Yew TF. Multiracial Facial Golden Ratio and Evaluation of Facial Appearance. PloS one, [Internet]. 2015;10(11):1–22. Available from: http://dx.doi.org/10.1371/journal.pone.0142914
42. Herzberg B. Facial esthetics in relation to orthodontic treatment. Angle Orthod. 1952;22(1):3–22.
43. Peck H. A concept of facial esthetics. Angle Orthod. 19970;40(1):284–317.
44. RIEDEL R. AN ANALYSIS OF DENTOFACIAL RELATIONSHIPS. Am J Orthod. 43(1):103–19.
45. Angle EH. The profile line as an aid in critically evaluating facial esthetics.
46. Spradley FL, Jacobs JD, Crowe DP. Assessment of the anteroposterior soft-tissue contour of the lower facial third in the ideal young adult. Am J Orthod. 1981;79(3):316–25.
47. Holdaway RA. A soft-tissue cephalometric analysis and its use in orthodontic treatment planning. Part II . Am J Orthod. 1984;85(1):1–28.
48. Jacobson A, Ph D. The proportionate template as a. 1979;
49. Ricketts RM. Cephalometric analysis and synthesis. Angle Orthod. 1961;31(3):141–56.
50. Ricketts RM. Planning Treatment on the Basis of the Facial Pattern and an Estimate of Its Growth. Angle Orthod. 1957;27(1):14–37.
51. Ricketts RM. Perspectives in the clinical application of cephalometrics: the first fifty years. Angle Orthod. 1981;51(2):115–50.
52. Moorrees CFA, Kean MR. NATURAL HEAD POSITIOK, A BASIC CONSIDERATION IN THE INTERPRETATION OF CEPHALOhIETRIC RADIOGRAPHS. Am J Phys Anthropol. 1958;2:213–34.
53. HalazonetisD. J. Estimated natural head position and facial morphology. Am J Orthod Dentofac Orthop. 2002;121(4):364–8.
54. Cassi D, Biase C De, Tonni I, Gandolfini M, Blasio A Di, Piancino MG. Natural position of the head : review of two-dimensional and three-dimensional methods of recording. Br J Oral Maxillofac Surg [Internet]. 2016;54(3):233–40. Available from: http://dx.doi.org/10.1016/j.bjoms.2016.01.025
55. Cooke MS, Hons B, Orth D, Eng DRCS, Edin FDSRCS. Five-year reproducibility of natural head posture : A longitudinal study. Am J Orthod Dentofac Orthop. 1990;97(6):489–94.
56. Peng L CM. Fifteen-year reproducibility of natural head posture: A longitudinal study. Am J Orthod Dentofac Orthop. 1999;116(1):82–5.
57. Cooke MS, Orth D WS. The reproducibility of natural head posture: A methodological study. Am J Orthod Dentofac Orthop. 1988;93(4):280–8.
58. Carletta J. Assessing agreement on classification tasks : the kappa statistic. 1996;22(2):249–54.
59. Joshi M, Wu LP, Maharjan S, Regmi MR. Sagittal lip positions in different skeletal malocclusions : a cephalometric analysis. Prog Orthod [Internet]. 2015;16(1). Available from: ???
60. Mendez L. Clasificacion de la maloclusion segun angle en el perú. Odontol sanmarquina. 1998;1(2):41–4.
61. Medina C. PREVALENCIA DE MALOCLUSIONES DENTALES EN UN GRUPO DE PACIENTES PEDIÁTRICOS. Acta Odontologica Venezolana. 2010;1–19.
62. Gobierno nacional de colombia. DEPARTAMENTO ADMINISTRATIVO NACIONAL DE ESTADISTICAS. https://sitios.dane.gov.co/cnpv/. 2018.
63. Gomide P, Andrade DS, Tavares RR, Freitas JC De. Assessment of motivation , expectations and satisfaction of adult patients submitted to orthodontic treatment. Dental Press J Orthod. 2013;18(2):81–7.
