The midline is not aligned. It seems the mandibular anteriors could be shifted to the patient's left until aligned with the maxillary midline. There seems to be a step that has been created between the anterior and posterior teeth ie. the anterior teeth look as if they are hanging in comparison to the posteriors. This could possibly be solved by lifting the anterior teeth which would also decrease the overbite and create better incisal excursion.
The maxillary first and second molars on the patients left and right can be raised more. The midline of the mandibular teeth are out, can be shifted a little to the patients left. (mandibular anteriors)
No curve of spee. The maxillary premolars are too high above the occlusal plane.The mandibular incisors are depressed by the incisal edge. The wax up on the mandibular teeth is not aesthetically pleasing because of the interdental papilla being too sharp and not smoothed off.
The midline is wrong. the maxillary posteriors can be brought down a little and also outwards as the cusps look like they are "falling in" towards the lingual and are not following the canines, thus making the canines look bulky and out too much. this will affetc the patients face shape. mandibular anteriors also look like they falling lingually.
the 2.6 neck should be depressed and be raised from distal cusps, this will make the mesio-lingual cusp be the only cusp touching occlusal plan. Then 2.7 should be raised so that is in harmony with 2.6 and create a curve of spee
the posterior teeth are set where the necks are more prominent, whereas should be less. in the 1st picture the occlusion seems really good, however, because the buccal cusps of the maxillary molars are in occlusion, this will end up being a problem with excursions and may cause dislodging of the mandibular denture if processed as it is. the 2nd picture somehow supports this statement as in 1st year we are taught that the mesio-lingual cusps of the maxillary molars occlude into the central groove of the mandbuilar molars.. in the 2nd picture the lingual cusps are not visible. the overbite of the anterior teeth is to much as when out of occlusion, the anterior incisal edge of the anterior teeth are still lower than the incisal edge of the mandibular anterior teeth.
Maxillary 1st quadrant posterior teeth are hanging too much. no curve of spee. midline is off. maxillary 2nd quadrant teeth has to be dropped. 2.3 has to be raised.
- overbite too big - drop mandibular anteriors - when looking at the anterior teeth and posterior teeth, there seems to be a step (between canines and premolars) - mandibular teeth off the ridge - too far lingual - try in slanting to the pts left - teeth on right id higher than left - inclination of mandibular anterior teeth in not correct - occlusion can be improbed in the lingual and palatal aspects
There's a lot of bubbles in the wax and the midline should be moved more towards the patients left.
ReplyDeleteThe midline is not aligned. It seems the mandibular anteriors could be shifted to the patient's left until aligned with the maxillary midline. There seems to be a step that has been created between the anterior and posterior teeth ie. the anterior teeth look as if they are hanging in comparison to the posteriors. This could possibly be solved by lifting the anterior teeth which would also decrease the overbite and create better incisal excursion.
ReplyDeleteTotally agree with Sam :)
ReplyDeleteThe maxillary first and second molars on the patients left and right can be raised more. The midline of the mandibular teeth are out, can be shifted a little to the patients left. (mandibular anteriors)
ReplyDeleteNo curve of spee. The maxillary premolars are too high above the occlusal plane.The mandibular incisors are depressed by the incisal edge. The wax up on the mandibular teeth is not aesthetically pleasing because of the interdental papilla being too sharp and not smoothed off.
ReplyDeleteThe midline is wrong. the maxillary posteriors can be brought down a little and also outwards as the cusps look like they are "falling in" towards the lingual and are not following the canines, thus making the canines look bulky and out too much. this will affetc the patients face shape. mandibular anteriors also look like they falling lingually.
ReplyDeletethe maxillary anterior teeth can be placed more towards the mandibular ridge
ReplyDeletethe teeth does not follow the curve of spee starting from the canines. the maxillary right premolar is depressed
ReplyDeletethe 2.6 neck should be depressed and be raised from distal cusps, this will make the mesio-lingual cusp be the only cusp touching occlusal plan. Then 2.7 should be raised so that is in harmony with 2.6 and create a curve of spee
ReplyDeletethe posterior teeth are set where the necks are more prominent, whereas should be less. in the 1st picture the occlusion seems really good, however, because the buccal cusps of the maxillary molars are in occlusion, this will end up being a problem with excursions and may cause dislodging of the mandibular denture if processed as it is. the 2nd picture somehow supports this statement as in 1st year we are taught that the mesio-lingual cusps of the maxillary molars occlude into the central groove of the mandbuilar molars.. in the 2nd picture the lingual cusps are not visible. the overbite of the anterior teeth is to much as when out of occlusion, the anterior incisal edge of the anterior teeth are still lower than the incisal edge of the mandibular anterior teeth.
ReplyDeleteMaxillary 1st quadrant posterior teeth are hanging too much. no curve of spee. midline is off. maxillary 2nd quadrant teeth has to be dropped. 2.3 has to be raised.
ReplyDeleteThe lower anterior teeth are too high, the midline is a bit off.
ReplyDeleteOverbite and overjet to large
ReplyDelete- overbite too big - drop mandibular anteriors
ReplyDelete- when looking at the anterior teeth and posterior teeth, there seems to be a step (between canines and premolars)
- mandibular teeth off the ridge - too far lingual
- try in slanting to the pts left - teeth on right id higher than left
- inclination of mandibular anterior teeth in not correct
- occlusion can be improbed in the lingual and palatal aspects