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CONCEPT
CONTENTS
1. Introduction
2. History
3. Dentogenic concept
A. sex factor
B. personality factor
C. age factor
4. Conclusion
5. References
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INTRODUCTION
In the recent years, patients awareness of the importance of dentofacial appearance has
dramatically increased, resulting in more demanding requests for improved treatment
outcomes.
A well made prosthesis may fail in the eyes of a patientVon Vich, 1963
Complete denture ,being one of the most commonly considered treatment option for an
edentulous patient may not bear the same esthetic outcome though functional.
Esthetics in complete denture can be restored by characterization in the form of:
artificial teeth (selection,arrangement,modifications)
denture bases
HISTORY
700 B.C.: Tooth replacements included wood, bone, ivory teeth (carved by skilled
artisans) and artificial teeth attached to natural dentitions with ligature or fixed to the
metal plate held in the mouth.
15th century: 1st known european denture set included hinge device with upper and lower
teeth set carved from a single material rather than individual unit.
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1884: J.W. White proposed temperamental theory in dentistry to aid tooth selection and
improve aesthetics. Temperamental tooth forms were known as named sets. Teeth were
selected according to the individuals body size, body form, colour of eyes and hair,
disposition and character.
1887: W.R. Hall projected Typal form concept (initiation of geometric theory later)
1905: Berry highlighted a need for better harmony between face form and tooth form. He
was probably the first one to project that outline form of the inverted central incisor tooth
closely approximated the outline form of face.
1914: Geometric theory by Leon Williams.
He did extensive study in extracted human teeth and skulls in 1914 to give
three basic typal forms.
Square
Square
Tapering
Oval
tapering
He believed that a relationship existed between the face form and the inverted form of the
maxillary central incisor.
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DENTOGENIC CONCEPT
It was introduced by Frush and Fisher in the mid nineteen fifties (1955-59). The
term dentogenic in relation to prosthetic dentistry conveys the same meaning as the
suffix genic imparts to photograph in the word photogenic. These are guidelines for
tooth selection, arrangement, and characterization to enhance the natural appearance of
the individual.
WILHEHN ZECH, a sculptor in Switzerland observed that it was possible for a sculptor
to express vigor & delicacy in his arts of work. So, it should be possible for the dentist
also to do so in his artificial denture. this was an integral part of thinking that led to the
whole concept of dentogenic restorations.
Factors influencing dentogenic include sex, personality, and age which was collectively
called the SPA factor.
Sex: There are only two sexes immediately identifiable upon sight, but they can be
identified in dress, hair style, and all other visible features.
Personality: is a bit more complex, but, again it can be of three types i.e. vigorous,
medium and delicate.
Age: can be easily separated into young, middle or elderly and no patient in any group
deserves the tooth form or tooth color of either of the other classifications.
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Personality of denture depends on the selection of tooth moulds, tooth colours, tooth
position, and the matrix of the teeth (denture base)
Interpretation by tooth mould
More squarish and large teeth are selected for vigorous people.
For executives, the anteriors should be in a flat plane and the teeth should be
relatively smaller and more symmetrically arranged.
Round incisal edges and corners imparts a delicate personality.
Vigorous personality
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Elderly: Later the sharp tip of the cuspid wears down to a more
mature form i.e. (centrals and laterals-straight;cuspids-curve)
2. Translucency
Youths have more incisal translucency than an elderly.
Shade
Darker shades for elderly and lighter shades for youth.
Smile line:
Long axis of teeth is accentuated with age.
A teeth loses their curves with aging in fermales.
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CONCLUSION
The dentogenic concept is an esthetic philosophy that considers gender, age and
personality to restore the patients dignity and unique individuality that has been missing
in far too many prosthesis.
Outstanding esthetics can be achieved by simple guidelines using tooth molds
specifically sculpted for males and females, arranging prosthetic teeth to correspond the
sex, personality and age and sculpting the matrix (visible denture base) with more natural
contours.
It guides dentists by translating esthetic concepts (optimum tooth selection and
their arrangement) into techniques and not a compulsion. Thus, our artistic perception
must be given more freedom. However, a patient cannot be expected to desire or even to
be willing to submit to the innovations of dentogenics.
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REFERENCES
1. Prosthodontics treatment for edentulous patients- Zarb Bolender, 12 th
edition
2. Textbook of complete denture- Arthur o. Rahn, Charles M. Heartwell
jr.,5th edition
3. Essentials of complete denture prosthodontics- Sheldon Winkler,2nd
edition
4. William S. Jameson: Dynesthetic and dentogenic concept revisited.
journal of esthetic and resorative dentistry 2002; 14(3)
5. Frush Jp. & Fisher Rd.: the dynesthetic interpretation of dentogenic
concept. J. Prostho. dent. 1958; 8(4): 558 581
6. Frush Jp. & Fisher Rd.: How dentogenic restorations interpret the sex
factor. J. Prostho. dent. 1956; 6: 160 172
7. Frush Jp. & Fisher Rd.: How dentogenic interprets the personality factor.
J.Prostho. Dent. 1956; 6: 441 - 449
8. Frush Jp. & Fisher Rd.: Age factor in dentogenics. J. Prostho. dent. 1957;
7:5 13
9. Omkar Shetty, Sabita Ram: Dentogenic concept- part 1. scientific
journal 2007; 1
10. Omkar Shetty, Sabita Ram: Dentogenic concept- part 2. scientific
journal 2008; 2
11. Dr. Brijesh Shetty, Dr. Pranav V Mody, Dr. Manish Kumar, Dr. Girish
Kumar, Dr. Kalpesh K. Revankar Bhat: Personalized denturelets make
a difference!!-a clinical case report on characterized denture journal of
orofacial research 2011; 1(1)
12. Rajeev Srivastava, Vivek Choukse: Characterization of complete denture
international journal of dental clinics, 2011:3(1):56-59
13. Himanshu Aeran, Rubina Gupta, Mukesh Dhanda: Dynsthetic
interpretation of esthetics in compete denture(review article) Indian
Journal of dental sciences.
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