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LOW 
MED 
HIGH 
•periodontal 
•tooth structure 
•function / occlusion 
•CMD 
•esthetics 
•history 
Mod. n. John Kois 
⎪DIAGNOSIS (risk evaluation)
LOW 
MED 
HIGH 
•periodontal 
•tooth structure 
•function / occlusion 
•CMD 
•esthetics 
•history 
Mod. n. John Kois 
⎪DIAGNOSIS (risk evaluation) 
toothstructure
LOW 
MED 
HIGH 
•periodontal 
•tooth structure 
•function / occlusion 
•CMD 
•esthetics 
•history 
Mod. n. John Kois 
⎪DIAGNOSIS (risk evaluation)
LOW 
MED 
HIGH 
•periodontal 
•tooth structure 
•function / occlusion 
•CMD 
•esthetics 
•history 
Mod. n. John Kois 
⎪DIAGNOSIS (risk evaluation)
LOW 
MED 
HIGH 
•periodontal 
•tooth structure 
•function / occlusion 
•CMD 
•esthetics 
•history 
Mod. n. John Kois 
⎪DIAGNOSIS (risk evaluation)
LOW 
MED 
HIGH 
•periodontal 
•tooth structure 
•function / occlusion 
•CMD 
•esthetics 
•history 
Mod. n. John Kois 
⎪DIAGNOSIS (risk evaluation)
dento-labial 
Phonetics 
F 
Sch 
+ 
- 
Hor 
Vert 
smile line 
positive 
negative 
straight 
ok 
Smile width 
deep 
middle 
high 
Extra oral examination 
dento labial 
⎪EXAMINATION 
-5er6er
face center -Nose swing 
+/-side 
Ri 
Le 
commissure line 
⎪EXAMINATION 
Extra oral examination 
Dento labial 
face 
midline
⎪EXAMINATION 
Extra oral examination 
Dento labial 
face 
midline 
philtrummidline
⎪EXAMINATION 
Extra oral examination 
Dento labial 
face 
midline 
nose swing 
commissure line 
Soft tissue characteristics 
Lip form left?
face center -Nose swing 
+/-side 
Ri 
Le 
commissure line 
⎪EXAMINATION 
Extra oral examination 
dento labial 
face 
midline 
nose swing 
commissure line
Yes 
no 
bite raising 
Nasio-labialangulation 
skeleton 
Profile 
Class I 
Class II 
Class III 
female ca.100°-105° 
male ca.90°-95°° 
Average 
Foreface 
Rearface 
obliqueback 
obliqueback 
obliqueback 
obliqueforward 
obliqueforward 
obliqueforward 
Extra oral examination 
Dento labial 
face 
profile 
thirds 
⎪EXAMINATION
Yes 
no 
bite raising 
Nasio-labialangulation 
skeleton 
Profile 
Class I 
Class II 
Class III 
female ca.100°-105° 
male ca.90°-95°° 
Average 
Foreface 
Rearface 
obliqueback 
obliqueback 
obliqueback 
obliqueforward 
obliqueforward 
obliqueforward 
Extra oral examination 
Dento labial 
face 
profile 
thirds 
nasio-labial angel 
⎪EXAMINATION
⎪Profile Analyses by Angle
Yes 
no 
bite raising 
Nasio-labialangulation 
skeleton 
Profile 
Class I 
Class II 
Class III 
female ca.100°-105° 
male ca.90°-95°° 
Average 
Foreface 
Rearface 
obliqueback 
obliqueback 
obliqueback 
obliqueforward 
obliqueforward 
obliqueforward 
Extra oral examination 
Dento labial 
face 
profile 
thirds 
nasio-labial angel 
bite typus? 
