Orthodontists demonstrate robust expertise in assessing face symmetry when compared with laypersons, and expertise in only the most difficult judgments compared with general dentists. Both orthodontists and general dentists have a significant advantage when judging face symmetry with upright compared with inverted faces. When face symmetry is assessed with accurate photographic records from different time points, analogous to monitoring a patient over time for a progressive asymmetric deformity, our data suggest that orthodontists will incorrectly identify symmetry in less than 15% of these situations.
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