Selfiedontics: the Art of Selfies Combining Cosmetic Dentistry
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Journal of Oral Health REVIEW ARTICLE & Community Dentistry Selfiedontics: The Art Of Selfies Combining Cosmetic Dentistry Tavane P1, Gundappa M2, Dibyendu M3, Agrawal A4, Gupta S5, Dimri S6 ABSTRACT Cosmetic dentistry has gone through potential transformations over the years. Various techniques have now been established to analyze the smile digitally and, to simulate the “Before and After” in a particular case. Selfiedontics defines the amalgamation of selfie-culture with clinical practice of dentistry. Use of selfie should not only be restricted to social platform, but also to educate the patient about his own dental status, and even in treatment planning. This article focuses on the combination of digital dentistry with that of the cosmetic or esthetic dentistry. KEYWORDS: Cosmetic dentistry, Ideal smile, Selfiedontics, Selfie-dentistry 1 Professor INTRODUCTION THE DIGITAL ERA Dept. of Conservative Dentistry and Endodontics, Teerthanker Mahaveer Dental College and The social media has become a tool Research Centre, Moradabad “Beauty is power; a smile is its sword.” to advertise the expertise. People are 2Professor and Head John Ray uploading near about 93 million selfies Dept. of Conservative Dentistry and Endodontics, in a day. Selfies obsession is creating Teerthanker Mahaveer Dental College and eing beautiful is powerful in- dental dysmorphy worldwide. Out Research Centre, Moradabad deed, but combined with a smile, of such a huge number, around 38% 3 Professor it is a potent combination in people do not upload the pictures Dept. of Conservative Dentistry and Endodontics, B Teerthanker Mahaveer Dental College and itself. Smile not only adds on to the because they are not confident about Research Centre, Moradabad esthetics but is also a profound way their smile. Therefore, selfies can be 4 Reader of communication, without words of used in dentistry of facial analysis and Dept. of Conservative Dentistry and Endodontics, course. Smiling has a positive influence. correction of smile. Teerthanker Mahaveer Dental College and Researchers believe that it even has an Research Centre, Moradabad impact over our physical and mental 5 PG Student well being. “Selfiedentistry / Selfiedontics is Dept. of Public Health Dentistry, Sri Aurobindo College of Dentistry, Indore combination of cosmetic and digi- Many people are insecure and not tal dentistry that is involved in the 6 PG Student Dept. of Conservative Dentistry and Endodontics, confident about the way they smile. study of a selfie, diagnosis, and treat- Teerthanker Mahaveer Dental College and Hence, comes in the role of Cosmetic ment planning of smile type, and Research Centre, Moradabad Dentistry in not only improving es- also the pink esthetics, and related thetics of a person, but also helps in structures and tissues, particularly in boosting ones confidence level. the maxillofacial area.” The role of cosmetic dentistry is to The android platform offers many apps design and help enhance the facial to edit and beautify the selfies taken by features. As smile is one of the biggest Contact Author people. Few of the apps such as, Face- assets constituting the esthetics, thus Tune, PERFECT365, & MAKEUP Dr. Pradeep Tavane more symmetrical the facial features PLUS gives the option to quickly [email protected] are, the higher the aesthetic appeal, and retouch ones’ self-portraits, whitening more appealing is the smile of a person. of teeth, refining jaw line, etc. J Oral Health Comm Dent 2016;10(3)87-90 JOHCD www.johcd.org September 2016;10(3) 87 SELFIEDONTICS: THE ART OF SELFIES COMBINING COSMETIC DENTISTRY The components of smile analysis and esthetic design are:-(1-6) Level of aesthetics Smile analysis components 1. Facial esthetics Total facial form and balance. 2. Oral-facial esthetics Maxilla-mandibular relationship to the face and the dental midline to the face pertaining to the teeth, mouth, gum. 3. Oral esthetics Labio, dento, gingival; the relationships of the lips to the arches, gingiva and teeth. 4. Dentogingival esthetics The relationship of the gingiva to the teeth collectively and individually. 5. Dental esthetics Macro and micro dental esthetics, both inter-intra tooth. SMILE ENGINEERING population. The shape of the lips are Static “A smile makeover is the process of appears to be diamond shaped. This It is when the lips are slightly parted improving the appearance of the smile pattern is identified by the domi- and the teeth are out of occlusion with smile through one or more cosmetic nance of the levator labii superioris. the perioral muscles relatively relaxed. dentistry procedures, such as dental They contract first, exposing the cuspid veneers, composite bonding, tooth teeth, then the corners of the mouth In tranquil position, four factors main- implants and teeth whitening.” contract to pull the lips upward and ly affect the TOOTH EXPOSURE:- outward. • Lip length, We live in the digital era, where eve- • Age, COMMONLY rything can be digitalized; even