Disciplina Estetica dento-somato-faciala

FI ESTETICA DENTO-SOMATO-FACIALA
Nr. _____

Data _______

Medic ____________________________

Student ___________________

Nume __________________________
Prenume ______________________
Adresa ________________________________________________________ U / R

Vrst _____
Sex ___
Telefon _______________

AUTOEVALUARE ESTETICA

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ASTEPTARILE PACIENTLUI

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INSPECTIE
Norma de fata :
Forma fetei:
Linia mediana : centrata
laterodeviatie dr laterodeviatie
stg
Simetria: _________________________________________
Delimitarea etajelor fetei(dimensiuni)________________
_________________________________________
Linia bipupilara- raportul cu planul orizontal:
paralelism, inclinata la dr, inclinata la stg
Linia bicomisurala- raportul cu planul orizontal: paralelism, inclinata
la dr, inclinata la stg

Norma de profil
Forma profilului:plan convex, convex, concav
Aspectul buzelor: groase, medii, subtiri
Raportul buzelor cu linia E:
buza superioara (mm):
buza inferioara(mm)
Treapta labial: normala, accentuata, inversata
Unghiul naso-labial _________________
Unghiul labio-mentonier_________________________
1

ANALIZA ESTETICA DENTO-LABIALA

Gradul de expunere a grupului frontal maxilar in relatia de postura: A, B, C

ANALIZA ZAMBETULUI
linia marginilor incizale ale grupuli frontal maxilar vs linia buzei inferioare

convexa

plana

inversata

la distanta de buza inferioara in contact cu buza inferioara acoperita de buza inferioara

dr stg
Linia surasului

dr stg

medie

joasa

Amplitudinea surasului (nr. dintilor vizibili):

Amplitudinea coridorului bucal:

Normal

dr stg

inalta

Marit : dr...,,stg....

Absent

Raportul dintre linia interincisiva superioara si linia mediana a fetei

Raportul dintre linia marginilor incizale superioare si linia bicomisurala

Marcati modificarile dimensionale: +/-(mm)

Coincidente

Paralele

Deviata la dr

Divergente stg

Deviata la stg

Divergente dr

ANALIZA ESTETICA FUNCTIONALA

Functia fonetica
FONEMA M
Spatiul
de
inocluzie
fiziologica(mm):
Gradul de expunere a dintilor
maxilari
Gradul de expunere a dintilor
mandibulari

FONEMELE V si F
Profilul incizal
buza
inferioara
acopera
incisivii maxilari(mm)
buza inferioara este acoperita
de incisivii maxilari(mm)

FONEMA S
Spatiul
interarcadic
absent, mm:

FONEMA E
Spatiul interlabial ocupat de dintii arcului anterior maxilar : 80%, >80%

ANALIZA ESTETICA DENTARA

1. Apelul dintilor:

C- carie, X-absent, O- obturat, A- abrazie, D- discromie, F- fractura coronara, M- malpozitie , P- cor de invelis
2.

Raportul dintre liniile interincisive maxilara si mandibulara

coincidente

laterodev. stg

laterodev dr

3. Forma
dreptunghiulara

triunghiulara

patrata

4. Contur
normal

modificat................................................................................

5. Ambrazuri incizale
normale

modificate...................................................................................

6. Orientarea axelor dentare

normale

modificate...................................................................................

7. Dispunerea dintilor la nivelul arcadei

regulata

treme

diasteme

8. Proportii si dimensiuni la nivelul arcului anterior maxilar

9. Textura

Macrotextura :
relief pronuntat
Microtextura
pronuntata

relief mediu

relief atenuat

medie

atenuata

10. Profilul de emergenta la nivelul incisivilor centrali maxilari

11. Harta cromatica: cervical, median, incizal

ANALIZA ESTETICA GINGIVALA

BIOTIP PARODONTAL
Fin, festonat
Ferm aplatizat
CONTUR GINGIVAL

simetric

asimetric

ZENIT GINGIVAL

Regulat
PAPILE INTERDENTARE
Prezente
absente ___________________________________
MODIFICARI GINGIVALE
Inflamatie
hipertrofie
CRESTELE EDENTATE
normale

Neregulat

recesiune

neregulate

DIAGNOSTIC
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PLAN DE TRATAMENT
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