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Symmetry
Perfect Symmetry Gross Asymmetry
Facial Asymmetry
2 Left Sides
Normal
2 Right Sides
Smile Asymmetry
2 Left Sides
Normal
2 Right Sides
Cervical necks tilt posteriorly from the central incisor to the canine
The greatest height of the free gingival margin is slightly distal to the mesiodistal center of the tooth
Canines should be tilted more posteriorly than other teeth, with a more prominent cervical neck
Bucco-Lingual Tilt
Maxillary Anterior Teeth
Facial surface of central is perpendicular occlusal plane
Central
Canine
Bucco-Lingual Tilt
Mandibular Anterior Teeth
Central is proclined Lateral is more upright
Canine has a
prominent neck
Central
Canine
Insufficient
Excessive
Correct
Canine Offset
Check for one half tooth offset between maxillary & mandibular teeth Ensures posterior teeth have normal cusp to fossa relationship for lingualized occlusion
Cannine Offset
Correct
Insufficient
Phonetic Assessment
Maxillary centrals should lightly touch vermilion border of lower lip for F, V sounds S sounds - incisal edges should approximate each other
Lisping
Too much horizontal overlap
Cant approximate incisal edges
Lisping
Palatal contour too constricted
Remove wax to provide more room
Anterior Teeth Not Identical Position of Natural Teeth Slightly altered position from precursors Denture stability compromised No anchorage from roots
Central & lateral incisors must begin to turn along the curvature of the arch
Facial Support, OVD & Tooth Setup Can Dramatically Affect Appearance