Comparative assessment of average clinical smile parameters in male and female patients with orthognathic occlusion
https://doi.org/10.33925/1683-3759-2020-25-2-121-126
Abstract
Relevance. Separate issues in anthropomorphic sizes of relative norm of the ideal smile, its qualitative and qualitative parameters have not been addressed to sufficiently and are not properly reflected in scientific literature.
Purpose. To determine distinguishing features in average smile parameters of the smile in male and female patients with orthognathic occlusion.
Materials and methods. A clinical and anthropometric evaluation of parameters in main smile types was carried out for 150 young males and 150 young females aged 19-24 who had identical physiological development parameters.
Results. It has been revealed that occurrence frequency of main smile types in patients with orthognathic occlusion has pronounced signs of sexual dimorphism which in over one half of the cases lies in predominance of the incisal smile type in males (52.7%) and the fascial type in females (55.3%). Occurence frequency of the cervical smile type totaled 25% among the studied patients of both genders. Average vertical size parameters in the incisal smile lies within the diapason of 3.91-4.91mm with surpassing by 1mm in males. Analogical data for the fascial smile type form the diapason of 6.21-6.73mm with surpassing by 0.52mm in females. The cervical smile type is characterised by larger vertical size forming the diapason of 7.94-8.91mm with surpassing by 0.97mm in males.
Conclusion. The results of the study have shown that the “beautiful and ideal smile” is a relative concept having varied anthropometric characteristics and pronounced signs of sexual dimorphism lying in a broad spectrum of the dentofacial system norm notion with specific vectors for individual morphological deviations.
About the Authors
V. G. GalonskyRussian Federation
Galonsky Vladislav G., DSc, Professor, head of the department-clinic of orthopedic dentistry of the Federal State Budgetary Educational Institution of Higher Education «Krasnoyarsk State Medical University named after professor V.F. Voyno-Yasenetsky» of the Ministry of Health of the Russian Federation, Senior research scientist Krasnoyarsk Science Center of the Siberian Branch of the Russian Academy of Sciences, SRI for medical problems in the North
Krasnoyarsk
N. V. Tarasova
Russian Federation
Tarasova Natalia V., PhD, Associate Professor, department-clinic of dentistry Institute of Postgraduate Education
Krasnoyarsk
V. V. Aliamovskii
Russian Federation
Aliamovskii Vasilii V., DSc, Professor, head of the department-clinic of dentistry Institute of Postgraduate Education, head of the Institute of Dentistry, chief dental officer of Siberian Federal Region, chief dental officer of the ministry of health of Krasnoyarsk territory
Krasnoyarsk
I. S. Leonovich
Russian Federation
Leonovich Irina S., 4th year student of the Institute of Dentistry
Krasnoyarsk
References
1. O. P. Maksimova. Lips in aesthetics of the human smile. Clinical Dentistry. 2011;4:68-74. (In Russ.). https://www.elibrary.ru/download/elibrary_22625397_56423776.pdf.
2. C. Maulik, R. Nanda. Dynamic smile analysis in young adults. American journal of orthodontics and dentofacial orthopedics. 2007;132:307-315. https://ru.scribd.com/document/402084482/Dynamic-Smile-Analysis-inYoung-Adults.
3. K. Demirel. Periodontal evaluation from esthetical aspect. Periodontology. 2011;3:55-58. (In Russ.). https://www.elibrary.ru/download/elibrary_16752406_99130380.pdf.
4. N. B. Marakhtanov. Diagnostics and medical tactics of conducting patients with infringements of smile’s aesthetics (the review of a literature). Pediatric dentistry and dental profilaxis. 2004;3-4:43-46. (In Russ.). https://elibrary.ru/download/elibrary_9284444_19035928.pdf.
5. J. T. Newton, N. Prabhu, P. G. Robinson. The impact of dental appearance on the appraisal of personal characteristics. The International journal of prosthodontics. 2003;16(4):429-434. https://www.ncbi.nlm.nih.gov/pubmed/12956500.
6. V. P. Koidou, S. F. Rosenstiel, R. G. Rashid. Celebrity smile esthetics assessment: Smile angulation. The Journal of prosthetic dentistry. 2017;117(5):636–641. https://doi.org/10.1016/j.prosdent.2016.08.008.
