ESTHETIC ANALYSIS

III. PHONETIC ANALYSIS

By
Ass. Prof. Dr. Shereen Hafez Ibrahim
Associate professor of Conservative Dentistry
Cairo University
PHONETIC ANALYSIS
• Objective
• To help identify ideal incisal length, adequate tooth
position, and correct vertical dimension of occlusion
PRONUNCIATION OF M SOUND

MoM, MoM,….
 PRONUNCIATION OF M SOUND
• Incisal length
• Vertical dimension
PRONUNCIATION OF M SOUND
PRONUNCIATION OF E SOUND

Meeee ….
 PRONUNCIATION OF E SOUND
• Incisal length
PRONUNCIATION OF F/V SOUND

F/V….
 PRONUNCIATION OF F/V SOUND
• Incisal length
• Incisal profile
 PRONUNCIATION OF F/V SOUND
• Incisal length
• Incisal profile
PRONUNCIATION OF S SOUND

SSSS….
 PRONUNCIATION OF S SOUND
• Mandibular movement and tooth position
• Vertical dimension
 PRONUNCIATION OF S SOUND
• Mandibular movement and tooth position
• Vertical dimension
 PRONUNCIATION OF S SOUND
• Mandibular movement and tooth position
• Vertical dimension
ESTHETIC ANALYSIS
IV. TOOTH ANALYSIS
TOOTH ANALYSIS
• Objective
• To restore adequate tooth form and contour so that correct
function & pleasing esthetic may be established
TOOTH ANALYSIS
MAXILLARY AND MANDIBULAR TEETH
MAXILLARY VS MANDIBULAR INTERINCISAL LINES
TOOTH ANALYSIS
MAXILLARY AND MANDIBULAR TEETH
MAXILLARY VS MANDIBULAR INTERINCISAL LINES
 TOOTH ANALYSIS
TOOTH TYPE
• Basically tapering
• Basically square
• Basically ovoid
TOOTH ANALYSIS
TOOTH TYPE
TOOTH ANALYSIS
TOOTH TYPE
TOOTH ANALYSIS
TOOTH TYPE
TOOTH ANALYSIS
TOOTH TYPE
TOOTH ANALYSIS
COLOR
• Hue
• Chroma
• Value
• Transparency/opacity
• Fluorescence
TOOTH ANALYSIS
COLOR
 TOOTH ANALYSIS
TEXTURE
• Microtexture: tiny horizontal
groove
• Macrotexture: lobes
TOOTH ANALYSIS
MAXILLARY TEETH

Triangular
Ovoid
square
TOOTH ANALYSIS
MAXILLARY TEETH

W-L: 80%
 TOOTH ANALYSIS
MAXILLARY TEETH
• Symmetry and mirror imaging
 TOOTH ANALYSIS
MAXILLARY TEETH
• Symmetry and mirror imaging

0.3-0.4mm
 TOOTH ANALYSIS
MAXILLARY TEETH
• Symmetry and mirror imaging
 TOOTH ANALYSIS
MAXILLARY TEETH
• Incisal margin
• Incisal profile
TOOTH ANALYSIS
MAXILLARY TEETH
TOOTH ANALYSIS
MAXILLARY TEETH
TOOTH ANALYSIS
MAXILLARY TEETH
• Illusory perception
• Dimensional variation (surface & contour modification)
• Modifying the transition line angles
• Accentuating horizontal and vertical lines & ridges
• Modifying the buccal contour
Illusory perception
Dimensional variation (surface & contour modification)
Modifying the transition line angles
Accentuating horizontal and vertical lines & ridges
Modifying the buccal contour
TOOTH TO TOOTH PROPORTION
• Golden proportion
TOOTH TO TOOTH PROPORTION
• Golden proportion
TOOTH TO TOOTH PROPORTION
• Illusory perception
INTERDENTAL CONTACT AREA & INTERINCISAL ANGLE
INTERDENTAL CONTACT AREA & INTERINCISAL ANGLE
AXIAL INCLINATION
AXIAL INCLINATION
 TOOTH POSITION & ARRANGEMENT
• Tooth arch
• Square arch
• Ovoid arch
• Tapered arch
TOOTH POSITION & ARRANGEMENT
TOOTH CROWDING
ILLUSORY PERCEPTION
NARROW SPACES
DIASTEMATA
ILLUSORY PERCEPTION
WIDE SPACES
MAXIILARY TEETH
TOOTH COMPOSITION
MAXIILARY TEETH
TOOTH COMPOSITION
TOOTH ANALYSIS
MANDIBULAR TEETH
TOOTH ANALYSIS
MANDIBULAR TEETH
• Contour & proportion
TOOTH ANALYSIS
MANDIBULAR TEETH
• Arrangement
TOOTH ANALYSIS
MANDIBULAR TEETH
• Incisal edge
TOOTH ANALYSIS
FUNCTIONAL ASPECT
• Occlusal relationships
• Maximal intercuspal position
• Centric relation
• Centric occlusion
• Anterior guidance (incisal guidance, canine guidance)
• Overjet
• Overbite
TOOTH ANALYSIS
FUNCTIONAL ASPECT
TOOTH ANALYSIS
FUNCTIONAL ASPECT

Incisal guidance
TOOTH ANALYSIS
FUNCTIONAL ASPECT

canine guidance
TOOTH ANALYSIS
FUNCTIONAL ASPECT

Overbite & Overjet

TOOTH ANALYSIS
FUNCTIONAL ASPECT

Overbite & Overjet

TOOTH ANALYSIS
FUNCTIONAL ASPECT

Overbite & Overjet

TOOTH ANALYSIS
FUNCTIONAL ASPECT

Overbite & Overjet

ESTHETIC & FUNCTION
 ESTHETIC ANALYSIS
V. GINGIVAL ANALYSIS
GINGIVAL ANALYSIS
• Objective
• To restore an ideal outline of the gingival margins while
maintaining adequate biologic integration of the
restorations
GINGIVAL ANALYSIS
• Anatomic characteristics
• Free gingiva
• Attached gingiva
• Alveolar mucosa
 GINGIVAL ANALYSIS
• Distinctive anatomic characteristics
• Color
• Stippling
• Form
• Architecture (scalloping)
• Periodontal biotype
 GINGIVAL ANALYSIS
• Periodontal biotype
• Thick biotype
• Thin biotype
 GINGIVAL ANALYSIS
• Alterations
• Gingival inflammation
• Hypertrophy
• Recession
 GINGIVAL ANALYSIS
• Gingival margin outline
 GINGIVAL ANALYSIS
• Gingival margin outline

3-6 months
 GINGIVAL ANALYSIS
• Gingival Zenith
 GINGIVAL ANALYSIS
• Gingival Zenith
 GINGIVAL ANALYSIS
• Interdental papilla
GINGIVAL ANALYSIS
• Interdental papilla
GINGIVAL ANALYSIS
• Edentulous ridges
• Normal
• Deformed
• Class I: BL defect
• Class II: apicocoronal defect
• Class III: combined defect
ESTHETIC CHECK LIST