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MAKSİLLER KESERLERİN GİNGİVAL TEPE NOKTALARI POZİSYONLARININ İNCELENMESİ: BİR PİLOT ÇALIŞMA

INVESTIGATION OF MAXILLARI INCISORS ZENITH OF THE GINGIVAL CONTOURS POSITIONS: A PILOT STUDY

Journal Name:

  • Atatürk Üniversitesi Diş Hekimliği Fakültesi Dergisi

Publication Year:

  • 2011

Key Words:

Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
Purpose: The gingival zenith (the most apikal point of the gingival outline) is one of the fundamental criteria that form natural oral esthetics. In the maxillary anterior region the gingival zenith usually lies more distal to the median line of the tooth. This rule usually apply to maxillary central incisors however does not always apply to maxillary lateral incisors or mandibular incisisors. Tooth preparations for full-crown or laminate veneer restorations must respect this basic shape of trhe gingiva. The aim of this study was to determine angle between zenith of the gingival contours of maxillary central incisors and lines that pass through the midpoints of incisal edges and to determine the positions of the gingival zenith. Materials and methods: In the present study, 101 dental casts were used that obtained from subjects aged between 16-22 years. The midpoints of the incisal edges of teeth and the zenith of the gingival contours were marked. Than, photographs of labial surfaces were taken with a atandart mechanism. The angle values between the lines were determined with the use of Adobe Photoshop 7.0. Results: The statistical tests revealed the average angles were 6.50±3.69°, for maxillary right central incisors 6.03±3.46°, for maxillary left central incisors 5.66±2.68°, for maxillary right lateral incisors and 5.06±2.93° for maxillary left lateral incisors distally. Conclusion: The zenith of the gingival contour takes place on the gingiva slightly distally according to median line of the central and lateral incisors.
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Abstract (Original Language): 
Amaç: Gingival tepe noktası (gingival sınır çizgisinin en apikal noktası) doğal oral estetiği oluĢturan temel kriterlerden biridir. Tam kron veya laminate veneer gibi restorasyonların diĢ preparasyonları oluĢturulurken de gingivanın bu temel Ģekline uyulmalıdır. Bu çalıĢmanın amacı, maksiller keser diĢlerin gingival tepe noktalarının, diĢlerin kesici kenarlarının orta noktalarından geçen doğruya göre oluĢturdukları açı değerlerinin saptanması ve gingival tepe noktası pozisyonlarının belirlenmesidir. Gereç ve yöntem: ÇalıĢmada yaĢları 16-22 arasında değiĢen bireylerden elde edilen 101 alçı model kullanıldı. Modeller üzerinde diĢlerin insizal kenarlarının orta noktaları ve gingival tepe noktaları iĢaretlendikten sonra diĢlerin labial yüzeylerinin fotoğrafları bir düzenek yardımıyla dijital ortama aktarıldı. Görüntülerdeki noktalar arasındaki açı değerleri Adobe Photoshop 7.0 programı kullanılarak belirlendi. Bulgular: Yapılan analiz sonucunda gingival tepe noktaları ile diĢlerin kesici kenarlarının orta noktalarından geçen doğruya göre oluĢturdukları ortalama açı değerlerinin; maksiler sağ santral diĢlerde 6.50±3.69°, maksiler sol santral diĢlerde 6.03±3.46°, maksiler sağ lateral kesici diĢlerde 5.66±2.68°, maksiler sol lateral kesici diĢlerde 5.06±2.93° distalde yer aldığı bulundu. Sonuç: Gingival konturun tepe noktası santral ve lateral diĢlerin orta hattına göre hafifçe distalde yer almaktadır.
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  • 3
165-169
  • Turkish

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