Harmonious Smile Research Articles

AVALIAÇÃO DA INFLUÊNCIA DE CORANTES DURANTE O CLAREAMENTO

A harmonious smile has a significant influence on people´s lives, especially from a social point of view, as a pleasant smile, like having teeth in the correct positiion and with a whiter color, are associated with an individual as being beautiful and healthy. Teeth color is one of the biggest concerns that people have and to make it whiter, they turno to tooth whitening. However, many patientes are faced with a recommendation commonly given by dentists about diet restriction during the whitening procedure, which can become an obstacle for many people. This issue is still subject to divergence as to its effectiveness, whether coloring foods can interfere or not in the final result. Therefore, the objective of the present work is to verify if there is a relantionship between the consumption of dyes and the deteroriation in the performance of tooth whitening. For this, 17 scientific articles were analyzed, in online databases, during the period from 2011 to 2021, ranging from laboratory to clinical studies. It was possible to conclude that the use of food and coloring beverages during the procedure did not negatively influence the final bleaching result, however, this issue is still not unanimous. As there are divergences in the literature, further studies on the subject are needed.

Reabilitação estética de dente conóide: relato de caso

As aesthetics advance in modern dentistry, people's expectations of their smiles become ever higher. Microdontia or conoid tooth, which refers to teeth smaller than normal, is one of the abnormalities that causes major aesthetic complaints due to its characteristics. Conoid teeth have a prevalence of 0.6 to 9.9%, with conical upper lateral teeth affecting approximately 55,000 people, with women being more susceptible than men. Many factors must be considered when restoring anterior teeth, depending on patient expectations and dental practice. The direct composite resin technique has stood out for providing aesthetic benefits, preserving tooth structure, being performed in a single consultation, being cheaper and not requiring any laboratory process. The objective of this study was to report a clinical case of aesthetic rehabilitation in a conoid tooth in the upper left lateral incisor with composite resin restoration using the direct technique. Clinical planning is essential for choosing the technique and restorative material to be used. Despite the various techniques proposed for the treatment of conoid lateral incisors, the aesthetic reanatomization with a direct veneer of composite resin, with diagnostic waxing, used in this study, was effective and inexpensive, allowing a minimally invasive treatment and possible posterior adjustments, enabling the restoration of self-esteem and the harmony of the patient's smile.

Fechamento de diastemas com faceta direta de resina composta: relato de caso

The search for an aesthetic standard is increasingly frequent and restoring a harmonious smile represents a real challenge for restorative dentistry. Composite resins are aesthetic and adhesive materials that have received special attention for ensuring predictable and lasting results with minimal tooth sacrifice. The technique of making direct veneers is simple, but requires discretion and attention from its indication to the final stages of its execution. The procedure has high success rates and predictable results with desirable longevity for anterior teeth. The objective of this study was to present a clinical case of diastema closure with direct composite resin veneers on anterior teeth and maxillary first premolars, with the aid of diagnostic wax-up for better accuracy of work on anterior teeth. It is concluded that the application of the direct restorative technique allowed a fast, low, cost and less invasive treatment. Providing a satisfactory result, raising self-esteem and allowing a restoration of the patient's facial aesthetics.

In Vitro Study Of Molar Tooth With Endodontic Treatment At Endocrown Successful Prosthetic Rehabilitation

