The aim of this study was to develop a measurement scale to quantify f
acial aesthetics. Four series of 36 standardized facial photographs (b
oys 11-13 years; girls 11-13 years; boys 14-16 years; girls 14-16 year
s) were judged twice by eight orthodontists, eight laymen, and eight c
hildren. This was undertaken by comparing each photograph with one ref
erence photograph of a child of the same sex and age. Pearson's correl
ation coefficients were calculated to determine intra-observer agreeme
nt (median Pearson's correlation r=0.78), and to assess the correlatio
n between the scores of each judge and those of the others in that pan
el (median Pearson's correlation r=0.71). Alpha coefficients were calc
ulated as a measure for the reliability of the composed scores (median
alpha coefficient alpha=0.90). Finally, the correlation between the t
hree jury panels was established (median Pearson's correlation r=0.84)
. The results showed that the reproducibility of rating facial aesthet
ics is good. Moreover, a high level of agreement was found between the
ratings of different panels. Therefore, a mean overall score for each
judged photograph could be calculated. Finally, for each age and sex
group a metric scale was composed, consisting of five photographs with
their scores. These scales can be used to evaluate the results of ort
hodontic treatment with respect to facial aesthetics.