Damon Ultima System/Part 6 / Brackets placement with smile esthetic approach скачать в хорошем качестве

Damon Ultima System/Part 6 / Brackets placement with smile esthetic approach

Orthodontists must understand our profession’s impact on all aspects of a patient’s life. People with well-aligned teeth and a broad, esthetic smile exhibit greater self-esteem and are perceived as more attractive and intelligent in our culture and society. A beautiful smile is the sum of several characteristics that work together. These include lip shape, upper lip line, lower lip curvature, smile arc, buccal corridors, smile width, frontal occlusal plane, and dental and gingival components. It isimportant to evaluate the smile from the front and side to make a correct diagnosis from an esthetic point of view, considering the torque of the maxillary incisors and correct bracket placement (Balut,2022). Numerous cephalometric models have been developed to evaluate facial beauty, but it is known that good facial harmony can be achieved even if the patient is not within these cephalometric standards due to ethnic variation. Some treatments that follow the criteria established by the American Association of Orthodontists do not always result in an attractive, harmonious smile. After all, the average person doesn’t evaluate the smile in the same way an orthodontist would, and orthodontists must remember that theirs are not the only opinions that matter in the process of defining what makes a smile beautiful. (Balut and García et al.,2022). Our cultural concept of beauty has evolved in recent years; fuller lips and wider arches are usually considered more attractive than in past decades. This change in esthetic goals (as well as the use of aids in biomechanics, such as mini-implants) has reshaped our treatment-planning parameters and concepts, leading us to perform fewer extractions and base the treatment plan on facial and periodontal outcomes rather than the amount of crowding. Schlosser et al found that from the esthetic point of view for both orthodontists and individuals in general, it is better to leave the patient with a slight dental protrusion than to retract the maxillary anterior teeth excessively. Long-term data also show that loss of labial support and prominence is common with aging, as well as reduction in the exposure of the maxillary incisors. (Balut,2022). Desai et al found a 1.5- to 2.0-mm reduction in smile height as part of the aging process, and the thickness of the upper lip decreased by 1.5 mm, both at rest and when smiling, leading them to conclude that the smile is vertically shortened as we age. This change in smile height should be considered when planning bracket placement to give the patient a more youthful appearance. In addition, the intercommissural distance increases as the patient ages, revealing a wider arch due to decreased resting tone and elasticity; however, this width appears reduced in the smile due to a decrease in activity and function of the muscles involved in retracting and elevating the corners of the mouth while smiling. To determine the ideal position of the brackets and to improve the individual characteristics of each patient’s smile, certain elements must be considered, namely smile height, smile arc, and anterior torque ( Balut and García et al.,2022). #orthodontist #اكسبلور #education #dentistry #3N_Veneer