dento-labial

PhoneticsF

Sch

+ -

Hor Vert

smile linepositive negative straight

ok

Smile width

deep middle high

Extraoral examination dento labial

⎪EXAMINATION

4er-5er

•Gummy smile

face center - Nose swing+/- side Ri Le commissure line

⎪EXAMINATION

Extraoral examination face

middline

philtrum midline

noseswing

kommsurline

Extraoral examination dento labial

face

profile

posture

⎪EXAMINATION

face center / Maxilla

Re Li

Extraoral examination dento labial

face

profile

posture

dento facial

⎪EXAMINATION

Intraoral examination dental

tissue

incisal edges

tooth axis

contact lines

overjet/ overbite

midline dental/ real

⎪EXAMINATION

13 12 11 21 22 23

Höhe

10.0 9.0 10.5 10.5 9.0 10.0

Breite

7,5 6,5 8,5 8,5 6,5 7,5

%

75% 72% 81% 81% 72% 75%

⎪EXAMINATION

Intraoral examination dental

LWP

9,2

8,1

88

9,0

8,0

89

8,1

6,8

84

9,2

7,5

82

9,2

7,5

82

8,0

6,9

86

•Tendency to wide

Dento labial Analysis

Patient desire

smile line

tooth form/ -color

tooth position

speech

function

Patient desire

smile line

tooth form/ -color

tooth position

speech

function

Dento labial Analysis

Patient desire

smile line

tooth form/ -color

tooth position

speech

function

Dento labial Analysis

Patient desire

smile line

tooth form/ -color

tooth position

speech

function

Dento labial Analysis

Dento labial Analysis

Patient desire

smile line

tooth form/ -color

tooth position

speech

function

Patient desire

smile line

tooth form/ -color

tooth position

speech

function

Dento labial Analysis

Patient desire

smile line

tooth form/ -color

tooth position

speech

function

Dento labial Analysis

13 12 11 21 22 23

Höhe

10.0 9.0 10.5 10.5 9.0 10.0

Breite

7,5 6,5 8,5 8,5 6,5 7,5

%

75% 72% 81% 81% 72% 75%

⎪EXAMINATION

Intraoral examination dental

LWP

9,2

•Tendency to wide

8,1

88

9,0

8,0

89

8,1

6,8

84

9,2

7,5

82

9,2

7,5

82

8,0

6,9

86

+/- side

Facets ( only nat. teeth)

Raphe Median Model

Model Analysis manually static

anatomy raphe

side (+/-)

⎪EXAMINATION

+/- side

Facets ( only nat. teeth)

Raphe Median Model

Model Analysis manually static

anatomy raphe

side (+/-)

facets

⎪EXAMINATION

Face/ model Analyses

dento-labial

PhoneticsF

Sch

+ -

Hor Vert

smile linepositive negative straight

ok

Smile width

deep middle high

Extraoral examination dento labial

⎪EXAMINATION

4er-5er

Assessment of the situation:• Gummy smile• Smile line is ok but the height of the lip line is a big

one

13 12 11 21 22 23

Höhe

10.0 9.0 10.5 10.5 9.0 10.0

Breite

7,5 6,5 8,5 8,5 6,5 7,5

%

75% 72% 81% 81% 72% 75%

⎪EXAMINATION

Intraoral examination dental

LWP

9,2

8,1

88

9,0

8,0

89

8,1

6,8

84

9,2

7,5

82

9,2

7,5

82

8,0

6,9

86

Assessment of the situation:• Gummy smile• Smile line is ok but the height of the lip line is a big

one• Esthetics (gingiva, length width proportion, color)

face center - Nose swing+/- side Ri Le commissure line

⎪EXAMINATION

Extraoral examination dento labial

face middline

philtrum midline

noseswing

kommsurline

Assessment of the situation:• Gummy smile• Smile line is ok but the height of the lip line is a big

one• Esthetics (gingiva, length width proportion, color)

• Bring the biology in balance

⎪EXAMINATION

Intraoral examination

Extraoral examination Aims of treatment:• Improving of the esthetics regarding the incisors.• Improving a better relation of the gummy smile and

teeth relation• Holding the smile line

Wax up front teeth

Surgery mask

Surgery mask

The cutting model

The cutting model; planning an papilla push up

The cutting model; gingiva mask

duplication cube

Sealing of the refractoring die

Cling film for protecting the plaster

The prepared model

Layering

Layering

Layering

Layering

Layering

Layering

Second firing

Final situation on the non cutted model

Final situation on the cutting model

Final situation on the non cutted model

Final situation

16.11.2006

Final situation; follow up

24.01.2008

24.01.2008

24.01.2008

24.01.2008

Final situation; follow up

26.01.2009

Final situation; follow up

22.02.2010

Final situation; follow up

21.02.2011

finale situation; follow up

21.02.2011

22.02.2011

22.02.2011

22.02.2011

22.02.2011

⎪EXAMINATION

Intraoral examination

Extraoral examination Aims of treatment:• Improving of the esthetics regarding the incisors.• Improving a better relation of the gummy smile and

teeth relation• Holding the smile line

⎪EXAMINATION

Intraoral examination

Extraoral examination Aims of treatment:• Improving of the esthetics regarding the incisors.• Improving a better relation of the gummy smile and

teeth relation• Holding the smile line