ESTHETIC PRINCIPLES. Pascal Magne Dr Med Dent PhD

Transcription

1 I. Gingival health II. Interdental closure III. Tooth axis IV. Zenith of the gingival seam V. Balance of the gingival levels VI. Level of the interdental contact VII. Relative tooth dimensions VIII. Basic features of tooth form IX. Tooth characterization X. Surface texture XI. Color XII. Incisal edge configuration XIII. Lower lipline XIV. Smile balance ESTHETIC PRINCIPLES Pascal Magne Dr Med Dent PhD Copyright Prof. Pascal Magne 1

2 Copyright Prof. Pascal Magne 2

3 Copyright Prof. Pascal Magne 3

4 Copyright Prof. Pascal Magne 4 has an answer for everything never has time, nervous, restless learns quickly under direction likes to be in leadership roles task, result, detail oriented need success and recognition but also safety order and structure problem solving approach math & science uses logics talks in feelings no sense of time very charismatic and extroverted search for fun activities, creative communicative, often spiritual inventive, inspire others with their ideas need a lot of space sense for the whole risk taking

5 Copyright Prof. Pascal Magne 5

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8 objective I. Gingival health II. Interdental closure III. Tooth axis IV. Zenith of the gingival seam V. Balance of the gingival levels VI. Level of the interdental contact VII. Relative tooth dimensions VIII. Basic features of tooth form IX. Tooth characterization X. Surface texture XI. Color XII. Incisal edge configuration XIII. Lower lipline XIV. Smile balance Copyright Prof. Pascal Magne 8

9 You need to know them not to follow them strictly but in order to identify when their are absent (their absence = visual tension) Copyright Prof. Pascal Magne 9

10 subjective Variations in tooth form Tooth arrangement and position Relative crown length Negative space BALANCE! Copyright Prof. Pascal Magne 10

11 They are needed to balance visual tensions and create dynamic harmony Copyright Prof. Pascal Magne 11

12 objective I. Gingival health II. Interdental closure Copyright Prof. Pascal Magne 12

13 objective I. Gingival health II. Interdental closure Copyright Prof. Pascal Magne 13 Esthetic Result: 50% perio 50% teeth

14 Copyright Prof. Pascal Magne 14 MAGNE P., MAGNE M., BELSER U. The esthetic width in fixed prosthodontics J Prosthodont 1999;8: Doing with the tooth what can t be done with the gingiva!

15 They are not natural but provide harmony as a compensation for unnatural occurrences (e.g. flat periodontal architecture) Copyright Prof. Pascal Magne 15

16 Copyright Prof. Pascal Magne 16 UNIVERSAL CONCEPT APPLICABLE TO ANY RESTORATIVE TECHNIQUE: CROWNS/IMPLANTS, BONDED PORCELAIN (VENEERS), DIRECT COMPOSITES

17 NEW FROM THE 90s Copyright Prof. Pascal Magne 17

18 Copyright Prof. Pascal Magne 18 objective I. Gingival health II. Interdental closure III. Tooth axis

19 objective I. Gingival health II. Interdental closure III. Tooth axis IV. Zenith of the gingival seam Copyright Prof. Pascal Magne 19

20 Copyright Prof. Pascal Magne 20 objective I. Gingival health II. Interdental closure III. Tooth axis IV. Zenith of the gingival seam V. Balance of the gingival levels

21 Copyright Prof. Pascal Magne 21 objective I. Gingival health II. Interdental closure III. Tooth axis IV. Zenith of the gingival seam V. Balance of the gingival levels VI. Level of the interdental contact

22 objective I. Gingival health II. Interdental closure III. Tooth axis IV. Zenith of the gingival seam V. Balance of the gingival levels VI. Level of the interdental contact VII. Relative tooth dimensions VIII. Basic features of tooth form IX. Tooth characterization X. Surface texture XI. Color XII. Incisal edge configuration XIII. Lower lipline XIV. Smile balance DOMINANCE Copyright Prof. Pascal Magne 22

23 Dominance is essential to unity. Central incisors dominate the smile. Smile dominate the face. Copyright Prof. Pascal Magne 23

24 Copyright Prof. Pascal Magne 24...GOLDEN PROPORTION IS A FEELING NOT A NUMBER. P. Magne

25 Copyright Prof. Pascal Magne 25

26 Magne et al. J Prosthet Dent 2003 Copyright Prof. Pascal Magne 26 Worn Unworn 81% 79% 87% < 73% 73% < 78% <

27 Tsukiyama et al. J Prosthet Dent 2012 Copyright Prof. Pascal Magne 27 Worn Unworn 75% 75% 78% < 67% 67% < 72% <

28 objective I. Gingival health II. Interdental closure III. Tooth axis IV. Zenith of the gingival seam V. Balance of the gingival levels VI. Level of the interdental contact VII. Relative tooth dimensions VIII. Basic features of tooth form IX. Tooth characterization X. Surface texture XI. Color XII. Incisal edge configuration XIII. Lower lipline XIV. Smile balance Copyright Prof. Pascal Magne 28

