Esthetic Dentistry Research Articles

Color Differences of Polimerized Resin-Based Composites and Corresponding Shade Guides

Objective: The purpose of this study is to analyze and compare the colors (A2, A3 and A3.5) of polymerized resin-based composites (RBCs) with respect to the shade numbers within each product line and the VITAPAN Classical® shade guide they purported to represent. Methods: Three A-shades (A2, A3 and A3.5) from four RBC products (Harmonize®, Empress® Direct®, Grandio® and Filtek® 500) were compared within the VITAPAN Classical® shade guide and within their own commercial shade guide. Nine disk-shaped specimens, 6 mm in diameter and 2 mm thick, were prepared for each RBC color (three of each color). The color measurements were made according to the CIE L*a*b* color scale (quantifying L*c*h*a*b* values) using a Vita Easyshade Compact IV® digital spectrophotometer. We calculated the CIEDE2000 color differences between polymerized composites and shade guides, as well as between composites. The values obtained from composites and samples of the color guides in the CIE L*a*b* space were represented by ICC3D software (Version 1.2.9) Results: The ANOVA test verified the existence of statistically significant differences between composites for the same shades (p < 0.05) except for shade A2. CIEDE2000 color differences between composites and the VITAPAN Classical® shade guide ranged from 3.5 to 13.1 depending on the composite and the shade. Conclusions: There were color differences among the polymerized resin-based composites, between these and their own shade guides/manufacturer’s commercial guides, and between the former and the corresponding samples of the VITAPAN Classical® shade guide. Clinical significance: Color selection when performing an aesthetic dental restoration is essential for the clinician and the patient to obtain an optimal result. Taking into account the color difference (∆E00) for each composite with the VITAPAN Classical® shade guide or with the manufacturers’ commercial guide allows for more precision with shade selection in aesthetic dentistry.

The effect of somatic pain and comorbid mental distress on oral health-related quality of life in orthodontic patients.

The purpose of the present study was to evaluate the prevalence of somatic pain in orthodontic patients and determine whether somatic pain contributes to worsening oral health-related quality of life (OHRQoL) through the mediating effect of psychological discomfort. Scale measurements and analyses were conducted on a cohort of 769 orthodontic outpatients, encompassing Patient Health Questionnaire-15-pain (PHQ-15-P), Hua-Xi Emotional-Distress Index (HEI), Psychosocial Impact of Dental Aesthetics Questionnaire (PIDAQ), and Oral Health Impact Profile-14 (OHIP-14). Among the respondents, 56.3% (N = 433) reported somatic pain and 20.0% (N = 154) had mental discomfort based on PHQ-15-P and HEI scores. Patients with somatic pain symptoms had significantly higher scores of HEI and OHIP-14 (P < 0.001), and higher PHQ-15-P and HEI scores emerged as statistically significant predictors of lower OHIP-14 scores (P < 0.001). HEI scores which assessed anxiety and depression partially mediated the correlation between PHQ-15-P and OHIP-14 scores, of which anxiety accounted for 52.9% of the overall mediation effect, dominating the indirect effect. Orthodontic patients reporting somatic pains were at a significantly higher risk of worsening OHRQoL during treatment, and this adverse effect is partially mediated by anxiety and depression. Our findings highlight the necessity for the assessment of general health and mental well-being during orthodontic interventions. To prevent delays in treating general disorders and the potential failure of orthodontic treatments, we encourage increased attentiveness towards patients with somatic symptoms and consideration of the adverse effects of comorbid mental distress.

