Türk Popülasyonunda Diş Oranları ve Estetik Algı Arasındaki İlişki

Öz

Bu çalışmanın amacı, Türk popülasyonunda maksiller anterior dişlerin klinik kron boyutlarını genişlik, yükseklik ve oranlar açısından değerlendirmektir. Ayrıca, elde edilen verilerin, Altın Oran ve Tekrarlayan Estetik Dental oranlarıyla uyumu incelenmiştir. Katılımcıların estetik beklentilerini değerlendirmek amacıyla ayrıca bir anket uygulanmıştır 130 katılımcının (84 kadın, 46 erkek) maksiller anterior dişlerinin mesiodistal ve gingiva-insizal boyutları dijital kumpas ile ölçülmüştür. Ölçümler iki hekim tarafından alınmış ve değerlerin ortalaması kullanılmıştır. Hekimler arası uyumu değerlendirmek için, Sınıf İçi Korelasyon Katsayısı kullanılmıştır. Ölçümler öncesinde katılımcılara estetik algıyı değerlendiren 11 soruluk bir anket uygulanmıştır. Verilerin Altın Oran ve Tekrarlayan Estetik Dental oranlarıyla ilişkisini incelemek için One Sample t-Test ve Runs Test kullanılmıştır. Anket sonuçları ile ölçümler arasındaki ilişki, Point Biserial Correlation Analysis ile değerlendirilmiştir. Maksiller anterior diş oranları ile Tekrarlayan Estetik Dental oranı arasında her iki cinsiyet de istatistiksel olarak anlamlı bir fark bulunmuştur (p<0.001). Dişler arası oranlar ise Altın Oran’a istatistiksel olarak yakın bulunmuştur (p<0.001). Sağ ve sol diş oranları ile estetik algı anketi yanıtları arasında anlamlı bir ilişki tespit edilmemiştir (p>0.05). Türk popülasyonundaki anterior diş oranları, Tekrarlayan Estetik Dental oranına kıyasla Altın Oran’a daha yakındır. Diş oranlarının estetik algı üzerinde anlamlı bir etkisi yoktur. Çünkü estetik algının şekillenmesinde kişisel tercihler ve diğer faktörler daha belirleyici rol oynamaktadır.

Anahtar Kelimeler

• Dental estetik
• altın oran
• anket
• tekrarlayan estetik dental oran
• diş oranları

The Relationship Between Dental Ratios and Aesthetic Perception in the Turkish Population

Öz

The aim of this study was to evaluate the clinical crown dimensions of maxillary anterior teeth in the Turkish population by assessing their width, height, and proportional relationships. The study also aimed to determine the compatibility of the data with the Golden Ratio and the Recurring Esthetic Dental proportion. Additionally, a questionnaire was conducted to assess the aesthetic expectations of participants. The mesiodistal and gingiva-incisal dimensions of the maxillary anterior teeth of 130 participants (84 female, 46 male) were measured using digital calipers. Two physicians took the measurements, and the average of the values was used. Intraclass Correlation Coefficient was employed to assess inter-physician agreement. Prior to measurements, participants completed an 11-question survey on aesthetic perceptions. One Sample t-Test and Runs Test were used to examine the relationship between the data and the Golden Ratio and Recurring Esthetic Dental proportions. Point Biserial Correlation Analysis was used to compare the relationship between the survey results and the obtained measurements. Statistically significant differences were found between the ratios of maxillary anterior teeth and Recurring Esthetic Dental in both genders (p<0.001). The interdental ratios were statistically close to Golden Ratio (p<0.001). No significant relationship was found between the right-left dental proportions and the responses to the aesthetic perception questionnaire (p>0.05). The proportions of anterior teeth in the Turkish population are closer to the Golden Ratio than the Recurring Esthetic Dental ratio. Tooth proportions do not significantly influence aesthetic perception, as personal preferences and other factors play a greater role in shaping aesthetic perceptions

Anahtar Kelimeler

• Dental esthetic
• golden ratio
• questionnaire
• recurring esthetic dental
• tooth proportions