29 Haushofer, J., Baker, C. I., & Kanwisher, N. (2005) Greater sensitivity to convexities than concavities in human lateral occipital complex. Journal of Vision, 5(8):904 Copyright Prof. Pascal Magne 29

30 Additive waxup lobes are convex Copyright Prof. Pascal Magne 30

31 objective I. Gingival health II. Interdental closure III. Tooth axis IV. Zenith of the gingival seam V. Balance of the gingival levels VI. Level of the interdental contact VII. Relative tooth dimensions VIII. Basic features of tooth form IX. Tooth characterization X. Surface texture XI. Color XII. Incisal edge configuration XIII. Lower lipline XIV. Smile balance Copyright Prof. Pascal Magne 31

32 objective I. Gingival health II. Interdental closure III. Tooth axis IV. Zenith of the gingival seam V. Balance of the gingival levels VI. Level of the interdental contact VII. Relative tooth dimensions VIII. Basic features of tooth form IX. Tooth characterization X. Surface texture XI. Color XII. Incisal edge configuration XIII. Lower lipline XIV. Smile balance Copyright Prof. Pascal Magne 32

33 objective I. Gingival health II. Interdental closure III. Tooth axis IV. Zenith of the gingival seam V. Balance of the gingival levels VI. Level of the interdental contact VII. Relative tooth dimensions VIII. Basic features of tooth form IX. Tooth characterization X. Surface texture XI. Color XII. Incisal edge configuration XIII. Lower lipline XIV. Smile balance Copyright Prof. Pascal Magne 33

34 polar_eyes by Bio-emulation TM Copyright Prof. Pascal Magne 34

35 Bilaminar shade guide Copyright Prof. Pascal Magne 35

36 objective I. Gingival health II. Interdental closure III. Tooth axis IV. Zenith of the gingival seam V. Balance of the gingival levels VI. Level of the interdental contact VII. Relative tooth dimensions VIII. Basic features of tooth form IX. Tooth characterization X. Surface texture XI. Color XII. Incisal edge configuration XIII. Lower lipline XIV. Smile balance Copyright Prof. Pascal Magne 36

37 NARROW INVERTED V ASYMMETRICAL INVERTED V WIDE INVERTED V Copyright Prof. Pascal Magne 37

38 objective I. Gingival health II. Interdental closure III. Tooth axis IV. Zenith of the gingival seam V. Balance of the gingival levels VI. Level of the interdental contact VII. Relative tooth dimensions VIII. Basic features of tooth form IX. Tooth characterization X. Surface texture XI. Color XII. Incisal edge configuration XIII. Lower lipline XIV. Smile balance Copyright Prof. Pascal Magne 38

39 i RUFENACHT CR. Fundamentals of esthetics. Berlin : Quintessence, pp67-134, 1990 Copyright Prof. Pascal Magne 39

40 objective I. Gingival health II. Interdental closure III. Tooth axis IV. Zenith of the gingival seam V. Balance of the gingival levels VI. Level of the interdental contact VII. Relative tooth dimensions VIII. Basic features of tooth form IX. Tooth characterization X. Surface texture XI. Color XII. Incisal edge configuration XIII. Lower lipline XIV. Smile balance Copyright Prof. Pascal Magne 40

41 I. Gingival health II. Interdental closure III. Tooth axis IV. Zenith of the gingival seam V. Balance of the gingival levels VI. Level of the interdental contact VII. Relative tooth dimensions VIII. Basic features of tooth form IX. Tooth characterization X. Surface texture XI. Color XII. Incisal edge configuration XIII. Lower lipline XIV. Smile balance Copyright Prof. Pascal Magne 41

42 There is no mathematical formula to beauty. Beware of rules and recipes. Charm is defined by balanced imperfections. Copyright Prof. Pascal Magne 42

43 I. Gingival health II. Interdental closure III. Tooth axis IV. Zenith of the gingival seam V. Balance of the gingival levels VI. Level of the interdental contact VII. Relative tooth dimensions VIII. Basic features of tooth form IX. Tooth characterization X. Surface texture XI. Color XII. Incisal edge configuration XIII. Lower lipline XIV. Smile balance Dynamic balance, balance of visual tensions - Visual tensions promote charm, do not eliminate them but rather balance them... Copyright Prof. Pascal Magne 43

44 Copyright Prof. Pascal Magne 44

45 Copyright Prof. Pascal Magne 45 Basic perceptual skills for drawing - Edges - Frame - Spaces - Outline - Relationships - Elements - Light and shadows - Gestalt...Inhibited -analytical)

46 Classic Facebow Copyright Prof. Pascal Magne Facial Analyzer 46 DITRAMAX SMILE CONCEPT

47 You have approached even the smallest details with excellence; Your works are wonderful; I carry this knowledge deep within my soul. 47

48 Commit to the LORD whatever you do, and he will establish your plans. 48