Perception Of Smile Aesthetics As Influenced By Gingival Margin Asymmetries Of Maxillary Canine Among Different Specialities

2021 ◽  
Vol 9 (3) ◽  
pp. 60-64
Author(s):  
Purva Verma ◽  
Saravana Dinesh
2016 ◽  
Vol 27 (6) ◽  
pp. 586 ◽  
Author(s):  
Shashank Katiyar ◽  
Sumit Gandhi ◽  
Javed Sodawala ◽  
G Anita ◽  
Shaheen Hamdani ◽  
...  

2021 ◽  
pp. 146531252110021
Author(s):  
Leonie Seager ◽  
Jinesh Shah ◽  
Trevor Burke ◽  
Balvinder Khambay

Objective: To evaluate the smile aesthetics of the different treatment options for impacted maxillary canines as perceived by orthodontists, dentists, patients and parents. Design: Cross-sectional survey. Setting: Four rater groups were selected to complete the questionnaire consisting of an orthodontist group, a general dental practitioner group, a patient group consisting of patients aged 11–18 years who were considered to be ‘Gillick competent’ and a parent group consisting of parents/guardians who accompanied the patients to their orthodontic appointments. Method: Four digitally manipulated images were created to imitate different treatment options available for the treatment of ectopic maxillary canines including: alignment of the impacted maxillary canine; substituted premolars; retained deciduous canines; or gaps present. The images were embedded into piloted questionnaires. Each participant completing the questionnaire was asked to mark the visual analogue scale (VAS) beneath each image according to their perception of attractiveness of each image. Quantitative scoring of the perceived attractiveness of the smile was assessed by one calibrated assessor measuring the distance from the start of the scale to the marked cross placed on the VAS. A two-way ANOVA (mixed between-within subject’s ANOVA) was used to compare perception of differences in smile aesthetics. Results: There were significant differences found in the VAS between the groups ( P = 0.002) and between the treatment options ( P < 0.001) There was no statistically significant difference found between the aligned canines and substituted premolars images by the patient ( P = 0.2) or parent group ( P = 0.5). All groups most disliked the treatment option where gaps were present at the end of treatment. Conclusion: The patient and parent groups showed similar perception in smile aesthetics for aligned canines and substituted premolars and all groups showed a strong dislike to the presence of gaps. The orthodontist group showed the most critical aesthetic perceptions.


2018 ◽  
Vol 06 (01) ◽  
pp. 037-039
Author(s):  
Suruchi Jatol-Tekade ◽  
Satyajit Tekade ◽  
Kush Pathak ◽  
Vishal Patni

AbstractLoss of tooth structure in the esthetic region is a big challenge for restorative dentist as it not only involves the establishment of tooth structure but also complies microesthetics. If the tooth structure is lost near the gingival margin, then the periodontal aspect cannot be overlooked. Surgical crown lengthening and orthodontic extrusion of the remaining tooth structure are two possible treatment modalities for such cases. Which one is best suited depends on the indications for each procedure. This study reports an orthodontic extrusion for the restoration of fractured upper canine. Preference of crown lengthening by orthodontic extrusion over surgical crown lengthening is clarified along the case discussion.


Author(s):  
Vo Truong Nhu Ngoc ◽  
Dang-Khoa Tran ◽  
Truong Manh Dung ◽  
Nguyen Viet Anh ◽  
Vu Thi Nga ◽  
...  

Aim: It is important to meet the aesthetic expectation regarding the smile concept of both dentists and non-professionals after treatment is complete. Therefore, the study aims to evaluate the effects of altered displays in incisors, gingival margin, and other smile-related-factors on dentists’ vs. non-professionals’ aesthetics perceptions. Materials and method: We altered the features of 42 digital smile photographs to generate the changed displays in incisors, gingival margin, and other smile-related-factors. Then, these altered photographs were presented to 51 dentists and 51 non-professionals, and each picture was rated by each participant with a visual analog scale ranging from 0 (very ugly) to 100 (very beautiful). Results: We found that the alterations in incisors, gingival margin, and other factors affected studied groups’ aesthetic perception of smile. The ugly smile threshold rated by both groups for crown length of maxillary central incisors was 2.0 mm. This threshold was 2.5 mm for dentists, with moving the gingival margin of maxillary lateral incisors to the incisal ridge. The ugly thresholds for other smile-related-factors were different between studied groups; for example, the ugly thresholds for gingival exposure levels were 3 and 4mm for dentists and non-professionals, respectively. Thus, our data indicate that altered displays in incisors, gingival margin, and other smile-related-factors affected perceptions of both studied groups on smile aesthetics, but dentists tended to feel more refined than non-professionals. Dentists and non-professionals had significantly different aesthetic perceptions of the alteration of the gingival exposure level. Conclusion: Both dentists and non-professionals’ perceptions should be fully considered during orthodontic and prosthodontic treatment to achieve optimum aesthetic results.


