SMILE DESIGN

&
ESTHETIC ANALYSIS

By
Ass. Prof. Dr. Shereen Hafez Ibrahim
Associate professor Of conservative Dentistry
Cairo University
DIGITAL PHOTOGRAPHY
FUNDAMENTALS
 ACCORDING TO DR. GREG LUTKE THERE ARE
5 DIMENSIONS OF A DIGITAL PHOTOGRAPH

• Exposure; monitored by the histogram

• Tonal Range; adjusted in software post processing
• Color; controlled by white balance/color temperature setting of your camera
• Sharpness; influenced by camera shake and use of the unsharp mask in post
processing
• Depth of Field; controlled by the F stop setting of the camera
 THE AACD 12 VIEWS (AMERICAN ACADEMY OF
COSMETIC DENTISTRY)

• Natural Full Face

• Full Natural Smile: frontal, right lateral, left lateral
• Retracted upper and lower, slightly parted: frontal, right lateral,
left lateral
• Retracted maxillary anterior only: frontal, right lateral, left lateral
• Retracted occlusal views: maxillary, mandibular, mirrored
Non Retracted Views

Retracted Views

Take These Shots

ESTHETIC ANALYSIS
I. FACIAL ANALYSIS
ESTHETIC ANALYSIS
FACIAL ANALYSIS

Objective
• To restore adequate parallelism between the occlusal plane
and the horizontal reference lines
• To re-establish the ideal height of the lower third of the face
• To re-create an appropriate anterior dominance in keeping
with the patient’s profile and lips
ESTHETIC ANALYSIS
FACIAL ANALYSIS
FRONTAL VIEW
REFERENCE LINE
SYMMETRY & DIVERSITY

Unity in variety
but with
diversity in unity
SYMMETRY & DIVERSITY
HORIZONTAL DISHARMONY
HORIZONTAL DISHARMONY
HORIZONTAL DISHARMONY
VERTICAL DISHARMONY
FACIAL PROPORTIONS
FACIAL PROPORTIONS
FACIAL PROPORTIONS
LATERAL VIEW
PROFILE 8º

Orbital

Porion
LATERAL VIEW
PROFILE 170º 180º
LATERAL VIEW
E LINE

Ideal Upper lip 4mm

Lower lip 2mm
LATERAL VIEW
NASOLABIAL ANGLE

100-105 90-95
THE LIPS
THE SHAPE OF THE LIPS
LABIAL PHILTRUM
THE LIPS
MORPHOLOGIC CHANGES
 ESTHETIC ANALYSIS
II. DENTOLABIAL ANALYSIS
DENTOLABIAL ANALYSIS
• Objective
• To guide the clinician in re-establishing a correct
position of the incisal edge
• Re-creating appropriate incisal and tooth lengths
and adequate harmony between the occlusal plane
and the commissural line
LIP MOVEMENT
TOOTH EXPOSURE AT REST

Young 2-4mm
Old more mand.teeth shown
TOOTH EXPOSURE AT REST
TOOTH EXPOSURE AT REST
TOOTH EXPOSURE AT REST
INCISAL EDGE
INCISAL CURVE VS LOWER LIP
CONVEX INCISAL CURVE
RADIATING SYMMETRY
INCISAL EDGE
FLAT OR REVERSE INCISAL CUVE
HORIZONTAL SYMMETRY
INCISAL PROFILE
INCISAL PROFILE
SMILE LINE

 Low

 Average

 high
GUMMY SMILE
• Short upper lip
• Labial hypermobility
• Altered passive tooth eruption
• Anterior dentoalveolar extrusion
• Excessive vertical development of the upper maxilla
GUMMY SMILE
GUMMY SMILE
SMILE WIDTH
SMILE WIDTH
LABIAL CORRIDOR
LABIAL CORRIDOR
INTERINCISAL LINE VS MIDLINE
OCCLUSAL PLANE VS COMMISURAL LINE

10º
Tragus
OCCLUSAL PLANE VS COMMISURAL LINE
ESTHETIC CHECK LIST