Impact of brackets on smile esthetics: laypersons and orthodontists perception

OBJECTIVE: This study evaluated the influence of orthodontic appliances on smile esthetics assessed by lay adolescents, lay adults and orthodontists. METHODS: A facial photograph of a smiling young woman was used under the following conditions: With metal orthodontic brackets ligated by different elastic ligature colors (green, red and gray), with ceramic bracket brackets (transparent elastic ligature) and without brackets, totaling five 15 x 20 cm pictures. For the photograph assessment, 16 lay adolescents, 16 lay adults and 16 orthodontists were randomly selected. The photographs were randomly arranged in an album, followed by a visual analog scale (VAS) for the scores registration. Scores in both evaluations of each group of evaluators (adolescents, adults and orthodontists) were submitted to error analysis by WILCOXON test and multiple comparison among groups performed by Kruskal - Wallis at 5% significance. RESULTS: Orthodontists, adults and adolescents agreed in their opinions, although the orthodontists gave lower scores in their assessments. It could be observed that ceramic brackets were more acceptable concerning the smile esthetics, whereas the metal brackets received the lowest scores. CONCLUSION: Orthodontists, adults and even adolescents seem to prefer esthetic solutions during orthodontic treatment.

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BUCCAL CORRIDOR YANG LEBIH MENARIK PADA ESTETIK SENYUM

ODONTO Dental Journal ◽

10.30659/odj.4.1.1-6 ◽

2017 ◽

Vol 4 (1) ◽

pp. 1

Author(s):

Nety Trisnawaty

Keyword(s):

Visual Analog Scale ◽

Orthodontic Treatment ◽

Dental Students ◽

Dental School ◽

Analog Scale ◽

Dental Aesthetics ◽

Smile Esthetics ◽

Smile Aesthetics ◽

Buccal Corridor

Background: The objectives of orthodontic treatment are not only to obtain functional occlusion but also to improve facial and dental aesthetics. Three aspects of smile aesthetics have recently received great attention: the amount of gingival display, the presence of the smile arc, and buccal corridor spaces.The purpose of this study was to evaluation that the amount of buccal corridor on smile esthetics of dentists and dental students.Method: The population and subjects this study were dentists and dentalstudents of dental school from Faculty of Dentistry University Prof. Dr. Moestopo (Beragama). Using a Visual Analog Scale (VAS), dentists and dental students rated the attractiveness of six smiles with altered buccal corridors.Result: There was no significant different in judging the effect of buccal corridors on the smile attractiveness between dentists and dental students.Conclusion: Both the dentists and dental students preferred medium sizes of buccal corridor (buccal corridor 15%).

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Pengaruh Kloroform Terhadap Pelarutan Bahan Perekat Yang Menempel Pada Braket Keramik Yang Lepas Dari Gigi

SONDE (Sound of Dentistry) ◽

10.28932/sod.v6i1.3320 ◽

2021 ◽

Vol 6 (1) ◽

pp. 9-18

Author(s):

Ken Edinata ◽

Endah Mardiati

Keyword(s):

