Abstract

BackgroundThis study aimed to determine the esthetic proportion of six natural upper anterior teeth in northeastern Thai population as well as the level of esthetic satisfaction of distinct tooth proportions.Material and MethodsFront-view photographs were taken from participants living in the Northeastern Thailand (n=140) of the 18-35 years of age. Computerized program was used for measuring the size of each tooth. All subjects also scored the satisfaction level of different photographs portraying 4 proportions of anterior teeth (golden proportion, 70% RED, 80% RED, and an increasing proportion).ResultsWe found that proportion of lateral-to-central incisor and canine-to-lateral incisor were 0.72 and 0.80, respectively on both sides. The proportions increased in mesio-distal direction. Our reported ratios were statistically different (P<0.05) from the golden proportion, golden percentage, and 70% RED. However, the ratio of lateral-to-central incisor, but not the canine-to-lateral ratio, was significantly different (P<0.05) when compared to 80% RED. Esthetic satisfaction level of 4 tooth proportions among northeastern Thais was not statistically different (P=0.054).ConclusionsAn increasing proportion of upper anterior teeth in the northeastern Thai subpopulation was found. No difference of esthetic satisfaction of 4 different tooth proportions among Thai laypersons warrants further study. Key words:Esthetic proportion, Natural upper anterior teeth, Golden proportion, Increasing proportion, Esthetic satisfaction.

Highlights

  • Smile is an essential feature of a personal, emotional expression that reflects an individual personality

  • We examined the esthetic proportions of natural upper anterior teeth in the indigenous, northeastern Thais as well as investigated their preference and satisfaction of varying smiles in which the 4 distinct proportions of upper anterior teeth were displayed

  • The esthetic proportion we reported was compared to other 3 systems including golden proportion, 70% Recurring Esthetic Dental proportion (RED), and 80% RED

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Summary

Introduction

Smile is an essential feature of a personal, emotional expression that reflects an individual personality. A known esthetic proportion clearly illustrated by nature, was introduced by Lombardi in 1973 for esthetic considerations in clinical dentistry [4] and further developed by Levin [5] It was first used for calculating the relationship of successive width of the anterior teeth and a corresponding smile [6,7]. This study aimed to determine the esthetic proportion of six natural upper anterior teeth in northeastern Thai population as well as the level of esthetic satisfaction of distinct tooth proportions. Esthetic satisfaction level of 4 tooth proportions among northeastern Thais was not statistically different (P=0.054) Conclusions: An increasing proportion of upper anterior teeth in the northeastern Thai subpopulation was found. No difference of esthetic satisfaction of 4 different tooth proportions among Thai laypersons warrants further study

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