Esthetic in complete denture

‫مريم فالح‬.‫د‬
‫زهراء حسن‬.‫د‬
 :Dental esthetics 
The effect produced by adental” 
Denture esthetic
prosthesis that affects the beauty of
”person
 Accurate impressions 
STEPS FOR Jaw relation 
ACHIEVING
Selection of anterior teeth 
COMPLETE
DENTURE Arrangement of teeth 
ESTHETIC
Characterisation of denture 
 The objective of the impression is to record and 
transfer the intraoral situation of the soft tissue
morphology
Accurate recording of denture base extensions 
relative to functional movements of the patient
ACCURATE need to be captured
IMPRESSION An accurate denture impression can ensure your 
:restoration will achieve three critical factors
Preservation of the Soft tissue and Alveolar Ridge 
Good Stability and Retention 
Patient approved esthetic 
 Correct vertical dimension is essential for 
properpositioning of Orbicularis oris and
.associated muscles

JAW
RELATION
 The mandibular anterior teeth are * 
positionedto exhibit a 1 to1l/2 mm clearance
with themaxillary anterior teeth as the patient
.speaks“S” sounds

PHONETIC
 -:Guide to select anterior tooth size are 
Size of face 
Size of maxillary arch 

METHODS OF Incisal papilla and canine eminence or buccalfrenum 

TOOTH Maxillomandibular relations 

Contour of the residual ridges 
SELECTION
Vertical distance between the ridges 
The lips 
Nasal width 
 Size of the teeth should be in proportion tothe face and *
.the head
Cephalometric measurements * 
Truebyte tooth indicator * 

SIZE OF FACE
 Make the measurements from the crest of incisalpapilla 
to the hamular notches and from one hmular notch tothe
opposite notch
The combined length of the triangle in millimeters is 
.used onthe selector
SIZE OF The circular slide rule indicates the toothsizes,anterior 
MAXILLA and posterior for both arches
 Any disproportion in the size beween the maxillary 
andmandibular arches influences the length,width
andposition of the teeth

MaxilomandIbular
relation
 Teeth should be placed in relation to follow thecontour of 
the residual ridges that existed whennatural teeth were
.present

Contour of
residual ridge
 According to the available inter-archspace,length of the 
.teeth can beselected
Vertical Minimal of the denture base shouldbe visible in the final 
distance .prosthesis
between the When the space is available,it is more esthetically * 
ridges acceptable to use tooth longenough to eliminate the
.display of the denturebase
 During relaxed state the labial surface of themaxillary * 
.anterior teeth support the upper lip
When the teeth are together the incisal edgeof the * 
maxillary incisors supports the superiorborder of the
Lips .lower lip
In speech anterior teeth contact the lower lipat the * 
junction of the moist and dry surfacesof the vermiliion
.border
 nasal width aguide,which relates the interalar width to
.thespace available for setting the anterior teeth

Nasal width
 The dentogenic concept is an esthetic 
philosophy. Its purpose is to present
knowledge whereby the prosthodontist may
Dentogenic replace the lost dentition in such a manner as to
effect an appearance which is complimentary to
the
sex, personality, and age of the patient 
 Feminine formis 
pherical withroundness,smoothness and 
Sex factor .softness
Masculine form is cuboidal,withhard,muscular 
.vigorous contours
 The personality spectrum can be used in ourartistic » 
Personality endeavor to inject a variety of toothform and tooth
position,at the comprehensivelevel of individual patient
factor .personality analysis
 The dignity of advancing age must beappropriately * 
potrayed in the denture bycareful tooth colour selection
.and mouldrefinement

Age factor Lighter shades are considered appropriate foryoung * 

.people and darker shades areconsidered for older people
Bluish incisal tinges are considered for youngpeople * 
.and grayish shades for the older
 A teeth arrangement that is too perfect may not be ideal. 
Infact, slight modifications such as overlapping,
tilting,rotation and incisal variations may contribute to a
naturallooking denture.Use an eccentric midline.Place
one maxillary central incisor in an anterior directionto
the other central incisor.Create asymmetry for the
maxillary right and left cuspids.Rotate one in posterior

Arrangements direction than the other

of teeth
 Gingival tissues recedes with age. Selecting a long 
tooth,contouring the wax to show gingival recession and
thenstaining a bit , can give a natural
.appearanceGrinding the incisal edges
Teeth abrade with age.Reshaping the incisal edges and 

Arrangements mesiodistal diametermakes it possible to modify any

.tooth to desired form
of teeth Create asymmetry for the maxillary right and left 
cuspidsalso helps like rotating one in posterior direction
.ascompared with the other

Spacing and diastema should be given wheneverpossible 

between lateral incisor and cuspid
 :Two principal colors are 
Yellow-more prominent in the gingival thirdGray — 
incisal third
With thin incisal edges the yellow disappears and the 
Color of teeth edgeappears blue gray
Eyes fatigue to color perception very rapidly and for 
thisreason they should not be focused on a tooth more
.than a fewseconds
 The esthetic denture bases are indicated for 
,Patients with an active upper lip — 
,Patients with a prominent premaxillary process — 
Denture based
Theatrical performers, singers, and others whomay — 
carctristic expose normally unobserved gum tissueareas during their
,performances
The psychologic effect on the patient — 
 The gingival sulcus is produced by inserting a 
No.23explorer tip or a similar sharp instrument
Gigival sulcus betweenthe tooth and the wax at the gingival margin
.andmoving it mesiodistally along this junction
Stippling • The surface of natural attached
gingivaeappears rough when it is wiped dry.
• * This stippled effect is produced on the
dentureby use of a stiff bristled tooth brush.
 :Morphological factors 
Bulging lip * 
Falling in of upper lip 
Severe overbite 
Contracted arch 
Crowded teeth 
Errors in Canine too prominent 
esthetics Anterior teeth show too much 
Posterior teeth show too much 
Dark teeth 
Too white teeth 
Teeth and face mismatch 
Denture base material too obvious 
 : Physiologic factors 
Anterior tooth movement * 
Errors in Clicking sounds 
esthetics ’Pronouncing ‘sh’ instead of ‘s 
DroolingLisping 