Dentofacial Composition: An Entire Aesthetic Concept

Michael Stiller; Barbara Peleska; Rim Hmaidouch; Jürgen Mehrhof; Dana Weigel

doi:10.1055/s-0035-1565247

Facial Plastic Surgery, Table of Contents

Facial Plast Surg 2015; 31(05): 504-512
DOI: 10.1055/s-0035-1565247

Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Dentofacial Composition: An Entire Aesthetic Concept

Michael Stiller

¹Department of Experimental Orofacial Medicine, School of Dental Medicine, Philipps University, Marburg, Germany

,

Barbara Peleska

²Department of Prosthodontics, School of Dental Medicine, Philipps University, Marburg, Germany

,

Rim Hmaidouch

³Department of Postgraduate Education – Master of Oral Implantology, School of Dental Medicine, Johann Wolfgang Goethe University Frankfurt, Frankfurt/Main, Germany

,

Jürgen Mehrhof

⁴Zahntechnik Mehrhof GmbH, Oral Design Berlin, Berlin, Germany

,

Dana Weigel

⁵Private Practice of Aesthetic Dentistry, Berlin, Germany

› Author Affiliations

Abstract

The aesthetic appearance of the mouth region, in addition to the eye and nose area, is the impressive element for facial aesthetics. Therefore, the reconstruction of the intraoral region is very important for the facial aesthetics in the case of genetic dysplasia, trauma, or even in cases for rejuvenating purposes only. The entire region is complex so that in many patient cases only the team work of restorative dentists, surgeons, and orthodontists will be effective. A key role is played here by the dental technician. Besides the frequent necessity of osseous augmentation, the mucogingival complex needs to be, in most cases, harmonized and reconstructed, respectively. There is often a lack of keratinized gingiva and disturbing cicatrice tracks. Quite frequently the mucogingival appearance is also unsatisfactory due to preceding operations and attempted plastic coverages. The aim of this report is to describe the successful surgical and prosthetic treatment of aesthetically and functionally impaired intraoral hard and soft tissue. For surgeons who are interested in aesthetics, it is advisable to learn from experiences of a specialized restorative dentist, oral surgeon, and orthodontist.

Keywords

dentofacial composition - dental aesthetics - dental implants

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References

References
1 Rufenacht CR. Ästhetik in der Zahnheilkunde: Grundlagen und Realisierung. Berlin: Quintessenz; 1990
2 Livio M. The Golden Ratio: The Story of Phi, the World's Most Astonishing Number. New York: Broadway Books; 2003
3 Zeising A. Neue Lehre von den Proportionen des menschlichen Körpers, aus einem bisher unerkannt gebliebenen, die ganze Natur und Kunst durchdringenden morphologischen Grundgesetz entwickelt und mit einer vollständigen historischen Übersicht der bisherigen Systeme begleitet. Leipzig: Rudolph Weigel; 1854
4 Beutelspacher A. Der goldene Schnitt. Heidelberg: Spektrum Akademischer Verlag GmbH; 1996
5 Lombardi RE. The principles of visual perception and their clinical application to denture esthetics. J Prosthet Dent 1973; 29 (4) 358-382
6 Rufenacht CR. Grundsätze der ästhetischen Integration. Berlin: Quintessenz; 2000
7 Bumann A, Lotzmann U. Farbatlanten der Zahnmedizin, Bd. 12, Funktionsdiagnostik und Therapieprinzipien. Stuttgart: Thieme Verlag;
8 Cortellini D, Canale A. Bonding lithium disilicate ceramic to feather-edge tooth preparations: a minimally invasive treatment concept. J Adhes Dent 2012; 14 (1) 7-10
9 Bailleul-Forestier I, Molla M, Verloes A, Berdal A. The genetic basis of inherited anomalies of the teeth. Part 1: clinical and molecular aspects of non-syndromic dental disorders. Eur J Med Genet 2008; 51 (4) 273-291
10 Witkop Jr CJ. Amelogenesis imperfecta, dentinogenesis imperfecta and dentin dysplasia revisited: problems in classification. J Oral Pathol 1988; 17 (9–10) 547-553
11 Lixin X, Hu X, Mehrhof J, Nelson K. Clinical evaluation of a fixed (retrievable) implant-supported prosthesis in the edentulous jaw: a 5-year report. Quintessence Int 2010; 41 (4) 277-283