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ASYMMETRY MEASUREMNENT ON SIMULATION MODEL Salesse Nicolas1*#, Passiri Nisalak2, Nita Viwattanatipa, Phongsathorn Pothongkam 3, Nattapol Tangjit 1Postgraduate student Master of Science Program in Orthodontics, Faculty of Dentistry, Mahidol University, Thailand 2 Associate Professor in orthodontics, Faculty of Dentistry, Mahidol University, Thailand 3 Instructor in orthodontics, Faculty of Dentistry, Mahidol University, Thailand *# [email protected] Abstract Objective: To identify the effect of different kind of facial asymmetries using area based measurements (ABM). Materials and methods: A perfectly symmetric drawing of a face was used as reference. Using an image manipulating program three kinds of asymmetric deformation were applied in an incremental fashion. Different ABM were then performed, by dividing the lower third of the face in 9 different area. The results were analyzed to see how the different measurement’s sensitivity and precision were impacted by the three kind of asymmetry and if patterns emerge allowing to characterize the different deformation. Results: Not one ABM was suitable for characterizing all the deformation and/or area. The Area ratio was the most reliable ratio for assessing the asymmetry, difference center milieu (DCM) and difference vertical milieu (DVC) were the most reliable center of mass based measurement (CMBM) but have to be use together as DVM is sensitive in the horizontal dimension and DVC in the vertical one. Each deformation was identifiable by a unique pattern of measurement. Ratio were more reliable than CMBM (standard deviation ranging from 0.001 to 0.004 for the ratio and from 0.009 to 0.017 for the moment) but did not allow the same level of characterization of the asymmetry. 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