DEFINING THE TREATMENT OBJECTIVES
Before any therapeutic decision, the 3 main objectives of the bio-esthetic-functional triad must be defined between practitioners but also with the patient in order to establish an adequate treatment plan (table 1). A healthy periodontium guarantees an esthetic integration of the reconstitution (10,11) and an adapted morphology allows to restore a correct phonation etc (12).
The clinical analysis of the patient begins with the exobuccal environment of the tooth, then the endobuccal environment to finally lead to the analysis of the tooth concerned.
The exobuccal analysis will not be dealt with in its entirety in this article, although it is important in bio-esthetic-functional dental rehabilitation. It is therefore necessary for the practitioner to evaluate 1) the dimension of the 3 levels of the face (including the vertical esthetic and occlusal dimensions), 2) the maxillary labial protrusion as well as the naso-labial angle, 3) the orientation of the horizontal lines of the face, and 4) the position of the chin.
In parallel, the practitioner evaluates the 5) phonation and 6) the 3 smiles (without the appearance of teeth, social and spontaneous) of the patient (13,14).