Smile makeover

For many thousands of years, we humans have struggled with the question of what it is that constitutes human beauty, and although the canons of beauty differ from culture to culture and over time, there are similarities.

The purpose of a smile aeAnother important aspects of dental aesthetics is the gumssthetic makeover is to develop a stable masticatory system, where the dentition, tissues, muscles, skeletal structures and joints all function in harmony.

Harmonizing an aesthetics smile requires a perfect integration of facial composition and dental composition. The facial composition includes both the facial hard and soft tissues. The dental composition relates more specifically to teeth and their relationship to gingival tissues. A smile design ought to always include the evaluation and analysis of both facial and dental composition.

There are 5 parts in the assessment of a smile.

  • 1. Facial, which is the total facial form and balance.
  • 2. Orofacial, which include the maxillo-mandibular relationship and the facial midline.
  • 3. Oral, which is the relationship of the lips to the arches, gingiva and gums.
  • 4. Dentogingival, which is the relationship of the gingiva to the teeth
  • 5. Dental, which includes the macro and micro aspect, and both inter- and intra-.

It is widely believed that, for superior aesthetics, there is such a thing as a golden ratio. This guideline should be followed along the widths of the upper anterior teeth.

According to the judgment of both female and male raters and the male raters’ judgment, the buccal corridor ratio and the philtrum to commissural height ratio could predict smile attractiveness.

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Here’s a guideline dentists use in creating the desired appearance based on a person’s personality.

  • Youthful Look – Unworn teeth, more defined, bright shades of white
  • Mature Look ­– Shorter teeth, less smile display, natural shades of white
  • Female ­– Rounded, smooth, soft look
  • Male ­– Cuboidal, defined edge
  • Aggressive Personality – Pointed, fang-like canines

The process begins when the patient comes to the prosthodontist for a consult. In cases where the patient’s dentition is severely misaligned, twisted too much, the prosthodontist would prefer an orthodontic treatment rather than grind the teeth radically. Some cases are done in combined clinics where the oral maxillofacial surgeons also come into play, if procedures such as orthognathic surgery or genioplasty are required.

Orthodontic treatment is firstly aimed to establish a functioning and aesthetic dentition and an attractive smile. Orthodontic patients come with hopes to increase their self-esteem and quality of life.

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Gumdesign

Another important aspect of dental aesthetics are the gums. The interdental papilla is the gums between the teeth. It is formed by a dense connective tissue covered by oral epithelium and occupies the physiological space between the teeth. Each individual is different as the shape is determined by the contact relationships between teeth, the width of the approximal tooth surfaces. Inter-dentally, the gingiva that occupies the space coronal to the alveolar crest is known as interdental gingiva. In the incisor area, it has a pyramidal shape with the tip located immediately under the point of contact between teeth. In the posterior region, it is much broader. However, when a contact point is absent or when interdental papilla migrates apically as a result of inflammation, the col disappears, and interdental papilla takes on a pyramidal shape, which is unaesthetic and dysfunctional.

When there is the loss of interdental papilla due to plaque associated lesions, traumatic oral hygiene procedures, or abnormal tooth shape, treatment needs to be done. There are 3 major types of treatment classification, namely papilla re-contouring, preservation and reconstruction.

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