⎪Profile Analyses by Angle
⎪profile analysis according to A. M. Schwarz
⎪profile analysis according to A. M. Schwarz
⎪profile analysis according to A. M. Schwarz
⎪profile analysis according to A. M. Schwarz
⎪profile analysis according to A. M. Schwarz
⎪profile analysis according to A. M. Schwarz
⎪profile analysis according to A. M. Schwarz 
in Relation zur Camperebene 
in Relation zur AOE
⎪profile analysis according to A. M. Schwarz
Yes 
no 
bite raising 
Nasio-labialangulation 
skeleton 
Profile 
Class I 
Class II 
Class III 
female ca.100°-105° 
male ca.90°-95°° 
Average 
Foreface 
Rearface 
obliqueback 
obliqueback 
obliqueback 
obliqueforward 
obliqueforward 
obliqueforward 
Extra oral examination 
Dento labial 
face 
profile 
thirds 
nasio-labial angel 
bite typus? 
plans 
⎪Profile examination
Extra oral examination 
dento labial 
face 
profile 
posture 
⎪EXAMINATION 
Photos with tripod!!!
⎪EXAMINATION 
Extra oral examination 
dento labial 
face 
profile 
posture
Extra oral examination 
dento labial 
face 
profile 
posture 
⎪EXAMINATION
face center / Maxilla 
Re 
Li 
Extra oral examination 
dento labial 
face 
profile 
posture 
dento-facial 
⎪EXAMINATION
face center / Maxilla 
Re 
Li 
Extra oral examination 
dento labial 
face 
profile 
posture 
dento-facial 
⎪EXAMINATION 
3
⎪EXAMINATION 
Intraoral examination 
dental 
tissue 
incisaledges 
tooth axis 
contact lines 
overjet/ overbite 
midline dental/ real 
fanned incisors
Shade selection 
shade prov. 
brightness 
shine 
transparency 
shade guide 
present 
should be 
+ 
- 
high 
normal 
opaque 
die shade 
shade Final 
present 
should be 
Praxis: 
Patient: 
Tel: 
die shade 
⎪EXAMINATION 
Intraoral examination 
dental 
LWP 
color 
beautiful bright harmony
⎪EXAMINATION 
Intraoral examination 
dental 
LWP 
color 
starting situation 
occlusualview
Intraoral examination 
dental 
LWP 
color 
starting situation 
occlusualview 
frontal view (Midline) 
⎪EXAMINATION
Intraoral examination 
dental 
LWP 
color 
starting situation 
occlusualview 
frontal view (Midline) 
lateral view (Angle Class) 
⎪EXAMINATION
Intraoral examination 
dental 
LWP 
color 
starting situation 
occlusualview 
frontal view (Midline) 
lateral view (Angle Class) 
Details (tissue, postion….) 
⎪EXAMINATION
Intraoral examination 
dental 
LWP 
color 
starting situation 
Function 
⎪EXAMINATION
Fix 
yes 
bite type 
Angle Kl. I 
Angle Kl. II,1 
Angle Kl. II,2 
Angle Kl. 3 
deep bite 
no 
head bite 
cross bite 
sag: 
trans: 
Modell examination 
manually 
static (lateral) 
⎪EXAMINATION 
2 mm 
2 mm
dental Middle 
strong side OK UK 
Height difference 
Rektoraltrapeze 
Occlusion -Note: 
Intercoronal free space 
Modell examination 
manually 
static (lateral) 
static (frontal) 
⎪EXAMINATION
dental Middle 
strong side OK UK 
Height difference 
Rektoraltrapeze 
Occlusion -Note: 
Intercoronal free space 
Modell examination 
manually 
static (lateral) 
static (frontal) 
⎪EXAMINATION 
5
+/-side 
Facets ( only nat. teeth) 
Raphe Median Model 
Modell examination 
manually 
overview 
Anatomy 
strong/ weak side 
facets 
⎪EXAMINATION
+/-side 
Facets ( only nat. teeth) 
Raphe Median Model 
Modell examination 
manually 
overview 
Anatomy 
strong/ weak side 
facets 
⎪EXAMINATION
Facets can be achieved 
yes 
no 
conditionally 
retrusionprotection 
yes 
no 
above: 
Guidance 
Front 
Side 
Group 
Hyper balance 
Bruxism 
yes 
no 
at: 
Orthofunction 
yes 
no 
yes 
no 
at : 
Fronto-lateral 
Complete 
Frontal 
Parafunction: 
partial 
Modell examination 
manually 
overview 
manually dynamic 
⎪EXAMINATION 
7er
Re: 
Li: 
Protrusionsbiss, HCN 
IKP = RKP/ Frühkontakte 
Modell examination 
manually 
overview 
manually dynamic 
instrumental 
static 
⎪EXAMINATION 
30 
35
h 
f 
s 
Arti-joint 
L 
I 
I 
VL 
VLx I 
L 
= 
VI 
L = the distance from the perpendicular to the articulator condyle to the tip of the incisalpin. 
