scholarly journals Smile esthetics: Impact of variations in the vertical and horizontal dimensions of the maxillary lateral incisors

2017 ◽  
Vol 11 (04) ◽  
pp. 514-520 ◽  
Author(s):  
Amjad Al Taki ◽  
Ahmad Mohammad Hamdan ◽  
Ziad Mustafa ◽  
Mawada Hassan ◽  
Sami Abu-Alhuda

ABSTRACT Objective: The purpose of this study was to determine the perception of trained dental professionals and laypersons toward the esthetic impact of variations in the vertical position, width, and gingival height of the maxillary lateral incisor. Materials and Methods: The present study analyzed the perspective of smile photographs by dental professionals such as “fifty orthodontics and fifty general dental practitioners (GDPs)” as well as fifty laypersons, consisting of an equal number of male and female participants. Photographs edited to depict alteration of golden proportion, incisal length, and gingival height of lateral incisor. SPSS software was used to analyze the data and determine the significant difference within all the participants, at 0.05% level (95% confidence interval). Results: There was no significant difference in ranking between the genders. Golden proportion of 62%–67% were ranked the highest by orthodontists, whereas GDPs and laypersons preferred 67%. Regarding gingival display, corrected height of −0.5 and −1 mm received highest ranking from all the three groups. In case of lateral incisal length, −0.5 mm was ranked highest by laypersons, in contrast to −1 mm by orthodontists and GDPs. Conclusion: Specific differences were observed in the ranking of smile esthetics by health-care professionals and laypersons. Golden proportion of 62% and 67% were ranked the highest by orthodontists, whereas GDPs and laypersons preferred 67%. Corrected gingival height of −0.5 and −1 mm received highest ranking from all the three groups. In case of lateral incisal length, −0.5 mm was ranked highest by laypersons, in contrast to −1 mm by orthodontists and GDPs.

2018 ◽  
Vol 8 (1) ◽  
pp. 178
Author(s):  
Hedaiat Moradpoor ◽  
Farshad Rahimi ◽  
Amin Golshah ◽  
Narges Akbari ◽  
Sahar Raissi

Introduction: Due to the fundamental role of esthetics in the outcomes of dental treatments, especially in the anterior region (esthetic zone), the necessity of considering the matter of esthetics in clinical studies has become into focus in the current era. The aim of this study was the evaluation of esthetic outcomes of two treatment protocols in the treatment of congenital uni-lateral missing of maxillary lateral incisors as well as patient satisfaction from the treatment outcomes. Methods: in this study the sample size was 24 people (16 women and 8 men), These individuals sought dental treatment for replacement of the congenitally missing maxillary lateral incisor. Convenience sampling method was used and patients were divided into two groups regarding the kind of treatment they received. The two treatment protocols included: 1. Space closure by means of orthodontic treatment and then reshaping the canines; and 2. Space regaining by means of orthodontic treatment and replacing the lateral incisor with dental implants. Photographs of patients were acquired from the frontal view with retraction of the lips using digital cameras. Photographs were evaluated for Pink esthetic score. Results: No significant difference was detected between the two study groups in the evaluated factors in this study. Conclusion: The results of this study indicated that there is no significant difference in esthetic results in the two groups. Furthermore, both groups lead to similar results in patient satisfaction from treatment outcomes.


2021 ◽  
Vol 8 (11) ◽  
pp. 227-233
Author(s):  
Suganya. P ◽  
Sindhu. R ◽  
Dinesh Dhamodhar

Background: Coronavirus (COVID-19) is an infectious disease which begins to spread rapidly in various parts of the world including India. The health care professionals play a pivotal role in preventing or managing this disease so it is very essential for them to have an adequate knowledge, attitude and practice in tackling the disease. Aim: This study aims to evaluate the preparedness to tackle coronavirus and its risk perceptions among health care professionals in Chennai city, India. Materials and Methods: A cross-sectional study was conducted among 133 health care professionals in Chennai city. A sample of 67 medical and 66 dental professionals were selected from various hospitals in Chennai city based on the simple random sampling method. The questionnaire consists of 33 items regarding knowledge, attitude and practice towards coronavirus (COVID-19) and its risk perceptions among medical and dental health care professionals were obtained. The data was analyzed by using chi square test. P value <0.05 was considered to be a statistically significant. Results: The statistically significant difference was found regarding knowledge of symptoms, diagnosis of coronavirus among medical and dental professionals (p=0.0005). There was a highly significant difference was found among medical professionals regarding about the coronavirus WHO guidelines and proper facilities in treating coronavirus between medical and dental professionals (p=0.0005). The risk perceptions of medical professionals towards coronavirus was found to be statistically significant when compared to dental professionals (p>0.0005). Conclusion: The medical professionals have an adequate knowledge, attitude, practice and risk perceptions towards coronavirus when compared to dental professionals. Keywords: Coronavirus, Health care professionals, Knowledge, Attitude, Practice, Risk perceptions.


