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Esthetic dentistry

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Esthetic dentistry is a specialized branch of dentistry that strives to achieve the utmost natural beauty of the teeth. Initially, gum (gingiva) and tooth remodeling techniques were developed for models, movie stars, and others who felt the professional need for a beautiful smile and were willing to take certain health risks to achieve such a look.

However, dentists have gone to extraordinary lengths to improve such techniques and make them available to the general public. Today’s instrumentation and techniques have been vigorously tested and proven to be sufficiently reliable for routine use.

This field covers veneer placement, bleaching, internal bleaching, ceramic crown placement, and the correction of unfavorable gaps, tilted teeth, and discolored teeth (caused by old root canal treatments), resulting in an esthetic, attractive, and natural-looking smile. Furthermore, gum transplants and bone-restructuring surgery allow for the correction of red–white esthetics. A pleasant and attractive smile can thus be achieved.

However, the criteria for beauty differ between cultures, e.g., Asians have a different standard of beauty than Europeans. This animation describes a smile that would be considered attractive and beautiful in Europe and America.
The gums are pale pink, closely connected to the teeth, and exhibit an orange-peel appearance when viewed closely.
The upper (maxillary) first tooth (central incisor) is the brightest, the second tooth (lateral incsor) is a little darker, and the third tooth (canine) is the darkest.
A smile is considered young and dynamic if the gums in the upper jaw are more visible than those in the lower (mandibular) jaw.
Especially important for a harmonic appearance is symmetry of the upper teeth. Slight asymmetry of the lower teeth enhances a natural look.
Furthermore, to achieve a natural appearance, it is important to have the right interaction among space, room, and saturation contrasts, as well as a good combination of opalescence and translucence.
Further parameters for an enchanting smile are red–white esthetics and tooth geometry.
The following criteria should be fulfilled in the maxillary dentition to achive a perfect smile:

  • For the central incisor, the highest point of the gum margin lies lateral to the midline rather than exactly on the midline, i.e., the tooth is slightly inclined laterally rather than staright
  • The midline of the dentition should correspond with the midline of the face.
  • The gum margin of the lateral incisor lies 1 mm below an invisible line joining the gum margins of the central incisor and canine.
  • The cutting edge (incisal edge) of the lateral incisor usually lies 1 mm below that of the central incisor and canine.
  • The contact areas between teeth decreases toward the posterior region of the jaw.
  • The triangles formed between the incisal edges of two teeth increase toward the posterior region of the jaw.
  • The teeth, when viewed from the front, should be arranged in specific correlation with one another.

Additional dental parameters can be considered while creating an esthetic smile. Taking these parameters into account during denture fabrication guarantees the patient a beautiful smile. Here you can find an Esthetic dentistry Video.

Esthetic dentistry