ИЗУЧЕНИЕ МАКРО- И МИКРОЭЛЕМЕНТНОГО СОСТАВА РОТОВОЙ ЖИДКОСТИ ПРИ ПРОВЕДЕНИИ ПРОФЕССИОНАЛЬНОГО ОТБЕЛИВАНИЯ ЗУБОВ

Aesthetic dentistry is one of the up-to-date trends in dentistry. There are a lot of methods targeted at eliminating discoloration, including teeth whitening. The dentist’s task is to choose the optimal whitening system. Patients, especially those who work in hazardous industries, are also interested in getting a snowwhite smile. The authors have conducted a comparative assessment of the effectiveness of a chemical activation system with a 37% concentration of hydrogen peroxide (USA) with a chemical activation system with a 35% concentration of carbamide peroxide (Russia). Changes in the chemical composition of oral fluid were revealed after the professional whitening procedure. The subject of the study is the chemical composition of oral fluid. The goal is to study the chemical composition of oral fluid during teeth whitening procedures. Methodology. The studies were carried out on the basis of the Department of Therapeutic Dentistry of the Federal State Budgetary Educational Institution of Higher Education “Privolzhsky Research Medical University” of the Ministry of Health of Russia, Autonomous Non-Profit Organization “Center for Biotic Medicine” of Dr. A.V. Skalny, State budgetary institution of the Ryazan region “Dental Clinic No. 1” (Ryazan). The study involved 50 patients of both sexes from 23 to 45 years old, who were employees of an aircraft repair plant in Ryazan. Patients were divided into two groups. A chemical study of oral fluid was performed for 50 people before teeth whitening and for 15 people, in the control group, after teeth whitening. Results. Determined macro- and micro elements differed in quantitative content between the studied groups. Comparing the obtained data of the concentration of elements in saliva with the results of the work of other researchers, we can conclude that there is a scattering in the results according to the literature, possibly due to the different “microelement” status of the regions in which the sample donors live. Conclusions. The results of the study demonstrate that both whitening systems have a pronounced effect on the chemical composition of the oral fluid, while the system based on 37% hydrogen peroxide led to a greater degree of normalization of the level of chemical elements in the oral fluid.

Synthesis and clinical efficacy of novel jasmine titania tooth whitening gel on color, surface roughness and morphology

ObjectiveTo analyze the beneficial role of novel jasmine titania tooth whitening gel on the color, surface roughness and morphology of human tooth enamel, concerning age. MethodsGreen dentistry incorporating Jasmine flower extract was used to fabricate titania (titanium oxide) nanoparticles whose physicochemical characteristics were evaluated through X-ray diffraction spectroscopy, scanning electron microscopy, dynamic light scattering spectroscopy, atomic force microscopy and energy dispersive X-ray spectroscopy in order to produce a novel jasmine tooth whitening gel. This whitening gel was applied on maxillary central incisors ranging between 20 and 50 years, which were investigated for color change, surface roughness and morphology. ResultsThe titania nanoparticles depicted 100 % pure anatase phase, 30.3 nm size and a spherical shape with no impurities. The color change (whitening) was found to be maximum in tooth enamel from the youngest age group (20 years), but minimum for the oldest age group (50 years) (p = 0.001). No significant change in surface roughness or morphology of tooth enamel belonging to the youngest age group (20 years) (p = 0.111) and middle age group (p > 0.05) was observed, but it was statistically significant in the teeth belonging to the ultra-middle age group (40 years) and the oldest age group (50 years) (p = 0.001). ConclusionNovel jasmine titania tooth whitening gel containing titania (titanium oxide) nanoparticles prepared by jasmine flower extract revealed potent whitening effects in all the age groups without affecting their surface roughness or morphology. Clinical significanceThe latest trends emerging in aesthetic dentistry show the demand for cosmetic procedures, especially tooth whitening, is enhanced. This novel jasmine titania tooth whitening gel was potent enough to whiten the enamel belonging to different age groups without enhancing the surface roughness or adversely affecting the surface morphology.

Are changes in malocclusion associated with adulthood psychosocial well-being?

