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Perspective Of Facial Esthetics In

Dental Treatment Planning


 Throughout time mankind had expressed the
ideal beauty of human through sculpture, art
and philosophy

 Significance influence of beauty lies in the


lower 1/3 of the face.

 For example : Pleasing smile, lip fullness

 In order to fulfil patient desire for aesthetics,


evaluation of face must be accompany with 1/3
intraoral examination
Integumental
Form

Dentolabial Oclusal
Relationship
While
Plane
Smiling Significance
Basis For
Optimum
Functions And
Aesthetics In
Dental
Restoration
Dentolabial
Relationships Esthetic
At Relaxed Evaluation
Lips

Craniofacial
Balance
1) OCCLUSAL PLANE SIGNIFICANCE
primary link between function and esthetics
Ideal occlusal plane position is well-defined by functional and anatomic requirements.
slight variation will lead to occlusal instability
The anterior maxillary occlusal plane is determined by lip relationships at rest and when smiling.
(2mm)
Affect speech.
FMP is a skeletal guide for max. occlusal plane angle.
Facial
symmetry

LFH Lip form

Occlusal
plane 2) profile

Aesthetic
Evaluation
Facial form Soft tissue

Massetric
Tooth mass
forrm
Dentolabial
rs at
rest/smile
5) DENTOLABIAL RELATIONSHIP AT
RELAXED LIP POSTURE
lips at rest provide two important landmarks for locating
the incisal edge of the maxillary anterior teeth:

 Proportional balance of the lip to existing facial


structure must first be confirmed
 Natural head position is required in facial analysis that
includes lip/tooth relationships
• No tooth contact
• Lips slightly parted
• Edge of max. incisors provides support for
Mandible In upper lip and extend below about 1-5 mm
Rest Position • Depend on facial form, anatomic lip length,
age and sex and patient’s preference

• Incisal 1/3 of max.incisors is covered by wet


mucosal surfaces of lower lip
Teeth In • Lip closure must be easy and graceful
Maximum • Form of lower lip affected by incisor
position
Intercuspation • Max.tooth position and VDO give effect on
length of mand.incisor teeth
6) DENTOLABIAL
RELATIONSHIPS IN THE
FULL SMILE
most esthetic maxillary
anterior tooth position All teeth lie within the
places the incisal edges in circumference of the lower
curvilinear harmony with the lip and make gentle contact
arc of the lower lip in a full with mucosal tissue.
but unforced smile.

tooth size and facial


Proportional balance of
proportion must be
dental and gingival tissues
harmonious.
when smiling

cover the anatomic crown


and cause the tooth to
appear oversquare in
proportion and place
unsightly gingival tissues
within the smile.48
Thank
You

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