Shear Strength ◽

Orthodontic Treatment ◽

Testing Machine ◽

Wilcoxon Test ◽

Comparative Approach ◽

Universal Testing Machine ◽

Universal Testing ◽

Ceramic Brackets ◽

Ceramic Bracket

ABSTRAK Kebutuhan braket transparan pada perawatan ortodonti semakin berkembang dengan adanya kebutuhan braket sewarna gigi, terutama wanita yang memerlukan penampilan estetik maksimal. Braket yang lepas dalam perawatan ortodonti perlu direkatkan kembali. Pembersihan landasan braket yang terlepas sehingga dapat direkatkan kembali akan mengurangi biaya yang harus dikeluarkan pasien. Melakukan daur ulang braket haruslah dapatdapat dilakukan tanpa merubah sifat fisik dan ukuran dari braket tersebut. Penelitian ini adalah penelitian eksperimental analitik laboratoris in vitro dengan pendekatan komparatif yang bertujuan untuk melihat perbedaan kuat rekat geser braket keramik yang dibersihkan dengan kloroform selama 20 menit, 40 menit, 60 menit. Sampel yang digunakan dalam penelitian ini adalah 60 buah braket keramik monokristalin merek Ice Inspire dari Ormco dengan perlekatan mekanik. Pengukuran uji rekat geser menggunakan Instron Universal Testing Machine dan sisa resin menggunakan skor ARI. Analisis statistik dilakukan dengan uji Wilcoxon dan ANOVA. Hasil penelitian menunjukkan terdapat perbedaan bermakna kuat rekat geser braket keramik pasca rekat yang dibersihkan dengan kloroform selama 20 menit, 40 menit, 60 menit dan braket keramik pascarekat yang baru. Simpulan dari penelitian ini bahwa Terdapat perbedaan kuat rekat geser braket keramik yang dibersihkan dengan kloroform selama 20 menit, 40 menit, 60 menit dengan braket keramik yang baru, Semakin lama waktu pembersihan braket keramik dengan kloroform, sisa resin adhesif akan semakin bersih dan mempunyai kuat rekat geser yang lebih tinggi. Terdapat perbedaan sisa resin adesif antara braket keramik pasca rekat yang dibersihkan dengan kloroform yang dilepas kembali dengan braket keramik pasca rekat yang baru. Kata Kunci : perbedaan kuat rekat geser, kloroform, kuat rekat geser, ARI, braket keramik. ABSTRACT Transparant bracket needs in orthodontic treatment is become huge caused the needs of tranlucent bracket , especially women who require maximum aesthetic appearance. Debonding bracket in orthodontic treatment need to reattached. By Cleaning mesh of bracket so it can be reattached to reduce patient costs . Recycling bracket must can done without changing the physical properties and the size of bracket. This study is an experimental study in vitro analytical comparative approach that aims to see the difference shear strength adhesion to ceramic brackets were cleaned with chloroform for 20 minutes , 40 minutes , 60 minutes . The sample used in this study were 60 pieces of ceramic bracket monokristalin from Ormco Inspire Ice with mechanical retention. Measurement of shear strength test using the Instron Universal Testing Machine and the rest of the resin using ARI scores . Statistical analysis was used with Wilcoxon test and ANOVA . The results showed there were significant differences in the bracket shear strength rebonding ceramic bracket, which cleaned with chloroform for 20 minutes , 40 minutes , 60 minutes and new rebonding ceramic bracket. Conclusions from this research that There is a difference in the shear strength ceramic brackets which cleaned using chloroform for 20 minutes , 40 minutes , 60 minutes and with a new ceramic bracket , the longer time cleaning ceramic bracket with chloroform, the rest of the adhesive resin will be clean and have strong adhesion higher shear. There are differences between the residual resin adhesive after adhesive ceramic bracket cleaned with chloroform is released back and the ceramic new bracket rebonding. Key words :

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Perception and Characterization of Posed Smile: A Photographic Study

The Journal of Indian Orthodontic Society ◽

10.1177/0301574220963413 ◽

2020 ◽

pp. 030157422096341

Author(s):

Sukhpal Kaur ◽

Sanjeev Soni ◽

Anil Prashar ◽

and Rajdeep Kaur

Keyword(s):