The purpose of this study was to investigate the longitudinal psychosocial effects of changes in malocclusion from adolescence to adulthood on oral health-related quality of life (OHRQOL), self-rated dental appearance, and overall life satisfaction. The Dunedin Multidisciplinary Health and Development Study is a longitudinal birth cohort study of 1037 children born at Queen Mary Hospital, Dunedin, New Zealand, between April 1, 1972 and March 31, 1973. Data on their health and development, including dental examinations, has since been collected periodically. Malocclusion severity was measured using the Dental Aesthetic Index in participants aged 15 and 45 years (data collected at age 18 years was supplemented for data missing at age 15 years). Other data collected included clinically assessed oral health (dental caries and periodontal disease experience) and self-rated dental appearance, OHRQOL, life satisfaction, and personality traits. Malocclusion data were available for 868 participants in adolescence and 834 aged 45 years. For those with a severe handicapping malocclusion at 15 years old, 46.6% who received orthodontic treatment transitioned to a resolved (ie, mild-moderate) malocclusion when aged 45 years, whereas only 16.2% of those who did not receive orthodontic treatment made that transition. A transition to a worse malocclusion was associated with impacts on OHRQOL when aged 45 years in the subdomains of functional limitation, psychological discomfort, and physical disability as well as worse self-ratings of dental appearance, and these findings were held after adjusting for potential confounders. Malocclusion was not associated with overall life satisfaction. Maintenance of acceptable occlusion after orthodontic treatment requires a strong emphasis on achieving and maintaining excellent dental health and avoiding chronic oral conditions such as dental caries and tooth loss. The long-term benefits of orthodontic treatment may diminish by midlife unless good dental health is maintained. Orthodontists have the responsibility to raise awareness among their patients on how to maintain good oral health after orthodontic treatment.

Effect of Polishing and Universal Bonding Application on Mercury Release from Aged Amalgam after Exposure to Bleaching Agents.

Objectives: Teeth bleaching is an accepted and modern treatment in cosmetic dentistry. Bleaching agents may affect amalgam restorations and increase mercury release; therefore, patients are at increased risk of mercury exposure in the body. The aim of this study was to investigate the effect of polishing and universal bonding application on mercury release from aged amalgams exposed to bleaching. Materials and Methods: In this in-vitro experimental study, 64 dental amalgam specimens with dimensions of 3×5×10 were prepared and divided into two experimental and control groups. Each group was further divided into 4 subgroups and received one of the following treatments: no intervention, surface bonding, polishing, or polishing and surface bonding. Subsequently, the samples were immersed in bleaching agent containing 7% hydrogen peroxide and the amount of mercury released after 96h was measured. The results were analyzed by two-way ANOVA and Tukey post hoc tests (α≤0.05). Results: The results showed that the type of solution (P<0.05) and surface treatment (P<0.001) significantly affected the level of mercury release. However, there was no significant interaction between surface treatment methods in the bleaching group and those in the phosphate buffer group (P=0.621). Conclusion: Bleaching agents were found to enhance mercury release from dental amalgam. The application of polishing and universal bonding on amalgam surfaces exhibited significant effects on the reduction of the mercury release.

Veneers on Devitalized Teeth: The Role of Adhesive Dentistry in Aesthetic and Functional Therapies

Devitalized teeth present a unique challenge in aesthetic dentistry, often exhibiting aesthetic issues such as color variations, shape changes, or structural fragility. In response to these challenges, dental veneers emerge as a promising solution to restore both the aesthetics and functionality of devitalized teeth. While chemical teeth whitening is the primary treatment approach for dental discolorations, some prove resistant, occasionally necessitating prosthetic interventions. This article aims to explore the application of ceramic veneers as an aesthetic and conservative solution to address the challenges associated with devitalized teeth. We will delve into the procedural steps, technological advancements, and clinical considerations guiding this contemporary practice in aesthetic dentistry.

Orthodontic Status and Association with Oral-Health-Related Quality of Life-A Study of 16-Year-Old Norwegians with a Cleft Lip and Palate.