7. Yu. V. Chizhov, S. L. Baksheeva, O. S. Koryakina, T. V. Kazantseva. Comparative characteristics of some dental health parameters in students of the institute of dentistry KrasGMU according to preventive examination. Siberian Medical Review. 2013;5:101-103. (In Russ.). https://elibrary.ru/download/elibrary_20466835_30431497.pdf.
8. S. Nomura, K. M. S. Freitas, P. P. C. Silva, F. P. Valarelli, R. H. Canсado, M. R. Freitas, R. C. G. Oliveira, R. C. G. Oliveira. Evaluation of the attractiveness of different gingival zeniths in smile esthetics. Dental Press Journal Orthodontics. 2018;23(5):47-57. http://www.scielo.br/pdf/dpjo/v23n5/21769451-dpjo-23-05-00047.pdf.
9. L. N. Dedova, A. S. Solomevich. Conceptual tooth form restoration for patients with periodontal diseases. Periodontology. 2018;1:4-9. (In Russ.). https://www.elibrary.ru/download/elibrary_34941297_20661904.pdf.
10. A. Zh. Petrikas, O. A. Petrikas. Beauty, smile, art, dentistry. Upper Volga Medical Journal. 2013;2:35-41. (In Russ.). https://elibrary.ru/download/elibrary_19423921_40481240.pdf.
11. V. V. Alyamovsky, P. N. Sharaykin, G. G. Manashev, E. P. Sharaykina, V. V. Spirin. Sexual dimorphism of reduction processes in dentition. Clinical implant dentistry and stomatology. 2002;3-4:66-69. (In Russ.). https://elibrary.ru/item.asp?id=27275251.
12. V. V. Polyakova, L. M. Gvozdeva. The method of determining the quantities of visible buccal corridors, gingival and dental components of a smile. Dental Forum. 2015;4:75-76. (In Russ.). https://elibrary.ru/download/elibrary_24346803_15594460.pdf.
13. V. V. Polyakova. Correlation between upper dentition and smile parameters. Perm Medical Journal. 2016;3:62-66. (In Russ.). https://elibrary.ru/download/elibrary_26236071_79559609.pdf.
14. M. A. Shundrik, I. M. Tkachenko, I. Ya. Marchenko, L. S. Shundrik. Determination of the golden ratio in smile. International Dental Review. 2018;1:44-46. (In Russ.). https://elibrary.ru/download/elibrary_34860337_32645242.pdf.
15. H. Singh, R. K. Maurya, P. Kapoor, P. Sharma, D. Srivastava. Subjective and objective evaluation of frontal smile esthetics in patients with facial asymmetry-a comparative cross-sectional study. Orthodontics & craniofacial research. 2017;20(1):8-20. DOI: 10.1111/ocr.12135
16. E. B. C. Menezes, M. A. V. Bittencourt, A. W. Machado. Do different vertical positions of maxillary central incisors influence smile esthetics perception? Dental press journal of orthodontics. 2017;22(2):95-105. https://doi.org/10.1590/2177-6709.22.2.095-105.oar.
17. N. Siddiqui, P. Tandon, A. Singh, J. Haryani. Dynamic smile evaluation in different skeletal patterns. The Angle orthodontist. 2016;86(6):10191025. https://www.angle.org/doi/pdf/10.2319/012616-69.1.
18. MY. S. Chan, S. B. Mehta, S. Banerji. An evaluation of the influence of teeth and the labial soft tissues on the perceived aesthetics of a smile. British dental journal. 2017;223(4):272-278. https://doi.org/10.1038/sj.bdj.2017.713.
19. V. Krishnan, S. T. Daniel, D. Lazar, A. Asok. Characterization of posed smile by using visual analog scale, smile arc, buccal corridor measures, and modified smile index. American journal of orthodontics and dentofacial orthopedics. 2008;133(4):515-523. https://doi.org/10.1016/j.ajodo.2006.04.046.
20. N. K. Wong, A. A. Kassim, K. W. Foong. Analysis of esthetic smiles by using computer vision techniques. American journal of orthodontics and dentofacial orthopedics. 2005;128:404-411. https://doi.org/10.1016/j.ajodo.2005.02.012.
Review
For citations:
Galonsky VG, Tarasova NV, Aliamovskii VV, Leonovich IS. Comparative assessment of average clinical smile parameters in male and female patients with orthognathic occlusion. Parodontologiya. 2020;25(2):121-126. (In Russ.) https://doi.org/10.33925/1683-3759-2020-25-2-121-126