Cephalometric and Photographic Evaluation of the Nasolabial Angle in Orthodontically Treated Patients: An Observational Cohort Study

<b>Background:</b> The nasolabial angle (NLA) is one of the most critical parameters of the soft tissue profile when orthodontic treatment is required. The primary aim of this prospective cohort study was to compare the differences in the evaluation made on lateral photographs and cephal...

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Main Authors: Silvia Izabella Pop, Eugen Bud, Krisztina Mártha, Izabella Éva Mureșan, Kinga Mária Jánosi, Boglárka Dósa, Bernadette Kerekes-Máthé
Format: Article
Language:English
Published: MDPI AG 2025-01-01
Series:Diagnostics
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Online Access:https://www.mdpi.com/2075-4418/15/2/132
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author Silvia Izabella Pop
Eugen Bud
Krisztina Mártha
Izabella Éva Mureșan
Kinga Mária Jánosi
Boglárka Dósa
Bernadette Kerekes-Máthé
author_facet Silvia Izabella Pop
Eugen Bud
Krisztina Mártha
Izabella Éva Mureșan
Kinga Mária Jánosi
Boglárka Dósa
Bernadette Kerekes-Máthé
author_sort Silvia Izabella Pop
collection DOAJ
description <b>Background:</b> The nasolabial angle (NLA) is one of the most critical parameters of the soft tissue profile when orthodontic treatment is required. The primary aim of this prospective cohort study was to compare the differences in the evaluation made on lateral photographs and cephalograms. The secondary aim was to evaluate the modifications of the NLA (nasal and labial components) after orthodontic treatment, including upper first premolar extraction. <b>Methods:</b> The pre- and post-treatment lateral radiographs and profile photographs of 60 subjects (18 male and 42 female) treated with upper premolar extraction and fixed orthodontic appliances were evaluated. The nasolabial angle was measured in both investigations, while cephalometric parameters (skeletal, dental, and soft tissue parameters) were evaluated using lateral radiographs. <b>Results:</b> No statistically significant difference was observed between the results of the two types of measurements on the photographs and radiographs. The soft tissue parameters (ULT and UL-e) showed significant changes after orthodontic treatment, with ULT changing from 21.4 mm ± 4.07 mm to 22.9 mm ± 4.06 mm (<i>p</i> = 0.03) and UL-e changing from 8.42 mm ± 4.84 mm to 10.35 mm ± 4.23 mm (<i>p</i> < 0.001). In patients with thinner lips, the upper lip repositioning was more significant (<i>p</i> = 0.001). No statistically significant difference (<i>p</i> = 0.67) was found between the two evaluation methods. <b>Conclusions:</b> Both cephalometric and photographic evaluations of the nasolabial angle were similar. The soft tissue parameters (ULT and UL-e) showed significant changes after the orthodontic treatment. The repositioning of the upper lip was more acute when the lip thickness decreased.
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spelling doaj-art-36a4d3d210d3404682310ffb2ab800d02025-01-24T13:28:50ZengMDPI AGDiagnostics2075-44182025-01-0115213210.3390/diagnostics15020132Cephalometric and Photographic Evaluation of the Nasolabial Angle in Orthodontically Treated Patients: An Observational Cohort StudySilvia Izabella Pop0Eugen Bud1Krisztina Mártha2Izabella Éva Mureșan3Kinga Mária Jánosi4Boglárka Dósa5Bernadette Kerekes-Máthé6Faculty of Dental Medicine, George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Targu Mures, 38 Gh. Marinescu Str., 540139 Targu Mures, RomaniaFaculty of Dental Medicine, George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Targu Mures, 38 Gh. Marinescu Str., 540139 Targu Mures, RomaniaFaculty of Dental Medicine, George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Targu Mures, 38 Gh. Marinescu Str., 540139 Targu Mures, RomaniaFaculty of Dental Medicine, George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Targu Mures, 38 Gh. Marinescu Str., 540139 Targu Mures, RomaniaFaculty of Dental Medicine, George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Targu Mures, 38 Gh. Marinescu Str., 540139 Targu Mures, RomaniaFaculty of Dental Medicine, George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Targu Mures, 38 Gh. Marinescu Str., 540139 Targu Mures, RomaniaFaculty of Dental Medicine, George Emil Palade University of Medicine, Pharmacy, Science, and Technology of Targu Mures, 38 Gh. Marinescu Str., 540139 Targu Mures, Romania<b>Background:</b> The nasolabial angle (NLA) is one of the most critical parameters of the soft tissue profile when orthodontic treatment is required. The primary aim of this prospective cohort study was to compare the differences in the evaluation made on lateral photographs and cephalograms. The secondary aim was to evaluate the modifications of the NLA (nasal and labial components) after orthodontic treatment, including upper first premolar extraction. <b>Methods:</b> The pre- and post-treatment lateral radiographs and profile photographs of 60 subjects (18 male and 42 female) treated with upper premolar extraction and fixed orthodontic appliances were evaluated. The nasolabial angle was measured in both investigations, while cephalometric parameters (skeletal, dental, and soft tissue parameters) were evaluated using lateral radiographs. <b>Results:</b> No statistically significant difference was observed between the results of the two types of measurements on the photographs and radiographs. The soft tissue parameters (ULT and UL-e) showed significant changes after orthodontic treatment, with ULT changing from 21.4 mm ± 4.07 mm to 22.9 mm ± 4.06 mm (<i>p</i> = 0.03) and UL-e changing from 8.42 mm ± 4.84 mm to 10.35 mm ± 4.23 mm (<i>p</i> < 0.001). In patients with thinner lips, the upper lip repositioning was more significant (<i>p</i> = 0.001). No statistically significant difference (<i>p</i> = 0.67) was found between the two evaluation methods. <b>Conclusions:</b> Both cephalometric and photographic evaluations of the nasolabial angle were similar. The soft tissue parameters (ULT and UL-e) showed significant changes after the orthodontic treatment. The repositioning of the upper lip was more acute when the lip thickness decreased.https://www.mdpi.com/2075-4418/15/2/132nasolabial angleorthodonticssoft tissueupper lip thickness
spellingShingle Silvia Izabella Pop
Eugen Bud
Krisztina Mártha
Izabella Éva Mureșan
Kinga Mária Jánosi
Boglárka Dósa
Bernadette Kerekes-Máthé
Cephalometric and Photographic Evaluation of the Nasolabial Angle in Orthodontically Treated Patients: An Observational Cohort Study
Diagnostics
nasolabial angle
orthodontics
soft tissue
upper lip thickness
title Cephalometric and Photographic Evaluation of the Nasolabial Angle in Orthodontically Treated Patients: An Observational Cohort Study
title_full Cephalometric and Photographic Evaluation of the Nasolabial Angle in Orthodontically Treated Patients: An Observational Cohort Study
title_fullStr Cephalometric and Photographic Evaluation of the Nasolabial Angle in Orthodontically Treated Patients: An Observational Cohort Study
title_full_unstemmed Cephalometric and Photographic Evaluation of the Nasolabial Angle in Orthodontically Treated Patients: An Observational Cohort Study
title_short Cephalometric and Photographic Evaluation of the Nasolabial Angle in Orthodontically Treated Patients: An Observational Cohort Study
title_sort cephalometric and photographic evaluation of the nasolabial angle in orthodontically treated patients an observational cohort study
topic nasolabial angle
orthodontics
soft tissue
upper lip thickness
url https://www.mdpi.com/2075-4418/15/2/132
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