上颌前牙美容修复的临床策略
摘要
目的
对需要前牙美容修复的患者进行美学修复治疗,并对治疗效果进行初步评定。
方法
以2011年6月至2012年3月来到浙江大学附属口腔医院修复科就诊并接受治疗的五位上前牙美容修复患者为研究对象,结合患者的口腔情况、主观意愿及经济条件等,并通过牙齿的美学分析,设计相应的美学修复方案。
结果
修复体初戴时,从修复体的美观和功能上进行综合评定,初戴时五位患者对美学修复效果表示满意。一个月后电话回访,五位患者对美学修复效果仍均满意。
结论
对需要美学修复的患者,进行术前的牙齿美学分析和美学修复设计是关键。同时,患者、医生和口腔技师的紧密交流合作是确保达到满意修复效果的最重要的保障。
Objective
The patients who need esthetic restorations were given esthetic treatments, and the esthetic effects of the anterior teeth were evaluated.
Method
The patients who need esthetic restorations were given different esthetic therapeutic plans according to patients'oral condition, subjective opinion, economic condition and so on.
Results
All patients were satisfied with the improvement on the function and esthetics when their treatments were completed. One month later, we followed up, five patients were all satisfied with the effect of the esthetic treatments.
Conclusion
Aesthetic analysis and aesthetic design are critical to the anterior teeth esthetic restorations. Also, the close communication and cooperation of the patients, doctors and oral technicians is to ensure the desired esthetic effects.
对需要前牙美容修复的患者进行美学修复治疗,并对治疗效果进行初步评定。
方法
以2011年6月至2012年3月来到浙江大学附属口腔医院修复科就诊并接受治疗的五位上前牙美容修复患者为研究对象,结合患者的口腔情况、主观意愿及经济条件等,并通过牙齿的美学分析,设计相应的美学修复方案。
结果
修复体初戴时,从修复体的美观和功能上进行综合评定,初戴时五位患者对美学修复效果表示满意。一个月后电话回访,五位患者对美学修复效果仍均满意。
结论
对需要美学修复的患者,进行术前的牙齿美学分析和美学修复设计是关键。同时,患者、医生和口腔技师的紧密交流合作是确保达到满意修复效果的最重要的保障。
Objective
The patients who need esthetic restorations were given esthetic treatments, and the esthetic effects of the anterior teeth were evaluated.
Method
The patients who need esthetic restorations were given different esthetic therapeutic plans according to patients'oral condition, subjective opinion, economic condition and so on.
Results
All patients were satisfied with the improvement on the function and esthetics when their treatments were completed. One month later, we followed up, five patients were all satisfied with the effect of the esthetic treatments.
Conclusion
Aesthetic analysis and aesthetic design are critical to the anterior teeth esthetic restorations. Also, the close communication and cooperation of the patients, doctors and oral technicians is to ensure the desired esthetic effects.
引文
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[2]许志鹏,陈光,邹敏等.口腔医师与非专业人士对上颌中切牙美学变化敏感性的比较.《中国美容医学》,2011,20(2)：285-288.
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[8]Hulsey CM.An esthetic evaluation of lip-teeth relationships present in the smile. Am J Orthod.1970 Feb;57(2):132-4.
[1]Davis LG, Ashworth PD, Spriggs LS.Psychological effects of aesthetic dental treatment. J Dent.1998 Sep;26(7):547-54.
[2]Miller EL, Bodden WR Jr, Jamison HC.A study of the relationship of the dental midline to the facial median line. J Prosthet Dent.1979 Jun;41(6):657-60.
[3]Beyer JW, Lindauer SJ.Evaluation of dental midline position. Semin Orthod.1998 Sep;4(3):146-52.
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[7]Rosenstiel SF, Rashid RG.Public preferences for anterior tooth variations:a web-based study. J Esthet Restor Dent.2002;14(2):97-106.
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[2]许志鹏,陈光,邹敏等.口腔医师与非专业人士对上颌中切牙美学变化敏感性的比较.《中国美容医学》,2011,20(2)：285-288.
