Окремі підходи до виконання художніх реставрацій фронтальних зубів у пацієнтів молодого віку: Аналіз літератури та опис клінічного випадку

Abstract

Resume. The problem of aesthetics in dental work (such as artistic restoration of teeth, orthopedic dentures, restoration of marginal periodontal tissues, teeth whitening and cosmetic modifications) remains relevant for domestic dentistry for a long time. Today it is standard practice to determine the criteria of aesthetics of dental work individually for every patient. Today, clinicians often ask the questions «How can you describe the features of the teeth of a young patient?», «Is it possible by performing aesthetic restoration using a special method to achieve the perception of the face as younger?». It has been found that teeth in young patients have a number of special features that can be used in the restoration of teeth, in some cases to create a younger perception of the patient's face. For example, the elongated shape of the teeth may play a role in contouring the face, changing the perception of its width. Nowadays, in addition to personal aesthetic perception of the results of work and harmony of the smile by the doctor, a number of mathematical proportions are used which reflect the anatomy and aesthetics of the smile and are an attempt to unify the preconditions for determining the artistic quality of dental treatment. Today, a number of works are known on the artistic restoration of teeth and modeling of artificial teeth which determine the parameters and proportions of the aesthetics of a smile, which include important elements of its design. Such proportions include the «golden ratio», «golden percentage», Preston’s ratio and RED-proportion – all of tham allow us to describe mathematically the aesthetics of the frontal area of the upper dentition in humans. Conclusions. The use of special approaches in the implementation of artistic restorations of teeth in young patients is an option to improve the protocol of restoration of dental crowns, which leads to a higher aesthetic and functional result of dental work. Key words: teeth, restoration, aesthetics, proportions, young age, signs.