Objective To analyze anterior dental esthetic parameters - width/height ratio (WHR), gingival zenith (GZ), and apparent contact dimension (ACD) - in patients with maxillary lateral incisor agenesis (MLIA) bilaterally treated with space closure and recontouring of the canines, or with implant-supported prostheses. Methods Fifty-two participants were allocated into three groups as follows: MLIA patients (N = 18) treated with teeth recontouring (RG); MLIA patients (N = 10) treated with implants (IG); and volunteers without agenesis (N = 24), who served as controls (CG). Dental casts of all patients were obtained and electronically scanned. Digital images were analyzed with 3Shape A/S OrthoAnalyser software (Copenhagen, Denmark). Shapiro-Wilk test, Spearman correlation, and Kruskal-Wallis statistical tests (p < 0.05) were used for statistical analysis. Results Although IG presented smaller means when compared with RG and CG, no statistical differences were found for WHR among groups (p > 0.05). Concerning GZ, RG presented more discrepancies than IG and CG, with statistically significant differences (p = 0.0165). IG presented statistically significant differences for the ACD in comparison with RG and CG (p < 0.05). Conclusion Based on the results of this study, patients treated with space closure and teeth recontouring (RG) were shown to be closest to patients without agenesis (CG) in relation to the anterior dental esthetic parameters evaluated. Clinical Significance The digital analysis of esthetic principles, such as those investigated in this study involving maxillary incisor agenesis, is paramount to successful esthetic treatment planning. The results of the present study, as well as those found in the literature, indicate that clinicians should use esthetic parameters, such as those investigated herein, when treatment planning extensive oral rehabilitation cases.
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机译:目的分析双侧上颌切牙发育不全(MLIA)并经空间封闭和轮廓重建的双侧上颌切牙发育不全(MLIA)患者的前牙美学参数-宽高比(WHR),牙龈天顶(GZ)和表观接触尺寸(ACD)或植入物支持的假体。方法将52名参与者分为以下三组:MLIA患者(N = 18),接受了牙齿修复(RG);使用植入物(IG)治疗的MLIA患者(N = 10);以及没有发育不全的志愿者(N = 24),作为对照(CG)。获得所有患者的牙科模型并进行电子扫描。使用3Shape A / S OrthoAnalyser软件(丹麦哥本哈根)分析数字图像。使用Shapiro-Wilk检验,Spearman相关性和Kruskal-Wallis统计检验(p <0.05)进行统计分析。结果尽管与RG和CG相比,IG的均值较小,但各组之间WHR差异无统计学意义(p> 0.05)。关于GZ,RG的差异要比IG和CG多,差异有统计学意义(p = 0.0165)。与RG和CG相比,IG的ACD差异具有统计学意义(p <0.05)。结论根据这项研究的结果,就评估的前牙美学参数而言,经空间闭合和牙齿修复(RG)治疗的患者显示出最接近无发育障碍(CG)的患者。临床意义美学原理的数字分析,例如本研究中涉及上颌切牙发育不全的数字分析,对于成功的美学治疗计划至关重要。本研究的结果以及在文献中发现的结果表明,在治疗计划广泛的口腔康复病例时,临床医生应使用美学参数,例如本文调查的参数。
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