VL= the measured area of the incisalloss of "vertical dimension" 
I = the distance from the condyle to the respective occlusalPrecontact 
VI = occlusalreduction 
Bite Change: 
support pin 
+ 
- 
red = centric 
black = habitual 
v 
d 
v 
d 
Modell examination 
manually 
overview 
manually dynamic 
instrumental 
static 
⎪EXAMINATION 
2mm
⎪FUNCTIONALSCREENING 
2 (provoked pain) 
2 
says the Pat.
Mount 
HL 
FFH 
Camper 
Modell examination 
manually 
overview 
manually dynamic 
instrumental 
static 
plan 
⎪EXAMINATION
Mount 
HL 
FFH 
Camper 
Modell examination 
manually 
overview 
manually dynamic 
instrumental 
static 
plan 
⎪EXAMINATION
splint 
Accompanying / preparatory measures 
Centralization 
Centric 
physio-osteopathy therapy 
KFO 
Implant 
Endo 
Waxup 
CT 
eggshell 
Prov 
pre-therapy in approach / Overview 
first grinding at 
Initial 
additional: 
Patient examination 
Modell examination 
Aim 
⎪EXAMINATION
WM 
44 
43 
42 
41 
31 
32 
33 
34 
additiv 
subtraktiv 
WM 
14 
13 
12 
11 
21 
22 
23 
24 
additiv 
subtraktiv 
Finales Aim (improvements) 
Comments : 
soft tissue management 
Plans 
Occlusion 
jont 
speeches 
General Esthetic 
Function 
Patient examination 
Modell examination 
Aim 
⎪EXAMINATION
⎪PreTreatment
⎪PreTreatment
Corpus 
place 
hold 
expansion 
Side 
bite guard 
bite deepness 
occlusal surface 
Front 
Shimstockhold 
guidance 
steepness 
Ramps 
protect Retrusion 
OK 
UK 
insertion 
anchor button 
Labobow 
other 
pure plateau 
adapted plateau 
cusp-fossa shape 
occlusal surface 
like Insertion 
like construction 
ri3er 
ri2er 
ri1er 
le 1er 
le 2er 
le 3er 
value: 
guidance plate indiv. 
guidance plate Arti. 
