Esthetic Plane, E-Line, Lip Position in Orthodontics, Naso-Labial Angle
“Profiles” is the silhouette of a person’s face as seen from the side. This aspect holds immense importance when setting up an orthodontic case, regardless of whether it involves braces, clear aligners, or other orthodontic treatments.

Understanding the impact of profiles, both short-term and long-term, is crucial in orthodontics. However, comprehending this facet comes with experience and a deep understanding of the consequences of different movements on facial aesthetics. Often, general and pediatric dentists need to be made aware of these intricacies, and even aligner technicians might not fully grasp them.

My name is Dr. Amanda from Straight Smile Solutions.

Here are a few patient profiles:

Prominent Features with Underdeveloped Chin: If a patient has strong features but an underdeveloped chin, avoiding any orthodontic strategy could further recess the lips is essential. Instead, aim to enhance their profile, possibly suggesting lip-enhancing treatments like dermal fillers. Steer clear of extractions that could exacerbate the concave appearance of their facial structure.

Enhanced Lips with Weak Chin: A patient with enhanced lips but a weak chin might require a different approach. Consider orthognathic surgery or alternative solutions after a comprehensive assessment. With the potential of obstructive sleep apnea, conduct a sleep questionnaire to ensure comprehensive care.

Balanced and Harmonious Profile: A patient with a balanced and harmonious profile presents a prime example of an ideal profile. Avoid any unnecessary changes and focus on maintaining the existing balance. This patient might not require significant alterations, as their natural features are already harmonious.

Straight Profile with Potential Bite Issues: When evaluating a patient with a straight profile, Examine their mesial labial angle and nasolabial angle. These angles can provide insight into potential bite issues or airway concerns. This is especially true when there’s a class-3 bite or other discrepancies.

Understanding the concept of the Aesthetic line (e-line)
This line connects the nose tip to the chin and helps assess the lips’ position. While variations are expected, achieving a balanced upper and lower lip position relative to the e-line is essential. This knowledge guides us in devising the most appropriate treatment strategies.

For younger patients, an early treatment phase (Phase 1) becomes crucial. Detecting developmental discrepancies early allows you to intervene and guide the growth of facial structures. This not only enhances aesthetics but can also positively impact airway function and overall well-being.
Patient profiles hold immense value in orthodontics. You are responsible for communicating openly with patients about their preferences and understanding the potential implications of different treatment approaches. By aligning your strategies with their expectations, you can deliver comprehensive care that enhances smiles, boosts confidence and comfort. Remember, orthodontics isn’t just about straightening teeth; it’s about transforming lives.