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ANUM GULZAR ROLL# 03 BDS 3rd YEAR PROSTHO ASSIGNMENT

Primary selection of the teeth must be carried out at the first appointment. • First we have to consider whether to use porcelain or acrylic teeth.Correction of speech defects. Extracted teeth. 3. c.Masticatory function. . 4. Study cast.1.Patients with remaining natural teeth. d. 2.Patients who have old denture. Guides for the anterior teeth selection Pre-extraction guides a. 3.Preservation of the remaining tissue and muscle tone.Patients without remaining natural teeth and without old denture. 2. Photographs. 1. b. 1.Esthetics. Radiographs. Size of teeth • Selection of the size and the teeth is a problem in three dimensions.

• “the tribute tooth indicator” is useful in determining the maxillary central incisor. Size of face • The average width of the maxillary central incisor is estimated to be one sixteenth of the face measured between the zygoma. • The mold selector is used in the selection of anterior teeth . 4.The measurements are made from the midline on the maxillary occlusion rim to the distal of the cuspid eminence • Measure the distance from the distal of one cuspid eminence to the distal of the other with a flexible. 3. • Accurately contoured occlusion rims are required. Maxillo mandibular relationship • Any disproption in size between thr maxillary and mandibular arches influence . • The size of the maxillary central incisor is important for they are the most prominent teeth in arch as individual is viewed from frontal position. Size of the maxillary arch • The mold selector can be used to make measurement of the maxillary cast.2.

. Incisal pappilate and the cuspid eminence of the buccal frenum • If the cuspid eminences are visible.the length. • In instances of protruded mandible. Contour of the residual ridge • The artificial teeth should be placed to follow the contour of the residual ridges that existed when the natural teeth were present. width. 4. accident or surgery makes this a difficult task. A line placed slightly anterior to the frenum attachment will be distal of the eminence. the mandibular anterior teeth are frequently larger than normal. If the mandible are retruded the mandibular anterior teeth are frequently smaller. • Measure the distance from the distal of one cuspid eminence to the distal of the other with a flexible. • If the cuspid eminence are not visible the attachment of the buccal frenum can be used. • The loss of contour as a result of resorption. and the position of the teeth. a line can be placed on the cast at the distal termination of the eminence. 5.

The lengt is greater than width would . The length of the upper six anterior teeth is normally such that the neck of the teeth will overlap the anterior ridge by 2-3mm Cervically up the incisive edges of the centrals will show below the relaxed lip The face length is taken from supra orbital ridge line to inferior border of the chin. Breadth is the distance between the zygomatic process. • The incisal edge extends inferior to or slightly below the lip margin. it is more esthetically acceptable to use a tooth long enough to eliminate the display of the denture base 7. The vertical distance between the ridges • The length of the teeth is determined by the available space between the existing ridges.6. The lip • When the lips are relaxed and apart the labial surface of the maxillary anterior teeth support the upper lip. • When the space is available.

indicate teeth of htose proportions. irrespective of their shape. Used to derive the length of central incisor using zygomatic width or the length of the face. Psychological A patient with a +ve self evaluation shows a broad smile up the one width a negative self evaluation shows a tight lipped small smile . 2.Physiological The facial musculature contributes to esthetics of the patient Increasing the thickness of the denture base in the labial and the buccal sulci can produce a puffy appearance. Width of the maxillary central incisor=zygomatic width/ 16 =length of the face/20 To determine the length and width of central incisor using the zygomatic width and length of face respectively 1.

3.Towards the center of the color wheel. Hue is described with the words we normally think of as describing color: red. blue. no hue dominates and they becomes less and less saturated. .The campers line the psychological plane of orientation . Color is described by means of • Value • Chrome • Hue Value (lightness) describes overall intensity to how light or dark a color is. etc. Chroma (Saturation) may be defined as the strength or dominance of the hue. purple. On the outer edge of the hue wheel are the intensely saturated hues. It is the only dimension of color that may exist by itself.Biomechanical The teeth should be placed such that they fulfil the biomechanics of the denture. The teeth should be set in the neutral zone.

Ovoid Square Tapering Ovoid . • Three factors are used as guides in the selection of anterior teeth for form. Age According to Leon William’s classification face Three types 1. distal and incisal aspect • The general outline of the tooth should conform to the general outline of the face when viewed from frontal aspect. The form and contour of the face 3. mesial. 1. Tapering 3. Sex 2.• The form of the teeth should be coformed to contour of the face as considered from the labial. Square 2.

Wear is clinically insignificant over a long period of time No significant loss vertical dimension Allow for the total rebasing procedures Maintain communicating efficiency Difficult to grind and fit into a close inter-ridge .

Minimal wear to opposing natural teeth and gold crowns. Do not chip. Have a sharp impact sound Will not bond to the base material except with mechanical means. while the posteriors have holes. Wear is clinically significant Loss of occlusal vertical dimension due to wear. Occlusal surface is altered by wear. This is a definite indication for their use . The anterior porcelain teeth have pins at the back. and have softer impact sounds Easy to adjust and polish Easy to grind into close inter ridge space Will bond to base material by chemical union.space Cause dangerous abrasion to opposing gold crown and natural teeth.