the THE COMPLEX SMILE • ‘Race and, KNOWN AS, smile. The concept of smile engineering This smile is only found in 2% of the • Sex }LARS’ has now been introduced with smile population. The shape of the lips is designing techniques. typically visualized as two parallel Lip Length chevrons. The levators of the upper The length of the upper lip varies from AN IDEAL SMILE lip, the levators of the corners of the 10-36mm and individuals with long “Imperfection is beauty, madness is mouth, and the depressors of the lower maxillary lips show more mandibu- genius and it’s better to be absolutely lip contract simultaneously, showing lar rather than maxillary teeth. The ridiculous than absolutely boring.” all the upper and lower teeth concur- amount of tooth exposure at rest is -Marilyn Monroe rently. The main feature of this smile predominantly a muscle-determined pattern is the strong muscular pull and position. An ideal smile constitutes of the retraction of the lower lip down- • The upper anterior teeth coincide ward and backward. Age with the curvature of the mandibu- Age influences the amount of tooth vis- lar lip during a relaxed smile. Anatomically also, smile can be clas- ibility. The amount of maxillary tooth • The corners of the lips are elevated sified depending on the gingival line displayed is inversely proportional to to the same height on both sides location and the anterior teeth display, increasing age whereas the amount of (termed as Smile Symmetry). • HIGH : In this type, there is dis- mandibular teeth is directly propor- play of 100% of anterior tooth. tional to increasing age. Therefore, a Smile can be broadly classified in to • MEDIUM : 75% of the tooth is young person will display more maxil- many patterns. One such classification visible. lary than mandibular teeth, whereas an based on the Neuromuscular pattern, • LOW : 50% or less of incisor is older individual will show more man- which is commonly used by the plastic visible. dibular, rather than maxillary teeth. surgeons is:- An esthetic smile is a balance between Race THE COMMISSURE SMILE the facial composition and dental A decreasing amount of maxillary, and It is the most common pattern, which composition. Facial composition con- an increasing amount of mandibular is seen in approximately 67% of the sists of the hard and soft tissues of the tooth visibility, is seen from Caucasians population. In this, the corners of the face. Dental composition constitutes to Asians to Blacks. mouth are first pulled up and outward, more specifically of the teeth and their followed by the levators of the upper respective relationship to gingival Sex lip contracting to show the upper teeth. tissues.The dentofacial composition Gender differences, account for females encompasses both the frontal and sagit- displaying nearly twice the amount of THE CUSPID SMILE tal planes in two muscular positions:- maxillary teeth compared with men. This smile is found in 31% of the total 88 JOHCD www.johcd.org September 2016;10(3) SELFIEDONTICS: THE ART OF SELFIES COMBINING COSMETIC DENTISTRY DYNAMIC TOOTH COMPONENTS SOFT TISSUE COMPONENTS The second constituent of dentofacial composition is the dynamic position 1. Dental midline 1. Gingival health characterized by a smile. The extent of 2. Incisal lengths 2. Gingival levels and harmony tooth exposure during a smile depends 3. Tooth dimensions 3. Interdental embrasure on skeletal make-up, degree of contrac- 4. Zenith points 4. Smile line tion of the facial muscles, shape and size of the dental elements and shape 5. Axial inclinations and size of the lips, which vary from 6. Inter-dental contact area and point extremely thin to full and thick. 7. Incisal embrasure FACIAL COMPOSITION 8. Sex, personality and age The two important Facial Features in 9. Symmetry and balance smile design: (5) Vertical • Recurring esthetic dental pro- • The Inter-Pupillary Line : It • The facial height is divided in to portions (RED/Wards) : The should be perpendicular to the three equal parts from the forehead successive width proportion when midline of the face and parallel to to the eyebrow line, from the eye- viewed from the facial aspect should the occlusal plane. brow line to the base of the nose remain constant as we move poste- • Lips : These are important since and from the base of the nose to riorly from midline which offers they create the boundaries of the the base of the chin. great flexibility to match tooth smile design. • The full face is divided in to 2 parts, properties with facial proportions.- eyes being the midline. WARD. • The values of the RED proportions Lombardi suggested that a person • The lower part of the face from should be viewed from the front, with the base of the nose to the chin used usually are between 60% and facial expressions and smiling. The is divided in to 2 parts, the upper 80%. frontal profile of a person is the most lip forms one-third of it and the • M-proportions (Methot) : This viewed; hence, smile should be estheti- lower lip and the chin forms the compares the tooth width with that cally checked from this profile.