2020 ◽  
Vol 23 (2) ◽  
pp. 28-33
Author(s):  
Indira Apriantika ◽  
Agung Krismariono

A healthy and beautiful smile can affect appearance and confidence. One of the aesthetic problems in dentistry that is often complained of by patients is excessive gingival display (gummy smile). The excessive gingival display can be caused by several factors, one of which is altered passive eruption (APE). One of the treatments to correct gummy smile related to APE is crown lengthening. Crown lengthening can be with bone reduction (gingivectomy with bone reduction) or without bone reduction (gingivectomy). Crown Lengthening with bone reduction is a surgical procedure that aims to maintain the dentogingival complex and to improve smile aesthetics. The purpose of this case report is to determine the crown lengthening with bone reduction (gingivectomy with bone reduction) procedure as a gummy smile treatment related to APE .A23-year-old female patient, came to Dental Hospital of Universitas Airlangga with complaints of her upper gum which not in the same length and the teeth looked short, she considered her smile was less aesthetic. After conducting analyses relating to aesthetics and periodontal tissue, crown lengthening with bone reduction was chosen for this patient treatment. The treatment results are quite good, visible gingival margins that matched the gingival zenith and improved patient's smile profile. APE as the etiology of patient's gummy smile can be corrected. There are no post-surgical complications such as excessive pain and infection. A proper diagnosis, treatment plan, and good techniques can produce a harmonious smile on the patient.


2012 ◽  
Vol 2 (8) ◽  
pp. 406-407
Author(s):  
Dr. Ramta Bansal ◽  
◽  
Dr. Aditya Jain ◽  
Dr. Ramta Bansal

Author(s):  
M. Vanishree ◽  
Santosh Hunasgi ◽  
Anila Koneru ◽  
Vardendra Manvikar ◽  
Surekha Ramulu

2020 ◽  
Vol 13 (52) ◽  
pp. 40-51
Author(s):  
Renato Barcellos Rédua

Class II malocclusion has a high incidence in the population, which may compromise smile aesthetics, occlusion function and stability. Skeletal Class II may affect facial aesthetics and upper airway volume. Class II malocclusion is routinely associated with skeletal Class II condition, having as treatment alternatives the use of Extra Buccal Appliance (EBA) or removable or fixed propulsor appliance. This article describes a case of a patient who did not accept the use of EBA and so it was fitted a Flex Developer propulsor for Class II correction and discussed the advantages and disadvantages of therapeutic alternatives for Class II correction.


2020 ◽  
Vol 10 (37) ◽  
pp. 38-45
Author(s):  
Lara Pepita de Souza Oliveira ◽  
Rebeka de Oliveira Reis ◽  
Ely Moacyr de Souza Portela ◽  
Sybilla Torres Dias ◽  
Cristiane Maria Brasil Leal

Dental ceramics have an excellent ability to reproduce natural teeth appearance, but once the substrate has an altered coloration, it is necessary to mask this intercurrence, considering the characteristics of the ceramic and cement selected. This article aims to present a clinical case of rehabilitation with ceramic laminates to mask a darkened central incisor by planning a more opaque porcelain structure under a translucent contact lens. A female patient sought dental care complaining of dissatisfaction with smile aesthetics. It was clinically identified the presence of a Class IV darkened restoration in composite resin in element 11. In treatment planning harmony in the shape and color of elements 11 and 21 was aimed at through lithium disilicate lenses. An opaque intermediate structure was used to cover the darkening in tooth 11. The double molding technique was performed to obtain the working model. Prior to cementing, the surfaces were treated. In ceramics, conditioning with 10% hydrofluoric acid and 37% phosphoric acid, silane application and universal adhesive; in dental substrate, conditioning with 37% phosphoric acid and application of universal adhesive were performed. In laminates definitive cementation Allcem Venner cement was chosen. Patient reported satisfaction with treatment final aesthetics. Thus, cementation technique of a translucent laminate over an opaque facet is a good option for masking substrates with darkened coloration.


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