Background: Side teeth, having a decisive role for mastication, require special attention after endodontic treatment. The rehabilitation of these teeth includes the analysis of current restoration techniques, materials used, as well as aesthetic and functional impact on the patient. Through a multidisciplinary approach, it aims not only to recover dental function, but also to improve the quality of life of the patient by restoring a healthy and harmonious smile. Materials and Methods: In this study, we conducted tests on 30 extracted teeth that had whole or partially whole dental crowns, the condition of selecting the tooth in the study being at least 3 mm of dental tissue present, and, necessary for the subsequent prosthetic preparation for endocrown prosthetics. The 30 teeth were divided into 6 batches, the control group (A) being made up only of integral teeth that were milling for covering crowns. The other teeth were divided into 5 batches (B-F) of 5 teeth, the teeth were endodontically treated and milling for prosthetic rehabilitation with endocrown. Each lot (B-F) benefited from a preparation of coronoradicular cylindrical shape of different depths between 0.5-2,5mm, on the occlusal face of the tooth in the endodontic access area, in order to increase the surface of the retention coronary dental tissues for the stability of the prosthetic crowns of the coating. Each tooth in A-F batches has benefited from 3 crowns made of the same material through 3 different technologies. Results: The values recorded by the A-lot, rehabilitated with crowns of sheathing on integral teeth, recorded an average value of the crown extraction force on tooth of 25.42±0.55 for CAD-CAM technology, for crowns made by baro-thermo-polymerization technique an average of 24,14±0,37, and for hot polymerization technique an average of 23,66±0,37. For B-F batches, the closest values for the extraction of endocorons were obtained by lot D with a preparation in the corono-radicular axe of 1,5mm, both for the CAD-CAM technology with a average of 25,74±1,91, and for the technique baro-thermo polymerization with an average of 24,92±1,83. For the technique of hot polymerization batch E, who has a preparation of 2 mm in the corono-radicular axe, recording an average of the extraction force of the endocrown of 23.56±2.05. Conclusion: The success of endodontic treatment also depends on prosthetic restoration for a long-term oral rehabilitation

Using Artificial Intelligence-Based 3D Smile Design: REBEL in Prosthetic Rehabilitation with Patient's Personal Preferences. Case-1

Each smile is unique, and smiles reflect the different shapes, textures, and colors of the teeth and their combinations. When creating a new smile design dentists need to consider the biology, structure, function, and esthetics to create the fifth dimension of the smile. This approach is completely different from the conventional one. A smile reflects the personality and emotional state of the patient, and the translation of this into a new smile design occurs either by analog methods or digitally. A smile is a person's ability to express a wide range of emotions with the movement and structure of the teeth, dentofacial, esthetic lips, social and psychological (Rambabu et al, 2018) it also determines how well a person functions in society. When a person has a harmonious smile. it is always assumed that it increases self-esteem and their ability to interact properly and more confidently in their surroundings.

Digital Planning to Enhance Diagnosis and Precision in Correcting Excessive Gingival Display in the Presence of Asymmetrical Maxillary Position: A Case Report.

This case report addresses the treatment of excessive gingival display (EGD) in the context of maxillary asymmetry, zenith irregularities, and occlusal plane inclination. Digital planning was pivotal in formulating a precise treatment strategy by incorporating facial photographs, digital models, and cone-beam computed tomography data. Parameters, including occlusal plane inclination, teeth position, and lip-to-gingival margin relationships, were considered to ensure treatment alignment with the patient's facial characteristics. Notably, during the planning phase, it was evident that the conventional approach using the cementoenamel junction as the apical limit for incisions would result in asymmetry. Consequently, the gingival margin position was defined in accordance with facial and lip features. The chosen treatment, flapless crown lengthening, was tailored to the patient's thin phenotype and guided by measurements derived from digital planning. Postsurgery, the patient experienced a swift and painless recovery. A harmonious smile with a stable gingival margin position was achieved at the 1-year follow-up, seamlessly complementing the patient's facial attributes. This case underscores the importance of personalized EGD treatment and the value of digital planning in enhancing diagnostic accuracy and precise treatment planning, ultimately facilitating optimal treatment strategies.

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.

Maxillary Anterior Teeth Dimensions and Relative Width Proportions: A Narrative Literature Review.