complete 
partially at 
initial at 
reciprocally 
regio 
⎪Order (Splint): 
decompression 
4er; 
1 
3 
3 
3 
3 
beginning: le. 3 initially just then a shallow rise 
3
⎪INTERDISCIPLINARY TREATMENT 
Physiotherapist
⎪INTERDISCIPLINARY TREATMENT 
Physiotherapist
⎪PRETREATMENT 
Preprostheticphase 
Wax up
⎪PreTreatment 
Pre prosthetic phase 
Wax up 
Provisional
⎪PRETREATMENT 
Implant phase 
planing
⎪PRETREATMENT 
Implant phase 
planning 
surgery
⎪PRETREATMENT 
Implant phase 
planning 
surgery
PRE-& POST OP
PRE-& POST OP
PRE-& POST OP
PRE-& POST OP
PRE-& POST OP
WM 
44 
43 
42 
41 
31 
32 
33 
34 
additiv 
subtraktiv 
WM 
14 
13 
12 
11 
21 
22 
23 
24 
additiv 
subtraktiv 
Finales Aim (improvements) 
Comments : 
soft tissue management 
Plans 
Occlusion 
jont 
speeches 
General Esthetic 
Function 
Patient examination 
Modell examination 
Aim 
⎪comparison -starting
WM 
44 
43 
42 
41 
31 
32 
33 
34 
additiv 
subtraktiv 
WM 
14 
13 
12 
11 
21 
22 
23 
24 
additiv 
subtraktiv 
Finales Aim (improvements) 
Comments : 
soft tissue management 
Plans 
Occlusion 
jont 
speeches 
General Esthetic 
Function 
Patient examination 
Modell examination 
Aim 
⎪comparison -finalize
face center / Maxilla 
Re 
Li 
Extra oral examination 
dento labial 
face 
profile 
posture 
dento-facial 
⎪comparison -starting
face center / Maxilla 
Re 
Li 
Extra oral examination 
dento labial 
face 
profile 
posture 
dento-facial 
⎪comparison -finalize
⎪comparison -finalize
⎪comparison -finalize
Eaed case6

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Eaed case6

  • 1.
  • 2.
  • 3. LOW MED HIGH •periodontal •tooth structure •function / occlusion •CMD •esthetics •history Mod. n. John Kois ⎪DIAGNOSIS (risk evaluation)
  • 4. LOW MED HIGH •periodontal •tooth structure •function / occlusion •CMD •esthetics •history Mod. n. John Kois ⎪DIAGNOSIS (risk evaluation) toothstructure
  • 5. LOW MED HIGH •periodontal •tooth structure •function / occlusion •CMD •esthetics •history Mod. n. John Kois ⎪DIAGNOSIS (risk evaluation)
  • 6. LOW MED HIGH •periodontal •tooth structure •function / occlusion •CMD •esthetics •history Mod. n. John Kois ⎪DIAGNOSIS (risk evaluation)
  • 7. LOW MED HIGH •periodontal •tooth structure •function / occlusion •CMD •esthetics •history Mod. n. John Kois ⎪DIAGNOSIS (risk evaluation)
  • 8. LOW MED HIGH •periodontal •tooth structure •function / occlusion •CMD •esthetics •history Mod. n. John Kois ⎪DIAGNOSIS (risk evaluation)
  • 9.
  • 10. dento-labial Phonetics F Sch + - Hor Vert smile line positive negative straight ok Smile width deep middle high Extra oral examination dento labial ⎪EXAMINATION -5er6er
  • 11. face center -Nose swing +/-side Ri Le commissure line ⎪EXAMINATION Extra oral examination Dento labial face midline
  • 12. ⎪EXAMINATION Extra oral examination Dento labial face midline philtrummidline
  • 13.
  • 14. ⎪EXAMINATION Extra oral examination Dento labial face midline nose swing commissure line Soft tissue characteristics Lip form left?
  • 15. face center -Nose swing +/-side Ri Le commissure line ⎪EXAMINATION Extra oral examination dento labial face midline nose swing commissure line
  • 16.
