Abstract

Objective To analyze the width and height ratios of maxillary anterior teeth at different crown levels through photographs, 3D, and plaster dental model techniques in a subset of the Pakistani population. Material and Methods. This clinical study consisted of 230 participants. The maxillary impression, standardized photographs, and models were constructed for crown width and height analysis. The SPSS version 25 was used for statistical analysis. Descriptive statistics were carried out for mean, standard deviation, and percentage calculation of teeth width and height, gender, and age of participants. Paired t-test analysis was carried out to compare the dependent variables (teeth size, width, and height ratios) with independent variables (techniques applied, side disparity). A p value of ≤ 0.05 was considered statistically significant. Results The mean width and height of maxillary anterior teeth obtained through photographs, 3D, and plater models were statistically different. The 3D dental model analysis showed reliable and accurate results. The mean width and height ratio of teeth were different on both sides of the arch. There was a significant difference (p = 0.001) in crown width-height ratios at different crown levels. Conclusion The width and height ratios in the studied population were different at various crown levels. The dimensions of teeth varied from the incisal to the cervical part of the crown. Hence, rather than relying on a single, fixed ratio of 78% to 80% suggested by researchers for anterior teeth, the clinician should adopt different crown width-height ratios to restore teeth with the optimum esthetic outcome.

Highlights

  • Esthetic restoration of smiles is a complicated process mandating a multidisciplinary approach [1]

  • Crown width to length ratio is considered as the most stable parameter, essential to achieve a harmony between dental esthetics and facial contours [6]

  • The present study is aimed at evaluating the crown widthheight ratio of maxillary anterior teeth at different clinical crown levels utilizing 2D photographs and 3D digital dental models

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Summary

Introduction

Esthetic restoration of smiles is a complicated process mandating a multidisciplinary approach [1]. The dimensions of maxillary anterior teeth are the most significant factors in achieving harmonious and esthetic outcomes [3]. Maxillary anterior teeth, being the most prominent ones, are paramount to the restoration of anterior dental esthetics as well as overall facial esthetics [5]. Selection of appropriate crown length and width is essential to creating esthetically pleasing smiles. Crown width to length ratio is considered as the most stable parameter, essential to achieve a harmony between dental esthetics and facial contours [6]. Several theories exist suggesting the ideal proportions that may result in esthetic results such as golden proportion, golden percentage, and recurring esthetic dental proportion [7]

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