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    • Setting Anterior Teeth Esthetics & Phonetics
    • Look for Symmetry View from anterior, occlusal View from many angles
    • Symmetry Perfect Symmetry Gross Asymmetry
    • Facial Asymmetry 2 Left Sides “Normal” 2 Right Sides
    • Smile Asymmetry 2 Left Sides “Normal” 2 Right Sides
    • Setting Anterior Teeth
        • Incisal edges of central incisors & canines at level of the occlusal plane
        • Laterals placed approximately 0.5 mm above the occlusal plane
    • Cervical necks tilt posteriorly from the central incisor to the canine
    • The greatest height of the free gingival margin is slightly distal to the mesiodistal center of the tooth
    • Setting Mandibular Anteriors
        • Lower anterior teeth incline similar to the maxillary teeth
    • Setting Mandibular Anteriors
      • Incisal edges are placed at the same level
      • Even with the occlusal plane
    • Setting Mandibular Anteriors
        • No overbite for monoplane or lingualized setups
    • Canines should be tilted more posteriorly than other teeth, with a more prominent cervical neck
    • Bucco-Lingual Tilt Maxillary Anterior Teeth
      • Facial surface of central is perpendicular occlusal plane
      • Neck of lateral is depressed
      • Neck of canine is prominent
      Central Canine
    • Bucco-Lingual Tilt Mandibular Anterior Teeth
      • Central is proclined
      • Lateral is more upright
      • Canine has a prominent neck
      Central Canine
    • Anterior Tooth Setup
      • Check symmetry with reference lines
      • Anterior teeth don’t contact in centric position
      • Grazing contacts in excursions
      Overjet = 2mm Overbite = 0mm
    • No Anterior Contact in Centric Correct Insufficient Excessive
    • Dentist Sets Incisal Guidance Overjet & Overbite
      • Avoid too much overbite or too little overjet
      • Increasing overbite steepens the angle, separating posterior teeth more quickly
      • Increasing overjet shallows the angle, separating the posterior teeth less quickly
    • Canine Offset
      • Check for one half tooth offset between maxillary & mandibular teeth
      • Ensures posterior teeth have normal cusp to fossa relationship for lingualized occlusion
    • Cannine Offset Correct Insufficient Improper offset results in a space or half tooth replacement
    • Phonetic Assessment
      • Maxillary centrals should lightly touch vermilion border of lower lip for ‘F’, ‘V’ sounds
      • ‘ S’ sounds - incisal edges should approximate each other
    • Intraoral Assessment of Anterior Teeth
      • Incisal edges of maxillary incisors should follow line of lower lip when smiling (‘ smile line ’)
    • Follow the ‘Smile line’
    • Placing & Moving Anterior Teeth
      • Crown removing forceps to bodily move and tilt teeth
      • Grind record base/tooth if record base is impairing ability to position properly
    • Intraoral Assessment of Anterior Teeth
      • Nasolabial angle ≈ 90°
      • If insufficient support, the vermilion border will be reduced
    • Intraoral Assessment of Anterior Teeth
        • Junction of oral mucosa (glossy) should just be visible when lips are slightly separated
        • If not visible - insufficient support
        • Lips meet at junction of oral & transitional epithelium
    • Intraoral Assessment of Anterior Teeth
        • Excessive block-out of record base will push the lip out at the height of the vestibule, distorting appearance
    • Lisping
        • Too much horizontal overlap
          • Can’t approximate incisal edges
        • Anterior teeth too far labially
        • Spaces allow air leakage
    • Lisping
        • Palatal contour too constricted
          • Remove wax to provide more room
        • Arch form too broad
        • Experiment with placement of wax
    • Anterior Teeth Not Identical Position of Natural Teeth
      • Slightly altered position from precursors
      • Denture stability compromised
      • No anchorage from roots
    • Avoid the ‘ Denture Smile ’
      • Teeth too small
      • Teeth not showing
      • Too straight across anterior
      • “ Chiclets”
    • Central & lateral incisors must begin to turn along the curvature of the arch
    • Circumference Follows Arch Shape
    • Facial Support, OVD & Tooth Setup Can Dramatically Affect Appearance
    • Effect of Incisor Length
    • Variation of Appearance with Different Dentures
    • Variation of Appearance with Different Dentures