Journal of Peking University (Health Sciences) ›› 2020, Vol. 52 ›› Issue (6): 1130-1134. doi: 10.19723/j.issn.1671-167X.2020.06.024

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Esthetic proportions of maxillary anterior teeth of 120 Chinese adults

Wei-liang WU1,2,Xiao ZENG3,Xiao-qiang LIU1,(),Jian-guo TAN1   

  1. 1. Department of Prosthodontics, Peking University School and Hospital of Stomatology & National Clinical Research Center for Oral Diseases & National Engineering Laboratory for Digital and Material Technology of Stomatology & Beijing Key Laboratory of Digital Stomatology, Beijing 100081, China
    2. Department of Oral Implantology Ⅱ, Affiliated Stomatological Hospital of Fujian Medical University, Fuzhou 350002, China
    3. Department of Prosthodontics and Implant, Stomatological Hospital of Guizhou Medical University, Guiyang 550002, China
  • Received:2019-04-05 Online:2020-12-18 Published:2020-12-13
  • Contact: Xiao-qiang LIU E-mail:liuxiaoqiang@bjmu.edu.cn
  • Supported by:
    Program for New Clinical Techniques and Therapies of Peking University School and Hospital of Stomatology(PKUSSNCT-19A03);Science and Technology Plan Project of Guizhou Province of China(LH[2016]7258)

Abstract:

Objective: To analyze the esthetic proportions of maxillary anterior teeth in term of the apparent widths proportion of the adjacent teeth and width/height ratio of the clinical crown in 120 Chinese adults. Methods: Maxillary gypsum casts were obtained from the dental laboratories of stomatological hospitals in North China, Southeast China, and Southwest China, according to the inclusion criteria and exclusion criteria. Standardized digital photographs of each cast were recorded. The apparent widths and actual widths and heights of the central incisors, lateral incisors and canines were determined by ImageJ software for the calculation of apparent widths proportion of the adjacent teeth and width/height ratio of the clinical crown. The ideal apparent widths proportion (Golden proportion and Preston proportion) and width/height ratio (0.80) were tested. The gender, arch side, and regional differences were investigated. Results: The apparent widths proportion of the lateral/central incisor was 0.724±0.047, of the canine/lateral incisor was 0.814±0.092. The width/height ratio of the central incisor was 0.848±0.072, of the lateral incisor was 0.834±0.094, of the canine was 0.883±0.098. The esthetic proportions were different from the predicted ideal ratio (P<0.001). The apparent widths proportion of lateral/central incisor was significantly larger in the right side than that in the left side (0.730± 0.044 vs. 0.718±0.050), and was significantly smaller in North China than that in Southwest China (0.711±0.051 vs. 0.731±0.044). The width/height ratio of the central incisor was significantly larger in the female than that in the male (0.855±0.074 vs. 0.835±0.068), and in the right side than that in the left side (0.855±0.073 vs. 0.842±0.072). The width/height ratio of the lateral incisor was significantly larger in the female than that in the male (0.843±0.097 vs. 0.817±0.084). Conclusion: The apparent widths proportion of adjacent teeth and the width/height ratio of the clinical crown in Chinese adults are different from the foreigner’s. The esthetic proportion parameters have significant population specificity, and the measurements cannot be generalized as well as it should be applied with caution.

Key words: Dental esthetics, Incisor, Adult, Tooth crown, Odontometry

CLC Number: 

  • R783

Figure 1

Digital pictures and measurement of esthetic proportions A, apparent widths proportion of anterior teeth measured by connecting vertical lines with perpendicular lines (white), width and height of central incisors (blue) measured by marking longest apicocoronal distance and widest mesiodistal portion; B, width and height measurements of right canine (blue); C, width and height measurements of right lateral incisors (blue); D, width and height measurements of left lateral incisors (blue); E, width and height measurements of left canine (blue). All measurements were calculated in pixels."

Table 1

Apparent widths proportion of adjacent maxillary anterior teeth by gender, side, and region"

Items Lateral incisor/central incisor Canine/lateral incisor
x-±s P x-±s P
Average 0.724±0.047 0.814±0.092
Gender
Female 0.724±0.048a 0.878 0.817±0.093a 0.529
Male 0.725±0.046a 0.808±0.090a
Side
Right 0.730±0.044a 0.012 0.822±0.090a 0.089
Left 0.718±0.050b 0.806±0.094a
Region
North 0.711±0.051a 0.819±0.099a
Southeast 0.726±0.047a,b 0.044 0.805±0.098a 0.512
Southwest 0.731±0.044b 0.819±0.081a

Table 2

Width/height ratio of maxillary anterior teeth by gender, side, and region"

