Comparison of perceptions of computer-animated left- and right-facing profiles

Abstract

Purpose: Although scientific publications differ in displaying left- or right-facing profiles, there are few systematic studies of the possible effects of directional biases and laterality on patients' and clinicians' perceptions of treatment need, outcomes, and satisfaction. As part of a research program to quantitate the physical bases of the perceived zone of acceptability and most-pleasing facial profiles, responses to computer-animated left- and right-facing soft-tissue profile images were compared and related to eye and hand preference. Materials and Methods: Standardized left-facing, soft-tissue profile images were captured in color and digitized. The right-facing profile was created by reversing the left profile image to display a mirror image. Using imaging and customized morphing software, retrusive and protrusive extremes were created, from which transitional frames were developed to display five features of the soft-tissue profile: upper lip, chin, bimaxillary position, lower face height, and mandible. One left- and one right-facing profile for a Class II division 1 female, and Class III male were randomly presented to 24 subjects who were asked to indicate: 1) acceptability by pressing a mouse button and releasing the button when the images were no longer acceptable; and 2) most-pleasing image by pressing the mouse button once. Results: No differences were found between left- and right-profile images for zone of acceptability, midpoint of the zone of acceptability, or most pleasing; nor was there any relation to laterality measures. However, consistently higher intercorrelations among the features for the zone of acceptability were found for the left- than for the right-facing profiles for retrusive to protrusive and protrusive to retrusive excursions measured in millimeters (p < .001). The bimaxillary position accounted for most of the variance in judgments of acceptability with greater influence on the left than on the right profile. Conclusion: With the increasing use of computer-imaging in dental practices, the influence of psychophysical and other environmental variables on perception must be considered. Copyright © 1999 by The American College of Prosthodontists.