64. Khan RSBDS, Sc M, Orth M, D ENHBC. A study of adult orthodontic patients and their treatment A study of adult orthodontic patients and their treatment. Br J Orthod. 2016;18(3):183–94.
65. Naidu D. Comparisons of the consistency and sensitivity of five reference lines of the horizontal position of the upper and lower lip to lateral facial harmony. Orthocj com [Internet]. 2010; Available from: https://wenku.baidu.com/view/44a4622bed630b1c59eeb553.html
66. Mumtaz M, Malik A, Baig RRAZ. ASSESSMENT OF ANTERO-POSTERIOR POSITION OF LIPS : E-LINE- S-LINE. Pakistan Oral Dent J. 2011;31(1):84–7.
67. Sahoo N. WHICH LINE TO KISS ?? - A REVIEW OF REFERENCE LINES FOR LIP PROFILE Review articles. Ann Essences Dent. 2013;5(4):1–5.
68. Erbay K. Soft tissue profile in Anatolian Turkish adults: Part I. Evaluation of horizontal lip position using different soft tissue analyses. Am J Orthod Dentofac Orthop. 2001;121(1):57–64.
69. Erbay E. Soft tissue profile in Anatolian Turkish adults: Part II. Comparison of different soft tissue analyses in the evaluation of beauty. Am J Orthod Dentofac Orthop. 2002;121(1):65–72.
70. Ikenna G, Olatokunbo O, Isiekwe MC. A cephalometric investigation of horizontal lip position in adult Nigerians. J Orthod. 2012;39(3):160–9.
71. Umale V V, Singh K, Azam A. Evaluation of Horizontal Lip Position in Adults with Different Skeletal Patterns : A Cephalometric Study. J Oral Heal Craniofacial Sci. 2017;2:9–16.
72. Pradhan R, Rajbhandari A, Bajracharya M. Lip Prominence Using Different Reference Planes. Orthod J Nepal. 2019;9(1):50–3.
73. Arnett GW, Jelic JS, Kim J, Cummings DR. Soft tissue cephalometric analysis : Diagnosis and treatment planning of dentofacial deformity. Am J Orthod Dentofac Orthop. 1999;116(3):239–53.
74. Modarai F, Donaldson JC, Naini FB. The influence of lower lip position on the perceived attractiveness of chin prominence. Angle Orthod. 2013;83(5):1–6.
75. Wua J. Chinese Norms of McNamara ’ s Cephalometric Analysis. Angle Orthod. 2007;77(1):12–20.
76. Ghorbanyjavadpour F. Soft tissue facial profile and anteroposterior lip positioning in Iranians. Shahid Beheshti Univ Dent J. 2014;32(2):90–5.
77. Czarnecki ST, Nanda RS, Currier GF. Perceptions of a balanced facial profile. Am J Orthod Dentofac Orthop. 1993;104(2):180–7.
78. Uzun A, Ozdemir F. Morphometric analysis of nasal shapes and angles in young adults. Braz J Otorhinolaryngol [Internet]. 2014;80(5):397–402. Available from: http://dx.doi.org/10.1016/j.bjorl.2014.07.010
79. LEONG SC. A comparison of aesthetic proportions between the Oriental and Caucasian nose. Clin Otolaryngol Allied Sci. 2004;29(6):672–6.
