dento-labial 
Phonetics 
F 
Sch 
+ 
- 
Hor 
Vert 
smile line 
positive 
negative 
straight 
ok 
Smile width 
deep 
middle 
high 
Extraoral examination 
dentolabial 
⎪EXAMINATION 
4er-5er 
•Gummysmile
face center -Nose swing 
+/-side 
Ri 
Le 
commissure line 
⎪EXAMINATION 
Extraoralexamination 
face 
middline 
philtrummidline 
noseswing 
kommsurline
Extraoral examination 
dentolabial 
face 
profile 
posture 
⎪EXAMINATION
face center / Maxilla 
Re 
Li 
Extraoral examination 
dento labial 
face 
profile 
posture 
dento facial 
⎪EXAMINATION
Intraoral examination 
dental 
tissue 
incisal edges 
toothaxis 
contactlines 
overjet/ overbite 
midlinedental/ real 
⎪EXAMINATION
13 
12 
11 
21 
22 
23 
Höhe 
10.0 
9.0 
10.5 
10.5 
9.0 
10.0 
Breite 
7,5 
6,5 
8,5 
8,5 
6,5 
7,5 
% 
75% 
72% 
81% 
81% 
72% 
75% 
⎪EXAMINATION 
Intraoral examination 
dental 
LWP 
9,2 
8,1 
88 
9,0 
8,0 
89 
8,1 
6,8 
84 
9,2 
7,5 
82 
9,2 
7,5 
82 
8,0 
6,9 
86 
•Tendencytowide
Dentolabial Analysis 
Patient desire 
smile line 
tooth form/ -color 
tooth position 
speech 
function
Patient desire 
smile line 
tooth form/ -color 
tooth position 
speech 
functionDentolabial Analysis
Patient desire 
smile line 
tooth form/ -color 
tooth position 
speech 
functionDentolabial Analysis
Patient desire 
smile line 
tooth form/ -color 
tooth position 
speech 
functionDentolabial Analysis
Dentolabial Analysis 
Patient desire 
smile line 
tooth form/ -color 
tooth position 
speech 
function
Patient desire 
smile line 
tooth form/ -color 
tooth position 
speech 
functionDentolabial Analysis
Patient desire 
smile line 
tooth form/ -color 
tooth position 
speech 
functionDentolabial Analysis
13 
12 
11 
21 
22 
23 
Höhe 
10.0 
9.0 
10.5 
10.5 
9.0 
10.0 
Breite 
7,5 
6,5 
8,5 
8,5 
6,5 
7,5 
% 
75% 
72% 
81% 
81% 
72% 
75% 
⎪EXAMINATION 
Intraoral examination 
dental 
LWP 
9,2 
•Tendencytowide 
8,1 
88 
9,0 
8,0 
89 
8,1 
6,8 
84 
9,2 
7,5 
82 
9,2 
7,5 
82 
8,0 
6,9 
86
+/-side 
Facets ( only nat. teeth) 
Raphe Median Model 
Model Analysis 
manually static 
anatomy 
raphe 
side (+/-) 
⎪EXAMINATION
+/-side 
Facets ( only nat. teeth) 
Raphe Median Model 
Model Analysis 
manually static 
anatomy 
raphe 
side (+/-) 
facets 
⎪EXAMINATION
Face/ model Analyses
dento-labial 
Phonetics 
F 
Sch 
+ 
- 
Hor 
Vert 
smile line 
positive 
negative 
straight 
ok 
Smile width 
deep 
middle 
high 
Extraoral examination 
dentolabial 
⎪EXAMINATION 
4er-5er 
Assessment of the situation: 
•Gummy smile 
•Smile line is ok but the height of the lip line is a big one
13 
12 
11 
21 
22 
23 
Höhe 
10.0 
9.0 
10.5 
10.5 
9.0 
10.0 
Breite 
7,5 
6,5 
8,5 
8,5 
6,5 
7,5 
% 
75% 
72% 
81% 
81% 
72% 
75% 
⎪EXAMINATION 
Intraoral examination 
dental 
LWP 
9,2 
8,1 
88 
9,0 
8,0 
89 
8,1 
6,8 
84 
9,2 
7,5 
82 
9,2 
7,5 
82 
8,0 
6,9 
86 
Assessment of the situation: 
•Gummy smile 
•Smile line is ok but the height of the lip line is a big one 
•Esthetics (gingiva, length width proportion, color)
face center -Nose swing 
+/-side 
Ri 
Le 
commissure line 
⎪EXAMINATION 
Extraoralexamination 
dentolabial 
face 
middline 
philtrummidline 
noseswing 
kommsurline 
Assessment of the situation: 
•Gummy smile 
•Smile line is ok but the height of the lip line is a big one 
•Esthetics (gingiva, length width proportion, color) 
•Bring the biology in balance
⎪EXAMINATION 
Intraoral examination 
Extraoral examination 
Aims of treatment: 
•Improving of the esthetics regarding the incisors. 
•Improving a better relation of the gummy smile and teeth relation 
•Holding the smile line
Wax up front teeth
Surgery mask
Surgery mask
The cutting model
The cutting model; planning an papilla push up
The cutting model; gingiva mask
duplication cube
Sealing of the refractoring die
Cling film for protecting the plaster
The prepared model
Layering
Layering
Layering
Layering
Layering
Layering
Second firing
Final situation on the non cuttedmodel
Final situation on the cutting model
Final situation on the non cuttedmodel
Final situation16.11.2006
Final situation; follow up24.01.2008
24.01.2008
24.01.2008
24.01.2008
Final situation; follow up26.01.2009
Final situation; follow up22.02.2010
Final situation; follow up21.02.2011
finale situation; follow up21.02.2011
22.02.2011
22.02.2011
22.02.2011
22.02.2011
⎪EXAMINATION 
Intraoral examination 
Extraoral examination 
Aims of treatment: 
•Improving of the esthetics regarding the incisors. 
•Improving a better relation of the gummy smile and teeth relation 
•Holding the smile line
⎪EXAMINATION 
Intraoral examination 
Extraoral examination 
Aims of treatment: 
•Improving of the esthetics regarding the incisors. 
•Improving a better relation of the gummy smile and teeth relation 
•Holding the smile line

Eaed case 1