journal article·2023-09-29Open access

Anthropometric vs. Dental Variables of the Ageing Face: A Clinical Study

Ioanna Yiallouridou, Katia Sarafidou, Anna Theocharidou, George Menexes, Vassiliki Anastassiadou

Applied Sciences· Volume 13· Issue 19

Abstract

Background: Biological ageing and pathological changes of teeth impact the appearance and may hinder the effectiveness of facial aesthetic treatments. The present cross-sectional study in Caucasian dentate individuals aimed to measure facial features of the lower and middle parts of the face across different ages and to identify any significant impacts of age, sex and dental variables on facial aesthetics. Methods: Fifty-eight adults (ranging from 26 to 79 years of age) participated in the study. Facial measurements were collected via digital two-dimensional photography, and intraoral variables were recorded. The data were digitally analysed using ImageJ software and statistically analysed using SPSS Software. Results: The lower and middle third of the face revealed statistically significant changes across the age span tested, with the middle third presenting higher values in females and the lower appearing more prominent in males. A negative correlation with age was revealed for the distance between the pupil and the orbital point. Intraoral dental variables were also significantly related to facial measures. Conclusions: The study enriches the anthropometric data available for the Greek population, with age and sex significantly impacting facial aesthetics and oral variables. Considering such information during preoperative planning for full-arch dental restorations or facial surgery is essential.
Source: crossref · Quality: baseline

Research context

OpenAlex topics: Orthodontics and Dentofacial Orthopedics · Dental Research and COVID-19

SciVX discovery tags are terminology-based. OpenAlex topics are source-provided classifications.

Affiliations

Department of Prosthodontics, School of Dentistry, Faculty of Health Sciences, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece

Department of Field Crops and Ecology, School of Agriculture, Faculty of Agriculture, Forestry and Natural Environment, Aristotle University of Thessaloniki, 54124 Thessaloniki, Greece

References (61)

