1. Ajeesha Nair

2. Reed .A.Holdaway
In 1983

3. 










FACIAL ANGLE
NOSE PROMINENCE
SUPERIOR SULCUS DEPTH
SOFT TISSUE SUBNASALE TO H LINE
SKELETAL PROFILE CONVEXITY
BASIC UPPER LIP THICKNES
UPPER LIP STRAIN MEASUREMENT
H ANGLE
LOWER LIP TO H LINE
INFERIOR SULCUS TO H LINE
SOFT TISSUE CHIN THICKNESS

4. 





H line or harmony line
Soft tissue facial line
Hard tissue facial plane
Sella-nasion line
Frankfort horizontal plane
Line drawn at right angle to FH plane down
tangent to the vermilion border of upper lip

6. 


Between FH plane and soft tissue facial plane.
Normal 91 +/- 7.
Prognathic or retrognathic

7. 

Nose tip to the line perpendicular to FH and
running tangent to upper lip.
14-24 mm

8. 


Perpendicular to FH and tangent to vermilion
border of upper lip.
3mm
1-4mm acceptable

9. 



Ideal is 5mm
3-7mm is normal
Short thin lips-3mm
Long thicker lips-7mm

10. 

From point A to hard tissue facial plane (NaPog).
Varies with H angle

11. 
Upper lip thickness is measured horizontally
from a point 3 mm below point A to outer
border of upper lip.
Avg value - 15 mm
 Amount of lip strain
or incompetency


12. 
Vermilion border of
upper lip to the most
anterior portion of
central incisor

13-14 mm

13. 



Between soft tissue
facial plane and
harmony line.
Ideal 10 degree
7-15 degrees.
Measures upper lip
prominence or
retrognathism of the
Soft tissue chin

15. 




H line to most prominent point on lower lip
0- 0.5 mm ideal
-1 to + 2mm acceptable.
<-1mm
lingually positioned lower
anteriors
>2mm
denture is
protrusive

16. 
is measured from the
deepest point in the
curvature between the
Lower lip and the chin
and the H-line

AVG VALUE- 5 mm

17. 

Soft tissue thickness is measured from hard
tissue Pogonion to soft tissue Pogonion.
AVG VALUE- 10 TO 12 mm

18. ACCORDING TO HOLDAWAY
A PERFECT PROFILE SHOULD
HAVE
ANB - 2 degrees
H-LINE ANGLE -7 to 8 degrees
LOWER LIP should touch the
H line
H-LINE should bisect S curve
between Pronasale and
Subnasale
TIP OF THE NOSE - Should be
9mm anterior to H-line
There should be no lip tension
on closure

20. Normal
Patient
value
Inference
St facial angle
91+/-7
83
Slightly Retrusive lower jaw
Nose prominence
14-24 mm 17
normal
Superior sulcus
depth
1-4 mm
Normal
Soft tissue
subnasale to h ine
5+-2 mm
7
Normal
Skeletal profile
convexity
0 mm
3
Convex profile
Upperlip thickness
15mm
20mm
Increased
2

21. Normal
Patient
value
Inference
Upper lip strain
13-14 mm
14
No lip strain
H angle
7-14
22
Protrusive upperlip or retrusive
chin
Lower lip to H line
-1- 2 mm
2.5
slightly protrusive
Inferior sulcus to
H line
5 mm
5
Normal
Soft tissue chin
thickness
10-12 mm 13
Slightly increased

22. 





A soft tisue chin nicely positioned in the facial
profile
No serioius skeletal convexity
H angle with in the convexity
A definite lip curl of 4-6 mm
Lower lip n h line or within 1 mm of it
Lower lip form and sulcus depth harmonious
with upper lip

23. 

A soft tissue cephalometric analysis and its use
in orthodontic treatment planning.Part 1
:Reed A Hold away
Orthodontic cephalometry; Athanasios E
Athanasiou