  • 17. Yes no bite raising Nasio-labialangulation skeleton Profile Class I Class II Class III female ca.100°-105° male ca.90°-95°° Average Foreface Rearface obliqueback obliqueback obliqueback obliqueforward obliqueforward obliqueforward Extra oral examination Dento labial face profile thirds ⎪EXAMINATION
  • 18. Yes no bite raising Nasio-labialangulation skeleton Profile Class I Class II Class III female ca.100°-105° male ca.90°-95°° Average Foreface Rearface obliqueback obliqueback obliqueback obliqueforward obliqueforward obliqueforward Extra oral examination Dento labial face profile thirds nasio-labial angel ⎪EXAMINATION
  • 20. Yes no bite raising Nasio-labialangulation skeleton Profile Class I Class II Class III female ca.100°-105° male ca.90°-95°° Average Foreface Rearface obliqueback obliqueback obliqueback obliqueforward obliqueforward obliqueforward Extra oral examination Dento labial face profile thirds nasio-labial angel bite typus? ⎪Profile Analyses by Angle
  • 21. ⎪profile analysis according to A. M. Schwarz
  • 22. ⎪profile analysis according to A. M. Schwarz
  • 23. ⎪profile analysis according to A. M. Schwarz
  • 24. ⎪profile analysis according to A. M. Schwarz
  • 25. ⎪profile analysis according to A. M. Schwarz
  • 26. ⎪profile analysis according to A. M. Schwarz
  • 27. ⎪profile analysis according to A. M. Schwarz in Relation zur Camperebene in Relation zur AOE
  • 28. ⎪profile analysis according to A. M. Schwarz
  • 29. Yes no bite raising Nasio-labialangulation skeleton Profile Class I Class II Class III female ca.100°-105° male ca.90°-95°° Average Foreface Rearface obliqueback obliqueback obliqueback obliqueforward obliqueforward obliqueforward Extra oral examination Dento labial face profile thirds nasio-labial angel bite typus? plans ⎪Profile examination
  • 30.
  • 31. Extra oral examination dento labial face profile posture ⎪EXAMINATION Photos with tripod!!!
  • 32. ⎪EXAMINATION Extra oral examination dento labial face profile posture
  • 33. Extra oral examination dento labial face profile posture ⎪EXAMINATION
  • 34. face center / Maxilla Re Li Extra oral examination dento labial face profile posture dento-facial ⎪EXAMINATION
  • 35. face center / Maxilla Re Li Extra oral examination dento labial face profile posture dento-facial ⎪EXAMINATION 3
  • 36.
  • 37. ⎪EXAMINATION Intraoral examination dental tissue incisaledges tooth axis contact lines overjet/ overbite midline dental/ real fanned incisors
  • 38. Shade selection shade prov. brightness shine transparency shade guide present should be + - high normal opaque die shade shade Final present should be Praxis: Patient: Tel: die shade ⎪EXAMINATION Intraoral examination dental LWP color beautiful bright harmony
  • 39. ⎪EXAMINATION Intraoral examination dental LWP color starting situation occlusualview
  • 40. Intraoral examination dental LWP color starting situation occlusualview frontal view (Midline) ⎪EXAMINATION
  • 41. Intraoral examination dental LWP color starting situation occlusualview frontal view (Midline) lateral view (Angle Class) ⎪EXAMINATION
  • 42. Intraoral examination dental LWP color starting situation occlusualview frontal view (Midline) lateral view (Angle Class) Details (tissue, postion….) ⎪EXAMINATION
  • 43. Intraoral examination dental LWP color starting situation Function ⎪EXAMINATION
  • 44.
  • 45.
  • 46. Fix yes bite type Angle Kl. I Angle Kl. II,1 Angle Kl. II,2 Angle Kl. 3 deep bite no head bite cross bite sag: trans: Modell examination manually static (lateral) ⎪EXAMINATION 2 mm 2 mm
  • 47. dental Middle strong side OK UK Height difference Rektoraltrapeze Occlusion -Note: Intercoronal free space Modell examination manually static (lateral) static (frontal) ⎪EXAMINATION
  • 48. dental Middle strong side OK UK Height difference Rektoraltrapeze Occlusion -Note: Intercoronal free space Modell examination manually static (lateral) static (frontal) ⎪EXAMINATION 5
  • 49. +/-side Facets ( only nat. teeth) Raphe Median Model Modell examination manually overview Anatomy strong/ weak side facets ⎪EXAMINATION
  • 50. +/-side Facets ( only nat. teeth) Raphe Median Model Modell examination manually overview Anatomy strong/ weak side facets ⎪EXAMINATION
  • 51. Facets can be achieved yes no conditionally retrusionprotection yes no above: Guidance Front Side Group Hyper balance Bruxism yes no at: Orthofunction yes no yes no at : Fronto-lateral Complete Frontal Parafunction: partial Modell examination manually overview manually dynamic ⎪EXAMINATION 7er
  • 52. Re: Li: Protrusionsbiss, HCN IKP = RKP/ Frühkontakte Modell examination manually overview manually dynamic instrumental static ⎪EXAMINATION 30 35
  • 53. h f s Arti-joint L I I VL VLx I L = VI L = the distance from the perpendicular to the articulator condyle to the tip of the incisalpin. VL= the measured area of the incisalloss of "vertical dimension" I = the distance from the condyle to the respective occlusalPrecontact VI = occlusalreduction Bite Change: support pin + - red = centric black = habitual v d v d Modell examination manually overview manually dynamic instrumental static ⎪EXAMINATION 2mm
  • 54. ⎪FUNCTIONALSCREENING 2 (provoked pain) 2 says the Pat.
