Cephalometric changes of the soft facial profile in patients with extractive orthodontic treatment
Keywords:
orthodontics, soft facial profile, aesthetic changesAbstract
Introduction: In orthodontics, changes that influence the facial profile frequently occur and it has sometimes been observed that after treatment is completed, the occlusion has improved but the profile has worsened, which constitutes an aesthetic problem for the individual with a detrimental psychological effect.
Objective: To determine the changes in the soft facial profile after orthodontic treatment involving extractions and lingual movement of incisors.
Methods: An observational, analytical, retrospective study was carried out. The universe consisted of 69 patients treated with extraction of first premolars and fixed appliances, discharged from the Teaching Dental Clinic III Congreso del PCC during the period from October 2014 to September 2016. The sample was intentional and consisted of 27 patients, who underwent lingual movement of the upper and lower anterior segments. The evaluation used the González Ulloa method and Ricketts' E-Line as references, on cephalometric radiographs taken pre- and post-treatment.
Result: A more retrusive position of the upper and lower lips was found, with a mean retraction of 2.95 mm and 3.06 mm respectively. An improvement was observed in the soft facial profile due to a decrease in the degree of convexity.
Conclusions: The position of the lips followed the direction of tooth movement, with an improvement in the facial profile due to the decrease in the degree of convexity, especially in more convex profiles.
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1. Janson G, Mendes LM, Junqueira CH, et al. Soft-tissue changes in Class II malocclusion patients treated with extractions: a systematic review. Eur J Orthod. 2016;38(6):631-7. DOI: 10.1093/ejo/cjv083.
2. Premkumar R, Kumar V, Umapathy V, et al. Psychological evaluation of self-esteem among individuals before and after orthodontic treatment. IP Indian J Orthod Dentofacial Res. 2024;10(3):185-8. DOI: 10.18231/j.ijodr.2024.033.
3. Antepyan-Ruckenstein J. A Phenomenological Study on Patients' Experiences with Extraction Retraction Orthodontic Regret. Cureus. 2025;17(3):e80728. DOI: 10.7759/cureus.80728.
4. Íñiguez Zúñiga GI, Campoverde Torres CH. Cambios faciales por exodoncias de primeros premolares maxilares, maloclusiones Clase II subdivisión 1: Revisión narrativa. Rev Interdiscip Humanid Educ Cienc Tecnol. 2023;9(1):666-78. DOI: 10.35381/cm.v9i1.1092.
5. Stăncioiu AA, Motofelea AC, Hușanu AA, et al. Planificación ortodóncica estética y funcional innovadora con análisis de tejidos duros y blandos. J Clin Med. 2025;14(13):4458. DOI: 10.3390/jcm14134458.
6. Krishna Veni S, Elsayed M, Singh IS, et al. Changes in Soft Tissue Variable of Lips Following Retraction of Anterioir Teeth- A Cephalometric Study. J Pharm Bioallied Sci. 2023;15(Supl 1):S248-51. DOI: 10.4103/jpbs.jpbs_478_22.
7. González Pérez Y, Véliz Concepción OL. Estética y patrones craneofaciales en la Ortodoncia. Medicentro Electrón [Internet]. 2022 [citado 24/11/2025];26(1):151-60. Disponible en: http://scielo.sld.cu/scielo.php?script=sci_arttext&pid=S1029-30432022000100151&lng=es
8. Chacin Lander A, Contasti G. Cambios cuantitativos en los tejidos blandos posterior a terapia de extracción entre una muestra de pacientes latinos y grupo control: caucásicos y afro-americanos puros. Rev Latinoam Ortod Odontopediatr [Internet]. 2004 [citado 09/10/2024];(1). Disponible en: https://www.ortodoncia.ws/publicaciones/2004/art-1/
9. Munguía-Ibarra A, Gutiérrez-Rojo JF. Elementos digitales de la Ortodoncia. Rev Latinoam Ortod Odontopediatr [Internet]. 2024 [citado 24/11/2025];(45). Disponible en: https://www.ortodoncia.ws/publicaciones/2024/art-45/
10. Tene-Guaillas MM, Martínez-Torres C. Efectividad diagnóstica del trazado cefalométrico manual y digital en radiografías laterales de cráneo. Revisión de la Literatura. Polo Conoc. 2022;7(4). DOI: 10.23857/pc.v7i4.3924.
11. Orrego Carrillo H. Efecto de las exodoncias en el perfil blando de pacentes tratados ortodóncicamente con y sin extracciones. Rev Estomatol Herediana. 2014;24(3):139. DOI: 10.20453/reh.v24i3.2088.
12. Huang YP, Li WR. Correlation between objective and subjective evaluation of profile in bimaxillary protrusion patients after orthodontic treatment. Angle Orthod. 2015;85(4):690-8. DOI: 10.2319/070714-476.1.
13. Zhou ZJ, Chen Y, Lin YJ, et al. Linear correlation between tooth movement and facial profile change in patients with class II division 1 malocclusion. Chin J Stomatol. 2021;56(1):63-9. DOI: 10.3760/cma.j.cn112144-20200330-00180.
14. Wong KF, Chen W, Ren J, et al. Effects of Two-Phase Treatment with Functional Appliances Followed by Extraction versus One-Phase Treatment with Extraction in Class II Growing Patients: A Case–Control Study. J Clin Med. 2022;11(24):7428. DOI: 10.3390/jcm11247428.
15. Cueva Martín del Campo A, Marichi Rodríguez F, Mendoza Oropeza L, et al. Determinación de cambios en el perfil blando del tercio inferior facial al retirar la aparatología ortodóncica fija. Rev Odont Mex. 2022;13(1). DOI: 10.22201/fo.1870199xp.2009.13.1.15616.
16. Câmara CA. Esthetics in orthodontics: Interest points, reference points and discrepancy points. Dental Press J Orthod. 2012;17(5). DOI: 10.1590/S2176-94512012000500003.
17. Rocha AD, Casteluci CEVF, Ferreira FPC, et al. Esthetic perception of facial profile changes after extraction and nonextraction Class II treatment. Braz Oral Res [Internet]. 2020 [citado 24/11/2025];34:e003. Disponible en: https://pubmed.ncbi.nlm.nih.gov/32022222/
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Copyright (c) 2026 Ibette Pérez-Pereira, Jorge Enrique Casas-Acosta, Maribel Sardiña-Valdés, Claudia Pérez-Pérez, Yailén Pérez-Suárez, Tahimí Saborit-Carvajal
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