Improving smile and dental esthetics: A comprehensive periodontal and restorative approach after orthodontics

Abstract

The esthetic demands in smile are continually rising, being thus, critical factors such as; dental midline, smile line, incisal embrasures, tooth position, width to length crown ratio, symmetry of contra-lateral gingival margins, and gingival display need to be taken into consideration. The aim of this case report is to describe the improvement of smile esthetics in a patient that after orthodontic therapy, presented excessive gingival display, asymmetric gingival margins, and shape altered upper right and left lateral incisors, which in turn compromised dental esthetics. The present clinical case required comprehensive treatment process, including proper diagnosis and excellent communication between the prosthodontist and periodontist in order to carry out successful esthetic crown lengthening and restorative dentistry. Results were followed-up for 2 years after the case completion. A pleasant smile was obtained, showing stability over time.

Perceptions of Altered Smile Esthetics: A Comparative Evaluation in Orthodontists, Dentists, and Laypersons

“…An esthetically pleasing smile is dependent on the harmony and symmetry between these variables. Currently, the demand for smile esthetics is growing; being thus, various smile variables need to be taken into consideration [ 2 ].…”

Esthetic Rehabilitation through Crown Lengthening Surgery and Conservative CAD/CAM Veneers: A Multidisciplinary Case Report

“…Osseous resection is recommended to obtain a stable improvement of the smile [ 20 ] when crown lengthening invades the 3 mm mean dimension of the biologic width. Tomographic examination supports the identification of bone crest location in relation to the cementoenamel junction, allowing a precise surgical resection to optimize esthetics [ 13 ]. In this present clinical case, we elected to raise a full-thickness flap and change the bone contour in all superior and inferior areas to restore the biologic width and assure a stable result over time.…”

“…The patient underwent a comprehensive clinical examination ( Figure 2 ), as previously described [ 13 ]. An assessment of the occlusion and masticatory system was conducted to determine the health of the temporomandibular joints (TMJs), muscles of mastication, and occlusal function.…”

Percepción de parámetros estéticos de la sonrisa en Odontólogos, estudiantes de odontología y pacientes de la Universidad Mayor de Santiago, Chile

“…Una sonrisa agradable dependerá de la armonía entre los diferentes parámetros que definen la estética de ésta, los cuales deben ser considerados al momento de realizar una rehabilitación oral, de manera de dar respuesta a la necesidad cada vez mayor de los pacientes de obtener una sonrisa atractiva [5,6] . En este estudio se analizaron los siguientes parámetros estéticos: 1) Armonía del contorno gingival, 2) Línea Labialy 3) Proporción Dentaria.…”