Kaynakça

1. Raj V. Esthetic paradigms in the interdisciplinary management of maxillary anterior dentition-a review. J Esthet Restor Dent. 2013;25(5):295-304. doi:10.1111/jerd.12028.
2. Al-Kaisy N, Garib BT. Analysis of the golden proportion and width/height ratios of maxillary anterior teeth in Arab and Kurdish populations. J Prosthet Dent. 2018;119(6):981-986. doi: 10.1016/j.prosdent.2017.08.017.
3. Marquardt SR, Stephen R. Marquardt on the Golden Decagon and human facial beauty. Interview by Dr. Gottlieb. J Clin Orthod. 2002;36(6):339-347.
4. Gürel G. Smile Design, IN: The science and art of porcelain laminate veneers. London: Quintessence Publishing Co. Ltd, 2003, 59-109.
5. Abduo J, Bennamoun M, Tennant M, McGeachie J. Impact of digital prosthodontic planning on dental esthetics: Biometric analysis of esthetic parameters. J Prosthet Dent. 2016;115(1):57-64. doi: 10.1016/j.prosdent.2015.07.005.
6. Ellakwa A, McNamara K, Sandhu J, et al. Quantifying the selection of maxillary anterior teeth using intraoral and extraoral anatomical landmarks. J Contemp Dent Pract. 2011;12(6):414-421. doi:10.5005/jp-journals-10024-1069.
7. Rodríguez-López S, Escobedo Martínez MF, Pesquera Velasco J, Junquera L, García-Pola M. Analysis of dental esthetic proportions in a Spanish population sample. J Oral Sci.2021;63(3):257-262. doi:10.2334/josnusd.21-0019.
8. Strajnić L, Vuletić I, Vucinić P. The significance of biometric parameters in determining anterior teeth width. Vojnosanit Pregl. 2013;70(7):653-659. doi:10.2298/vsp1307653s.

9. Varjão FM, Nogueira SS. Nasal width as a guide for the selection of maxillary complete denture anterior teeth in four racial groups. J Prosthodont. 2006;15(6):353-358. doi:10.1111/j.1532-849X.2006.00134.x.
10. 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(6): 324-337.doi:10.1111/j.1708-8240.2007.00114.x.
11. Calcada D, Correia A, Araújo F. Anthropometric analysis of anterior maxillary teeth with digital photography- a study in a Portuguese sample. Int J Esthet Dent. 2014;9(3):370-380.
12. Hasanreisoglu U, Berksun S, Aras K, Arslan I. An analysis of maxillary anterior teeth: facial and dental proportions. J Prosthet Dent. 2005;94(6):530-538. doi: 10.1016/j.prosdent.2005.10.007.
13. Özdemir H, Köseoğlu M, Bayindir F. An investigation of the esthetic indicators of maxillary anterior teeth in young Turkish people. J Prosthet Dent. 2018;120(4):583-588. doi: 10.1016/j.prosdent.2017.12.015.
14. Özdemir H, Özdemir M. Evaluation of the parameters related to the golden ratio in the teeth of individuals from different countries: A systematic review and meta-analysis. J Prosthet Dent. 2024;132(4):726-734. doi: 10.1016/j.prosdent.2023.09.032.
15. Diker B, Elter B. Digital analysis of aesthetic proportions and dimensions of upper anterior teeth: A study in a Turkish sample. Yeditepe Clinical Journal. 2021; 19:179-183.
16. Settineri S, Rizzo A, Liotta M, Mento C. Italian validation of the psychosocial impact of dental aesthetics questionnaire (PIDAQ). Health. 2014; 6:2100-2108. doi:10.4236/health.2014.616243
17. Maghaireh GA, AIzraikat H, Taha NA. Satisfaction with dental appearance and attitude toward improving dental esthetics among patients attending a dental teaching center. J Contemp Dent Pract. 2016; 17:16-21. doi:10.5005/jp-journals-10024-1796.
18. Memon F, Memon S, Khahro MM, Memon AS. To Evaluate The Self-Apprehension Of Dental Students About Their Own Smile Aesthetics. Bahria Univ Med Dent Coll. 2018; 8:236-240. doi:10.51985/JBUMDC2018053
19. Koo TK, Li MY. A guideline of selecting and reporting intraclass correlation coefficients for reliability research. Chiropr Med. 2016;15: 155-163.doi: 10.1016/j.jcm.2016.02.012
20. Fleiss JL, Cohen J. The equivalence of weighted kappa and the intraclass correlation coefficient as measures of reliability. Educ Psychol Meas. 1973; 33:613-619. doi:10.1177/001316447303300309
21. Londono J, Ghasemi S, Lawand G, Dashti M. Evaluation of the golden proportion in the natural dentition: A systematic review and meta-analysis. J Prosthet Dent.2023;129(5):696-702. doi: 10.1016/j.prosdent.2021.07.020.
22. Londono J, Ghasmi S, Lawand G, Mirzaei F, Akbari F, Dashti M. Assessment of the golden proportion in natural facial esthetics: A systematic review. J Prosthet Dent. 2024;131(5):804-810. doi: 10.1016/j.prosdent.2022.04.026