Assessment of Knowledge and Perception of Mini- And Micro-Esthetics Among Orthodontists

Abstract

Introduction: Esthetics as an entity is one of the major reasons for patients to undergo orthodontic treatment. With the advent of digital world and selfie era, patients primarily seek orthodontic treatment with the concern of an enhancement in esthetics. The important goal of orthodontic treatment is to provide that enhancement to the patient by also attaining functional balance and harmony of the facial and oral soft tissues.

Aim and Objectives: The aim of this study was to assess the knowledge, perception and the importance given to mini- and micro-esthetics among orthodontists.

Methods: A questionnaire prepared via google forms was sent to the orthodontists across the country. The questions were framed in a way, that it could provide the insight of the knowledge of mini and micro esthetics among orthodontists. The responses were then tabulated.

Results: The study concluded that with the increase in esthetic demands along with the broadened horizon of the orthodontic procedures, majority of the orthodontists follow the interdisciplinary approach to achieve mini and micro esthetics. Around 98% of them are aware of the black triangles and 84% of them do crown reshaping procedures to overcome them. Around 64% suggest periodontal procedures so that the cases can be completed with ideal gingival shape and contour by achieving Morley’s ratio. 98% orthodontists insist on completing the cases with coinciding midlines along with 97% of them also correcting the smile arc. 75% were able to achieve ideal lateral negative space. 53% were able to manage white spot lesions and only 12.2% were in favour of using positioners for finishing the case.

Conclusions: In orthodontic diagnosis and treatment planning the important parameters of the mini and micro esthetics are assessed. These parameters influence the esthetic enhancement of the patient. An increased cosmetic demand from the profession and patients has resulted in more emphasis on the gingival esthetic procedures.