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spelling Álvarez Rojas, Carlos MiguelCastillo Mantilla, EsthefanieRomero Peláez, Claudia MargaritaTrujillo Sánchez, Andrea CarolinaVelásquez Avilés, Daniela2020-01-23T20:12:04Z2020-01-23T20:12:04Z2019-12-11Castillo Mantilla, E., Romero Peláez, C. M., Trujillo Sánchez, A. C. y Velásquez Avilés, D. (2019). Comparación de 3 mediciones para determinar posición labial en radiografías de perfil digitales en un software de diagnóstico ortodóncico de pacientes de un centro radiológico de Bucaramanga Colombia [Tesis de Especialización]. Universidad Santo Tomás, Bucaramanga, Colombiahttp://hdl.handle.net/11634/21123reponame:Repositorio Institucional Universidad Santo Tomásinstname:Universidad Santo Tomásrepourl:https://repository.usta.edu.coIntroducción: La realización de tratamientos ortodóncicos, no solo se limita a cambios dentales, sino que implica modificaciones en los tejidos blandos del paciente, de esta manera genera cambios en la sonrisa y a su vez, tiene un impacto en la estética facial. El enfoque hacia la realización correcta de los diagnósticos faciales iniciales conlleva a la selección de correctos planos de referencia para cada población. Se han utilizado múltiples líneas para determinación de la posición labial tanto en investigación como en práctica clínica como lo son Rickets, Burstone, Sushner, Steiner; investigaciones previas han evaluado el nivel de consistencia y sensibilidad entre éstas ya que son propensas a una alta variabilidad por tener como referencia puntos de tejidos blandos que no son estables en el tiempo. Objetivos: Establecer el grado de concordancia entre las mediciones de Rickets, Burstone y Spradley para determinar la posición labial en radiografías de perfil digitales en el software Nemoceph de pacientes de un centro radiológico de Bucaramanga, Colombia. Materiales y métodos: Radiografías digitales de un centro radiológico de Bucaramanga tomadas en posición natural de la cabeza incluidas en el software Nemoceph para determinación de puntos cefalométricos con el fin construir los planos Rickets, Spradley y Burstone. Toma de medidas y diagnósticos para análisis de variables y comparación de las mismas. Resultados: No existe concordancia entre los diagnósticos dados por cada una de las líneas de referencia, asociado probablemente a la variación significativa y contínua de los puntos de referencia anatómicos de tejidos blandos. Conclusiones: Existe una alta variabilidad en todas las medidas en términos de concordancia por lo cual no es confiable la utilización de una sola medida para diagnosticar la posición de los labios. La línea de Spradley se presenta como una opción un poco más fiable al no depender de estructuras anatómicas variables y solo depende una toma de radiografía en posición natural de la cabeza.Introduction: The performance of orthodontic treatments is not only limited to dental changes, but also implies changes in the patient's soft tissues, thus generating changes in the smile and in turn, has an impact on facial aesthetics. The approach towards the correct realization of the initial facial diagnoses leads to the selection of correct reference planes for each population. Multiple lines have been used to determine the lip position in both research and clinical practice such as Rickets, Burstone, Suscher, Steiner; Previous research has evaluated the level of consistency and sensitivity among these as they are