Abstract

Nowadays increasing numbers of patients are requesting dental procedures with the intention of an esthetic enhancement to their oral condition. The goal for esthetic treatment should be an enhanced but natural appearance that imparts a vibrant and believable appearance to the patient. In the past, common perception of dental esthetics was limited to modification of the individual teeth, whereas today in accordance with general opinion the evaluation and analysis of the face, lips, gingival tissues and teeth should all be considered in this process. In an effort to create natural esthetics, the clinician must give careful consideration to the patient in his or her entirety. The clinician should be able to break down all the subtle nuances of a smile to the basic elements and not only point out why a smile looks fantastic or less than perfect, but have the knowledge to know exactly what to add or take away and the skill to do it. Many articles have been written over the years on concepts of smile design to develop a treatment plan to get an esthetic outcome for the patient. This article reviews the various principles that will help the clinician to design esthetic treatments

Keywords

• Esthetic smile, smile designing, tooth proportions

Gülümseme Tasarımı

Abstract

Günümüzde artan sayıda hasta ağız sağlığı durumlarının estetik açıdan iyileştirilmesi niyetiyle diş hekimliği yöntemlerini talep etmektedir. Estetik tedavide amaç hastaya canlı ve inanılır bir görünüm veren geliştirilmiş ancak doğal bir görünüş kazandırmak olmalıdır. Geçmişte, dental estetikte yaygın anlayış dişlerin tek başına modifikasyonları ile sınırlıydı, halbuki günümüzde genel kanıya uygun olarak bu süreçte yüzün, dudakların, gingival dokuların ve dişlerin tümünün değerlendirilmesi ve analizi göz önünde bulundurulmalıdır. Doğal estetiği yaratmak için klinisyen, hastayı bütünüyle dikkatli bir şekilde değerlendirmelidir. Klinisyen gülüşün tüm ince nüanslarını temel unsurlarına ayrıntılandırabilmeli ve bir gülüşün sadece neden harika göründüğünü veya mükemmel olmadığını ifade etmekle kalmamalı aynı zamanda tam olarak ne eklemek veya uzaklaştırmak gerektiği bilgisine ve bunu yapacak beceriye de sahip olmalıdır. Yıllar boyunca hasta için estetik sonuç elde etmede tedavi planı geliştirmek için gülümseme tasarımı konseptinde pek çok makale yazılmıştır. Bu makale, klinisyene estetik tedavileri tasarlamak için yardımcı olacak çeşitli prensipleri derlemektedir

Keywords

• Estetik gülümseme, gülümseme tasarımı, diş oranları

References

1. 1. Fradeani M. Evaluation of dentolabial parameters as part of a comprehensive esthetic analysis. Eur J Esthet Dent 2006; 1: 62–69.
2. 2. Newton JT, Prabhu N, Robinson PG. The impact of dental appearance on the appraisal of personal characteristics. Int J Prosthodont 2003; 16: 429–34.
3. 3. Langlois JH, Kalakanis L, Rubenstein AJ, Larson A, Hallam M, Smoot M. Maxims or myths of beauty? A meta-analytic and theoretical review. Psychol Bull 2000; 126: 390– 423.
4. 4. Passia N, Blatz M, Strub JR. Is the smile line a valid parameter for esthetic evaluation? A systematic literature review. Eur J Esthet Dent 2011; 6: 314–27
5. 5. Sharma PK, Sharma P. Dental smile esthetics: the assessment and creation of the ideal smile. Semin Orthod 2012; 18: 193-201.
6. 6. Bhuvaneswaran M. Principles of smile design. J Conserv Dent. 2010; 13(4): 225–32.
7. 7. Peck S, Peck L, Kataja M. The gingival smile line. Angle Orthod. Summer 1992; 62(2): 91-102.
8. 8. McLaren EA, Cao PT. Smile analysis and esthetic design: in the zone. Inside Dentistry. 2009; July/August: 44-48.

