Tooth Selection

SELECTION OF
ARTIFICIAL TEETH
Selection criteria protocol
■ Selection of tooth size

■ Selection of tooth shape (mold)
■ Selection of tooth color (shade)
■ Selection of tooth material
Pre-extraction Records
■ Study casts
■ Photograph
■ Radiograph
■ Extracted teeth
■ Previous dentures
Pre Extraction Study Cast
Pre Extraction Photographs
Pre Extraction Radiograph
Extracted teeth
■ EXCELLENT GUIDES ON SIZE AND FORM ( THOUGH

NOT ON COLOUR).
Previous Dentures
Problems faced during Tooth selection
■ ABSENCE OF PRECIOUS RECORDS;
– Patient’s memory is usually vague and not entirely reliable

– Teeth are available in multiple shapes, sizes and color, so
dentist face the difficulty of selecting the teeth for a particular
individual
POST EXTRACTION
METHODS
Selection of teeth size is based on:
■ width (mesio-distal)
■ height (occluso-gingival)
■ thickness (facio-lingual)
SELECTION OF
ANTERIOR TEETH
TOOTH WIDTH
Determining tooth width
■ Average width of maxillary central incisor =
Bizygomatic width/ 16
■ Average width of maxillary anterior teeth =

Bizygomatic width/ 3.3
■ Average width of maxillary anterior teeth =

Circumference of head/ 10
Size of the maxillary arch
■ This distance gives the approximate
width of all anterior & posterior teeth
Distance between the canine eminences
■ Distance between the distal of one canine eminence

to the other eminence indicates the combined width
of the maxillary anterior teeth
VERTICAL
HEIGHT OF TEETH
Inter-arch space
■ Reduced inter-arch space would require the use of

shorter teeth
LABIO-LINGUAL
THICKNESS
■ Will depend on lip fullness required to restore nasio
labial angle
SHAPE OF THE
TEETH
Teeth Molds are available for different Facial
Forms
■ Squarish
■ Ovoid
■ Tapering faces
Selection on the basis of lateral facial
profile
■ Convex
■ Straight
DENTO-GENIC
CONCEPT
■ Art, practice and technique of creating an illusion of natural teeth in
artificial dentures
■ Was proposed by Frush & FIsher in 1956
■ Following factors affect the selection of teeth;
– Gender
– Personality
– Age
The dentogenic concept is an esthetic
philosophy. The prosthodontist may
replace the lost dentition in such a
manner as to effect an appearance
which is complimentary to the sex,
personality, and age of the patient.
Musculine and Feminish Teeth
Masculine features:
Darker, Rotated, Stained,
Worn off , Squarish Teeth
Feminist features:
Lighter , Symmetrical, Rounded
/ tapering molds
AGE
■ Lighter shade teeth for younger and darker shade teeth for
the older patients
■ Wear pattern or attrition can be induced in old patients
■ Visibility of the mandibular teeth increases with age

because of the loss of muscle tone
■ Smile line is high in younger patients and low in older
patients
■ Gingival tissues recede with age, this appearance can also

be depicted in the dentures
Personality
Teeth should be selected according to the patients
personality (vigorous, delicate.)
More squarish and large teeth-> vigorous people.
The anteriors should be in flat plane for executive or

delicate people, Teeth should be relatively smaller and
more symmetrical
Selection of shade or color
■ The color has 3 basic properties;
– Hue : Color ( red, green , blue)
– Chroma : Saturation of that color
– Value : How light or dark a color is ( dark blue or light blue)
– Transulucency : ability of an object to allow light to pass

througj
Method of Pair Comparison
A display of all your shades and
sizes will confuse the patient
Make the choice simple by letting

them select the preferred shade /
size from the two
Pair Comparison for Shade
Show your patient the complete shade guide and select the two lightest
and darkest tabs
Find out which one they prefer and ask them to point to that one
Delete the rejected colour and select another shade from the preferred
half of the shade guide
Repeat this pair comparison and after two or three selections you will
have the shade that they want
■ While selecting the shade or color, observations are made in
three positions;
■ Outside the mouth along the side of the nose
■ Under upper lips with only incisal edges exposed
■ Under the lips with the cervical end exposed while patient
smiles
SELECTION OF
POSTERIOR TEETH
■ Size
■ Form
■ Color
■ Material
Size of the posterior teeth
■ Bucco-lingual width
■ Mesio-distal width
■ Occluso-gingival height
Bucco-lingual width
■ Should be greatly reduced than the width of the natural
teeth
■ Reduces amount of stresses to the supporting tissues of the

basal seat
Mesiodistal length
In mandible, it should be from the distal position
of canine to the anterior border of the retromolar
pad, must end before the inclined slope of RMP
In maxilla, the posterior limit is just
anterior to the maxillary tuberosity
Occluso-gingival height
■ Depend upon available inter-occlusal space and the
length of anterior teeth
Form of the posterior teeth
■ Cuspal teeth
– Anatomic teeth
– Semi anatomic teeth
■ Cuspless teeth
Form of teeth
Monoplane/ Cuspless
Color of Teeth
■ Should harmonize with the color of anterior

teeth
Material of the teeth
■ Porcelain teeth
■ Acrylic teeth
■ Composite teeth
■ Acrylic teeth with amalgam inserts
■ Acrylic teeth with cast gold occlusal surfaces
Acrylic Teeth
1: Inexpensive and easily available.
2. Easy to grind and adjust
3. Absorbs occlusal stresses.
4. Does not wear opposing natural teeth
5. Bonds chemically to the denture resin.
6. Softer impact sound.
Disadvantages
1: Wears easily
2. Vertical dimension may be lost because of
wear
3. Stains and discolors with time
4. Loss of chewing efficiency with time.
Porcelain Teeth
1: Very esthetic
2. Does not stain and discolor easily.
3. Does not wear easily.
4. Maintains vertical dimension for years.
5. Maintains masticating (comminuting)
efficiency for years.
4. Can be reused through rebasing.
Disadvantages
1. Clicking sound on impact.

2. Difficult to grind and adjust.
3. Requires adequate inter occlusal distance.
4. Abrades or chips opposing natural teeth.
5. Does not form a chemical bond to the denture
base.
6. Being brittle, it may chip or fracture easily
Teeth with metal occlusal surfaces
THANKYOU!!!!!

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SELECTION OF

■ Selection of tooth size

■ EXCELLENT GUIDES ON SIZE AND FORM ( THOUGH

■ ABSENCE OF PRECIOUS RECORDS;

– Patient’s memory is usually vague and not entirely reliable

■ Average width of maxillary anterior teeth =

■ Average width of maxillary anterior teeth =

■ Distance between the distal of one canine eminence

■ Reduced inter-arch space would require the use of

■ Was proposed by Frush & FIsher in 1956

■ Following factors affect the selection of teeth;

■ Wear pattern or attrition can be induced in old patients

■ Visibility of the mandibular teeth increases with age

■ Gingival tissues recede with age, this appearance can also

More squarish and large teeth-> vigorous people.

The anteriors should be in flat plane for executive or

– Hue : Color ( red, green , blue)

– Chroma : Saturation of that color

– Value : How light or dark a color is ( dark blue or light blue)

– Transulucency : ability of an object to allow light to pass

Make the choice simple by letting

■ Outside the mouth along the side of the nose

■ Under upper lips with only incisal edges exposed

■ Reduces amount of stresses to the supporting tissues of the

■ Should harmonize with the color of anterior

1. Clicking sound on impact.

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