To assess the association between clinical orthodontic indicators and oral-health-related quality of life, adjusted for socio-demographic factors, focusing on 16-year-old patients with cleft lip and/or palate (CL/P). One hundred and twenty-two patients with CL/P, representing cleft-lip (CL), cleft-palate (CP), unilateral/bilateral cleft-lip-palate (UCLP/BCLP), enrolled in the national CLP-Team, Bergen, Norway. A cross-sectional study by two orthodontists assessing the number of teeth, intermaxillary sagittal relation (ANB-angle), dental arch and occlusion of 16-year-old patients with CL/P. All completed a digital questionnaire including self-reported socio-demographic variables, OHIP-14 questionnaire and dental aesthetics. Cross-tabulations with Pearson's Chi-square test were used to identify associations between self-reported OHRQoL and socio-demographic and clinical indicators. Multiple variable analyses were conducted with binary logistic regression analysis using the odds ratio (OR) and 95% confidence interval (CI) to assess associations between OHRQoL and clinical indicators adjusted for socio-demographic variables. Ethical approval was granted by the regional ethics committee. Patients with UCLP and BCLP had poorer clinical indicators compared to patients with CL and CP (p < 0.05). A total of 80% of the patients had OHIP-14 > 0. The highest oral impact was reported for psychological domains and articulation and the least for functional domains. Respondents with BCLP and those with poor intermaxillary relationships (ANB < 0°) reported a high impact on OHRQoL (p < 0.05). No statistically significant associations between other clinical indicators and socio-demographic variables such as gender, educational aspiration, and place of residence were reported. The study revealed an association between severe cleft diagnosis, missing teeth, misaligned teeth, negative overjet, and poor OHRQoL, but a statistically significant association was found only between OHRQoL and poor intermaxillary sagittal relations (unfavorable profile). To improve OHRQoL among patients with clefts, there is a need for an individual follow-up and prioritization of oral healthcare.

Evaluation of E-max Porcelain Veneer Failures: A Retrospective Study.

Aim This retrospective study aimed to evaluate if E-max veneers over five years caused changes in gingival, periodontal health, and veneer failures. Background As aesthetic dentistry progresses, dental veneers are becoming increasingly popular in both general and specialized dental practices. Due to technological advancements in dental ceramics and adhesive systems, porcelain veneers have become a highly sought-after solution for improving aesthetics in dental patients. The success of porcelain laminate veneers, a commonly used method for aesthetic restoration, relies on various factors. E-max veneers are frequently utilized, with their long-term durability contingent upon factors such as color stability, resistance to abrasion, as well as good compressive, tensile, and shear strength, along with maintaining marginal integrity. Methodology In this study, data was collected through a checklist form used to record clinical parameters. The clinical parameters evaluated were inflammation and bleeding on probing (BOP). The gingival health was evaluated by gingival index, gingival color, texture, and bleeding on probing, and periodontal health was evaluated by the pocket depth and radiographic evaluations. Finally, the veneer was visually inspected for chipping, staining, and debonding history. The score for most of the cases ranged between 0-1, with only 10 cases displaying moderate gingival inflammation and BOP (Gingival Index 2). Siemens Orthopantomogram (OPG) systems were used for radiological evaluation and documentation of cases. E-max porcelain veneers were only included in the research. Results Out of 28 patients, each with 6-to-10-unit veneer cases was examined, 18 patients (64.3%) displayed healthy gingival status with no bleeding area recorded in none of the veneers amongst the 6 to 10 units. In 10 patients (35.7%) most of the veneers had inflamed gingival tissue that was bleeding on probing. The majority revealed the presence of stippling (92.9%), absence of recession (96.4%), and pocket depth (67.9%). Half of our participants had their veneer for more than five years (50%) and the majority presented with no significant changes in veneer recorded like marginal staining, debonding, or chipping (89.3%). Conclusion Multiple factors such as patient selection, proper treatment planning, and design, including material selection, play a significant role in the long-lasting success of ceramic veneers. The retrospective study indicated that proper oral hygiene measures are vital for the long-term sustainability of E max veneers.

Study of artificial intelligence and its awareness in dental mainly aesthetic dentistry and prosthodontics

: Each day there is a new research. Similarly in dental profession with recent advances, artificial intelligence is a new trend. It's for better accurate superior health care. This makes dental diagnosis treatment plan better and successful. : This study is to assess the awareness and knowledge of artificial intelligence in dental profession. : this cross sectional study was done by questionnaire in 100 dental professionals. This was to know their knowledge and awareness in artificial intelligence. : very few dental professionals know of artificially intelligence. Those who know actually know v little. : Attempt should be made to know more about artificial intelligence. Its new application and more uses of artificial intelligence can be done in dental in future.