prone to high variability by having soft tissue points that are not stable over time. Objectives: To establish the degree of agreement between the measurements of Rickets, Burstone and Spradley to determine the labial position in digital profile radiographs in the Nemoceph software of patients from a radiological center in Bucaramanga, Colombia. Materials and methods: Digital radiographs of a radiological center of Bucaramanga taken in a natural position of the head included in the Nemoceph software for determination of cephalometric points in order to build the Rickets, Spradley and Burstone planes. Taking measurements and diagnoses for analysis of variables and comparison of them. Results: There is no agreement between the diagnoses given by each of the reference lines, probably associated with the significant and continuous variation of the anatomical soft tissue reference points. Conclusions: There is a high variability in all measures in terms of concordance, so the use of a single measure to diagnose the position of the lips is not reliable. The Spradley line is presented as a slightly more reliable option as it does not depend on variable anatomical structures and only an x-ray is taken in a natural position of the head.Especialista en OrtodonciaEspecializaciónapplication/pdfspaUniversidad Santo TomásEspecialización OrtodonciaFacultad de OdontologíaAtribución-SinDerivadas 2.5 Colombiahttp://creativecommons.org/licenses/by-nd/2.5/co/Abierto (Texto Completo)info:eu-repo/semantics/openAccesshttp://purl.org/coar/access_right/c_abf2Comparación de 3 mediciones para determinar posición labial en radiografías de perfil digitales en un software de diagnóstico ortodóncico de pacientes de un centro radiológico de Bucaramanga Colombiabachelor thesisTesis de pregradoinfo:eu-repo/semantics/acceptedVersionhttp://purl.org/coar/resource_type/c_7a1finfo:eu-repo/semantics/bachelorThesisLip projectionSpradley verticalRickets esthetic lineBurstone lineDiagnóstico por imágenesRayos XOrtodonciaApiñamiento dentalProyección labialVertical de SpradleyLínea estética de RicketsLínea de Burstone.  CRAI-USTA Bucaramanga1. Mejia-Maidl M, Evans CA. Soft tissue facial considerations andorthodontic treatment. Semin Orthod [Internet]. 2000 Mar;6(1):3–20. Available from: http://www.nature.com/articles/vital13292. Formby WA, Nanda RS, Currier GF. Longitudinal changes in the adult facial profile. Am J Orthod Dentofac Orthop. 1994;105(5):464–76.3. Arnett GW, Bergman RT. Facial keys to orthodontic diagnosis and treatment planning. Part I. Am J Orthod Dentofac Orthop [Internet]. 1993 Apr;103(4):299–312. Available from: papers2://publication/uuid/C16BC9D1-C397-45E2-A1BE-610C25AE17734. Scott CR, Goonewardene MS, Murray K. Influence of lips on the perception of malocclusion. Am J Orthod Dentofac Orthop. 2006;130(2):152–62.5. Yin L, Jiang M, Chen W, Smales RJ, Wang Q, Tang L. Differences in facial profile and dental esthetic perceptions between young adults and orthodontists. Am J Orthod Dentofac Orthop [Internet]. 145(6):750–6. Available from: http://dx.doi.org/10.1016/j.ajodo.2014.01.0216. Nijkamp PG, Habets LLMH, Aartman IHA, Zentner A. The influence of cephalometrics on orthodontic treatment planning. Eur J Orthod. 2008;30(November):630–5.7. Skinazi GLS, Lindauer SJ, Isaacson RJ. Chin, nose, and lips. Normal ratios, in young men and women. Am J Orthod Dentofac Orthop [Internet]. 