Show source-provided references
1. Psychology of Aesthetics: Beauty, Social Media, and Body Dysmorphic Disorder10.1016/j.clindermatol.2023.03.002 ↗
2. Effect of Facial Rejuvenation Surgery on Perceived Attractiveness, Femininity, and Personality10.1001/jamafacial.2015.0158 ↗
3. The Facial Aging Process From the “Inside Out”10.1093/asj/sjaa339 ↗
4. The anatomy of the aging face: Volume loss and changes in 3-dimensional topography10.1016/j.asj.2005.09.012 ↗
5. Facial and dental changes in adulthood10.1016/S0889-5406(94)70036-2 ↗
6. A review of the literature on the aging adult skull and face: Implications for forensic science research and applications10.1016/j.forsciint.2007.03.015 ↗
7. Koudelová, J., Hoffmannová, E., Dupej, J., and Velemínská, J. (2019). Simulation of facial growth based on longitudinal data: Age progression and age regression between 7 and 17 years of age using 3D surface data. PLoS ONE, 14.10.1371/journal.pone.0212618 ↗
8. The Anatomy of the Aging Face: A Review10.1055/s-0036-1582234 ↗
9. Anatomy of ageing face10.1016/j.bjoms.2013.11.013 ↗
10. Aging changes of the midfacial fat compartments: A computed tomographic study10.1097/PRS.0b013e3182362b96 ↗
11. Aging of the Midface Bony Elements: A Three-Dimensional Computed Tomographic Study10.1097/01.prs.0000246596.79795.a8 ↗
12. Anatomy and Aging of the Perioral Region10.1055/s-0041-1725104 ↗
13. The aging craniofacial complex: A longitudinal cephalometric study from late adolescence to late adulthood10.1016/j.ajodo.2006.11.022 ↗
14. An Algorithm of Facial Aging: Verification of Lambros’s Theory by Three-Dimensional Stereolithography, with Reference to the Pathogenesis of Midfacial Aging, Scleral Show, and the Lateral Suborbital Trough Deformity10.1097/00006534-200008000-00040 ↗
15. Aging of the Mandible and Its Aesthetic Implications10.1097/PRS.0b013e3181c2a685 ↗
16. Changes in Face Topography from Supine-to-Upright Position—And Soft Tissue Correction Values for Craniofacial Identification10.1016/j.forsciint.2018.05.016 ↗
17. In Vivo Facial Soft Tissue Thicknesses of Adult Australians10.1016/j.forsciint.2017.11.014 ↗
18. The Relationship between Biological Parameters and Facial Soft Tissue Thickness Measured by Ultrasound and Its Forensic Implications
19. B-Mode Ultrasound Measurement of Facial Soft Tissue Thickness for Craniofacial Identification: A Standardized Approach10.1111/1556-4029.14230 ↗
20. Facial Beauty Analysis by Age and Gender
21. Hyaluronic Acid Is an Effective Dermal Filler for Lip Augmentation: A Meta-Analysis10.3389/fsurg.2021.681028 ↗
22. Efficacy and Safety of Botulinum Toxin Type A for Treatment of Glabellar Lines: A Network Meta-Analysis of Randomized Controlled Trials10.1007/s00266-022-03018-y ↗
23. The Korean American woman’s face: Anthropometric measurements and quantitative analysis of facial aesthetics10.1001/archfaci.6.4.244 ↗
24. Comparison of craniofacial measurements of young adult African-American and North American white males and females10.1097/01.sap.0000258954.55068.b4 ↗
25. Anthropometric and aesthetic analysis of the Indian American woman’s face10.1016/j.bjps.2009.10.032 ↗
26. Association between functional tooth units and chewing ability in older adults: A systematic review10.1111/ger.12016 ↗
27. Aging of the Normal Nose in Adults10.1097/00005537-199609001-00001 ↗
28. The lateral brow: Position in relation to age, gender, and ethnicity10.1097/IOP.0000000000000095 ↗
29. Assessing soft-tissue characteristics of facial asymmetry with photographs10.1016/j.ajodo.2008.08.029 ↗
30. Meneghini, F., and Biondi, P. (2012). Clinical Facial Analysis: Elements, Principles, and Techniques, Springer. [2nd ed.].10.1007/978-3-642-27228-8 ↗
31. The Golden Ratio in Facial Symmetry10.4193/Rhino12.111 ↗
32. Assessment of Facial Analysis Measurements by Golden Proportion10.1016/j.bjorl.2018.07.009 ↗
33. The Relationship of Facial Anatomic Landmarks with Midlines of the Face and Mouth10.1016/S0022-3913(09)60117-7 ↗
34. Observations on Periorbital and Midface Aging10.1097/01.prs.0000279348.09156.c3 ↗
35. Rasband, W.S. (2023, March 15). ImageJ, Available online: https://imagej.nih.gov/ij/.
36. Loess: A nonparametric, graphical tool for depicting relationships between variables10.1016/S0261-3794(99)00028-1 ↗
37. A network algorithm for performing fisher’s exact test in r × c contingency tables
38. Mehta, C.R., Patel, N.R., and SPSS Inc. (1996). SPSS Exact Tests 7.0 for Windows, SPSS Incorporated.
39. Facial Types and Morphology: A study among Sisaala and Dagaaba adult population in the Upper West Region, Ghana
40. Study of Prosopic (Facial) Index of Indian and Malaysian Students10.4067/S0717-95022011000300060 ↗
41. Facial keys to orthodontic diagnosis and treatment planning. Part I10.1016/0889-5406(93)70010-L ↗
42. International Anthropometric Study of Facial Morphology in Various Ethnic Groups/Races10.1097/01.scs.0000171847.58031.9e ↗
43. Facial analysis: A comprehensive approach to treatment planning in aesthetic dentistry
44. Craniofacial morphologic parameters in a Persian population: An anthropometric study10.1097/SCS.0000000000000902 ↗
45. Vertical and horizontal neoclassical facial canons in Turkish young adults10.1007/s00276-003-0202-2 ↗
46. Secular changes in head dimensions of Japanese adult male students over eight decades10.1016/j.jchb.2003.04.001 ↗
47. Sadacharan, C.M. (2016). Vertical and horizontal facial proportions of Indian American men. Anat. Cell Biol., 49.10.5115/acb.2016.49.2.125 ↗
48. Topographic anatomy of the eyelids, and the effects of sex and age10.1136/bjo.83.3.347 ↗
49. Soft tissue profile changes from 5 to 45 years of age10.1016/S0889-5406(98)70203-3 ↗
50. A multicenter interracial study of facial appearance. Part 1: A comparison of extraoral parameters
51. Aging of the bony orbit: A three-dimensional computed tomographic study10.1016/j.asj.2008.02.007 ↗
52. Histological and Anthropometric Changes in the Aging Nose10.1093/asj/sjy245 ↗
53. Pathologic Migration of Anterior Teeth in Patients With Moderate to Severe Periodontitis10.1902/jop.1997.68.10.967 ↗
54. Age-Related Changes of the Orolabial Region in Caucasian Women: An Anthropometric Analysis10.1016/j.joms.2016.08.007 ↗
55. Changes in the aging upper lip—A photomorphometric and MRI-based study (on a quest to find the right rejuvenation approach)10.1016/j.bjps.2008.06.001 ↗
56. Gender-dependent impact of aging on facial proportions10.1007/s00056-019-00176-8 ↗
57. Changes in esthetic standards since 194010.1016/j.ajodo.2009.10.029 ↗
58. Anthropometric proportions in the upper lip-lower lip-chin area of the lower face in young white adults10.1016/0002-9416(84)90276-8 ↗
59. Anthropometric Analysis of the Face10.1097/SCS.0000000000002231 ↗
60. Neoclassical facial canons in young adults10.1097/SCS.0b013e31826b816b ↗
61. World Health Organization, and Regional Office for Europe (2023, May 20). Nutrition, Physical Activity and Obesity Greece. Available online: http://www.euro.who.int/en/nutrition-country-profiles.