Rejuvenation of the ageing face and the role of orthodontics: Guidelines for management.
Level 5 - mechanism / opinion, no new human data
Narrative review and expert opinion with two illustrative clinical cases
PubMed 35437070 · doi:10.1177/14653125221093390
What was done
The authors reviewed anatomical aging patterns of the midface, maxilla, mandible, overlying soft tissues, and smile. Based on these mechanisms, they formulated clinical guidelines for facial rejuvenation through orthodontic therapy and presented two late-adulthood clinical cases as examples.
What was found
The abstract reports no numerical outcome data or statistical comparisons. It qualitatively details age-related changes—including clockwise rotation and retrusion of the maxilla, loss of mandibular bone and alveolar height, thinning of the epidermis, collagen depletion, and fat atrophy—and asserts that orthodontic intervention can restore facial shape and soft-tissue support.
Why it matters
The paper outlines a framework for using orthodontic tooth and jaw repositioning to address facial aging structural changes before or alongside cosmetic surgery.
Limits
This is a narrative review and expert opinion supported only by two illustrative cases. It lacks randomized or controlled clinical trial data, objective quantitative outcome measures, and evaluation of adverse effects or long-term stability.
Cited by
- supports Aging naturally leads to facial volume loss through fat loss, muscle atrophy, and bony atrophy and shrinkage of the skull and facial bones.