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PubMedDate not supplied

[Gingival and dental parameters in evaluation of esthetic characteristics of fixed restoratons].

This paper argues on importance of gingival and dental parameters in evaluation of esthetic characteristics of fixed restorations. Human beauty is a specific category which is not easy to define by means of any known criteria or with mathematic formula. But, it is also important for practitioners to take into consideration some objective rules determining what is really nice and appealing. In reconstructing the personal identity, it is essential to harmonize the esthetic features. In dental practice, this approach means to establish a close correlation among the facial, dental, gingival and physical components of orofacial system. For the purpose of this study, the authors have divided the overview of esthetic principles into two parts. The first one deals with some objective parameters such as: gingival health, the zenith of gingival contour, the balance of gingival levels, relative tooth dimensions, the golden proportion of the teeth, the design of dental arch, interdental contact areas, interdental closure, the contour of incisal edge and the shape of interincisal angles. The esthetic integration of these parameters into a frame of smile and the whole face, as well as some subjective criteria are discussed in the second part of the paper.

Dental Restoration, Permanent↗
PubMed2005

The psychosocial impact of developmental dental defects in people with hereditary amelogenesis imperfecta.

BACKGROUND: Amelogenesis imperfecta (AI) is a hereditary dental condition with poor esthetics and dental sensitivity that frequently requires extensive dental treatment. The authors hypothesized that AI is associated with a negative psychosocial outcome. METHODS: Family members with and without AI completed a questionnaire including demographic and dental history questions, as well as a number of psychometric scales. The authors investigated the effects of AI status (with versus without), sex and age on each of the psychosocial outcomes using a generalized linear model. RESULTS: Subjects with AI (n = 30) had higher levels of social avoidance and distress, as well as higher levels of dysfunction, discomfort and disability attributable to their oral condition compared with subjects without AI (n = 29). The relationship of AI status to fear of negative evaluation, mastery and self-esteem was age-dependent. Younger subjects with AI tended to have higher fear of negative evaluation scores, while older subjects without AI tended to have higher fear of negative evaluation scores. Additionally, subjects without AI showed a definite decrease in mastery and self-esteem scores with age, while subjects with AI tended to show an increase in mastery and self-esteem scores with age. CONCLUSIONS: These results indicate that having AI has a marked impact on the psychosocial health of affected people comparable with the impact of systemic health conditions, especially at younger ages. CLINICAL IMPLICATIONS: Dental coverage for AI traditionally is excluded by third-party payers as being solely for esthetic reasons. The authors' study shows that AI has marked psychosocial effects, which suggests that dental treatment could be medically necessary and has far-reaching implications for the affected person's overall health.

Adult↗
PubMed1997

[Indices of treatment needs in orthodontics: the applicability of the DAI (Dental Aesthetic Index)].

The objective assessment of esthetic impairment and relative psychosocial handicap for unacceptable dental aspect (useful for characterizing the need of treatment), could be satisfied by an index that measures each individual's occlusal trait and the psychological impact of the same. An index with these characteristics was suggested by Cons and Jenny, already since 1985. This is an index (DAI: Dental Aesthetic Index) designed specifically to measure dental esthetics, based on esthetic standards socially defined and focused through an extensive and finalized search. Therefore this index assesses the social acceptability of the dental appearance based on the public perception of dental esthetics. The authors, in this work, indicate as measuring the objective traits of occlusion and arriving to final score trough simple calculation. This score provides severity levels of esthetic, psychologic and functional impairment relative to dental aspect in examination.

Dental Health Surveys↗
PubMedDate not supplied

Tissue-directed placement of dental implants in the esthetic zone for long-term biologic synergy: a clinical report.

Implant dentistry steadily evolves as more is learned about the unique biologic interrelationship of the dental implant restoration and the surrounding hard and soft tissues. Important factors include the impact of the surface microtopography on biochemically-mediated cell differentiation, the unavoidable bacterial colonization of the implant-abutment (or crown) microgap, the vertical and horizontal dimensions of biologic width, and the histology of surrounding structures. The recipient site, implant design, surgical technique, and location of the restorative platform significantly influence the optimal esthetics and biologic stability of implant restorations. There are differing opinions among clinicians regarding the appropriate positioning of the implant restorative platform in the vertical and sagittal planes relative to the alveolar crest. An apical and palatal orientation of the coronal platform relative to the alveolar crest in the esthetic zone is generally advocated for favorable facial and proximal emergence profiles of the definitive crown. Tissue-directed implant placement primarily considers the long-term consequences of the implant restoration upon the surrounding hard and soft tissues. The goal is to develop optimal gingival contours and a definitive restoration in the esthetic zone that coexist in stable biologic synergy. The rationale and the specific prosthodontic and surgical protocols inherent in the tissue-directed concept are discussed in this report.

Dental Implantation, Endosseous↗
PubMed2001

A cross-cultural comparison of dental health attitudes and behaviour among freshman dental students in Japan, Hong Kong and West China.

