Gianni Giannella > Physiognomic Orthodontic Evaluation
Paul McCartney (left) v Faul (right)
Gianni Giannella >
Physiognomic Orthodontic Evaluation
Paul McCartney (left) v Faul (right)
My name is Gianni Giannella, I am a dentist and orthodontist in Turin, Italy
I tried to make an orthodontic and physiognomic evaluation of Paul McCartney with the few data I could find online.
I honestly do not know if and to what extent this evaluation is unpublished or if it has already been made, for example by the two researchers Carlesi and Gavazzeni of whom I was unable to read the complete version of the research.
I started by selecting the most significant photos that I could find taken as precisely as possible in front of the two subjects, before and after the end of 1966. Some with a smile where it was possible to see at least from canine to canine of the upper arch. I then took some cranial reference points that were not easily modifiable except with invasive surgical intervention and that require many months of convalescence. The points are:
1. the two pupils
2. the point of origin of the nasal bones, called Nasion in orthognathic terminology
3. the intermediate point of the nasal filter or the upper interincisor point (in the photos with a smile)
4. the two skin points corresponding to the mandibular angle, called Gonion
5. the lower central point of the chin symphysis called Gnation
My purpose was to evaluate the type of symmetry between the upper part of the face, corresponding to the upper maxillary bones, and the lower part, corresponding to the mandible, to assess whether there were significant differences between the two subjects.
For this purpose, I highlighted the lines of symmetry in blue for the upper part, the red color for the mandible and the green color for the transverse orientation for the upper occlusal plane detected at the level of the cusps of the two canines.
This evaluation is very important in the collection of data usually made in orthodontic cases because it often represents the aesthetic manifestation of any malocclusion and is important for a possible therapeutic choice.
My provisional conclusion is that the subject before 66 presented an evident lateral deviation of the mandible to the left compatible, by its extent, with an occlusal pattern of left posterior Cross Bite. I have also attached two intra-oral photos of a case with a malocclusion of the type indicated.
The subject after 66, on the other hand, presents a certain lateral mandibular deviation to the right compatible with an occlusion with the absence of Cross Bite or with a slight right Cross Bite.
Also of this occlusal situation I have taken a similar real case as an example.
Regarding the alignment between the two upper canines, it is noted that in the subject before 66 there is a decidedly higher right upper canine than it is for the subject after 66: from this derives a certain difference in the latero-lateral orientation visible with the green line.
Analyzing the situation I also noticed how, in the famous photo of the second subject, let's say “before the treatment”, the shape of the chin is certainly more harmonious than the right lateral deviation highlighted by the symmetry lines, as indicated by me with a yellow highlight.
In addition, the conspicuous scar on the left side of the chin can be seen in many photos after 1967.
My idea is that in an attempt to mask the difference between the two opposing types of asymmetry, the second subject may have undergone an osteo-plastic surgery of the symphysis, as well as any other skin and tooth surgeries, especially the upper incisors which would appear prosthetics although it is not easy from the photos to be sure.
This contribution of mine is provisional and does not exclude any constructive criticism that may arise from its analysis.
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Tina Foster is an attorney and author
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