Esthetic Rehabilitation In Fixed
Prosthodontics: Esthetic Analysis: A Systematic Approach To Prosthetic Treatment
From Book News, Inc.
This text guides practitioners through the process of analyzing the details of
the patient's face and mouth to arrive at an aesthetic solution for fixed
prosthodontics that fits with both. Detailed and systematic guidelines are
provided for establishing communication with the patient, facial analysis,
dentolabial analysis, phonetic analysis, tooth analysis,and gingival analysis.
The chapters are heavily illustrated with patient photos in color plates of the
best quality. A laminated "Esthetic checklist" is included in a back flap.
Volume two (sold separately) will describe the process of creating the
prosthodontic, detailing the interaction between clinic and lab. Fradeani, who
maintains a practice in Italy, and has served as president of the European
Academy of Esthetic Dentistry and the Italian Academy of Prosthetic Dentistry,
is visiting professor of prosthodontics at Louisiana State U. in New
Orleans.Copyright © 2004 Book News, Inc., Portland, OR
Chapter 1 Establishing Communication with Patients
Working with patients to determine the optimal therapeutic approach
Chapter 2 Facial Analysis
Planning the prosthetic rehabilitation through analysis of the
facial reference lines
Chapter 3 Dentolabial Analysis
Analyzing labial movements and the relationship between the teeth
and lips for ideal esthetic integration of the restoration
Chapter 4 Phonetic Analysis
Appraising the dentolabial relationship during phonesis
to determine ideal incisal length, adequate tooth position,
and correct vertical dimension of occlusion
Chapter 5 Tooth Analysis
Optimizing shape, proportion, and arrangement of the
anterior teeth to create pleasing esthetics and correct function
Chapter 6 Gingival Analysis
Idealizing the gingival outline and appearance while
maintaining periodontal health
Universally recognized basic principles make it possible to express an opinion
about what is commonly considered to be attractive. Countenance and smile
determine the expressive strength and quality of each of us, as they represent
forms of nonverbal communication that are able to express joy, friendliness,
generosity, and approval. It is therefore quite natural to desire that one’s
smile will leave a pleasing impression. While maintaining the inescapable
individual characteristics peculiar to each patient, the clinician will have the
task of balancing the patient’s esthetic needs with functional requirements. The
perfecting of innovative techniques and materials affords the clinician
increasingly better esthetic optimization, but progress, to the point of
technologic exasperation, often leads to too much focus on the dental aspect,
while overlooking the need to integrate the restorations within the more general
context of the face.
The importance and value of accurate knowledge about the general principles of
esthetics have already been widely covered in other texts,1–3 which have
undoubtedly been a source of inspiration in the writing of this book. The scope
of volume 1 is the rationalization of the esthetic parameters; their analysis is
facilitated by compiling a specific esthetic checklist, which, developed in
parallel with the six chapters of this book, allows a systematic approach
through facial, dentolabial, phonetic, tooth, and gingival analysis.
The suggestions given for each individual parameter, in the prosthetic
considerations and applications, provide further guidance in formulating a
treatment plan that is, as far as possible, tailored to the patient’s unique
clinical situation, which often demands a multidisciplinary approach. This type
of clinical approach allows prosthetic rehabilitation to be ideally integrated
from the biologic and functional standpoints (volume 2) and, together with the
application of the esthetic principles, permits the restoration of a pleasing
appearance in the patient’s smile, something that certainly cannot be achieved
by mere recourse to one’s own experience and intuition.
1. Rufenacht CR. Fundamentals of Esthetics. Chicago: Quintessence, 1990.
2. Chiche GJ, Pinault A. Esthetics of Anterior Fixed Prosthodontics. Chicago:
3. Goldstein RE. Principles of esthetics: Marketing. In: Goldstein RE (ed).
Esthetics in Dentistry, ed 2. Vol 1: Principles, communications, treatment
methods. Hamilton: Decker, 1998:54–56.
Mauro Fradeani, MD, DDS
Pesaro and Milano, Italy
Visiting Associate Professor
Department of Prosthodontics
Louisiana State University
School of Dentistry
New Orleans, Louisiana
"...The scope of this volume is the rationalization of the esthetic parameters,
facilitated by the accompanying esthetic checklist.
This is an outstanding teaching tool for students and clinicians, and a helpful
reference for all practitioners who see the value in diagnosis and treatment
planning for any esthetic consideration. The information presented improves not
only the skill of the dentist, but will, no doubt, also improve communication
between the dentist and the patient, as well as the esthetic outcome of the
Reviewed by Leonard B. Goldstein, DDS, PhD