8 East Devon Ave., Elk Grove Village, IL 60007

Our Blog

Family & Cosmetic Dentistry in Elk Grove Village IL

2 minutes read

A few considerations…

Published by c5import

Considerations for the incisal edge and smile line, considerations for multiple tooth replacement including dentures, veneers, and all-on-4 restorations

Below is a list of things that may play a role in determining what you can and can’t do when it comes to incisal edge placement for a variety of restorative procedures, including crowns and veneers.  
  • High lip line is higher with a spontaneous smile (vs posed) smile. More of premolars show too (30%) with natural smile.
  • Options for moving incisal edges: Crown lengthen and shorten tooth vs intruding teeth with orthodontic care.
  • Things to evaluate when looking at incisal edge: Tooth display at rest, lip mobility, occlusal plane, and facial/lingual position.
  • You want incisors to show when talking or at rest (otherwise it looks like you have no teeth).
  • You don’t want the incisal edge above the buccal cusp of premolars or you will get a reverse smile line. To evaluate, have person touch lips, then relax lips without smiling.
  • As you age, you show less maxillary incisors (from soft tissues dropping on the skeletal base).
  • Over-eruption (from a class 2) can cause more teeth to show at rest than expected.
  • Tooth wear can cause less tooth to show at rest.
  • You have to take into account where the incisal edge is both AT REST and with full NATURAL SMILE.
  • Normal amount of lip mobility is 6-8mm. This is often determined by the alveolar ridge. As the teeth and alveolar ridge moves forward it leads to more mobility… retruded leads to less mobility.
  • Hyper-mobile lip is a problem and often cannot be treated “tooth-wise.” If the incisal edge is in the right place at rest with normal size teeth but then they show 7+mm gingival, it may be wise to consider Botox or lip repositioning surgery.
  • There are several things that limit lengthening of incisal edges: Overall tooth display, phonetics, and occlusion to name a few.
 ]]>

Recent Posts

Our Clients
Reviews

Most caring dental staff I’ve ever encountered. Every experience has been extremely professional, from just calling to ask a question to cleanings for my whole family and beyond.

Dr. Homann goes out of his way to make sure you understand each step of the process and are comfortable the whole way. Each member of their team genuinely cares about their patients, and knowing I will have the best care every time I walk in the door makes going to the dentist a whole lot easier. Thank you to all the kind and wonderful staff, you make all the difference.

Julie Higham

Elk Grove Village, IL

Dr. Homan is the best dentist I've ever been to. Most of my co-workers go to Dr. Homan and that's how I heard about him.

I needed a lot of work on my teeth and I'm so glad I found such a great dentist. He explains everything to you and also is very upfront on all posibiltys that's can happen to the tooth he works on and also explains what you can expect after the dental work. He's also very friendly and everyone at the office makes you feel comfortable. Karen and Sandra in the front office are wonderful as well. They also have wonderful dental hygienist. My insurance is not in network with Dr. Homan but it's well worth the extra money to still go to the best!

Rachel S.

Elk Grove Village, IL

Dr. Homann's practice is very clean and up to date. His practice also has televisions to watch when you are getting your teeth cleaned or any other work done which is awesome!

The chairs are very comfortable and the staff is very polite. Dr. Homann is also a very knowledgeable dentist with the ability to make every patient feel calm and comfortable no matter what the situation. He also has done volunteer work for the homeless donating his time and resources to help the less fortunate, if that doesn't let you know what kind of practice this is I don't know what will. I will definitely be coming back here again!

John W.

Elk Grove Village, IL
icon

5.0 on 146 reviews

Contact Us Today

Request an Appointment