1994 Nov;106(5):518–23. Available from: http://linkinghub.elsevier.com/retrieve/pii/S08895406947007538. Lindsey Eidsona, Lucia H. S. Cevidanesb, Leonardo Koerich de Paulac HG, Hersheyd, Gregory Welche and PER. Three-dimensional evaluation of changes in lip position from before to after orthodontic appliance removal. Am J Orthod Dentofac Orthop. 2012;142(3):410–8.9. Lee SJ, Kim TW, Donatelli RE. Three-dimensional analysis of lip and perioral soft tissue changes after debonding of labial brackets. Orthod Craniofacial Res. 2012;16(2):65–74.10. Janson G, Mendes LM, Helena C, Junqueira Z, Garib DG. Soft-tissue changes in Class II malocclusion patients treated with extractions : a systematic review. Eur J Orthod. 2015;6(38):631–7.11. Xu T, Liu Y, Yang M, Huang W. Comparison of extraction versus nonextraction orthodontic treatment outcomes for borderline Chinese patients. Am J Orthod. 129(5):672–7.12. Lared WD silva E. Esthetic perception of changes in facial profile resulting from orthodontic treatment with extraction of premolars. Am Dent Asoc. 2016;148(1):9–16.13. Bishara SE, Orth D, Hession TJ, Dc U. Longitudinal soft-tissue pro$le changes: A study of three analyses. Am J Orthod. 1985;88(3):209–23.14. Spring B. Comparisons of the five analytic reference lines of the horizontal lip position: Their consistency and sensitivity. Am J Orthod Dentofac Orthop. 1993;104(4):355–60.15. Fardy JM, Barrett BJ. Chapter 17 Evaluation of Diagnostic Tests. Humana Press New York, NY. 2015;1281:289–300.16. Vargas LC. Medición en salud diagnostico y evaluacion de resultados. 2010th ed. Bucaramanga; 2010. 73-82 p.17. Friedenberg JAY. LATERAL FEATURE DISPLACEMENT AND PERCEIVED FACIAL ATTRACTIVENESS ’. phychol Rep. 2001;88(1):295–305.18. Zarif Najafi H, Sabouri SAA, Ebrahimi E, Torkan S. Esthetic evaluation of lip position in silhouette with respect to profile divergence. Am J Orthod Dentofac Orthop. 2016;149(6):863–70.19. Bolas-colvee B, Tarazona B, Paredes-gallardo V, Arias-de S. Relationship between perception of smile esthetics and orthodontic treatment in Spanish patients. PloS one,. 2018;13(8):1–12.20. Kiekens RMA, Maltha JC, Hof MA Van, Straatman H, Kuijpers-jagtman AM. Panel perception of change in facial aesthetics following orthodontic treatment in adolescents. Eur J Orthod. 2008;30(February):141–6.21. Stefani L. Estética y ortodoncia. Rev del ateneo argentino Odontol. 2012;19–24.22. Farkas LG, Katic MJ, Hreczko TA, Deutsch C, Munro IR. Anthropometric proportions in the upper lip-lower lip-chin area of the lower face in young white adults. Am J Orthod [Internet]. 1984 Jul;86(1):52–60. Available from: http://linkinghub.elsevier.com/retrieve/pii/000294168490276823. AJ P. Roentgen ray anthropometry of the skull. J Radiol. 1992;3(1):322–31.24. Nanda RS, Ghosh J. Facial soft tissue harmony and growthin orthodontic treatment. Semin Orthod. 1995;1(2):67–81.25. Freitas B V., Rodrigues VP, Rodrigues MF, de Melo HVF, dos Santos PCF. Soft tissue facial profile changes after orthodontic treatment with or without tooth extractions in Class I malocclusion patients: A comparative study. J Oral Biol Craniofacial Res [Internet]. 2018;(June):0–1. Available from: https://doi.org/10.1016/j.jobcr.2018.07.00326. Mackley RJ. An evaluation of smiles before and after orthodontic treatment. Vol. 63, Angle Orthodontist. 1993. p. 183–189; discussion 190.27. Burstone CJ. Lip posture and its significance in treatment planning. Am J Orthod. 