A análise da estética do sorriso pode ser facilitada pelo uso de um template que agregue diversas referências estéticas dentárias e que auxilie e simplifique o diagnóstico, oferecendo diretrizes para o planejamento estético de tratamentos ortodônticos e integrados.

Objetivo:

Apresentar uma metodologia que possibilite a avaliação estética do sorriso, de maneira simples e objetiva, através do template digital SmileCurves (TSC), utilizado por meio da sobreposição de imagens de fotografias intrabucais e do sorriso aproximado.

Conclusão:

O uso do template TSC facilita a análise da estética do sorriso de modo simples e objetivo.

Palavras-chave:
Estética; Sorriso; Ortodontia; Estética dentária; Template

Autoria

Carlos Alexandre Câmara

Universidade Estadual do Rio de Janeiro (Rio de Janeiro/RJ, Brasil).Universidade Estadual do Rio de JaneiroBrazilRio de Janeiro, RJ, BrazilUniversidade Estadual do Rio de Janeiro (Rio de Janeiro/RJ, Brasil).

http://orcid.org/0000-0002-8147-5176

Contact address: Carlos Alexandre Câmara E-mail: carlosalexandrecamara@gmail.com

»
The authors report no commercial, proprietary or financial interest in the products or companies described in this article.

Conception/design of the study:

CAC. Data acquisition, analysis or interpretation: CAC. Writing the article: CAC. Critical revision of the article: CAC. Final approval of the article: CAC. Overall responsibility: CAC.

SCIMAGO INSTITUTIONS RANKINGS

Figuras

Figuras (6)

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Figure 1
Diagram of Dental Aesthetic References (DDAR).

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Figure 2
Six Horizontal Smile Lines.

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Figure 3
SmileCurves Template (SCT).

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Figure 4
Initial (A) and final (B) intraoral images of patient do not make clear whether deep bite improvement resulted from intrusion of maxillary or mandibular teeth. However, evaluation of smile lines of upper and lower lips, together with SCT, reveals improvement of leveling of maxillary (upper lip line shows that patient had a low smile) and mandibular incisors when comparing images before (C) and after (D) treatment, as there is clear intrusion of mandibular incisors.

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Figure 5
In this case, SCT was used directly over close-up view, and transference of design of lip lines was not necessary. Evaluation of images before (A) and after (B) treatment without SCT does not clearly show whether gummy smile was corrected by increase of clinical crown, orthodontic or surgical intrusion. When template of initial image (C) was positioned, proportion of width to height of incisors was visibly adequate and, therefore, clinical crown increase was not indicated. Final image (D) using SCT shows that gummy smile was corrected by orthodontic intrusion supported by miniplates (posterior region) and mini-implants (anterior region).

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Figure 6
Close-up (A) and frontal (B) intraoral images show that, without full exposure of maxillary teeth, it is not possible to use SCT. However, using Clincheck (Invisalign) image of maxillary arch, SCT can be used on both initial (C) and final (D) images. Comparison of final treatment images (with aligners) (E) using SCT demonstrated Clincheck accuracy (F). Using SCT, periodontal surgery could be directed to increasing clinical crown (G) and final restorations using porcelain laminate veneers (H).

Figure 1 Diagram of Dental Aesthetic References (DDAR).

Figure 2 Six Horizontal Smile Lines.

Figure 3 SmileCurves Template (SCT).

Figure 4 Initial (A) and final (B) intraoral images of patient do not make clear whether deep bite improvement resulted from intrusion of maxillary or mandibular teeth. However, evaluation of smile lines of upper and lower lips, together with SCT, reveals improvement of leveling of maxillary (upper lip line shows that patient had a low smile) and mandibular incisors when comparing images before (C) and after (D) treatment, as there is clear intrusion of mandibular incisors.

Figure 5 In this case, SCT was used directly over close-up view, and transference of design of lip lines was not necessary. Evaluation of images before (A) and after (B) treatment without SCT does not clearly show whether gummy smile was corrected by increase of clinical crown, orthodontic or surgical intrusion. When template of initial image (C) was positioned, proportion of width to height of incisors was visibly adequate and, therefore, clinical crown increase was not indicated. Final image (D) using SCT shows that gummy smile was corrected by orthodontic intrusion supported by miniplates (posterior region) and mini-implants (anterior region).

Figure 6 Close-up (A) and frontal (B) intraoral images show that, without full exposure of maxillary teeth, it is not possible to use SCT. However, using Clincheck (Invisalign) image of maxillary arch, SCT can be used on both initial (C) and final (D) images. Comparison of final treatment images (with aligners) (E) using SCT demonstrated Clincheck accuracy (F). Using SCT, periodontal surgery could be directed to increasing clinical crown (G) and final restorations using porcelain laminate veneers (H).

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[1] Contact address: Carlos Alexandre Câmara E-mail: carlosalexandrecamara@gmail.com