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Initial examination and diagnosis in dental aesthetics

In a study of patients admitted to a clinic (WILHEM ZECH)

85% Whiter teeth

17% Changing tooth shapes

10% requested that the length of the tooth structure be changed. (AMERICAN COLLAGE PROSTODONT 2004)

We will make aesthetic teeth for our patients, but what criteria will we use while providing this service to them? This is a very, very important issue for the dentist. There was some analysis in the past. Male teeth are like this, female teeth are like this, so DR. According to Antania Bello, these analyzes are no longer valid. Because we now understand that it is not possible to determine the gender of that person 100% by looking at the teeth images. It is important to look at the person’s face and facial tissues before tooth construction.

· How do the gum tissues appear a lot or not at all when smiling? These need to be evaluated.

· Are the lip tissues thick? Is it thin? What is the standard for the thickness of the lip? They should also be analyzed.

Where does the line between the two pupils pass? Where does the line passing from the tip of the teeth go? Is it parallel to the line that goes through the tip of the teeth?

· Is the midline of the face compatible with the midline of the teeth?

· So how is facial aesthetics?

· How are the small triangles located between the contact points of the ends of the teeth? Are they compatible with each other?

· Do the teeth appear when the ii… ii sound is made and the teeth are shown? All these analyzes need to be done.


Although it is important that the patient and the physician are compatible with these concepts, the most important thing is that the patient’s concept of beauty is understood by the physician. Immanuel Kant said, “Beauty is what everyone in the world accepts. Belonging to a place in a person brought about being a standard. He put his aesthetic elements into certain patterns.

However, nowadays, a very beautiful smile is AESTHETIC. To understand and evaluate the aesthetic concept of the person;

· Age, gender,

· Social position

· Religious and cultural structure

· The economic situation should also be evaluated.

The psychological state is sometimes more important than all of these.

In past centuries, they painted teeth black. It showed the social status of these people. Nowadays, white or even white teeth have become a status indicator. Of course, the most important of these developments was the invention of laminates. In 1927, when the aesthetic board in California accepted laminate veneers as a viable treatment method, white and straight teeth ceased to be a dream. In other words, the most important concept in smile design was material. So, with which method will we treat the tooth? PHYSICIAN’S ARTISTIC SKILL AND PERSPECTIVE. It is a situation where everyone is aware that there is a limit to beauty and aesthetics and that the end of the rope should not be missed somewhere. In practice, it is based on anatomy, which is the artistic skill and perspective of the physician. Knowing the anatomy very well is also important in the selection of the appropriate material and method. Because the tooth we will make will function. It is necessary for the physician to be intertwined with art, to see color and to use optical illusions.

In the painting that Michelangelo named “SISTER CEILING”, all illusions are used in the construction of teeth as well as using light and shadow plays. In order to use these light and shadow games, it is necessary to watch the inside of the mouth very well. The shape and color of the teeth should be well looked after. If the tooth has a convex structure, we can see the shape of the tooth and its relationship with the contact tissue. The anatomy of the tooth is important. Many people see many features of the tooth, but many understand it when the doctor tells them. For this reason, the person’s perception should be strong, that is, he should understand the physician.


Yamamoto M. Miyashi Y. explained that the appearance of the tooth is actually an optical illusion.

The color, translucency, thickness, shape and position of the tooth shape this illusion.

Just as a make-up applied to the face can make the eyes appear large or small, this concept is also in question in the teeth. The characteristics of the surrounding tissues determine the characteristics of the tooth.


The shapes of the outer surface of the tooth, that is, the development lines.

Longitudinal lines.

Cancaves and convexities.


Change of face with age, ie change in cheeks and lips

Sometimes the change that occurs even in the nose. This change is very important especially in edentulous patients. Must see old original building. Wedding pictures are quite a guide in this regard.

Working together with aesthetic dentistry and other branches in the world in general is very helpful in replacing the existing loss on the face. When looking at aesthetics, it is necessary to look at the person as a whole.