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).