LOW MED HIGH

• periodontal

• tooth structure

• function / occlusion

• CMD

• esthetics

• history

Mod. n. John Kois

⎪DIAGNOSIS (risk evaluation)

• periodontal

LOW MED HIGH

• periodontal

• tooth structure

• function / occlusion

• CMD

• esthetics

• history

Mod. n. John Kois

⎪DIAGNOSIS (risk evaluation)

• tooth structure

LOW MED HIGH

• periodontal

• tooth structure

• function / occlusion

• CMD

• esthetics

• history

Mod. n. John Kois

⎪DIAGNOSIS (risk evaluation)

• function / occlusion

LOW MED HIGH

• periodontal

• tooth structure

• function / occlusion

• CMD

• esthetics

• history

Mod. n. John Kois

⎪DIAGNOSIS (risk evaluation)

• CMD

LOW MED HIGH

• periodontal

• tooth structure

• function / occlusion

• CMD

• esthetics

• history

Mod. n. John Kois

⎪DIAGNOSIS (risk evaluation)

• esthetics

LOW MED HIGH

• periodontal

• tooth structure

• function / occlusion

• CMD

• esthetics

• history

Mod. n. John Kois

⎪DIAGNOSIS (risk evaluation)

• history

dento

-lab

ial

PhoneticsF

Sch

+ -

Hor Vert

smile linepositive negative straight

ok

Smile width

deep middle high

Extra oral examination dento labial

⎪EXAMINATION

- 5er 6er

face center - Nose swing+/- side Ri Le commissure line

⎪EXAMINATION

Extra oral examination Dento labial

face midline

⎪EXAMINATION

Extra oral examination Dento labial

face midline

philtrum midline

⎪EXAMINATION

Extra oral examination Dento labial

face midline

nose swing

commissure line

Soft tissue characteristics

Lip form left?

face center - Nose swing+/- side Ri Le commissure line

⎪EXAMINATION

Extra oral examination dento labial

face midline

nose swing

commissure line

Yes nobite raising

Nasio-labial

angulation

skeleton

Profile

Class I Class II Class III

female ca.100° -105°

male ca.90°-95°°

Average Foreface Rearface

oblique

back

oblique

back

oblique

back

oblique

forward

oblique

forward

oblique

forward

Extra oral examination Dento labial

face

profile thirds

⎪EXAMINATION

Yes nobite raising

Nasio-labial

angulation

skeleton

Profile

Class I Class II Class III

female ca.100° -105°

male ca.90°-95°°

Average Foreface Rearface

oblique

back

oblique

back

oblique

back

oblique

forward

oblique

forward

oblique

forward

Extra oral examination Dento labial

face

profile thirds

nasio-labial angel

⎪EXAMINATION

⎪Profile Analyses by Angle

Yes nobite raising

Nasio-labial

angulation

skeleton

Profile

Class I Class II Class III

female ca.100° -105°

male ca.90°-95°°

Average Foreface Rearface

oblique

back

oblique

back

oblique

back

oblique

forward

oblique

forward

oblique

forward

Extra oral examination Dento labial

face

profile thirds

nasio-labial angel

bite typus ?

⎪Profile Analyses by Angle

⎪profile analysis according to A. M. Schwarz

⎪profile analysis according to A. M. Schwarz

⎪profile analysis according to A. M. Schwarz

⎪profile analysis according to A. M. Schwarz

⎪profile analysis according to A. M. Schwarz

⎪profile analysis according to A. M. Schwarz

⎪profile analysis according to A. M. Schwarz

in Relation zur Camperebene in Relation zur AOE

⎪profile analysis according to A. M. Schwarz

Yes nobite raising

Nasio-labial

angulation

skeleton

Profile

Class I Class II Class III

female ca.100° -105°

male ca.90°-95°°

Average Foreface Rearface

oblique

back

oblique

back

oblique

back

oblique

forward

oblique

forward

oblique

forward

Extra oral examination Dento labial

face

profile thirds

nasio-labial angel

bite typus ?

plans

⎪Profile examination

Extra oral examination dento labial

face

profile

posture

⎪EXAMINATION

Photos with tripod!!!

⎪EXAMINATION

Extra oral examination dento labial

face

profile

posture

Extra oral examination dento labial

face

profile

posture

⎪EXAMINATION

face center / Maxilla

Re Li

Extra oral examination dento labial

face

profile

posture

dento-facial

⎪EXAMINATION

face center / Maxilla

Re Li

Extra oral examination dento labial

face

profile

posture

dento-facial

⎪EXAMINATION

3

⎪EXAMINATION

Intraoral examination dental

tissue

incisal edges

tooth axis

contact lines

overjet/ overbite

midline dental/ realfanned incisors

Shade selectionshade prov.

brightness

shine

transparency

shade guide

present should be

+ -

high normal opaque

die shade

shade Final present should be

Praxis: Patient: Tel:

die shade

⎪EXAMINATION

Intraoral examination dental

LWP

color

beautiful bright harmony

⎪EXAMINATION

Intraoral examination dental

LWP

color

starting situation occlusual view

Intraoral examination dental

LWP

color

starting situation occlusual view

frontal view (Midline)

⎪EXAMINATION

Intraoral examination dental

LWP

color

starting situation occlusual view

frontal view (Midline)

lateral view (Angle Class)

⎪EXAMINATION

Intraoral examination dental

LWP

color

starting situation occlusual view

frontal view (Midline)

lateral view (Angle Class)

Details (tissue, postion….)

