Aesthetics in Complete Denture - A REVIEW

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Volume 5, Issue 10, October – 2020 International Journal of Innovative Science and Research Technology

ISSN No:-2456-2165

Aesthetics in Complete Denture – A REVIEW


1
Dr.Ranjani Thillaigovindan MDS,
Reader,
Thai Moogambigai Dental College and Hospital, Chennai, India
2 3
Dr.W.Esther Sabatini Rebekah, Dr. Preetha.D
Junior Resident, Junior resident,
Thai Moogambigai Dental College, Chennai, India. Thai Moogambigai Dental College, Chennai, India.

Abstract:- Aesthetics is derived from a greek word. produces attractiveness beauty of an individual (7). Color
aesthetics plays a major role in modern dentistry. places an important role in aesthetics. Hue intensity values
Complete denture should have great esthetics and are three components of color. (4).
patient must be satisfied with the overall esthetics. The
present article reveals about impact ofaesthetics in  Orientation of occlusal plane:
complete denture. During vertical dimension the degree of jaw opening
must be remembered by the patient while attain the tactile
Keywords:- Aesthetics, Complete Denture, Occlusal sense. Mandible is at rest during vertical dimension the
Rim,Vertical Dimension. maximum closing force is obtained. The pressure of vertical
dimension may vary. These serves in between the speech
I. INTRODUCTION of interocclusal distance and position of the occlusal plane8.
Orientation of the occlusal plane is done in saggital view.
Aesthetics is derived from the esthetics a Greek word The occlusal plane should lie parallel to champers line.and
(1).Aesthetic starts at the time of diagnosis of patients and in frontal view it should be parallel to inter pupillary line.
completes with acceptance of patient( 2 ).Websters defined Fox plane which is designed by Dr.frank fox is used to
aesthetics in third new international dictionary, and he also measure this relation.(2). If the plane is very high correction
said that beauty lies in the eyes off the holder. Hierarchy of of position of Lower lip is difficult and when the plane is
dental needs was given by doctor priest, and he said that if very low the lip will enhance labial side of the maxillary
the patient doesn’t have fit prosthesis. He may not have teeth, and this might affect the speech.(1).
satisfied desire with the function of prosthesis(3). Aesthetic
dental treatment is considered as an artistic and subjective  Occlusal rim:
design of components which is used to create beauty( 4). The occlusal rim is fabricated in such a manner
Aesthetic of denture consist of two components supporting resemble the natural occlusion. The occlusal rim should be
denture and teeth (5).Aesthetics plays an important role fabricated fulfilling space occupied by the natural
in prosthodontics. Prosthodontics and surgery treatment are teeth Artwell and Rahm suggested mandibular teeth is more
done to improve both aesthetics, and oral health (6). The visible with age, and Vig says that about 1.23 mm
present article empathizes on Aesthetics in complete mandibular teeth is visible in men while 0.49 mm is visible
denture. for women.(2).orientation of occlusal plane plays a major
role in providing aesthetics the plane forms an important
 Patient evaluation: part in a concept of balanced articulation. In mandibular
Cosmetic index play an important role to achieve region the occlusal plane is related to mastication
aesthetics in patients. Old denture immediate denture and all functionally some landmarks used in orientation
records on the preextraction radiograph photograph Plays a of occlusal plane in mandibular region
major role in bringing aesthetics in complete denture(2). In are buccinator groove lip commisures lateral borders of the
1939 Baker and Smith classified personality into three tongue, retromolar pad region. (9)
groups Group1: are people who are adjustable these type of
people are ideal patients, and they are successful in both life  Selection of anterior teeth:
and career. Group2: people who have inadequate There are many concepts for teeth selection such as
personality. Group3: Psychotic come under group 3. whites concepts, H Pounds concepts, dentogenic concepts,
Winkler’s concepts, leon william’s concept. The factors for
 Aesthetic in denture: selecting the size of the tooth include, size of the face, size
Smokers can given special consideration as they have of the maxillary arch, incisive papilla and the canine
stains in their oral cavity for these cases yellow gray brown eminence or the buccal frenum maxillomandibular relation,
shades are given. There are different type of shades contour of the residual ridge, vertical distance between the
available for Complete denture, removable partial denture ridges, lips, nasal width as a guide, inner canthal distance as
which gives appearance of natural teeth(3). Aesthetic of a guide. (2). There are some anthropometric measurements
denture can be defined as cosmetic produced by denture that reported like philtrum width, nasal width, and inter

IJISRT20OCT658 www.ijisrt.com 1159


Volume 5, Issue 10, October – 2020 International Journal of Innovative Science and Research Technology
ISSN No:-2456-2165
commissural width Size, form, brilliance, hue, translucency,  Acceptance by the patients:
distribution of enamel and dentin, asymmetry are the main The aesthetics can be well tested with the patient since
reasons for selecting the tooth. (9). Methods for selecting the patient is the one who will take care of the denture.
anterior teeth are pre-extraction records usage of golden Education should be given to the patient at every step of
proportion, usage of red proportion. Chu’s esthetics scale prosthesis. Micheal proposed that patient involvement, and
plays an important role in selection of anterior teeth. their preference is the modern concept of denture aesthetics
(aesthetic n cd) (2).

 Arrangement of teeth: II. CONCLUSION


There is a technological flowchart for automatic
arrangement of teeth for complete denture. For obtaining 3D Thus Denture must be incorporated carefully by the
data of occlusal rim and wax denture bases constraints set of dentist for the treatment plan. For the selection of posterior
individual characteristics are analyst. 3D data of artificial teeth there are no guidelines but depends on supporting
tooth is obtained from construction of artificial tooth tissues of the patients. Dentist is goal is to attain the smile
database. (complete denture tooth arrangement ningdai) by including various aesthetics elements. Prosthodontist
Arranged teeth should be assessed in three, different planes should have the power to restore the smile of the patient.
include frontal, sagittal, and occlusal planes In arranging the Skills, scientific information regarding the setup of the tooth
maxillary teeth the incisal edge of central incisors and are important one to achieve natural look in complete
canine should rest on occlusal plane whereas lateral incisor denture. For various prosthetic treatment immediate
is 1 mm short of the occlusal plane. The long axis of the dentures are still indispensable one and very useful for
central incisors is perpendicular, and for lateral incisor is functional, aesthetics, and psychological maintenance of
slightly angulated whereas the long axis of the canine patients oral health care.
is angulated slightly more than lateral incisor in respective
of occlusal Plane. (2). The arrangement of mandibular teeth REFERENCES
includes placement of central incisors
upright amd mesially titled canine known as sleeping canine [1]. Lang BR. Complete denture occlusion. Dent Clin
respective to the occlusal plane. For enhancing the North Am. 2004 Jul;48(3):641-65, vi
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given to the denture.(1). Research |Vol. 8|Issue 1| January 2020
[3]. IOSR Journal of Dental and Medical Sciences (IOSR-
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 Characteristic of denture: 10.1016/j.cden.2004.03.006
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1. Changing the long axis of the teeth
2. Rotation of teeth
3. Using an eccentric midline
4. Diastema
5. Long clinical crowns
6. Silver filling can be given on posterior teeth
7. A hairline crack can be the given in the teeth.(1)

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