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Esthetic Rehabilitation In Fixed Prosthodontics: Esthetic Analysis: A Systematic Approach To Prosthetic Treatment

Editorial Reviews

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
Esthetic Checklist

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: Quintessence, 1994.
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
Private Practice
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 treatment..."
Reviewed by Leonard B. Goldstein, DDS, PhD
December 2004