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FI ESTETICA DENTO-SOMATO-FACIALA
Nr.
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Data
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Medic
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Student
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Prenume
Nume __________________________
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Adresa ________________________________________________________ U /
R
Vrst
Sex
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Telefon
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AUTOEVALUARE ESTETICA
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ASTEPTARILE PACIENTLUI
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INSPECTIE
Norma de fata :
Forma fetei:
Linia mediana : centrata
laterodeviatie dr
laterodeviatie stg
Simetria: _________________________________________
Delimitarea etajelor fetei(dimensiuni)________________
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Linia bipupilara- raportul cu planul orizontal:
paralelism , inclinata la d r , inclinata la st g
Linia bicomisurala- raportul cu planul orizontal:
paralelism , inclinata la dr , inclinata la stg
Norma de profil
Forma profilului:plan convex , convex , concav
Aspectul buzelor: groase , medii , subtiri
Raportul buzelor cu linia E:
buza superioara (mm):
buza inferioara(mm)
Treapta labial: normala , accentuata , inversata
Unghiul naso-labial _________________
Unghiul labio-mentonier_________________________
ANALIZA ZAMBETULUI
linia marginilor incizale ale grupuli frontal maxilar vs linia buzei
inferioare
convexa
plana
inversata
stg
stg
Linia surasului
medie
inalta
dr
acoperita
st g
joasa
Marit
: dr...,,stg....
Absent
Deviata la dr
Coincidente
Deviata la
stg
Paralele
Divergente stg
dr
Divergente
ANALIZA ESTETICA
FUNCTIONALA
Functia fonetica
FONEMA M
Spatiul
de
inocluzie
fiziologica(mm):
Gradul de expunere a
dintilor maxilari
Gradul de expunere a
dintilor mandibulari
FONEMELE V si F
Profilul incizal
buza inferioara acopera
incisivii maxilari(mm)
buza inferioara este
acoperita de incisivii
maxilari(mm)
FONEMA S
Spatiul interarcadic :
absent , mm:
FONEMA E
Spatiul interlabial ocupat de dintii arcului anterior maxilar : 80% , >80%
ANALIZA ESTETICA
DENTARA
1. Apelul dintilor:
coincidente
laterodev. stg
laterodev dr
3. Forma
dreptunghiulara
4. Contur
triunghiulara
patrata
normal
modificat ................................................................................
normale
modificate ...................................................................................
5. Ambrazuri incizale
6. Orientarea axelor dentare
normale
modificate ...................................................................................
regulata
treme
diastem e
9. Textura
Macrotextura :
relief pronuntat
relief mediu
relief atenuat
Microtextura
pronuntata
atenuata
medie
simetric
ZENIT
asimetri c
GINGIVAL
Regulat
Neregulat
PAPILE INTERDENTARE
Prezente
absente
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MODIFICARI GINGIVALE
Infamatie
hipertrofe
recesiune
CRESTELE EDENTATE
5
normale
neregulate
DIAGNOSTIC
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PLAN DE TRATAMENT
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