Enameloplasty and Esthetic Finishing in Orthodontics—Identification and Treatment of Microesthetic Features in Orthodontics Part 1



    Corresponding author
    1. Department of Orthodontics, University of North Carolina, Chapel Hill, NC, USA
    2. Department of Orthodontics, University of Alabama, Birmingham, AL, USA
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  • This article is accompanied by commentary, Enameloplasty and Esthetic Finishing in Orthodontics Part 1 and Part 2, Dan Grauer, DDS, PhD, Gavin Heymann, DDS, MS. DOI 10.1111/j.1708-8240.2011.00448.x

David M. Sarver, DMD, MS, 1705 Vestavia Parkway, Vestavia Hills, AL 35216, USA; Tel.: 205-979-7072; Fax: 205-979-7140; email: sarverd@sarverortho.com



Interdisciplinary treatment also has expanded to include not only soft tissue assessment of the periodontal components of the dentition and smile, but of the face as well. The next level of esthetic enhancement certainly will include facial proportionality as a key component in our patient evaluation. This paper expands the diagnostic vision of the dentist to include facial proportions and relationships of hard and soft tissues to improve diagnosis and treatment of dental and facial esthetics.


Diagnosis and treatment in orthodontics has shifted to assess tooth shape and form in the analysis of an orthodontic problem. There are principles of esthetic dentistry that orthodontists can use to enhance their finishes in order to provide a superior esthetic outcome. Because orthodontists have benefited from much technological advancement in diagnosis, wires, and brackets, often resulting in more efficient treatment times, there is more time for identifying microesthetic characteristics and enhancing the final outcomes to a degree previously not attainable.

(J Esthet Restor Dent 23:296–302, 2011)