Number and Arrangement of Implants
The patient should know that for his quantity of bone, gum and aesthetic problems, there is an ideal number and arrangement of implants. Before focusing attention on the teeth, it is necessary to evaluate the elements that make up the facial composition.
In a harmonious and symmetrical face, you can recognize certain lines that together create a kind of regular geometry. However, the presence of moderate differences or slight irregularities does not compromise the final aesthetic result and may even provide a naturally pleasing appearance. The indications provided by the patient’s lips and their profile may suggest the ideal shape and size of the anterior teeth.
If we consider the smile, a pleasant smile can be defined as one that fully exposes the upper teeth, together with approximately 1-3mm pink gum. Also, the width of the smile is an important criterion. The clinician is the one who should assess the dimensions of the lateral labial corridor and, if necessary, vary the inclinations of the axes of the teeth.
Other aspects that come together in facial aesthetics are, for example, phonetics. It is a function that is strongly influenced by the relationship between teeth, lips and tongue, but which can also be affected by the presence of inappropriate prostheses. The pronunciation of the sounds m, e, f, v, s, is a valuable help to consider when planning the prosthetic treatment together with the digital techniques.
The Soft Tissue Health
Likewise, another relevant section when planning the restoration of the mouth digitally is that the health of the soft tissues (gums) must be considered when establishing the most appropriate type of implant.
There is a greater variety and quality of implants in the market. Depending on its design and material characteristics, it will contribute to a greater or lesser extent to a more accurate aesthetic result, tissue healing or long-term stability and duration. The sum of maximum material quality and a correct digital planning is the one that presents more possibilities to achieve an excellent dentofacial aesthetic, according to the physiognomy of the patient.
However, there are times when it is not necessary to incur the costs of an intervention with digital planning and guided and minimally invasive surgery. It is possible to resort to other more conventional techniques and also obtain the optimal result for the particular circumstances of a patient. The secret is to make a good diagnosis, show the person the therapeutic possibilities and help him or her decide properly about the treatment.