1967;53(4):262–84.28. Samsonyanová L, Broukal Z. A Systematic Review of Individual Motivational Factors in Orthodontic Treatment : Facial Attractiveness as the Main Motivational Factor in Orthodontic Treatment. Int J Dent. 2014;29. Faysal Talass M, Tollaae L, Baker RC. Soft-tissue profile changes resulting from retraction of maxillary incisors. Am J Orthod Dentofac Orthop [Internet]. 1987 May;91(5):385–94. Available from: http://linkinghub.elsevier.com/retrieve/pii/088954068790391X30. Zhi-Yu Liua, b Jie Yuc Fan-Fan Daib, d Ruo-Ping Jianga, b Tian-Min Xua B, A. Three-dimensional changes in lip vermilion morphology of adult female patients after extraction and non-extraction orthodontic treatment. korean J Orthod. 2019;49(4):222–34.31. LD G. Soft tissue changes concurrent with orthodontic tooth movement. Am J Orthod. 1974;66(1):481–507.32. Reyneke JP, Ferretti C. Clinical Assessment of the Face. Semin Orthod [Internet]. 2012 Sep;18(3):172–86. Available from: http://dx.doi.org/10.1053/j.sodo.2012.04.00233. Peck S. The gingival smile line. Angle Orthod. 1992;62(1):91–11.34. Bustone C. The inthegumental profile. Am J Orthod. 1958;44(1):1–25.35. Aljabaa AH. Lateral cephalometric analysis of the nasal morphology among Saudi adults. Clin Cosmet Investig Dent. 2019;11:9–17.36. Gulsen A, Okay C, Aslan I, Uner O, Yavuzer R. The relationship between craniofacial structures and the nose in Anatolian Turkish adults: A cephalometric evaluation. Am J Orthod Dentofac Orthop. 2006;130(2):15–25.37. Scavone H, Zahn-silva W, Martins K. Soft Tissue Profile in White Brazilian Adults with Normal Occlusions and Well-Balanced Faces. Angle Orthod. 2008;78(1):58–63.38. Ichim, I., Swain, M., & Kieser JA. Mandibular Biomechanics and Development of the Human Chin. J Dent Res. 2006;85(7):638–42.39. Evangelista K, Arruda M, Neto JV, Almeida GDA. Assessment of the mandibular symphysis of Caucasian Brazilian adults with well-balanced faces and normal occlusion : The influence of gender and facial type. Dental Press J Orthod. 2012;17(3):40–50.40. Naini FB, Garagiola U, Wertheim D. Analysing chin prominence in relation to the lower lip : The lower lip-chin prominence angle. J Cranio-Maxillofacial Surg [Internet]. 2019;47(8):1310–6. Available from: https://doi.org/10.1016/j.jcms.2019.06.00241. Alam MK, Farid N, Noor M, Basri R, Yew TF. Multiracial Facial Golden Ratio and Evaluation of Facial Appearance. PloS one, [Internet]. 2015;10(11):1–22. Available from: http://dx.doi.org/10.1371/journal.pone.014291442. Herzberg B. Facial esthetics in relation to orthodontic treatment. Angle Orthod. 1952;22(1):3–22.43. Peck H. A concept of facial esthetics. Angle Orthod. 19970;40(1):284–317.44. RIEDEL R. AN ANALYSIS OF DENTOFACIAL RELATIONSHIPS. Am J Orthod. 43(1):103–19.45. Angle EH. The profile line as an aid in critically evaluating facial esthetics.46. Spradley FL, Jacobs JD, Crowe DP. Assessment of the anteroposterior soft-tissue contour of the lower facial third in the ideal young adult. Am J Orthod. 1981;79(3):316–25.47. Holdaway RA. A soft-tissue cephalometric analysis and its use in orthodontic treatment planning. Part II . Am J Orthod. 1984;85(1):1–28.48. Jacobson A, Ph D. The proportionate template as a. 1979;49. Ricketts RM. Cephalometric analysis and synthesis. Angle Orthod. 1961;31(3):141–56.50. Ricketts RM. Planning Treatment on the Basis of the Facial Pattern and an Estimate of Its Growth. Angle Orthod. 1957;27(1):14–37.51. Ricketts RM. Perspectives in the clinical application of cephalometrics: the first fifty years. Angle Orthod. 