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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.
Conclusion: A multi-parameter ABM analysis have to be first conducted to characterize the
asymmetry, asymmetry can then be quantify using appropriate ABM. Division of the face in
anatomically relevant zones, proved useful for characterizing the asymmetry.
Keywords: asymmetry, simulation, image processing
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