Visual Analog Scale ◽

Digital Camera ◽

Analog Scale ◽

Male And Female ◽

Maxillary Tooth ◽

Significant Difference ◽

Smile Esthetics ◽

Relationship Of ◽

Buccal Corridor

Aims of the Study: The aims of the study are: (a) to compare the perceptions of dental specialists and laypeople regarding smile esthetics; (b) to compare male and female smile parameters; (c) to find influence of smile parameters on esthetics of smile. Materials and Methods: The study was conducted on 60 subjects (30 males and 30 females) of age 18 to 25 years. Frontal posed photographs of all subjects were taken using a digital camera and rated on a visual analog scale by 10 dental specialists and 10 laypersons. Measurements made on photographs were used to analyze various parameters of smile, such as buccal corridor space, smile arc, modified smile index, anterior height of smile, most posterior maxillary tooth visible, and midline relationship of central incisors to philtrum. Results: Visual analog scale values showed that 6 photographs were rated as very good (3 males, 3 females), 29 as good (11 males, 18 females), 21 as average (13 males, 8 females), and 4 photographs were rated as bad (3 males, 1 female). A high correlation was observed between ratings of dental specialists and layperson’s ratings for both male and female smiles. Most of the subjects had non-consonant smile arc, and a high correlation was found between buccal corridor space on right and left sides in both males and females. Most of the male and female smiles had an average anterior height of smile; permanent maxillary first molar was the last tooth visible during smile (73.3% females, 66.7 males); and 55% subjects had coincident midline relationship of central incisors to philtrum. Conclusion: There was no significant difference in perception of dental specialists and laypersons regarding esthetics of smile. Smile arc and anterior height of smile influenced the esthetics of smile. No significant difference was found between male and female smile parameters except modified smile index.

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Patients' Perceptions Regarding Microimplant as Anchorage in Orthodontics

The Angle Orthodontist ◽

10.2319/040507-172.1 ◽

2008 ◽

Vol 78 (2) ◽

pp. 228-233 ◽

Cited By ~ 27

Author(s):

Tony C. K. Lee ◽

Colman P. J. McGrath ◽

Ricky W. K. Wong ◽

A. Bakr M. Rabie

Keyword(s):

Postoperative Pain ◽

Family Member ◽

Visual Analog Scale ◽

Orthodontic Treatment ◽

Tooth Extraction ◽

Area Under The Curve ◽

Analog Scale ◽

Structured Questionnaire

Abstract Objective: To determine patients' expectations, acceptance, and experience of pain with microimplant surgery compared to other orthodontic procedures. Materials and Methods: Seventy-eight microimplants were placed in 37 patients as an anchorage unit for orthodontic treatment. Patients were asked to rate anticipated pain and pain experienced with various orthodontic procedures (tooth extraction, insertion of separators, initial tooth alignment, and microimplant surgery) on a visual analog scale (VAS) over a 7-day period. One month after insertion of microimplants, patients were asked to rate their acceptance of the procedure using a structured questionnaire. Results: Unlike other orthodontic procedures, patients expected to experience a significantly higher level of pain with microimplant surgery than they experienced (P < .001). The postoperative pain experienced decreased continuously from day 1 to day 7 for all orthodontic procedures (P < .05). The total area under the curve (AUC) of pain experienced over the 7-day period was significantly larger for initial tooth alignment than for microimplant surgery (P < .05). Most patients were satisfied with the microimplant surgery (76%) and would recommend it to a friend or family member (78%). Conclusions: Patients tended to overestimate the pain anticipated with microimplant surgery. Patients were accepting of the surgery and would recommend it to others.

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Q-sort assessment vs visual analog scale in the evaluation of smile esthetics

American Journal of Orthodontics and Dentofacial Orthopedics ◽

10.1016/j.ajodo.2007.08.019 ◽

2009 ◽

Vol 135 (4) ◽

pp. S61-S71 ◽

Cited By ~ 42

Author(s):

Brian J. Schabel ◽

James A. McNamara ◽

Lorenzo Franchi ◽

Tiziano Baccetti

Keyword(s):

Visual Analog Scale ◽

Analog Scale ◽

Smile Esthetics ◽

Q Sort

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Cheilectomy as a First-Line Surgical Treatment Option Yields Good Functional Results in Grade III Hallux Rigidus

Journal of the American Podiatric Medical Association ◽

10.7547/14-098 ◽

2016 ◽

Vol 106 (1) ◽

pp. 22-26 ◽

Cited By ~ 3

Author(s):

Engin Cetinkaya ◽

Merter Yalcinkaya ◽

Sami Sokucu ◽

Abdulkadir Polat ◽

Ufuk Ozkaya ◽

...