Modalities used to gain space in dental arch

Most of orthodontic patients seek treatment to improve their facial and dental esthetics which is compromised due to variety of malocclusions. Malocclusion can be caused by skeletal or dental factors. Dental malocclusion includes crowding, spacing, increased overjet, and overbite, rotations of teeth etc. Correction of some malocclusions like crowding and increased overjet needs space in the dental arch. There are various methods for creating space in the dental arch such as proximal stripping, distalization of molars, extractions, expansion of arch, and proclination of anterior teeth, and derotation of posterior teeth. In this article, we will briefly discuss about these methods.

Comparative Assessment of Gingival Depigmentation Using Scalpel Versus Microneedling With Ascorbic Acid: A Randomized Controlled Trial.

Background Gingival pigmentation (GP), characterized by the presence of melanin in the gingival tissues, is a common aesthetic concern in dental practice. While it poses no inherent health risks, the visible discoloration may cause psychological distress for individuals seeking optimal dental aesthetics. Understanding the efficacy of various methods is essential for refining treatment strategies and enhancing patient satisfaction in the realm of gingival depigmentation (GD). Aim The objective of the study was to compare the effectiveness of scalpel and microneedling (MN) with ascorbic acid in the treatment of GD. Materials and methods Sixteen patients who had a complaint of GP were included in the study, of whom eight were allocated for depigmentation with a scalpel, and the other eight patients were treated with the MN technique with ascorbic acid. Postoperative wound healing scores were evaluated on the first and seventh days, respectively. The intensity of depigmentation was assessed at baseline, in the first month, and at the end of the third month, respectively. Results The mean Dummett-Gupta Oral Pigmentation Index (DOPI) score at baseline was 2.65±0.16 and 2.61±0.17 in the surgical and microneedling groups with ascorbic acid, respectively. The mean DOPI score at the end of the third month was 1.67±0.39 and 0.87±0.17 in the scalpel and MN with ascorbic acid groups, respectively. There was a statistically significant difference between the scalpel and MN with ascorbic acid groups at the end of the first and third months, respectively, where MN with ascorbic acid showed aesthetically pleasing outcomes. Patients treated with the scalpel technique showed incomplete healing and ulceration on the first and seventh days after the procedure when compared to the MN technique with ascorbic acid. The healing index scores were statistically significant in the MN with ascorbic acid group. Conclusion The MN technique with ascorbic acid is a successful technique for treating GD. It showed aesthetically gratifying outcomes when compared to the conventional surgical technique.

Contextual and individual factors associated with traumatic dental injuries in deprived 12-year-old schoolchildren: A cohort study.

Traumatic dental injuries (TDIs) among children and adolescents have been acknowledged as of public health concern worldwide. The aim of the study was to assess the relationship between contextual and individual characteristics and TDIs in 12-year-old schoolchildren. A cohort study was conducted with 355 schoolchildren living in deprived communities in the city of Manaus, Brazil. Contextual factors (place of residence and socio-economic indicators) and individual characteristics, including sex, family income, parents/guardians years of schooling, overjet and open bite (Dental Aesthetic Index), self-esteem (Rosenberg Self-Esteem Scale), sense of coherence (Sense of Coherence Scale), oral health beliefs, social support (Social Support Appraisals) were assessed at baseline. TDIs were measured at baseline and at 2-year follow-up using the O'Brien Index. Data were analysed through confirmatory factor analysis and structural equation modeling. The baseline prevalence of TDIs was 17.6% and the incidence of TDIs at 2-year follow-up was 26.8%. Better psychosocial status had a direct protective effect on the incidence of TDIs (β = -.184). Better contextual characteristics (β = -.135) and greater overjet (β = -.203) were directly associated with poor psychosocial status. Higher schooling of parents/guardians directly predicted better psychosocial status (β = .154). Psychosocial status mediated the relationship of greater overjet (β = .036), contextual factors (β = .024) and parental/guardian schooling (β = -.027) with TDIs. Contextual factors and individual characteristics predicted TDIs. Psychosocial status was a relevant individual attribute in the causal network of TDIs, due to the direct effect on the incidence of TDIs as well as a mediator on the influence of contextual factors, overjet and parents/guardians schooling on the incidence of TDIs.