Predictable results in the aesthetic treatment of anterior teeth can be obtained by resorting to the concept of dental aesthetics and, in particular, defining the ideal tooth dimensions and proportions to obtain a harmonious smile. Considering the great variety of articles dealing with the topic, and the lack of updated reviews, this narrative literature review aims to evaluate current knowledge on anterior teeth dimensions and to verify the existence and the potential applications of the anterior teeth proportioning theories (Golden Proportion, Golden Percentage, RED Proportion, and Golden Rectangle). PubMed, Embase, Cochrane Library, and Google Scholar databases were comprehensively searched using different keywords and term combinations. The research includes articles published up to June 2023, no time limits were set, and only articles in English were included. Inclusion criteria comprehended reviews, clinical studies, and in-vitro studies. A total of 66 articles were selected. Two main topics were identified: "Anterior teeth dimensions", "Golden Proportions, Golden Percentage, RED Proportions, and Golden Rectangle". As far as tooth dimensions are concerned, different width ranges are recognized for men and women and for different ethnic groups. Perfectly symmetric contralateral elements are found in low percentages of subjects. The correlation between dental dimensions and facial parameters is not always present, and it strongly depends on the sample's ethnicity and gender. Ideal tooth proportions were only partially identified.

State of the art of orofacial harmonization: a review

Nowadays, a harmonious smile depends on several factors ranging from the aesthetic to the functional, but it is known that a smile opens doors and is also known as a business card for anyone. The present study aims to discuss the issue of orofacial harmonization nowadays, the existing indications, and the contraindications of this treatment modality, through a literature review. This study is a systematic literature review and for its realization, a bibliographical survey of articles in the main internet databases was carried out. It is worth remembering that, like any procedure, it is necessary to carry out an evaluation, to plan well how the procedure will be carried out, to know the indications, the contraindications, the places that can be applied, the way to dilute the product, when using botulinum toxin. However, this study made it possible to understand that orofacial harmonization, in addition to being an aesthetic procedure, has characteristics that are linked to the question of the biomechanics of the smile, forgetting the question of the person's self-esteem.

Assessment of maxillary anterior teeth using RED proportion and golden proportion among adult young Gujarati individuals

Comprehensive studies assessing the spatial examination of maxillary anterior teeth with respect to various esthetic proportions like RED proportion and Golden proportion are insufficient for Gujarati Individual.: The purpose of this study is to assess the validity of Recurring Esthetic Dental (RED)Proportion and Golden proportion in maxillary anterior teeth among young adult Gujarati individual.: This clinical Evaluation study included a total of 70 Gujarati individuals that met the inclusion criteria having 40 females and 30 males. Dental casts of the maxillary arches for each individual were made with irreversible hydrocolloid material and dental stone was then poured to get the diagnostic casts. Using a digital caliper, dimensions and the perceived width of the anterior teeth from the front were assessed. The data was analyzed using SPSS. The RED proportion and Golden proportion were not in co-relation between perceived maxillary anterior teeth widths of Gujarati individuals. The Golden proportion and the RED proportion cannot be used as constant proportions to create a harmonious smile.

A Study to Evaluate the Prevalence of Golden Percentage and Recurring Esthetic Dental Proportion among Young Individuals in Dakshina Kannada

AbstractThis study was conducted with the aim of identifying the prevalence of recurring esthetic dental (RED) proportion and golden percentage among young individuals in Dakshina Kannada district. The study was conducted by analyzing digital photographs of 100 subjects on Adobe. The measurements were made using a digital ruler. After the measurements were completed, the data collected were statistically analyzed to determine the prevalence of either of the proportions. The result suggested the prevalence of RED proportion being significantly more (72.2%) than golden percentage (27.8%) among the young individuals of Dakshina Kannada population. Based on gender-wise distribution, golden percentage was more prevalent among females, whereas RED proportion was more prevalent among males. Within the scope and limitations of this study, it is suggested to use of RED proportion to design a harmonious smile.

Lip Repositioning Technique: A Simple Surgical Procedure to Improve the Smile Harmony

Lip Repositioning Technique: A Simple Surgical Procedure to Improve the Smile Harmony

Gingival Depigmentation : a Review

A beautiful smile surely enhances the individual’s self-confidence. The harmony of smile is attributable to the shape, color, and position of the teeth in conjunction with the gingival tissue. Gingival pigmentation occurs in all races of man, varies from one race to another & caused by a variety of external and endogenous sources. Excessive deposition of melanocytic pigmentation has a significant impact on aesthetics and also produces psychological distress. A periodontal plastic surgery procedure called gingival depigmentation eliminates or reduces hyperpigmentation. Although there are numerous depigmentation procedures available to treat this problem, but there is a lack of research to aid clinicians in selecting the best effective approach. As a result, the goal of this review is to assess the existing depigmentation therapies. Cryosurgery, followed by lasers, has been reported by many studies to be superior procedures, with better aesthetic results and a low recurrence rates. However, additional randomized controlled long term studies are needed to better understand the efficiency and effectiveness of present approaches.