Keyword(s):

Surgical Treatment ◽

Visual Analog Scale ◽

Functional Results ◽

Hallux Rigidus ◽

Wilcoxon Test ◽

Foot And Ankle ◽

First Line ◽

Analog Scale ◽

American Orthopaedic ◽

Grade Iii

Background: This study aimed to analyze the functional results of cheilectomy in the surgical treatment of grade III hallux rigidus and to evaluate whether cheilectomy is a preferable first-line treatment over other surgical methods. Methods: Of 29 patients with moderate daily physical activity who underwent cheilectomy between 2009 and 2012 on being diagnosed as having grade III hallux rigidus according to the Coughlin-Shurnas grading system, 21 patients (14 women and 7 men; mean age, 59.2 years; age range, 52–67 years) (22 feet) with regular follow-up and complete medical records were included in the study. The patients were evaluated in the preoperative and postoperative periods using a visual analog scale for pain and the American Orthopaedic Foot and Ankle Society metatarsophalangeal assessment forms. Results: The preoperative mean American Orthopaedic Foot and Ankle Society score of 53 (range, 29–67) improved to 78 (range, 57–92) postoperatively (Wilcoxon test P = .001). The preoperative mean visual analog scale score of 89 (range, 60–100) improved to 29 (range, 0–70) in the postoperative period (Wilcoxon test P = .001). Conclusions: As a simple and repeatable procedure that allows for further joint-sacrificing surgical procedures when required, cheilectomy is a preferable method to be applied as a first-line option for the surgical treatment of grade III hallux rigidus.

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Perception of Esthetic Orthodontic Appliances: An Eye Tracking and Cross-sectional study

The Angle Orthodontist ◽

10.2319/031419-198.1 ◽

2019 ◽

Vol 90 (1) ◽

pp. 109-117

Author(s):

Moritz Försch ◽

Lena Krull ◽

Marlene Hechtner ◽

Roman Rahimi ◽

Susanne Wriedt ◽

...

Keyword(s):

Eye Tracking ◽

Visual Analog Scale ◽

Tracking System ◽

Fixation Time ◽

Orthodontic Appliances ◽

Subjective Perception ◽

Anatomical Landmarks ◽

Analog Scale ◽

Lingual Appliance ◽

Group D

ABSTRACT Objective To evaluate the perception of esthetic orthodontic appliances by means of eye-tracking measurements and survey investigation. Materials and Methods En face and close-up images with different orthodontic appliances (aligner appliance [a], aligner appliance and attachments [b], lingual appliance [c], ceramic brackets [d], no appliance [e; control]) were shown to 140 participants. Eye movement and gaze direction was recorded by eye-tracking system. For different anatomical areas and areas of the appliances, time to first fixation and total fixation time were recorded. The questions included in a visual analog scale regarding individual sentiency were answered by the participants. Results For all groups, the anatomical landmarks were inspected in the following order: (1) eyes, (2) mouth, (3) nose, (4) hair, and (5) ears. Only in group d, first fixation was on the mouth region (1.10 ± 1.05 seconds). All appliances except the lingual appliance (1.87 ± 1.31 seconds) resulted in a longer fixation on the mouth area (a, 2.97 ± 1.32 seconds; b, 3.35 ± 1.38 seconds; d, 3.29 ± 1.36 seconds). For close-up pictures, the fastest (0.58 seconds) and longest (3.14 seconds) fixation was found for group d, followed by group b (1.02 seconds/2.3 seconds), group a (2.57 seconds/0.83 seconds), and group c (3.28 seconds/0.05 seconds). Visual analog scale scoring of questions on visibility were consistent with eye-tracking measurements. With increasing visibility, the feeling of esthetic impairment was considered higher. Conclusions Lingual orthodontic appliances do not change how the face is perceived. Other esthetic orthodontic appliances may change the pattern of facial inspection and are different in subjective perception.

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Microbiological Evaluation of 0.2% Chlorhexidine Gluconate Mouth Rinse in Orthodontic Patients

The Angle Orthodontist ◽

10.2319/080506-320.1 ◽

2007 ◽

Vol 77 (5) ◽

pp. 881-884 ◽

Cited By ~ 20

Author(s):

Emel Sari ◽

Ilhan Birinci

Keyword(s):