Description of the concern for dental aesthetics in dental students from UNIANDES, Ecuador

Oral diseases have a significant impact on aesthetics and well-being, particularly affecting adolescents. This developmental phase is marked by noticeable physical and psychological changes, where self-image and social perception become crucial and can adversely influence self-esteem. The study conducted in May 2023 at UNIANDES University, Ecuador, aimed to describe the oral health of dental students, analyzing how dental aesthetics affects perfectionism and self-worth. Classified as descriptive, observational, prospective, and cross-sectional, detailed questionnaires were administered to first-, fifth, and sixth-semester students, providing in-depth insight into the interaction of these factors in a university setting. The study found that concern for dental aesthetics increases with academic progression. Students in advanced semesters show a growing concern for the appearance of their teeth and are more willing to seek cosmetic dental treatments. This attitude is accompanied by a more frequent comparison with the teeth of others and an awareness of the social impact of their dental aesthetics. Such findings highlight a direct correlation between the level of study and dental self-perception, emphasizing the need to include psychosocial support in dental training. It is concluded that progress in the dentistry career entails a greater self-criticism of dental aesthetics, highlighting the importance of educational strategies to manage expectations and promote mental health

Self-perceived oral health and orofacial aesthetics of cleft patients

PurposeTo evaluate the self-perceived oral health and aesthetics of the dentition and jaw in patients with different types of oral cleft, measured by patient-reported outcome measures (PROMs). Additionally, to compare the results of the PROMs between cleft lip and or/palate (CL/P) patients and non-affected controls.Methods420 CL/P patients treated at the cleft team of the Erasmus Medical Center, Rotterdam, The Netherlands, were included, and 138 non-cleft patients were recruited as control-group. Patient’s perceptions were retrospectively evaluated using the CLEFT-Q Teeth for dental aesthetics at ages 8, 12 and 22, CLEFT-Q Jaw for jaw aesthetics at ages 12 and 22, and the Child Oral Health Impact Profile—Oral Symptoms Subscale (COHIP-OSS) for oral health at ages 8 and 12. One-way ANOVA was used to compare differences in oral health and aesthetic perceptions among age-groups, cleft types, as well as between cases and controls.ResultsCL/P patients were significantly less satisfied than controls with their dental aesthetics (p = 0.001). CL/P patients reported significantly lower satisfaction on CLEFT-Q Teeth scores at ages 8 and 12, than at 22 years (p < 0.001). Patients with the most extensive cleft phenotype, Cleft Lip and Palate (CLAP), reported lowest satisfaction on the CLEFT-Q Teeth. No differences in perceptions of oral health nor in aesthetics of the jaw were found in the different cleft types, ages, nor in study versus control group.ConclusionThis study found differences in self-perceived dental aesthetics: CL/P patients are less satisfied than non-affected controls. CLAP patients are least satisfied, but satisfaction increases with age.

Revamping the Peg Smile with Composites

Abstract Patient’s expectations for esthetic dentistry have risen in recent years. Having the perfect smile is becoming a goal, as celebrities and public figure’s appearances have undoubtedly improved as a result of smile correction. This case report is unique, as this type of restoration enhances smiles by a conservative and economic approach. The main clinical finding of the present case was smaller shape and size of medially inclined laterals when compared to other teeth, so the diagnosis was peg-shaped laterals, which are the most common but rare too dental form aberration that can distort the harmony of smile and affect patient psychology. Treatment options can vary depending on no prep or prep type of modification. Composites are of no preparation type of restoration, that can easily solve the esthetic issue of peg-shaped teeth, and boost up the patient satisfaction level for the treatment. The present case involves bilateral peg-shaped lateral incisors as a developmental anomaly treated with composites.

Comparative evaluation of bond strength of diode and neodymium-doped:Yttrium aluminum garnet-assisted bleached enamel with nanofilled composite: An in vitro study.