⎪EXAMINATION

Intraoral examination dental

LWP

color

starting situation

Function

⎪EXAMINATION

Fix yes

bite type

Angle Kl. I Angle Kl. II,1 Angle Kl. II,2 Angle Kl. 3

deep bite

no

head bite cross bite

sag:

trans:

Modell examination manually

static (lateral)

⎪EXAMINATION

2 mm

2 mm

dental Middle

strong side OK UK

Height difference

Rektoral trapeze

Occlusion - Note:

Intercoronal free space

Modell examination manually

static (lateral)

static (frontal)

⎪EXAMINATION

dental Middle

strong side OK UK

Height difference

Rektoral trapeze

Occlusion - Note:

Intercoronal free space

Modell examination manually

static (lateral)

static (frontal)

⎪EXAMINATION

5

+/- side

Facets ( only nat. teeth)

Raphe Median Model

Modell examination manually

overview Anatomy

strong/ weak side

facets

⎪EXAMINATION

+/- side

Facets ( only nat. teeth)

Raphe Median Model

Modell examination manually

overview Anatomy

strong/ weak side

facets

⎪EXAMINATION

Facets can be achieved yes no conditionally

retrusion protection yes no above:

Guidance Front Side Group

Hyper balance

Bruxism

yes no at:

Orthofunction yes no

yes no at :

Fronto-lateralComplete Frontal

Parafunction:

partial

Modell examination manually

overview

manually dynamic

⎪EXAMINATION

7er

Re: Li:

Protrusionsbiss, HCN

IKP = RKP/ Frühkontakte

Modell examination manually

overview

manually dynamic

instrumental static

⎪EXAMINATION

30 35

h f s

Arti-jo

int

L

I

I VL

VL x IL

= VI

L = the distance from the perpendicular to the articulator condyle to the tip of the incisal

pin.

VL = the measured area of the incisal loss of "vertical dimension"

I = the distance from the condyle to the respective occlusal Precontact

VI = occlusal reduction

Bite Change:

support pin+ -

red = centric

black = habitual

v

dv

d

Modell examination manually

overview

manually dynamic

instrumental static

⎪EXAMINATION

2mm

⎪ FUNCTIONAL SCREENING

2 (provoked pain)

2

says the Pat.

MountHLFFH Camper

Modell examination manually

overview

manually dynamic

instrumental static

plan

⎪EXAMINATION

MountHLFFH Camper

Modell examination manually

overview

manually dynamic

instrumental static

plan

⎪EXAMINATION

splint

Accompanying / preparatory measures

Centralization

Centric physio - osteopathy therapy

KFO ImplantEndo

Waxup

CT

eggshell Prov

pre-therapy in approach / Overview

first grinding at

Initial

additional:

Patient examination

Modell examination

Aim

⎪EXAMINATION

WM 44 43 42 41 31 32 33 34

additiv

subtraktiv

WM 14 13 12 11 21 22 23 24

additiv

subtraktiv

Finales Aim (improvements)

Comments :

soft tissue management

PlansOcclusion jont speeches General EstheticFunction

Patient examination

Modell examination

Aim

⎪EXAMINATION

⎪Pre Treatment

⎪Pre Treatment

Corpus place

hold

expansion

Side bite guard

bite deepness

occlusal surface

Front Shimstock hold

guidance

steepness

Ramps protect Retrusion

OK UK

insertion anchor button Labo bow other

pure plateau

adapted plateau

cusp-fossa shape occlusal surface

like Insertion like construction

ri 3er ri 2er ri 1er le 1er le 2er le 3er

value: guidance plate indiv. guidance plate Arti.

complete partially at initial at reciprocally

regio

⎪Order (Splint): decompression

4er;

13 3 3 3

beginning: le. 3 initially just then a shallow rise

3

⎪INTERDISCIPLINARY TREATMENT

Physiotherapist

⎪INTERDISCIPLINARY TREATMENT

Physiotherapist

⎪PRE TREATMENT

Preprosthetic phase Wax up

⎪Pre Treatment

Pre prosthetic phase Wax up

Provisional

⎪PRE TREATMENT

Implant phase planing

⎪PRE TREATMENT

Implant phase planning

surgery

⎪PRE TREATMENT

Implant phase planning

surgery

PRE- & POST OP

PRE- & POST OP

PRE- & POST OP

PRE- & POST OP

PRE- & POST OP

WM 44 43 42 41 31 32 33 34

additiv

subtraktiv

WM 14 13 12 11 21 22 23 24

additiv

subtraktiv

Finales Aim (improvements)

Comments :

soft tissue management

PlansOcclusion jont speeches General EstheticFunction

Patient examination

Modell examination

Aim

⎪comparison - starting

WM 44 43 42 41 31 32 33 34

additiv

subtraktiv

WM 14 13 12 11 21 22 23 24

additiv

subtraktiv

Finales Aim (improvements)

Comments :

soft tissue management

PlansOcclusion jont speeches General EstheticFunction

Patient examination

Modell examination

Aim

⎪comparison - finalize

face center / Maxilla

Re Li

Extra oral examination dento labial

face

profile

posture

dento-facial

⎪comparison - starting

face center / Maxilla

Re Li

Extra oral examination dento labial

face

profile

posture

dento-facial

⎪comparison - finalize

⎪comparison - finalize

⎪comparison - finalize