Orthodontic treatment of traumatically avulsed maxillary central incisors with bimaxillary dentoalveolar protrusion in an adult female: a case report

BackgroundClinicians agree that obtaining and retaining good treatment results for missing maxillary central incisors owing to trauma is not easy. Management of adult patients with permanent maxillary central incisor loss who visit the clinic with high expectations for aesthetics and function pose a significant diagnostic dilemma. Therefore, esthetic and functional outcomes should be taken into consideration when deciding the proper treatment method. The treatment described in this study aimed to reestablish smile esthetics by proposing an effective multidisciplinary clinical approach that includes orthodontic-prosthetic-periodontal procedures, optimally reduced lip protrusion, center dental midlines, and establishment of stable occlusion.Case presentationThe patient was a 19-year-old adult female with bimaxillary arch protrusion who had been wearing removable dentures for several years since the loss of her maxillary central permanent incisors. A multidisciplinary treatment including the extraction of two mandibular primary premolars was adopted. The treatment plan consisted of orthodontic space closure by shifting the adjacent teeth towards the central incisor spaces combined with appropriate morphologic remodeling and gingival reshaping to obtain good aesthetic and functional results. The duration to complete the orthodontic treatment was 35 months. Clinical and radiographic results after treatment suggested smile harmony with an improvement in the facial profile, good function of the occlusion, and a positive effect on bone remodeling in the area of the missing incisors during orthodontic tooth movement.ConclusionsThis clinical case illustrated the necessity for using multidisciplinary methods involving orthodontic, prosthodontic, and periodontic procedures to treat an adult female patient with bimaxillary arch protrusion and long-term absence of anterior teeth due to severe trauma.

Gingival Conditioning with Provisional Composite Veneer Prior to Final Dental Restoration: Three-year Follow-up.

This manuscript reports a three-year follow-up of a case of gingival conditioning with a provisional composite veneer prior to diastema closure and tooth recontouring with direct composites. This conservative treatment resulted in a natural and harmonious smile.

A case report: Surgical esthetic crown lengthening procedure for gummy smile treatment

Background: In modern society, a harmonious smile is considered a symbol of beauty. An attractive smile can improve appearance so that a person is more easily accepted in society. In planning dental treatment to be carried out, aesthetic considerations are very relevant because of the relationship between smile and facial beauty. Purpose: The purpose of writing this article is to describe a crown lengthening accompanied by bone reduction to correct an excessive gingival display in a patient with altered passive eruption (APE) of the maxillary anterior teeth. Case: A 28-year-old female patient came to the Periodontology Specialist Polyclinic at RSGM Airlangga University with complaints that the gums on the upper front teeth looked more dominant. The patient did not have problems with the periodontal tissue and had no history of systemic diseases such as diabetes, high blood pressure, and had no history of allergies to food and drugs. Case Management: After analyzing the periodontal tissue, the choice of crown lengthening with bone reduction was chosen to treat this case. Conclusion: procedures Crown lengthening have been performed as a viable option to facilitate restorative therapy or improve esthetic appearance.

CAD-CAM Designed Ceramic Veneer for the Restoration of Peg-shaped Lateral Incisor: Case Report

Peg shaped lateral incisors are considered to be the most common discrepancy concerning tooth size. This results in reduced size of the tooth, anterior diastema, and most often an unpresentable smile. Now a days, the concepts of Adhesive Dentistry and wider use of ceramic veneers have allowed all ceramic restorations to be more acceptable in terms of function and esthetics as well as establishing a good smile harmony. The aim of the clinical report presented, is to demonstrate a conservative approach of treatment so as to improve an esthetically disharmonious smile resulting from a unilateral peg-shaped lateral incisor. Here the authors present a case of 33 years old Saudi patient, who sought treatment for solving his esthetically disharmonious smile. Digital Impression guides were utilized for planning and fabricating Lithium Disilicate veneers. This was done to restore the size, morphology, function, as well as the esthetics of upper lateral incisors including the overall smile of the patient. The veneers using Lithium disilicate provided the harmonization of smile of the patient. It further resulted in recovering of the tooth size including its shape as well as anatomical characteristics.