The world of esthetic dentistry is constantly making efforts toward the management of tooth staining. Laser-assisted bleaching is needed before adhesive restorations and has become common and advantageous as it accelerates bleaching action, reduces postoperative sensitivity, and promotes recrystallization of enamel. The study aimed to evaluate and compare the bond strength of diode (Biolace: EpicX) and neodymium-doped:yttrium aluminum garnet (Nd:YAG) (LightWalker, Fotona, Slovenia) assisted bleached (Pola Office, SDI) enamel with nanofilled composite (GC Solare Sculpt). The samples were divided into three groups (n = 11): Group A - Conventionally bleached enamel, Group B - Diode laser-assisted bleached enamel, Group C - Nd:YAG laser-assisted bleached enamel. After storing samples in Artificial Saliva for 2 weeks, bonding was performed, and nanofilled composite resin was applied through an incremental method. Samples were subjected to shear bond strength (SBS) analysis. The use of Nd:YAG laser on bleached enamel significantly increases the bond strength with nanofilled composite resin.

Classified diagnosis and treatment scheme of oral cosmetic restoration based on aesthetic analysis (part Ⅱ): Chinese aesthetic connotation and analysis scheme.

At present, the commonly used clinical protocols of oral cosmetic restoration are mostly based on the oral aesthetic indexes proposed by Western developed countries (referred to as Western aesthetics), which are different from the oral aesthetic indexes unique to Chinese people (referred to as Chinese aesthetics). In the design of restoration schemes and the evaluation of restoration effects, these differences have a large or small effect on the doctor-patient-technology triad. Improper handling could directly weaken the cooperation efficiency of the three parties, reduce patient satisfaction, and even lead to medical disputes in serious cases. From doing a good job of oral cosmetic restoration in China, the connotative characteristics of Chinese oral aesthetics are introduced in this paper, and the value of oral aesthetic analysis in diagnosis and treatment is discussed. The process and method of aesthetic analysis and assessment through the modified Chinese psychosocial impact of dental aesthetics questionnaire and the evaluation ruler of the expected value of oral cosmetic restoration are further introduced in detail.

Tooth Colour and Facial Attractiveness: Study Protocol for Self-Perception with a Gender-Based Approach.

(1) Background. The aim of the present protocol is to assess whether self-perception of tooth colour and facial attractiveness correlates with gender and mood state. (2) Study protocol. The protocol foresees a cross-sectional clinical study, developed by Sapienza University of Rome, Italy, Department of Oral and MaxilloFacial Sciences, and 15 UNID (Unione Nazionale Igienisti Dentali-National Union of Dental Hygienists)-affiliated clinical centers in Italy. The protocol consists of a clinical visit, during which photographic documentation of the face and smile is collected with spectrophotometric evaluation of tooth colour. During the visit, two validated questionnaires are filled in. The first one is filled by the operator for the collection of data on: i) patient's face and smile colorimetric characteristics; ii) patient's and operator's evaluations of the dental colour and smile attractiveness. The second one is completed by the patient for the assessment of his/her mood state. (3) Conclusions. This protocol highlights the importance in aesthetic dentistry of a gender-specific approach and the limitations of gender-neutral models, revealing the existing gender differences in aesthetic self-perception. In addition, the colour-matching relationships between facial and dental colour characteristics will be explored. This approach improves the accuracy and personalization of aesthetic assessments in dentistry, by addressing personalized and gender-specific needs. A gender-inclusive methodology that takes a more nuanced and culturally aware approach to aesthetic dentistry is a useful adjunct to modern clinical practices.

Participation of female dentists in the evolution of dental specialties. a cross-sectional study

To determine the participation of female dentists in the evolution of dental specialties in Peru and establish the gender distribution in each specialty. A descriptive and retrospective cross-sectional study was conducted using data from the National Registry of Specialists of the Peruvian College of Dentists in August 2023. The relative frequency of female gender and the femininity index were calculated in the total population of specialists and in each specialty to assess their respective evolution over the last 25 years. Currently, 51.74% of the 3,827 specialty registrations correspond to female dentists, with a femininity index of 1.072. Nine specialties with a female predominance were identified, including Pediatric Dentistry, Family and Community Health in Dentistry, and Restorative and Esthetic Dentistry. On the other hand, areas with a higher male presence are Orthodontics and Maxillary Orthopedics, and Oral and Maxillofacial Surgery. Upon analyzing the temporal evolution, a shift from the historical male majority to the current female predominance in the last fifteen years is observed, and gender parity was reached in 2019. There is evidence of a change in the gender composition of Peruvian dental specialties, currently with a female predominance.