2020 ◽  
Vol 21 (9) ◽  
pp. 992-996
Author(s):  
Shoroog Hassan Agou ◽  
Abeer Adel Basri ◽  
Shaymaa M Mudhaffer ◽  
Ahmed T Altarazi ◽  
Mustafa A Elhussein ◽  
...  

2013 ◽  
Vol 24 (4) ◽  
pp. 385-390 ◽  
Author(s):  
Marta Liliana Musskopf ◽  
Jose Mariano da Rocha ◽  
Cassiano Kuchenbecker Rosing

The aim of this study was to compare the smile esthetic perception of patients, dental students and dentists faced to different situations concerning gingival margin position. A total of 123 individuals (41 patients, 41 dental students and 41 dentists) completed a structured questionnaire and evaluated 6 pictures of the same smile modified in Adobe Photoshop® image-editing software representing: no gingival recession, 2 mm recession in one maxillary lateral incisor, 2 mm recession in both maxillary lateral incisors, 2 mm recession in one maxillary canine, 2 mm recession in both maxillary canines and generalized 2 mm recession. The visual analogue scale (VAS) was used to rate the esthetic perception. Mean VAS values were calculated and compared among gingival situations as well as group of respondents by one-way ANOVA, with an alpha level of 0.05. VAS analysis revealed that mean values ranged from 4.2 (±1.8) to 6.8 (±1.7). Images with no gingival recession received the highest score by all groups, with statistically significant differences among dentists and dental students. However, patients scored images with no recession with significantly lower ranks as compared with dentists and dental students. No significant differences were observed among patients for any of the situations. When dentists and dental students were compared, the worst situation was observed for generalized gingival recession, with scores 4.2 (±1.8) and 4.9 (±1.8), respectively. Patients and dental professionals had different perceptions about esthetics related to gingival margin position.


2013 ◽  
Vol 18 (6) ◽  
pp. 93-99 ◽  
Author(s):  
Tulio Silva Lara ◽  
Melissa Lancia ◽  
Omar Gabriel da Silva Filho ◽  
Daniela Gamba Garib ◽  
Terumi Okada Ozawa

OBJECTIVE: To determine the prevalence of mesiodens in deciduous and mixed dentitions and its association with other dental anomalies. MATERIAL AND METHODS: Panoramic radiographs of 1,995 orthodontic patients were analyzed retrospectively, obtaining a final sample of 30 patients with mesiodens. The following aspects were analyzed: gender ; number of mesiodens; proportion between erupted and non-erupted mesiodens; initial position of the supernumerary tooth; related complications; treatment plan accomplished; and associated dental anomalies. The frequency of dental anomalies in the sample was compared to reference values for the general population using the chi-square test (c²), with a significance level set at 5%. RESULTS: The prevalence of mesiodens was 1.5% more common among males (1.5:1). Most of the mesiodens were non-erupted (75%) and in a vertical position, facing the oral cavity. Extraction of the mesiodens was the most common treatment. The main complications associated with mesiodens were: delayed eruption of permanent incisors (34.28%) and midline diastema (28.57%). From all the dental anomalies analyzed, only the prevalence of maxillary lateral incisor agenesis was higher in comparison to the general population. CONCLUSION: There was a low prevalence of mesiodens (1.5%) in deciduous and mixed dentition and the condition was not associated with other dental anomalies, except for the maxillary lateral incisor agenesis.


Author(s):  
Abirami Selvaraj ◽  
Sumathi Felicita ◽  
Smiline Girija

Introduction: Orthodontic treatment with fixed appliances especially during the retraction stage makes it challenging to maintain the oral hygiene. Attachments used, such as elastic chains, loops and springs, result in changes in the oral environment due to the accumulation of plaque and increase in the levels of bacterial count mainly Streptococcus mutans and Lactobacilli species. Aim: To determine the prevalence of oral microbial flora during orthodontic space closure. Materials and Methods: This was a cross-sectional pilot study conducted during the month of December 2019 which consisted of eight patients who were randomly selected among the age group of 18-25 years. Mean and SD of age in Males (4) and Females (4) were 22±2.16 years and 22.25±1.70 years, respectively and had reported to the Department of Orthodontics of a private dental college, Saveetha Dental College. In each patient, after 6-8 months of orthodontic treatment, plaque samples were collected only once around the orthodontic brackets at the cervical aspect of the maxillary lateral incisor, maxillary premolar, mandibular canine, mandibular premolar in 1st, 2nd, 3rd, and 4th quadrant respectively, by the method of cotton swabbing for the evaluation of micro flora. Independent paired t-test and One-way ANOVA with Post-hoc Tukey HSD test were done to estimate the prevalence of microorganisms at different sites. Results: Independent paired t-test showed highly significant differences in the levels of Streptococcus mutans when compared to Lactobacillus (p<0.001) with mean values of 4.8±2.5 and 23.1±9.2 for Streptococcus and Lactobacillus, respectively. One-way ANOVA with Post-hoc Turkey HSD analysis showed significant difference at the region of maxillary lateral incisor compared to other sites whereas Lactobacillishowed no significant differences between the various sites tested (p-value<0.001). Kappa statistics was performed which revealed an inter examiner reliability of 0.91. Conclusion: During orthodontic space closure, bacterial count of Streptococcus mutans showed a statistically significant difference between different sites (maxillary lateral incisor, mandibular canines, maxillary and mandibular premolars) with highest being the maxillary incisor region followed by that of mandibular canines. However, the incidence of Lactobacillusacidophilus did not show any difference between the various sites evaluated.