  • 55. Mount HL FFH Camper Modell examination manually overview manually dynamic instrumental static plan ⎪EXAMINATION
  • 56. Mount HL FFH Camper Modell examination manually overview manually dynamic instrumental static plan ⎪EXAMINATION
  • 57.
  • 58. splint Accompanying / preparatory measures Centralization Centric physio-osteopathy therapy KFO Implant Endo Waxup CT eggshell Prov pre-therapy in approach / Overview first grinding at Initial additional: Patient examination Modell examination Aim ⎪EXAMINATION
  • 59. WM 44 43 42 41 31 32 33 34 additiv subtraktiv WM 14 13 12 11 21 22 23 24 additiv subtraktiv Finales Aim (improvements) Comments : soft tissue management Plans Occlusion jont speeches General Esthetic Function Patient examination Modell examination Aim ⎪EXAMINATION
  • 60.
  • 61.
  • 64. Corpus place hold expansion Side bite guard bite deepness occlusal surface Front Shimstockhold guidance steepness Ramps protect Retrusion OK UK insertion anchor button Labobow other pure plateau adapted plateau cusp-fossa shape occlusal surface like Insertion like construction ri3er ri2er ri1er le 1er le 2er le 3er value: guidance plate indiv. guidance plate Arti. complete partially at initial at reciprocally regio ⎪Order (Splint): decompression 4er; 1 3 3 3 3 beginning: le. 3 initially just then a shallow rise 3
  • 68.
  • 69. ⎪PreTreatment Pre prosthetic phase Wax up Provisional
  • 70.
  • 71.
  • 73. ⎪PRETREATMENT Implant phase planning surgery
  • 74. ⎪PRETREATMENT Implant phase planning surgery
  • 75.
  • 76.
  • 77.
  • 78.
  • 79.
  • 80.
  • 81.
  • 82.
  • 83.
  • 84.
  • 85.
  • 86.
  • 87.
  • 88.
  • 89.
  • 90.
  • 91.
  • 92.
  • 93.
  • 94.
  • 95.
  • 96.
  • 97.
  • 98.
  • 102.
  • 103.
  • 104.
  • 105.
  • 106.
  • 108.
  • 110.
  • 111.
  • 112. WM 44 43 42 41 31 32 33 34 additiv subtraktiv WM 14 13 12 11 21 22 23 24 additiv subtraktiv Finales Aim (improvements) Comments : soft tissue management Plans Occlusion jont speeches General Esthetic Function Patient examination Modell examination Aim ⎪comparison -starting
  • 113. WM 44 43 42 41 31 32 33 34 additiv subtraktiv WM 14 13 12 11 21 22 23 24 additiv subtraktiv Finales Aim (improvements) Comments : soft tissue management Plans Occlusion jont speeches General Esthetic Function Patient examination Modell examination Aim ⎪comparison -finalize
  • 114. face center / Maxilla Re Li Extra oral examination dento labial face profile posture dento-facial ⎪comparison -starting
  • 115. face center / Maxilla Re Li Extra oral examination dento labial face profile posture dento-facial ⎪comparison -finalize
  • 117.
  • 118.
  • 119.
  • 120.