Classified diagnosis and treatment scheme of oral cosmetic restoration based on aesthetic analysis (part Ⅱ): Chinese aesthetic connotation and analysis scheme

doi:10.7518/hxkq.2024.2023462

Abstract

Abstract:

At present, the commonly used clinical protocols of oral cosmetic restoration are mostly based on the oral aesthetic indexes proposed by Western developed countries (referred to as Western aesthetics), which are different from the oral aesthetic indexes unique to Chinese people (referred to as Chinese aesthetics). In the design of restoration schemes and the evaluation of restoration effects, these differences have a large or small effect on the doctor-patient-technology triad. Improper handling could directly weaken the cooperation efficiency of the three parties, reduce patient satisfaction, and even lead to medical disputes in serious cases. From doing a good job of oral cosmetic restoration in China, the connotative characteristics of Chinese oral aesthetics are introduced in this paper, and the value of oral aesthetic analysis in diagnosis and treatment is discussed. The process and method of aesthetic analysis and assessment through the modified Chinese psychosocial impact of dental aesthetics questionnaire and the evaluation ruler of the expected value of oral cosmetic restoration are further introduced in detail.

Key words: oral cosmetic restoration, Chinese aesthetics, Western aesthetics, aesthetic analysis, modified Chinese psychosocial impact of dental aesthetics que-stionnaire, expected value of oral cosmetic restoration

CLC Number:

R783

Yu Haiyang, Zhao Junyi, Sun Manlin. Classified diagnosis and treatment scheme of oral cosmetic restoration based on aesthetic analysis (part Ⅱ): Chinese aesthetic connotation and analysis scheme[J]. West China Journal of Stomatology, 2024, 42(2): 154-162.

Figures/Tables 10

Fig 1

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Fig 3

Fig 4

Fig 5

Fig 6

Fig 7

Tab 1

MC-PIDAQ

维度	条目
社会影响
	1、当我微笑时我会有所掩饰，让自己的牙齿不暴露那么多
	2、对于我不熟悉的人，我有时会关注他们对我牙齿的看法
	3、我担心别人会对我的牙齿作出侮辱性的评论
	4、我有时会由于自己的牙齿而在社交场合有些拘束
	5、我有时把手放在自己嘴巴前面来掩饰自己的牙齿
	6、有时我认为有人在盯着我的牙齿
	7、关于我牙齿的议论会刺激我，即使那只是开玩笑
	8、有时我担心异性对我牙齿的看法
心理影响
	9、我羡慕别人的牙齿
	10、有时我对自己的牙齿颜色感到有点不开心
	11、有时我对自己的牙齿外观感到有点不开心
	12、我想我认识的人大多数有比我更好的牙齿
	13、当我想到自己牙齿的样子的时候，我感觉不舒服
	14、我希望自己的牙齿看起来更好
审美考量
	15、我不喜欢看到镜子里自己的牙齿
	16、我不喜欢看到照片里自己的牙齿
	17、当（假如）我看自己的视频，我不喜欢看到自己的牙齿
牙齿自信
	18、我对自己的牙齿很自豪
	19、当我微笑时，我喜欢显露自己的牙齿
	20、当我看到镜子里自己的牙齿，我很高兴
	21、我的牙齿对别人有吸引力
	22、我对自己的牙齿外观满意
	23、我觉得自己的牙齿位置非常好
审美倾向
	24、我希望自己的牙齿颜色像电视明星的一样雪白
	25、在现有技术水平能够实现没有牙缝时，我仍可以接受自己有轻微的牙缝
	26、在现有技术水平能够实现牙齿平齐排列时，我仍可以接受自己的牙齿不那么平齐
	27、在现有技术水平能够实现牙齿大小均匀时，我仍可以接受自己的牙齿大小不那么均匀一致
	28、在美观/功能需要时，我仍不希望自己的牙齿被磨太多
	29、在美观/功能需要时，我仍不希望自己的牙齿数量变少
	30、不论方案有多复杂，我希望自己的牙齿得到最完善的治疗
	31、我对自己的牙齿有特殊的要求

Tab 1

Tab 2

Fig 8

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项目	中式审美	欧美审美
1、中切牙宽高比	0.8~0.9	0.75~0.85
2、颜色	白、透	好莱坞白
3、暴露区	含蓄（樱桃小口一点点）	张扬（性感大口）
4、微笑线	曲度较小，平坦	曲度明显，较弯
5、面部焦点	不喜牙成为面部焦点	喜牙成为面部焦点
6、牙齿大小	牙齿大小均匀一致	对牙齿大小均匀情况不敏感
7、牙齿排列	牙齿排列平齐	对牙齿排列平齐程度不敏感
8、特征	不喜有牙缝	对牙缝的存在不敏感
9、方案喜好	直接或简单微创，对减数设计敏感	大而全的方案多见，对减数设计不敏感