Guidelines To Lip Position in The Construction of Complete Dentures
Guidelines To Lip Position in The Construction of Complete Dentures
INTRODUCTION
MORE NO. OF RPD : RETAIN MORE
NATURAL TEETH
ELDERLY PATIENTS : BETTER
EDUCATED
SUPPORT FROM
UNDERLYING
STRUCTURES
(ANTERIOR
TEETH & ASSO.
ALVEOLAR
BONE)
RICKETTS (1957)
ESTHETIC PLANE
ELLINGER
(1968):POOR
REFERENCE PLANE
RESORPTIVE CHANGES
LOSS OF BUCCAL BONE &
AN ASSO. DECREASE IN RIDGE Ht. IN
ANTERIOR REGION OF MAXILLA
DENTOFACIAL PROFILOMETER
(SCHER,1979)
TO QUANTIFY FACIAL PROFILE
HELP TO PRESERVE NATURAL FACIAL
CONTOUR
IT MEASURED NASOLABIAL ANGLE,
LENGTH OF UPPER LIP & HORI. PART
OF NOSE AT THE PRE-EXTRACTION
PHASE
DENTOFACIAL PROFILOMETER
FRIEDMAN IN 1977
USE FACIAL MEASUREMENTS,
PROFILE PATTERNS & PHOTOGRAPHS
TO OBTAIN INDEX OF LIP CONTOURS
SERVE AS GUIDE TO POSITIONING
THE ANTERIOR TEETH
TENSED, STRETCHED
APPEARANCE OF THE LIPS
TENSION LINES AROUND THE
MOUTH
DISTORTION OF PHILTRUM
OBLITERATION OF THE
MENTOLABIAL, NASOLABIAL &
LABIOMARGINAL SULCI
ERADICATION OF
NATURAL CONTOURS
OF LOWER PART OF FACE
PERPETUATION OF GENERAL
APPEARANCE OF COLLAPSE
AROUND THE MOUTH
REDUCTION IN SIZE OF
VERMILION BORDERS OF THE
LIPS
DROOPING OF CORNERS OF
THE MOUTH
DEEPENING OF
MENTOLABIAL,
NASOLABIAL &
LABIOMARGINAL
SULCI
OBLITERATION OF PHILTRUM
COMPARISION OF THE
EDENTULOUS &
DENTATE STATES
TALLEGREN et al(1991)
IMMEDIATE DENTURE CASES :
ANTERIOR ANATOMIC
LANDMARK (OCCLUSAL PLANE)
ELLINGER(1968)
FAILURE TO PLACE THE
ANTERIORS
UNSUPPORTED LIPS,
IMPROPER MUSCLE TONE,
PREMATURE AGING,
ALTERED FACIAL
EXPRESSION & FAULTY
CONTOURS
VIG (1961)
IF LABIAL FLANGE IS THICKENED =
SUNKEN, UNCOSMETIC OVAL PROFILE
WITH INVERTED PROFILE
FORSBERG(1979):
LIP LENGTH [DENTATE],
UPPER LIP LENGTH INCREASES WITH
AGE
MAXILLARY INCISORS : AT OR
SUPERIOR TO THE UPPER LIP
AVOID DENTURE LOOK
REPLACEMENT OF CENTRAL
INCISORS
AVG : 12.5 mm
BIOMETRIC GUIDE
SUMMARY
VARIETY OF METHODS :
TO ESTABLISH GUIDELINES
NO ONE METHOD CAN BE SAID TO BE
FOOLPROOF
INCISAL PAPILLA & PRE-EXTRACTION
PHOTOGRAPHS