Streptococcus Mutans ◽

Orthodontic Treatment ◽

Chlorhexidine Gluconate ◽

Wilcoxon Test ◽

Orthodontic Appliances ◽

Mouth Rinse ◽

Fixed Orthodontic Appliances ◽

Orthodontic Patients ◽

Fixed Appliances

Abstract Objective: To assess the effectiveness of 0.2% chlorhexidine gluconate mouth rinse on Streptococcus mutans and lactobacilli in orthodontic patients with fixed appliances. Materials and Methods: Twenty patients, aged 13–18, with fixed orthodontic appliances participated in the study. The levels of S mutans and lactobacilli in saliva samples were evaluated at four stages: at the beginning of the orthodontic treatment, at least 2 weeks after the bonding of brackets, 1 week after the introduction of 0.2% chlorhexidine gluconate mouth rinse, and at the fourth week. The changes in S mutans and lactobacilli levels were analyzed via Wilcoxon test. Results: Increases in bacterial levels of S mutans and lactobacilli were detected after the orthodontic appliances were bonded. A significant decrease in S mutans levels was observed 1 week after the introduction of chlorhexidine mouth rinse. Conclusions: An 0.2% chlorhexidine gluconate mouth rinse decreased S mutans levels, but had no effect on lactobacilli levels.

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Does the presence of unilateral gingival recession on maxillary canines influence smile esthetics?

Dental Press Journal of Orthodontics ◽

10.1590/2177-6709.25.1.056-063.oar ◽

2020 ◽

Vol 25 (1) ◽

pp. 56-63

Author(s):

Bruna Alecrim Figueiredo ◽

Joanna Betrine Pereira Ribeiro ◽

Andre Wilson Machado

Keyword(s):

Visual Analog Scale ◽

Gingival Recession ◽

White Female ◽

Test Results ◽

Analog Scale ◽

Photo Album ◽

Smile Esthetics ◽

Post Hoc ◽

Different Levels ◽

Scale Data

ABSTRACT Objective: The objective of this study was to determine orthodontists’, periodontists’, and laypersons’ perception of smile esthetics, regarding the presence of different levels of gingival recession on the maxillary left canine. Material and Methods: Two close-up smile images (frontal and oblique) of a white female were selected for this study. The images were digitally altered to create different levels of gingival recession on maxillary left canine, in 0.5-mm increments. They were randomly arranged into a photo album that was shown to 135 evaluators: 45 orthodontists, 45 periodontists, and 45 laypersons. Each evaluator was asked to rate the smile attractiveness, using to a visual analog scale. Data were analyzed statistically using ANOVA, Tukey’s post-hoc test, and Student t-test. Results: According to the orthodontists and periodontists, all levels of recession were considered as unesthetic in both types of images. According to the laypersons, gingival recession > 1.5 mm in the frontal image and > 1.0 mm in the oblique image were considered unesthetic. Conclusion: The results showed that the presence of unilateral gingival recession on maxillary canines may negatively influence smile attractiveness, depending on the evaluator type and the level of the recession.

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INFLUENCE OF SYMMETRIC & ASYMMETRIC ALTERATIONS OF MAXILLARY CANINE POSITION ON THE PERCEPTION OF SMILE ESTHETICS BY DENTISTS & LAYPERSONS.

10.36106/ijar/8901518 ◽

2021 ◽

pp. 43-44

Author(s):

S.Anitha Rao ◽

Kolli Tejaswi Chowdary ◽

Nanditha Nandagiri ◽

C.S. Soonu

Keyword(s):

Visual Analog Scale ◽

Vertical Position ◽

Analog Scale ◽

Maxillary Canine ◽

Smile Esthetics

OBJECTIVE: The objective of this study was to evaluate the differences in the perception of smile esthetics in symmetric & asymmetric alterations of maxillary canine position by dentists and laypersons. MATERIALS AND METHODS: A Close-up smile photograph of an Indian female was selected. The image was altered digitally & the canine vertical position was modied. A total of 9 images were obtained & were evaluated by 35 dentists and by 35 laypersons who determined the attractiveness of each smile using a Visual Analog Scale. RESULTS: For both dentists and laypersons; the symmetric & asymmetric alterations in canine vertical positions had a statistically signicant correlation (P < 0.05). CONCLUSION: For both dentists and laypersons the most attractive smile was the standard smile and the smile that was least attractive was with bilateral 1 mm extrusion. Dentists were more critical in their assessment.

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