9. 9. Parekh SM. The perception of selected aspects of smile esthetics – smile arcs and buccal corridors. Degree Master of Science Thesis, Graduate School of The Ohio State University. 2005; p. 4
10. 10. Green CD. All that glitters: a review of psychological research on the aesthetics of the golden section. Perception 1995; 24: 937- 68.
11. 11. Guan YP. Unsupervised human height estimation from a single image. J. Biomedical Science and Engineering. 2009; 2(6): 425-30
12. 12. Spear F. The esthetic management of dental midline problems with restorative dentistry. Compend Contin Educ Dent 1999; 20: 912-8.
13. 13. Morley J, Eubank J. Macroesthetic elements of smile design. J Am Dent Assoc 2001; 132: 39–45.
14. 14. Calamia JR, Levine JB, Lipp M, Cisneros G, Wolff MS. Smile design and treatment planning with the help of a comprehensive esthetic evaluation form. Dent Clin N Am. 2011; 55: 187–209
15. 15. Johnston CD, Burden DJ, Stevenson MR. The influence of dental to facial midline discrepancies on dental attractiveness ratings. Eur J Orthod 1999; 21: 517-22.
16. 16. Thomas JL, Hayes C, Zawaideh S. The effect of axial midline angulation on dental esthetics. Angle Orthod 2003; 73: 359-64.
17. 17. Sarver DM. The importance of incisor positioning in the esthetic smile: The smile arc. Am. J. Orthod. 2001; 120: 98-111.
18. 18. Margolis MJ. Esthetic considerations in orthodontic treatment of adults. Dent Clin North Am 1997; 41: 29–48.
19. 19. Wagner IV, Carlsson GE, Ekstrand K, Ödman P, Schneider N. A comparative study of assessment of dental appearance by dentists, dental technicians, and laymen using computer-aided image manipulation. J Esthet Dent 1996; 8: 199–205.
20. 20. Carlsson GE, Wagner IW, Ödman P, Ekstrand K, MacEntee M, Marinello C. An international comparative multicenter study of assessment of dental appearance using computer-aided image manipulation. Int J Prosthodont 1998; 11: 246–54.
21. 21. Sabri Y. The Eight Components of a Balanced Smile. J Clin Orthod. 2005 Mar; 39(3): 155-67.
22. 22. Peck S, Peck L. Selected aspects of the art and science of facial esthetics. Semin Orthod 1995; 1: 105–26.
23. 23. Mackley RJ. An evaluation of smiles before and after orthodontic treatment. Angle Orthod. 1993; 63: 183-90.
24. 24. Dong JK, Jin TH, Cho HW, Oh SC. The esthetics of the smile: A review of some recent studies. Int. J. Prosthod. 1999; 12: 9-19
25. 25. Peck S, Peck L, Kataja M. Some vertical lineaments of lip position. Am. J. Orthod. 1992; 101: 519-24.
26. 26. Moskowitz ME, Nayyar A. Determinants of dental esthetics: A rationale for smile analysis and treatment. Compend Contin Educ Dent 1995; 16: 1164–66.
27. 27. Desai S, Upadhyay M, Nanda R. Dynamic smile analysis: changes with age. Am J Orthod Dentofacial Orthop 2009; 136: 310–1
28. 28. Sarver DM, Ackerman MB. Dynamic smile visualization and quantification: Part 2. Smile analysis and treatment strategies. Am. J. Orthod. 2003; 124: 116-27.
29. 29. Kokich VG. Esthetics: The orthodontic-periodontic restorative connection. Semin. Orthod. 1996; 2: 21-30.
30. 30. Chiche GJ, Pinault A. Smile rejuvenation a methodic approach. Pract Periodontics Aesthet Dent. 1993; 5: 37–44.
31. 31. Rufenacht CR: Fundamentals of Esthetics. Berlin, Germany, Quintessence, 1990; pp 67-134.
32. 32. Davis N. Smile design. Dent Clin N Am. 2007; 51: 299-318
33. 33. Sarver DM, Yanosky MR. Principles of cosmetic dentistry in orthodontics: Part 2. Soft tissue laser technology and cosmetic gingival contouring. Am J Dentofacial Orthop 2005; 127: 85-90.
34. 34. Tarnow DP, Magner AW, Fletcher P. The effect of the distance from the contact point to the crest of the bone on the presence or absence of the interproximal papilla. J Periodontol. 1992; 63: 995–6.
35. 35. Kois JC, Vakay RT. Relationships of the periodontium to impression procedures. Compend Contin Educ Dent. 2000; 21: 684–90.
36. 36. Spear FM, Mathews DM, Kokich VG. Interdisciplinary management of single-tooth implants. Semin Orthod 1997; 3: 45-72.
37. 37. Sterrett JD, Oliver T, Robinson F, Fortson W, Knnak B, Russell CM. Width/length ratios of normal clinical crowns of the maxillary anterior dentition in man. J Clin Periodontol 1999; 26:153-57.
38. 38. Shetty S, Pitti V, Satish Babu CL, Surendra Kumar GP, Jnanadev KR. To evaluate the validity of Recurring Esthetic Dental proportion in natural dentition. J Conserv Dent. 2011; 14(3): 314-17.
39. 39. Ward DH. A study of dentists’ preferred maxillary anterior tooth width proportions: Comparing the Recurring Esthetic Dental proportion to other mathematical and naturally occurring proportions. J Esthet Restor Dent. 2007; 19: 324–39
40. 40. Preston JD. The golden proportion revisited. Journal Esthet Den. 1993; 5: 247–51
41. 41. Snow SR. Esthetic smile analysis of anterior tooth width: the golden percentage. J Esthet Dent. 1999; 11: 177–84.
42. 42. Ward DH. Proportional smile design using the RED proportion. Dent Clin North Am 2001; 45: 143–54.
43. 43. Rosentiel SF, Ward DH, Rashid RG. Dentist preference of anterior tooth proportiona web based study. J Prosthodont. 2000; 9: 123–36.
44. 44. Morley J. A multidisciplinary approach to complex aesthetics restoration with diagnostic planning. Prac Perio Aesth Dent 2000; 12: 575-7.
45. 45. Foulger TE, Tredwin CJ, Gill DS, Moles DR. The influence of varying maxillary incisal edge embrasure space and interproximal contact area dimensions on perceived smile aesthetics. Br Dent J 2010; 209: E4.
46. 46. Sarver DM. Principles of cosmetic dentistry in orthodontics: Part 1. Shape and proportionality of anterior teeth. Am J Dentofacial Orthop 2004; 126: 749-53.
47. 47. Croll BM. Emergence profiles in natural tooth contour. Part 1: Photographic observations. J Prosthet Dent 1989; 62: 4-10.
48. 48. Summitt JB, Robbins JW, Hilton TJ, Schwartz RS. Fundamentals of operative dentistry: a contemporary approach. 3rd ed. Hanover Park, Ill: Quintessence Publishing Co; 2006: p.73
49. 49. Roberson TM, Heymann HO, Swift EJ. Sturdevant’s art and science of operative dentistry. 5.Baskı. Mosby Elsevier. 2011; s.626-7
50. 50. Goodkind RJ, Schwabacher WB. Use of a fiber-optic colorimeter for in vivo measurements of 2,830 anterior teeth. J Prosthet Dent 1987; 58: 535-42.