1981;51(2):115–50.52. Moorrees CFA, Kean MR. NATURAL HEAD POSITIOK, A BASIC CONSIDERATION IN THE INTERPRETATION OF CEPHALOhIETRIC RADIOGRAPHS. Am J Phys Anthropol. 1958;2:213–34.53. HalazonetisD. J. Estimated natural head position and facial morphology. Am J Orthod Dentofac Orthop. 2002;121(4):364–8.54. Cassi D, Biase C De, Tonni I, Gandolfini M, Blasio A Di, Piancino MG. Natural position of the head : review of two-dimensional and three-dimensional methods of recording. Br J Oral Maxillofac Surg [Internet]. 2016;54(3):233–40. Available from: http://dx.doi.org/10.1016/j.bjoms.2016.01.02555. Cooke MS, Hons B, Orth D, Eng DRCS, Edin FDSRCS. Five-year reproducibility of natural head posture : A longitudinal study. Am J Orthod Dentofac Orthop. 1990;97(6):489–94.56. Peng L CM. Fifteen-year reproducibility of natural head posture: A longitudinal study. Am J Orthod Dentofac Orthop. 1999;116(1):82–5.57. Cooke MS, Orth D WS. The reproducibility of natural head posture: A methodological study. Am J Orthod Dentofac Orthop. 1988;93(4):280–8.58. Carletta J. Assessing agreement on classification tasks : the kappa statistic. 1996;22(2):249–54.59. Joshi M, Wu LP, Maharjan S, Regmi MR. Sagittal lip positions in different skeletal malocclusions : a cephalometric analysis. Prog Orthod [Internet]. 2015;16(1). Available from: ???60. Mendez L. Clasificacion de la maloclusion segun angle en el perú. Odontol sanmarquina. 1998;1(2):41–4.61. Medina C. PREVALENCIA DE MALOCLUSIONES DENTALES EN UN GRUPO DE PACIENTES PEDIÁTRICOS. Acta Odontologica Venezolana. 2010;1–19.62. Gobierno nacional de colombia. DEPARTAMENTO ADMINISTRATIVO NACIONAL DE ESTADISTICAS. https://sitios.dane.gov.co/cnpv/. 2018.63. Gomide P, Andrade DS, Tavares RR, Freitas JC De. Assessment of motivation , expectations and satisfaction of adult patients submitted to orthodontic treatment. Dental Press J Orthod. 2013;18(2):81–7.64. Khan RSBDS, Sc M, Orth M, D ENHBC. A study of adult orthodontic patients and their treatment A study of adult orthodontic patients and their treatment. Br J Orthod. 2016;18(3):183–94.65. Naidu D. Comparisons of the consistency and sensitivity of five reference lines of the horizontal position of the upper and lower lip to lateral facial harmony. Orthocj com [Internet]. 2010; Available from: https://wenku.baidu.com/view/44a4622bed630b1c59eeb553.html66. Mumtaz M, Malik A, Baig RRAZ. ASSESSMENT OF ANTERO-POSTERIOR POSITION OF LIPS : E-LINE- S-LINE. Pakistan Oral Dent J. 2011;31(1):84–7.67. Sahoo N. WHICH LINE TO KISS ?? - A REVIEW OF REFERENCE LINES FOR LIP PROFILE Review articles. Ann Essences Dent. 2013;5(4):1–5.68. Erbay K. Soft tissue profile in Anatolian Turkish adults: Part I. Evaluation of horizontal lip position using different soft tissue analyses. Am J Orthod Dentofac Orthop. 2001;121(1):57–64.69. Erbay E. Soft tissue profile in Anatolian Turkish adults: Part II. Comparison of different soft tissue analyses in the evaluation of beauty. Am J Orthod Dentofac Orthop. 2002;121(1):65–72.70. Ikenna G, Olatokunbo O, Isiekwe MC. A cephalometric investigation of horizontal lip position in adult Nigerians. J Orthod. 2012;39(3):160–9.71. Umale V V, Singh K, Azam A. Evaluation of Horizontal Lip Position in Adults with Different Skeletal Patterns : A Cephalometric Study. J Oral Heal Craniofacial Sci. 2017;2:9–16.72. Pradhan R, Rajbhandari A, Bajracharya M. Lip Prominence Using Different Reference Planes. Orthod J Nepal. 