Miles of Smile / Orthodontic Courses by Indian Dental Academy

1
A CENTURY OF SMILES
OR
A CENTURY OF PROFILES

INDIAN DENTAL ACADEMY
Leader in continuing dental education
www.indiandentalacademy.com
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ORTHODONTIST MUST WORK WITH 2 DYNAMICS
1. SOFT TISSUE REPOSE & ANIMATION ASSESED
AT THE PATIENTS EXAMINATION

2. FACIAL CHANGES OCCUR THROUGHOUT THE
LIFETIME: -
MATURATION
AGING

3
RECORDS NEEDED
1. STATIC
2. DYNAMIC
4
STATIC RECORDS
1.FRONTAL AT - REST
SMILE
SMILE CLOSEUP
2. PROFILE AT REST
SMILE
3. OBLIUE SMILE
!.OBLIUE SMILE CLOSEUP
5
"IDEO CLIPS ARE TAKEN IN
STANDARDI#ED FASHION AT A
FIXED DISTANCE FROM OB$ECT IN
FRONTAL AND OBLIUE "IEW.
PATIENT%S HEAD IS POSITIONED
IN NHP.
"IDEO CLIPS ARE TAKEN BEFORE
AND AFTER TREATMENT.
PATIENT IS ASKED TO SAY
& CHELSEA EATS CHEESECAKE ON
THE CHESAPEAKE
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DYNAMIC RECORDING
DIGITAL "IDEOGRAPHY TO
RECORD SPEECH AND SMILE.
DIGITAL "IDEO YIELDS 3'
FRAMES PER SECOND.
( SECOND "IDEO CLIP IS TAKEN)
YIELDING 1(' FRAMES.
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FRAME THAT BEST REPRESENTS THE
PATIENTS NATURAL UNSTRAINED SOCIAL
SMILE IS TAKEN
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ANATOMY OF THE SMILE
T*+ ,--+. /01 234+. 25-6 7./8+ 9*+ 156-2/:
;30+ 37 9*+ 6852+. W59*50 9*56 7./8+43.<) 9*+
=38-30+096 37 9*+ 6852+ /.+ 9*+ 9++9* /01 9*+
>50>5?/2 6=/77321.
9 www.indiandentalacademy.com
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T*+ 500+. =38856,.+ 56 73.8+1 @: 9*+ 8,=36/
3?+.2:50> 9*+ @,==50/93. 8,6=2+ 4*+.+ 59
506+.96 459* 9*+ 3.@5=,2/.56 3.56 8,6=2+
75@+.6 /9 9*+ 831532,6.
12
W*+0 / ?51+3 56 9/<+0 459* /8@5+09
25>*9 302:) 9*+ @,==/2 =3..513. 379+0 /--+/.6
8,=* 83.+ -.303,0=+1 9*/0 4*+0 6,--2+8+09/2
25>*9 56 /11+1. T*,6) 4*/9 */6 @++0
=/22+1 &0+>/95?+ 6-/=+A 56 379+0 039 6-/=+ /9 /22)
@,9 B,69 /0 522,6530.
C$CO 2''' ACKERMAN &ACKERMAN D
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EFFECT OF LIGHTING DURING
PHOTOGRAPHY
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SMILE CLASSIFICATION-
SOCIAL SMILE ?32,09/.:
EN$OYMENT SMILE - 50?32,09/.:
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SOCIAL SMILE
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ENJ!"EN# $"%LE
17
RUBINS CLASIIFICATION
OF SMILE STYLE:
1. COMMISURE CMONALISAD SMILE
2. CUSPID SMILE
3. COMPEX SMILE

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CUSPID SMILE
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COMPLEX SMILE
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MONALISA SMILE
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A. CUSPID SMILE
B. COMPLEX SMILE
C. MONALISA SMILE
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TRADITIONALLY SMILE ANALYSIS WAS
PERFORMED IN 1 "IEW FRONTAL "IEW.
SMILE ANALYSIS NOW INCLUDES
! DIMENSIONS
1. FRONTAL
2.SAGITAL
3.OBLIUE
!.TIME
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INTERCOMMISURE WIDTH
SMILE INDEX E ------------------------------------
INTERLABIAL GAP
FRONTAL DIMENSION
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SMILE INDEX IS USED FOR
UANTIFYING SMILE.
HELPFUL FOR COMPARING SMILE
AMONG DIFFERENT PATIENTS OR
ACROSS TIME IN SAME PATIENT
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FRONTALLY SMILE CAN BE "ISUALI#ED IN 2
DIMENSION "ERTICAL & TRANS"ERSE
1. "ERTICAL CHARACTERSTICS-
AD INCISOR DISPLAY
BD GINGI"AL DISPLAY
CD SMILE ARC
DD RELATION BETWEEN GINGI"AL MARGINS OF
MAXILLARY INCISORS AND UPPER LIP.
2. TRANS"ERSE CHARACTERSTICS
AD ARCH FORM
BD BUCCAL CORRIDOR
CD TRANS"ERSE CANT OF MAXILLARY O.P.
27
LESS THAN F(G OF CENTRAL INCISOR
CROWN DISPLAY DURING SMILE IS
CONSIDERED INADEUATE.
CAUSES :
1. "ERTCAL MAX DEFICIENCY
2. A LARGE SMILE INDEX
3. SHORT CLINICAL CROWN HEIGHT
AD INADEUATE ERUPTION
BD GINGI"AL ENCROACHMENT
CD DUE TO ATTRITION
28
TRANS"ERSE CHARACTERSTIC OF SMILE IN
FRONTAL DIMENSION :
1. ARCH FORM
2. BUCCAL CORRIDOR
3. TRANS"ERSE CANT OF MAXILLARY
OCCLUSAL PLANE
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ARCH FORM
30
ARCH EXPANSION FILLS OUT THE
TRANS"ERSE DIMENSION OF SMILE IN
COLLAPSED ARCH FORM.
RESULTING UNDESIREABLE SIDE EFFECTS :
1. BUCCAL CORRIDOR CAN BE OBLITERATED
2. THE SMILE ARC MAY BE FLATTENED) WHEN
ANTERIOR SWEEP OF THE MAXILLARY ARCH
IS BROADENED.
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BUCCAL CORRIDOR : FRUSH AND FISHER ,
PROSTHODONTISTS, COINED THIS TERM.
TRANS"ERSE SMILE IS FUNCTION OF
BOTH ARCH WIDTH AND A-P POSITION
OF MAXILLARY ARCH.
MEASURED FROM THE MESIAL LINE
ANGLE OF THE MAXILLARY 1
ST

