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BioMed Research International
Volume 2016, Article ID 6156919, 6 pages
Research Article

Numbers of Beauty: An Innovative Aesthetic Analysis for Orthognathic Surgery Treatment Planning

1Department of Maxillofacial Surgery, Catholic University Medical School, Via Pier Luigi Galletti 3, 00135 Rome, Italy
2Department of Orthodontics, Catholic University Medical School, Rome, Italy

Received 5 September 2015; Accepted 12 November 2015

Academic Editor: Siddik Malkoç

Copyright © 2016 Tito Matteo Marianetti et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


The aim of this study was to validate a new aesthetic analysis and establish the sagittal position of the maxilla on an ideal group of reference. We want to demonstrate the usefulness of these findings in the treatment planning of patients undergoing orthognathic surgery. We took a reference group of 81 Italian women participating in a national beauty contest in 2011 on which we performed Arnett’s soft tissues cephalometric analysis and our new “Vertical Planning Line” analysis. We used the ideal values to elaborate the surgical treatment planning of a second group of 60 consecutive female patients affected by skeletal class III malocclusion. Finally we compared both pre- and postoperative pictures with the reference values of the ideal group. The ideal group of reference does not perfectly fit in Arnett’s proposed norms. From the descriptive statistical comparison of the patients’ values before and after orthognathic surgery with the reference values we observed how all parameters considered got closer to the ideal population. We consider our “Vertical Planning Line” a useful help for orthodontist and surgeon in the treatment planning of patients with skeletal malocclusions, in combination with the clinical facial examination and the classical cephalometric analysis of bone structures.