[3]Tjan AH, Miller GD, The JG. Some esthetic factors in a smile. J Prosthet Dent. 1984 Jan;51(1):24-8.
[4]Sterrett JD, Oliver T, Robinson F, et al. Width/length ratios of normal clinical crowns of the maxillary anterior dentition in man. J Clin Periodontol.1999 Mar;26(3):153-7.
[5]Hasanreisoglu U, Berksun S, Aras K, et al.An analysis of maxillary anterior teeth: facial and dental proportions. J Prosthet Dent.2005 Dec;94(6):530-8.
[6]Mavroskoufis F, Ritchie GM. Variation in size and form between left and right maxillary central incisor teeth. J Prosthet Dent.1980,43:254-257.
[7]Sarver DM.The importance of incisor positioning in the esthetic smile:the smile arc. Am J Orthod D.entofacial Orthop.2001 Aug;120(2):98-111.
[8]Hulsey CM.An esthetic evaluation of lip-teeth relationships present in the smile. Am J Orthod.1970 Feb;57(2):132-4.
[1]Davis LG, Ashworth PD, Spriggs LS.Psychological effects of aesthetic dental treatment. J Dent.1998 Sep;26(7):547-54.
[2]Miller EL, Bodden WR Jr, Jamison HC.A study of the relationship of the dental midline to the facial median line. J Prosthet Dent.1979 Jun;41(6):657-60.
[3]Beyer JW, Lindauer SJ.Evaluation of dental midline position. Semin Orthod.1998 Sep;4(3):146-52.
[4]Johnston CD, Burden DJ, Stevenson MR.The influence of dental to facial midline discrepancies on dental attractiveness ratings. Eur J Orthod.1999 Oct; 21(5): 517-22.
[5]Pinho S, Ciriaco C, Faber J, et al.Impact of dental asymmetries on the perception of smile esthetics. Am J Orthod Dentofacial Orthop.2007 Dec; 132(6):748-53.
[6]Kokich VO Jr, Kiyak HA, Shapiro PA.Comparing the perception of dentists and lay people to altered dental esthetics. J Esthet Dent.1999; 11(6):311-24.
[7]Rosenstiel SF, Rashid RG.Public preferences for anterior tooth variations:a web-based study. J Esthet Restor Dent.2002;14(2):97-106.
[8]Lombardi RE. The principles of visual perception and their clinical application to denture esthetics. J Prosthet Dent.1973 Apr;29(4):358-82.
[9]Levin EI. Dental esthetics and the golden proportion. J Prosthet Dent.1978 Sep; 40(3):244-52.
[10]Snow SR. Esthetic smile analysis of maxillary anterior tooth width:the golden percentage. J Esthet Dent.1999; 11 (4):177-84.
[11]Brisman AS.Esthetics:a comparison of dentists'and patients'concepts. J Am Dent Assoc.1980 Mar; 100(3):345-52.
[12]Ward DH.Proportional smile design using the recurring esthetic dental (red) proportion. Dent Clin North Am.2001 Jan;45(1):143-54.
[13]Snow SR.Esthetic smile analysis of maxillary anterior tooth width:the golden percentage. J Esthet Dent.1999; 11 (4):177-84.
[14]Ali Fayyad M, Jamani KD, Agrabawi J. Geometric and mathematical proportions and their relations to maxillary anterior teeth. J Contemp Dent Pract.2006 Nov 1;7(5):62-70.
[15]de Castro MV, Santos NC, Ricardo LH. Assessment of the "golden proportion" in agreeable smiles. Quintessence Int.2006 Sep;37(8):597-604.
[16]Hasanreisoglu U, Berksun S, Aras K, et al.An analysis of maxillary anterior teeth: facial and dental proportions. J Prosthet Dent.2005 Dec;94(6):530-8.
[17]Rosenstiel SF, Ward DH, Rashid RGDentists'preferences of anterior tooth proportion--a web-based study. J Prosthodont.2000 Sep;9(3):123-36.