Anterior Upper Teeth Golden Proportion Analysis with Millimetric Templates: An Invention Developed at Londrina State University.

In order to achieve aesthetic and harmonious smile results, the use of anterior upper teeth golden proportion concepts represents reliable and scientific based guidelines. However, measuring, recording and analysing teeth and smiles biometric values proves to be a clinical and laboratory routine chalenge, once it is time consuming and demands additional especific math calculus or formulas. The aim of this paper is present an invention, "anterior upper teeth golden proportion millimetric templates," a set of instruments fabricated in order to achieve precise and fast millimetric measures, once they present predefined geometrical drawings and diagrams. Currently, when planning aesthetic tooth size modifications treatments, tools are used as pachymeters, dry edge compass, or some softwares. Most of times this strategy relies on professional expertise and intuiton, which shows to be limitating factors with the need of trial-and-error training and an accurate critical and artistic sense. Unfortunately, this is not inherent to all professionals, especially undergraduate dental school students. Thus, the templates bring differentials and advantages, being versatile and convenient, allowing countless clinical and laboratory uses, even over a cellphone or a computer screen. An excellent diagnostic aid providing ideal teeth proportions and positioning, increasing the chances of success in dental treatment planning.

Gingival Margins' Modifications during Orthodontic Treatment with Invisalign First®: A Preliminary Study.

The aim of the study was to assess modifications of gingival morphology at the end of Phase I treatment with Invisalign First. Eighteen subjects (ten females, eight males, mean age nine years) treated with Invisalign First were selected. The following parameters were measured on intraoral photographs before treatment (T0) and after the first set of aligners (T1) at level of permanent incisors, deciduous canines and molars: gingival margin height (GMH) and deciduous canine inclination (DCI). A paired t-test was used to evaluate T1-T0 changes. The level of significance was established at 5%. Deciduous canines’ GMH showed a major reduction between T1 and T0 accounting for 0.87 mm and 0.86 mm, respectively on the right and left sides. DCI increased for all patients in the interval T0–T1 on both sides, +7.11° on the right and +7.5° on the left. Tooth movement during Invisalign First induced significant modifications of gingival contour resulting in a more harmonious smile.

Inter-Incisive Index in Bulgarians and its Application in Dentistry

In recent years, aesthetic dentistry has become a major focus for the public. Facial attractiveness plays a key role on modern society and the creation of harmonious smile is an aim for every dentist. The objective of this study was to define certain values of the inter-incisive index in Bulgarians, the sexual dimorphism and bilateral asymmetry and to verify differences of this index between Bulgarians and other Balkan populations. The present study included 121 males and 111 females of Bulgarian origin aged 20- 40 years. Mesiodistal dimensions of maxillary central and lateral incisors were measured by Dentistry Sliding Vernier Caliper. We used the technique of direct anthropometry, modified by Prof. Y. Yordanov. We calculated the inter-incisive index as ratio of the mesiodistal dimension of maxillary lateral incisor to the mesiodistal dimension of the maxillary central incisor. The measurements were analyzed with SPSS 23. The level of statistical significance was set at P< 0.05. The inter-incisive index showed no statistically significant differences between left and right side of the dental arch in both sexes. We did not find statistically significant differences between males and females as well. On the other hand, we found statistically significant differences in MD values of incisors between Bulgarians and other Balkan nations. Inter-incisive index shows no sexual dimorphism and bilateral asymmetry in Bulgarians. This can be helpful in aesthetic dentistry, in prosthodontics and in orthodontic treatment planning.