2019;9(1):50–3.73. Arnett GW, Jelic JS, Kim J, Cummings DR. Soft tissue cephalometric analysis : Diagnosis and treatment planning of dentofacial deformity. Am J Orthod Dentofac Orthop. 1999;116(3):239–53.74. Modarai F, Donaldson JC, Naini FB. The influence of lower lip position on the perceived attractiveness of chin prominence. Angle Orthod. 2013;83(5):1–6.75. Wua J. Chinese Norms of McNamara ’ s Cephalometric Analysis. Angle Orthod. 2007;77(1):12–20.76. Ghorbanyjavadpour F. Soft tissue facial profile and anteroposterior lip positioning in Iranians. Shahid Beheshti Univ Dent J. 2014;32(2):90–5.77. Czarnecki ST, Nanda RS, Currier GF. Perceptions of a balanced facial profile. Am J Orthod Dentofac Orthop. 1993;104(2):180–7.78. Uzun A, Ozdemir F. Morphometric analysis of nasal shapes and angles in young adults. Braz J Otorhinolaryngol [Internet]. 2014;80(5):397–402. Available from: http://dx.doi.org/10.1016/j.bjorl.2014.07.01079. LEONG SC. A comparison of aesthetic proportions between the Oriental and Caucasian nose. Clin Otolaryngol Allied Sci. 2004;29(6):672–6.CC-LICENSElicense_rdflicense_rdfapplication/rdf+xml; charset=utf-8805https://repository.usta.edu.co/bitstream/11634/21123/4/license_rdfdab767be7a093b539031785b3bf95490MD54open accessTHUMBNAIL2019esthefaniecastillo.pdf.jpg2019esthefaniecastillo.pdf.jpgIM Thumbnailimage/jpeg5718https://repository.usta.edu.co/bitstream/11634/21123/11/2019esthefaniecastillo.pdf.jpg2a561544424cef1e0728b97e4d6c726cMD511open access2019esthefaniecastillo1.pdf.jpg2019esthefaniecastillo1.pdf.jpgIM Thumbnailimage/jpeg10040https://repository.usta.edu.co/bitstream/11634/21123/12/2019esthefaniecastillo1.pdf.jpgd37b23d8558e8a6ea2bb36fe443d67bbMD512open access2019esthefaniecastillo2.pdf.jpg2019esthefaniecastillo2.pdf.jpgIM Thumbnailimage/jpeg10261https://repository.usta.edu.co/bitstream/11634/21123/13/2019esthefaniecastillo2.pdf.jpgf5a2a3e6c2fc9d6e19b16130b824a4aaMD513open access2019esthefaniecastillo3.pdf.jpg2019esthefaniecastillo3.pdf.jpgIM Thumbnailimage/jpeg11137https://repository.usta.edu.co/bitstream/11634/21123/14/2019esthefaniecastillo3.pdf.jpgc0e26f41167d0249acbf0ccba549f863MD514open accessORIGINAL2019esthefaniecastillo.pdf2019esthefaniecastillo.pdfDocumento principal.application/pdf2415079https://repository.usta.edu.co/bitstream/11634/21123/6/2019esthefaniecastillo.pdfe7a1da9c6b67706791169ed2010999f7MD56open access2019esthefaniecastillo1.pdf2019esthefaniecastillo1.pdfCarta de Facultadapplication/pdf182194https://repository.usta.edu.co/bitstream/11634/21123/7/2019esthefaniecastillo1.pdfab00e1fff9624ff22f4e11fc4ce5d475MD57metadata only access2019esthefaniecastillo2.pdf2019esthefaniecastillo2.pdfCarta de autorización de publicaciónapplication/pdf323307https://repository.usta.edu.co/bitstream/11634/21123/8/2019esthefaniecastillo2.pdffa1a2223192b201a00ea848874b29dfeMD58metadata only access2019esthefaniecastillo3.pdf2019esthefaniecastillo3.pdfapplication/pdf281146https://repository.usta.edu.co/bitstream/11634/21123/9/2019esthefaniecastillo3.pdfbbf7cf4611fd8d9e393d7c05db2b778eMD59metadata only accessLICENSElicense.txtlicense.txttext/plain; charset=utf-8807https://repository.usta.edu.co/bitstream/11634/21123/10/license.txtf6b8c5608fa6b2f649b2d63e10c5fa73MD510open access11634/21123oai:repository.usta.edu.co:11634/211232023-07-19 16:58:06.787open accessRepositorio Universidad Santo Tomásnoreply@usta.edu.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