[18]Rosenstiel SF, Rashid RG.Public preferences for anterior tooth variations:a web-based study. J Esthet Restor Dent.2002;14(2):97-106.
[19]Wolfart S, Thormann H, Freitag S, et al.Assessment of dental appearance following changes in incisor proportions. Eur J Oral Sci.2005 Apr; 113(2):159-65.
[20]Ward DH. A study of dentists'preferred maxillary anterior tooth width proportions: comparing the recurring esthetic dental proportion to other mathematical and naturally occurring proportions. J Esthet Restor Dent.2007;19(6):324-37; discussion 338-9.
[21]罗旭,谭建国,陈立.前牙美学参数喜好度的网络调查研究.《口腔颌面修复学杂志》,2009,10(3)：177-180.
[22]Lombardi RE. The principles of visual perception and their clinical application to denture esthetics. J Prosthet Dent.1973 Apr;29(4):358-82.
[23]Rosenstiel SF, Ward DH, Rashid RG. Dentists'preferences of anterior tooth proportion--a web-based study. J Prosthodont.2000 Sep;9(3):123-36.
[24]Owens EG, Goodacre CJ, Loh J,et al. A multicenter interracial study of facial appearance. Part2:A comparision of introral parameters. IntJ Prothodont.2002, 15:283-288.
[25]Sterrett JD, Oliver T, Robinson F, et al. Width/length ratios of normal clinical crowns of the maxillary anterior dentition in man. J Clin Periodontol.1999 Mar;26(3):153-7.
[26]Shillingburg HT Jr, Kaplan MJ, Grace SC. Tooth dimensions-A comparative study. J South Calif Dent Assoc.1972.40:830-839.
[27]Woelfel JB. Dental Anatonmy:Its Relevance to Dentistry.ed 4.Philadelphia:Lean & Febiger,1990.
[28]Brisman AS.Esthetics:a comparison of dentists'and patients' concepts. J Am Dent Assoc.1980 Mar;100(3):345-52.
[29]Chiche GJ, Pinault A. Replacement of deficient crowns. In:Chiche GJ, Pinault A(eds). Esthetic of Anterior Fixed Prothodontics. Chicago:Quintessence,1994: 53-73.
[30]Boucher CO:Arrangement of teeth. in BoucherCO (ed):Swenson's Complete Dentures, (ed 6). St. Louis, MO, Mosby,1970, pp.155-210.
[31]Witt M, Flores-Mir C.Laypeople's preferences regarding frontal dentofacial esthetics:tooth-related factors. J Am Dent Assoc.2011 Jun;142(6):635-45.
[32]Peck S, Peck L. Selected aspects of the art and science of facial esthetics. Semin Orthod.1995 Jun; 1(2):105-26.
[33]Anderson KM, Behrents RG, McKinney T, et al.Tooth shape preferences in an esthetic smile. Am J Orthod Dentofacial Orthop.2005 Oct;128(4):458-65.
[34]Heravi F, Rashed R, Abachizadeh H.Esthetic preferences for the shape of anterior teeth in a posed smile. Am J Orthod Dentofacial Orthop.2011 Jun;139(6):806-14.
[35]Kokich VO, Kokich VG, Kiyak HA.Perceptions of dental professionals and laypersons to altered dental esthetics:asymmetric and symmetric situations. Am J Orthod Dentofacial Orthop.2006 Aug;130(2):141-51.
[36]Kokich VO Jr, Kiyak HA, Shapiro PA.Comparing the perception of dentists and lay people to altered dental esthetics. J Esthet Dent.1999; 11(6):311-24.
[37]Bhuvaneswaran M.Principles of smile design. J Conserv Dent.2010 Oct; 13(4): 225-32.
[38]Foulger TE, Tredwin CJ, Gill DS, et al.The influence of varying maxillary incisal edge embrasure space and interproximal contact area dimensions on perceived smile aesthetics. Br Dent J.2010 Aug 14;209(3):E4.
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