Shaivy JC 5TH
Shaivy JC 5TH
Shaivy JC 5TH
Guided by
Balanced Smile
Presented by:
Dr. Manesh lahori Shaivy ambuj
Dean & H.O.D
KDDC
Introduction
• In PROSTHODONTIC AND orthodontic
treatment, esthetics has traditionally been
associated with profile enhancement.
• Both the Angle classification of malocclusion
and the cephalometric analysis have focused
attention on the profile, without considering
the frontal view.
• The purpose of this article is to review the
eight major components of the smile and
discuss their impact on prosthodontic
diagnosis and treatment planning.
Eight components of balanced smile
• 1)lip line
• 2)smile arc
• 3)upper lip curvature
• 4)lateral negative space
• 5)smile symmetry
• 6)occlusal frontal plane
• 7)dental components
• 8)gingival components
Lip line
• The lip line is the amount of vertical tooth
exposure in smiling—in other words, the height
of the upper lip relative to the maxillary central
incisors.
• A lip line is optimal when the upper lip reaches
the gingival margin, displaying the total
cervicoincisal length of the maxillary central
incisors, along with the interproximal gingivae.
High lip line
• A high lip line exposes all the clinical crowns
plus a contiguous band of gingival tissue.
• Low Lip Line: low lip line displays less than
75% of the maxillary anterior teeth.
• Because female lip lines are an average 1.5mm
higher than male lip lines, 1-2mm of gingival
display at maximum smile could be considered
normal for females.
• The starting point of a smile is the lip line at
rest ,with an average maxillary incisor display
of 1.91mm in men and twice in female ,3.40
mm
• With aging, there is a gradual decrease in
exposure of the maxillary incisors at rest and
much lesser in smiling.
A. Patient with excessive lip elevation from rest position to full smile. B,C. After orthodontics and
maxillary
impaction surgery. Persistence of some gingival display after treatment (C) is due to hypermobile lip
and
short clinical crowns. More surgical impaction would have resulted in no incisor display at rest (B).
B C
• Excessive lip elevation should therefore be
recognized as a limiting factor
B
A
• If there is little or no incisor display at rest, but the lip line is normal in
smiling, the crown height can be increased incisally with cosmetic
dentistry.
• 2)bracket positioning
B
A
C
4) Lateral negative space
• The transverse dimension of
the smile is also referred to
as “transverse dental
projection”.
• Lateral negative space is the A
buccal corridor between the
A. Patient with lateral negative space.
posterior teeth and the
B. After rapid palatal expansion
corner of the mouth in
smiling.
B
5)Smile symmetry
• Smile symmetry, the relative positioning of the corners of the
mouth in the vertical plane, can be assessed by the parallelism of
the commissural and pupillary lines.
• An oblique commissural
line in an asymmetrical
smile can give the illusion
of a transverse cant of the
maxilla or a skeletal
asymmetry.
Patient with asymmetrical smile due to
deficiency of muscle tonus on one side
of face
6)Frontal occlusal plane
• an upper incisal line coincident with the border of the lower lip.