PREMOLARS TO INTERIOR COMMISURE
OF THE LIPS.
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PRESENCE OF EXCESSI"E
NEGATI"E SPACE www.indiandentalacademy.com
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ADEUATE BUCCAL CORRIDOR
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TRANS"ERSE CANT OF MAXILLARY OCCLUSAL
PLANE
ETIOLOGY :
1. DIFFERENTIAL ERUPTION &PLACEMENT OF
ANTERIOR ANTERIOR TEETH.
2. SKELETAL ASYMMETRY OF MANDIBLE
SMILE ASYMMETRY CAN ALSO OCCUR DUE
TO ASYMMETRIC SMILE CURTAIN
36
OBLIUE DIMENSION
37
SMILE ARC
CANT OF THE OCCLUSAL PLANE
SMILE ARC IS DEFINED ASTHE
RELATIONSHIP OF THE CUR"E FORMED BY
THE INCISAL EDGES OF THE MAXILLARY
ANTERIOR TEETH) PREMOLARS AND
MOLARS TO THE CUR"ATURE OF LOWER
LIP. CNEW DEFN)
F/=93.6 9*/9 =309.5@,9+ 93 9*+ /--+/./0=+
37 9*+ 6852+ /.= /.+ 9*+ 6/>599/2 =/09 37 9*+
8/H522/.: 3==2,6/2 -2/0+ /01 9*+ /.=*73.8.
38
CONSONANT SMILE ARC
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NONCONSONANT SMILE ARC
43
FLATTENING OF THE SMILE ARC
44
1.Normal ort&odontic alignment o' t&e ma(illary
and mandi)ular arc&e* may re*ult in a lo** o'
t&e cur+ature o' t&e ma(illary inci*or* relati+e to
t&e lower li, cur+ature.

2.. "a(illary intru*ion arc&e* or ma(illary
arc&wire* wit& accentuated cur+e could
re*ult in a 'lattening o' t&e *mile arc.
45
SMILE ARC FLATTENING DURING
INTRUSION OF UPPER INCISORS
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#&e *u)-ect.* in&erent growt& ,attern may al*o )e
at 'ault. #&e *tudie* o' *mile arc 'lattening &a+e
*&own t&at/ w&ile treated ,atient* did &a+e a
&ig&er rate o' *mile arc 'lattening/ 50 o' t&e
untreated ,o,ulation al*o e(,erienced *mile arc
'lattening.
47
"ore +ertical growt& in t&e ,o*terior ma(illa t&an in t&e
anterior ma(illa could re*ult in a c&anged relation*&i,
1etween t&e occlu*al ,lane and t&e cur+ature o' t&e
lower li, u,on *mile. %n t&i* ty,e o' ,atient/ &ig&2,ull
&eadgear 3ee,* t&e ma(illary ,o*terior teet& *u,erior
to t&e inci*or* and i* t&ere'ore an aid in maintaining
or im,ro+ing t&e *mile arc.

48
4a)it*
4a)it* may al*o )e an etiologic 'actor. #&e reduction
in anterior +ertical dentoal+eolar de+elo,ment
*econdary to t&um) *uc3ing i* t&e mo*t o)+iou*
e(am,le.

49
SAGITTAL DIMENSION
1. O"ER$ET
2. INCISOR ANGULATION
EXCESSI"E POSITI"E O"ER$ET IS
READILY PERCEI"ED IN SAGITTAL
DIMENSION
UPRIGHT MAXILLARY INCISORS
TEND TO INCREASE THE INCISOR
DISPLAY
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INCISOR PROCLINATION & "ERTCAL
INCISOR DISPLAY
51
TRANS"ERSE EFFECT
SAGITTAL POSITION OF MAXILLA GREATLY
INFLUENCES THE SMILE IN FRONTAL "IEW
E"EN IN THE TERMS OF TRANS"ERSE SMILE
DIMENSION
53
TIME
GROWTH
MATURATION
AGING
EFECTS :
1.LENGTHNING OF PHILTRUM AND COMMISURE
HEIGHT.
2. DECREASE IN TURGOR
3. DECREASE IN INCISOR DISPLAY AT REST
!.DECREASE IN INCISAL AND GINGI"AL
DISPLAY DURING SMILE
54
BRACKET POSITIONING
1. TO PRESER"E THE POSITI"E SMILE
CHARACTERSTICS.
2. TO IMPRO"E THE SMILE
55
#&an3 you
5or more detail* ,lea*e +i*it

Miles of Smile / Orthodontic Courses by Indian Dental Academy

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