Items Central incisor Lateral incisor Canine
x-±s P x-±s P x-±s P
Average 0.848±0.072 0.834±0.094 0.883±0.098
Gender
Female 0.855±0.074a 0.047 0.843±0.097a 0.045 0.891±0.094a 0.067
Male 0.835±0.068b 0.817±0.084b 0.866±0.105a
Side
Right 0.855±0.073a 0.002 0.841±0.092a 0.076 0.887±0.092a 0.318
Left 0.842±0.072b 0.828±0.096a 0.879±0.104a
Region
North 0.838±0.072a 0.820±0.090a 0.894±0.095a
Southeast 0.858±0.079a 0.251 0.842±0.095a 0.347 0.897±0.103a 0.063
Southwest 0.847±0.066a 0.836±0.095a 0.862±0.092a
[1] 谭建国. 牙齿美学修复的美学分析与设计[J]. 中国实用口腔科杂志, 2011,4(8):449-450.
[2] Lombardi RE. The principles of visual perception and their clinical application to denture esthetics[J]. J Prosthet Dent, 1973,29(4):358-382.
doi: 10.1016/s0022-3913(73)80013-7 pmid: 4570911
[3] Levin EI. Dental esthetics and the golden proportion[J]. J Prosthet Dent, 1978,40(3):244-252.
doi: 10.1016/0022-3913(78)90028-8 pmid: 279670
[4] Preston JD. The golden proportion revisited[J]. J Esthet Restor Dent, 1993,5(6):247-251.
doi: 10.1111/jerd.1993.5.issue-6
[5] Gürel G. The science and art of porcelain laminate veneers [M]. Berlin: Quintessence Publishing Co. Ltd, 2003: 63-66.
[6] Sarver DM. Principles of cosmetic dentistry in orthodontics: Part 1. Shape and proportionality of anterior teeth[J]. Am J Orthod Dentofacial Orthop, 2004,126(6):749-753.
doi: 10.1016/j.ajodo.2004.07.034 pmid: 15592225
[7] Al-Kaisy N, Garib BT. Analysis of the golden proportion and width/height ratios of maxillary anterior teeth in Arab and Kurdish populations[J]. J Prosthet Dent, 2018,119(6):981-986.
doi: 10.1016/j.prosdent.2017.08.017 pmid: 29153745
[8] Condon M, Bready M, Quinn F, et al. Maxillary anterior tooth dimensions and proportions in an Irish young adult population[J]. J Oral Rehabil, 2011,38(7):501-508.
doi: 10.1111/j.1365-2842.2010.02181.x
[9] Ozdemir H, Koseoglu M, Bayindir F. An investigation of the esthetic indicators of maxillary anterior teeth in young Turkish people[J]. J Prosthet Dent, 2018,120(4):583-588.
doi: 10.1016/j.prosdent.2017.12.015 pmid: 29724547
[10] Orozco-Varo A, Arroyo-Cruz G, Martinez-de-Fuentes R, et al. Biometric analysis of the clinical crown and the width/length ratio in the maxillary anterior region [J]. J Prosthet Dent, 2015, 113(6):565-570.e2.
doi: 10.1016/j.prosdent.2014.11.006 pmid: 25858215
[11] Song JW, Leesungbok R, Park SJ, et al. Analysis of crown size and morphology, and gingival shape in the maxillary anterior dentition in Korean young adults[J]. J Adv Prosthodont, 2017,9(4):315-320.
doi: 10.4047/jap.2017.9.4.315 pmid: 28875000
[12] 陈润, 杨舟, 吴千驹, 等. 对正常牙合者上颌前牙相互间牙冠宽度比例的计算机图像测量分析[J]. 福建医科大学学报, 2012,46(1):39-42.
[13] Sah SK, Zhang HD, Chang T, et al. Maxillary anterior teeth dimensions and proportions in a central mainland chinese population[J]. Chin J Dent Res, 2014,17(2):117-124.
pmid: 25531020
[14] 余挺, 杨希, 赵莉, 等. 中国汉族成年人的上前牙临床牙冠长度及宽长比分析[J]. 口腔医学研究, 2018,34(9):1003-1006.
[15] 罗旭, 陈立, 谭建国. 上前牙美学比例喜好度的调查[J]. 口腔颌面修复学杂志, 2015,16(4):232-236.
[16] Noroozi H, Nik TH, Saeeda R. The dental arch form revisited[J]. Angle Orthod, 2001,71(5):386-389.
doi: 10.1043/0003-3219(2001)071<0386:TDAFR>2.0.CO;2 pmid: 11605873
[17] Liu XQ, Chen L, Zhou JF, et al. An internet evaluation of Chinese public preferences for asymmetrically altered incisor angulations[J]. Chin J Dent Res, 2012,15(2):129-137.
pmid: 23509834
[18] 杨洋, 黄一平, 杜飞宇, 等. 北京海淀地区大学生对女性微笑时前牙美学参数认知及关注程度的调查[J]. 中华口腔医学杂志, 2012,47(12):753-757.
[19] Cooper GE, Tredwin CJ, Cooper NT, et al. The influence of maxillary central incisor height-to-width ratio on perceived smile aesthetics[J]. Br Dent J, 2012,212(12):589-599.
doi: 10.1038/sj.bdj.2012.522 pmid: 22722122
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