Ortodontide Mini ve Mikro Estetik

Yazarlar

Aleyna Ayrancı Bayar
https://orcid.org/0009-0007-6358-4823
Özge Uslu Akçam
https://orcid.org/0000-0002-4885-3657

Özet

Gülüş estetiği, ortodontik tedavi talebinin temel motivasyonlarından biri olup tedavi planlamasında belirleyici bir hedef haline gelmiştir. Bu bölümde makro, mini ve mikro estetik değerlendirme çerçevesi esas alınarak gülüş estetiğini belirleyen parametreler güncel literatür ışığında incelenmiştir. Mini estetik kapsamında dental ve fasiyal orta hat ilişkisi, istirahat ve gülümseme sırasında kesici diş ve gingival görünürlük, aşırı gingival görünümün etiyolojisi, bukkal koridorlar ve gülüş arkı; mikro estetik kapsamında ise dişlerin oransal ilişkileri ve altın oran, yükseklik-genişlik oranları, kontakt alanları ve embraşürler, interdental papil ve açık gingival embraşürler, gingival seviye, zenit noktası ile diş rengi ele alınmıştır. Bunun yanı sıra, maksiller kesicilere yönelik restoratif ve protetik düzenlemeler, gingival düzenlemeler, diş eti gülümsemesi ve siyah üçgenlerin tedavisi, tork kontrolü, maksiller ekspansiyonun ve çekimli tedavinin gülüş estetiği üzerindeki etkileri ile braket konumlandırma yaklaşımları klinik yansımalarıyla birlikte tartışılmıştır. Mevcut kanıtlar, dişlerin yalnızca seviyelenmesinin optimal estetik sonuç için yeterli olmadığını göstermektedir. Fonksiyonel ve fizyolojik dengeyi koruyarak öngörülebilir estetik sonuçlar elde edilmesi; ortodonti, periodontoloji ve restoratif diş hekimliğinin entegre edildiği multidisipliner bir yaklaşım gerektirmektedir.

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15 Ekim 2026

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