The facial esthetics of a patient is determined by the position of the teeth in a given skeletal pattern. The orthodontist cannot change a skeletal pattern, but anterior tooth position can be changed in order to improve facial esthetics or maintained if facial esthetics is to remain unchanged. The patient's vertical skeletal pattern must play a key role in the clinician's treatment planning decisions if facial esthetics is a goal.
(Rev Esp Ortod. 2018;48(3):)