OBJECTIVE: To clarify the differences in dental health attitudes/behaviour among freshman dental students. DESIGN: Cross-cultural differences. SETTING: Japan, Hong Kong and West China. PARTICIPANTS AND METHODS: The original version of the Hiroshima University-Dental Behavioural Inventory (HU-DBI) was written in Japanese. After testing the validity of both English and Chinese versions, the original version of the HU-DBI was administered to 58 freshman Japanese dental students, the English version to 43 Hong Kong Chinese peers and the Chinese version to 39 West Chinese peers. RESULTS: Significant cultural differences were found for 16 items out of 20. The most striking result was that the Japanese students were more likely to have used a dye to see how clean their teeth were, compared to their Chinese peers (P<0.001). The Chinese students were less likely to have a belief that they could clean their teeth well without using toothpaste (P<0.001), whereas higher percentages of the Chinese students worried about having bad breath (P<0.001). A higher percentage of the Hong Kong students reported that they regularly checked their teeth in a mirror than did their West Chinese or Japanese peers (P<0.05). CONCLUSIONS: There were considerable differences in dental health attitudes/behaviour among freshman dental students in the three cultural groups.

Adolescent↗
PubMed2001

An investigation into the value and relevance of oral health promotion leaflets for young adolescents.

OBJECTIVES: To determine if oral health promotion leaflets of a novel design and content would be read by, acceptable to and influence 11-12-year-old children. METHOD: Three related leaflets were incorporated into a dental health education programme aimed at 11-12-year-old children. The leaflets were designed specifically, following consultation with focus groups. They had a romantic story line and emphasised the immediate gains from good dental health, relevant to this age group. A random sample of pupils completed a written questionnaire on the impact of the leaflets at the end of the one-year programme. These sample pupils underwent a clinical examination to measure plaque before and after the programme. RESULTS: 2,678 pupils with a mean age of 12.1 years participated in the programme. 895 were randomly selected to join the assessment study. Most pupils 81%, (725) reported they had read the leaflets; 61% (442) finding them enjoyable to read, 51% (370) attractive to look at and 71% (515) finding the story lines interesting. However, girls appreciated the leaflets more than the boys. There was some suggestion that the leaflets played a positive role in the overall success of the programme in that most pupils 83% (602) reported they thought more about caring for their teeth after reading the leaflets and 58% reported their brushing frequency had increased. CONCLUSION: The results indicate that for adolescents, leaflets which feature interpersonal relationships are well accepted and can stimulate better oral health behaviour.

Adolescent↗
PubMed1994

[The assessment of the facial profile in relation to head posture].

On the basis of Schwarz's [21] facial typology, soft tissue facial profile was evaluated in relation to 3 head positions: natural head position, head position according to the Frankfurter Horizontal, and head position according to a subjective personal appraisal of an aesthetically pleasing profile, i.e. aesthetic head position. Forty children (20 girls and 20 boys) and 40 adults (20 women and 20 men) with varying occlusal relationships constituted the study group. Facial photos oriented according to the above 3 head positions were evaluated. The results revealed that head posture had a decisive impact on the outcome of the facial profile evaluation. Significant differences existed between natural head position on the one hand and Frankfurter Horizontal and aesthetic head position on the other. Due to the relatively large methodological error in the registration of natural head position, and the resulting effect of this error on profile evaluation, natural head position can lead to misleading results. The advantage of Frankfurter Horizontal as opposed to aesthetic head position is the result of a subjective appraisal. Thus, when using Schwarz's method in evaluating facial profile, Frankfurter Horizontal still appears to be quite appropriate.

Adolescent↗
PubMed1977

Tweed triangle and soft-tissue consideration of Japanese with normal occlusion and good facial profile.

A total of thirty-six Japanese adult subjects (consisting of eighteen men and eighteen women) with normal occlusion and harmonious facial features were subjected to cephalographic examination for the purpose of studying their soft tissues. Out of this group, twenty were selected and compared with twenty Class II, Division 1 and twenty Class III patients for the purpose of establishing an appropriate diagnostic guide for the Tweed triangle. These are our conclusions: 1. The Z angle of the Japanese subjects with normal occlusion was 69.70 degrees for the men and 71.75 degrees for the women. There is no significant difference between the sexes. 2. Although there are no significant differences between the sexes for the integumental and total chins, there is slight sexual difference for the upper lip measurement. 3. As compared to the subjects with normal occlusion, there is a significant difference for the Z angle of Class II, Division 1 and Class III patients. 4. In this study, the measurements of the Tweed triangle were FMA 27.28 degrees, IMPA 95.50 degrees, and FMIA 57.22 degrees. On the basis of this study and the reports of other Japanese investigators, we would like to suggest an FMIA of 57 degrees as being the most suitable basis for the diagnosis of Japanese patients, but this should be modified according to the FMA value.

Adult↗