Gingival esthetics: an orthodontic and periodontal approach

Seixas, Máyra Reis; Costa-Pinto, Roberto Amarante; Araújo, Telma Martins de

doi:10.1590/s2176-94512012000500025

Cited by 18 publications

(17 citation statements)

References 14 publications

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“…Whenever possible the rehabilitation planning should be performed by a multidisciplinary team to determine the references that will be used by the orthodontist to direct the prosthetic and periodontal options to be performed as well as to solve the complaints of the patient with a thorough clinical analysis of all the dental aspects [2,3,5].…”

Section: Discussionmentioning

confidence: 99%

“…In contrast, patients with low smile line in which the gingival architecture does not expose the presence of gingival contour discrepancies does not require correction, as this condition is aesthetically irrelevant [1,2,10]. Before the bonding of the brackets, the periodontal probing is essential to establish the references to be followed [1,6].…”

Section: Discussionmentioning

confidence: 99%

“…The union of the zeniths of the canine, lateral and central teeth should form an inverted triangle where the zenith of the canine is slightly higher than the zenith of the central, and the zenith of the lateral lower than the zeniths of canine and central ( Figures 1 and 2) [2,5,8].…”

Section: Gingival Zenithmentioning

confidence: 99%

“…Orthodontic documentation is used to analyze the aesthetic parameters to be considered in the planning as well as the clinical evaluation and use of photographic records to evaluate smile height and reference lines [2,5] as detailed in Table 1. Then, it is necessary to survey the front teeth with a periodontal probe to verify the need for periodontal treatment expert to increase clinical crown or grafts prior to orthodontic treatment (Figure 3).…”

Section: Operating Procedures 1 Evaluation Of Aesthetic Parametersmentioning

confidence: 99%

“…In addition, in recent decades there has been an increase in the search for orthodontic treatments in adult patients with the aim of improving aesthetics and masticatory function [1][2][3].…”

Section: Introductionmentioning

confidence: 99%

See 4 more Smart Citations

Gingival Zenith as a Reference for Bonding Braces

Lisita¹,

Lenza²,

Lenza³

et al. 2018

J Orthod Endod

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Gingival Zenithmentioning

confidence: 99%

Section: Operating Procedures 1 Evaluation Of Aesthetic Parametersmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 3 more Smart Citations

Gingival Zenith as a Reference for Bonding Braces

Lisita¹,

Lenza²,

Lenza³

et al. 2018

J Orthod Endod

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Role of dental training and distance of the observer on the perception of apically shifted gingival margin with increased vertical tooth size in the esthetic zone

Montevecchi

Desimini²,

Sforza³

et al. 2022

Clinical & Exp Dental Res

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Objectives: To evaluate the influence of the gingival contour on the smile esthetics.The influence of size, symmetry, teeth involved in apically shifted gingival margins, and the distance and clinical training of the observer were investigated.Materials and Methods: Two groups were identified: 33 first-year dental students (inexperienced) and 40 last-year students (trained). Each observer expressed four evaluations on four different images assigning a score from 0 to 10. Using a picture of an "ideal" female smile, 10 variants were virtually created by shifting (2 and 4 mm) the gingival contour apically at different sites of the upper incisors and canines. A total of 292 evaluations were collected.Results: Considering a score >6 for a "pleasant smile," only one 4 mm single alteration at the canine gingival contour obtained an insufficient score. "Observational distance" and "clinical training" did not influence the final score, while size and symmetry of alterations displayed a significant role. Conclusions:The dental training of the observer and a close interpersonal distance seemed to be irrelevant in the esthetic perception of gingival margin alterations.

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Relationship between anterior mandibular bone thickness and the angulation of incisors and canines—a CBCT study

2017

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ObjectivesThe morphology of the maxillary and mandibular alveolar cortex plays an important role in the planning of orthodontic treatment. Cone-beam computed tomography (CBCT) provides a precise demonstration of anatomical structures. Therefore, the aim of this paper was to evaluate what influence the position of incisors and canines have on the dimensions of the cortical and spongious bone of the anterior mandibular alveolar process.Materials and methodsThe material consisted of 100 CBCT volumes (61 females and 39 males, aged 18–71 years) obtained by means of a Gendex GXCB-500 machine and analysed using i-CAT Vision and CorelDRAW 9 software. Several linear and angular measurements were taken of cortical and spongious mandibular, vestibular and lingual alveolar bone.ResultsThe thickness of the vestibular spongious bone increased around lateral incisors and canines together with dental axis inclination, as did the thickness of the lingual spongious bone around central incisors and canines with greater angles of vestibular cortex curvature. In all teeth, the thickness of lingual cancellous bone decreased along with increase of the angle of tooth inclination. In the case of almost all groups of teeth, the thickness of lingual cancellous bone around teeth declined as the angle of curvature of the cortical bone decreased. The rotation of mandibular incisors and canines did not affect the thickness of the surrounding bone.ConclusionsThe position of teeth has little influence on vestibular bone thickness and is only significant around central incisors. In the case of almost all groups of teeth, the thickness of lingual spongious bone around teeth declined as the angle of curvature of the cortical bone decreased.Clinical relevanceCBCT is a diagnostic tool that provides detailed information on the dimensions of the anterior dentate mandibular alveolar process.

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Gingival esthetics: an orthodontic and periodontal approach

Cited by 18 publications

References 14 publications

Gingival Zenith as a Reference for Bonding Braces

Gingival Zenith as a Reference for Bonding Braces

Role of dental training and distance of the observer on the perception of apically shifted gingival margin with increased vertical tooth size in the esthetic zone

Relationship between anterior mandibular bone thickness and the angulation of incisors and canines—a CBCT study

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