Journal of Oral and Maxillofacial Surgery
Volume 68, Issue 3 , Pages 547-554, March 2010

Evaluation of the Smile: Facial and Dental Considerations

  • Antoine J. Panossian, DMD, MD

      Affiliations

    • Senior Resident, Department of Oral and Maxillofacial Surgery, LSU School of Dentistry, New Orleans, LA
    • ,
  • Michael S. Block, DMD

      Affiliations

    • Clinical Professor, Department Oral and Maxillofacial Surgery, LSU School of Dentistry, New Orleans, LA, and Private Practice, Metairie, LA
    • Corresponding Author InformationAddress correspondence and reprint requests to Dr Block: Department Oral and Maxillofacial Surgery, LSU School of Dentistry, 11 Florida Avenue, New Orleans, LA 70119-2799

Purpose

The purpose of this article is to establish an evidence-based evaluation of the esthetic region of the mouth, by reviewing normal values for the face, the smile line, and the teeth.

Materials and Methods

A Medline search was performed to find evidence-based data on accepted normal ranges of facial and dental proportions. The information found was organized following a sequence of physical examinations, which then was used to develop a decision tree for diagnosis and treatment planning.

Conclusions

By following this evaluation algorithm, clinicians will be able to document a standard set of data that will reveal skeletal and dental dysmorphia, which can then follow a well-organized sequence of treatment to re-establish facial and dental harmony.

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PII: S0278-2391(09)01725-X

doi:10.1016/j.joms.2009.09.021

Journal of Oral and Maxillofacial Surgery
Volume 68, Issue 3 , Pages 547-554, March 2010

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