Author(s):  
Lígia Rocha ◽  
◽  
Joana Garcez ◽  
Maria Tiritan ◽  
Lucas Silva ◽  
...  

Maxillary lateral incisor agenesis is a condition that significantly compromises smile esthetics, which is particularly worrying in young patients. This article shows how the combination of non-invasive treatments and current restorative options may improve clinical outcomes following orthodontic treatment for symmetric and asymmetric maxillary lateral incisor agenesis and microdontia. Teeth were treated with conservative resin restorations in three separate cases: two of congenitally missing maxillary lateral incisors (i.e., unilateral and bilateral) and one of microdontia. After presenting the clinical results, this article summarizes how bleaching, enameloplasty, and bonding with composite resin can enhance esthetics and functions following orthodontic space closure. The cases reveal that carefully planned, methodically executed orthodontic and restorative approaches can achieve predictable, esthetic outcomes that will improve the patient’s self-esteem with a minimally invasive solution.


2013 ◽  
Vol 9 (2) ◽  
Author(s):  
Nagesh Bhat ◽  
Ruchi Mitra ◽  
Jaddu Jyothirmai Reddy ◽  
Swapnil Oza ◽  
Rahul Patel ◽  
...  

Objectives: The aim of the present study was to assess the reasons for tooth mortality as perceived by the dentists for the patients attending the dental clinics and hospitals in Udaipur city. Material and methods: A closed-ended questionnaire survey was conducted among 211 dental practitioners of Udaipur city. The reasons for extraction of permanent and deciduous teeth among patients who had attended during the study period were categorized and the dentists were requested to record the age and sex of the patient, the tooth extracted, and the reason for the extraction. Results: A total of 785 permanent teeth were extracted. There was a significant difference observed between the number of extractions in males (53.1%) and females (46.9%) (P<0.029). Extractions were most common in the 55-64 years of age group (32.7%). Dental caries (206, 26.2%) and periodontitis (188, 23.9%) were the most frequent reasons for tooth extraction. Conclusion: The results of the present study revealed caries as the dominant reason given by dentists for tooth extraction in all the age groups of the subjects studied.


PLoS ONE ◽  
2021 ◽  
Vol 16 (12) ◽  
pp. e0261309
Author(s):  
Ahmed Jamleh ◽  
Mohannad Nassar ◽  
Hamad Alissa ◽  
Abdulmohsen Alfadley

The aim of this study was to evaluate the content of periradicular surgery-related YouTube videos available for patients’ education. YouTube search was made for videos related to periradicular surgery using specific terms. After exclusions, 42 videos were selected, viewed and assessed by two independent observers. The videos were assessed in terms of duration, days since upload, country of upload, number of views, likes and dislikes, authorship source, viewing rate and interaction index. To grade the content of videos about periradicular surgery, a usefulness score was created with 10 elements based mainly on the American Association of Endodontists guidelines. Each element was given a score of 0 or 1. SPSS software (SPSS Inc, Chicago, IL, USA) was used to analyze data at a 95% confidence level. An inter-evaluator reliability analysis for the scoring system was performed using the Kappa statistic. The videos received an average of 35103.9 views (range: 9–652378) with an average duration of 338.71 seconds (range: 42–2081), respectively. Most videos were provided by individuals (57%). Half of the videos were posted by authors from the United States. The inter-evaluator reliability for usefulness scoring was 94.5%. No video covered the 10 scoring elements completely, presenting very low usefulness scores (mean: 3.2; range: 1–7). The most discussed elements were supporting media (100%) and steps of the procedure (90.5%) followed by indications and contraindications (45.2%) and symptoms (31%). None of the included videos discussed the procedure’s cost or prognosis. In terms of usefulness score, no significant difference was detected between different sources of upload (chi-square test, P > 0.05). Information on periradicular surgery in YouTube videos is not comprehensive and patients should not rely on YouTube as the only source of information. Dental professionals should enrich the content of YouTube with good quality videos by providing full and evidence-based information that will positively affect patients’ attitudes and satisfaction.


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