Variants of the design of the dentition of the anterior segments with a progenic and prognathic ratio of edentulous jaws

Abstract

Objective: To improve the prosthetic and aesthetic treatment of patients with complete absence of teeth, taking into account the development of an algorithm for determining the size of the sagittal gap of the frontal segments against the background of a progenic or prognathic ratio of the jaws and their combinations. Methods: A method of mathematical modeling based on digital data of the distance between the tops of the alveolar ridges of the frontal areas of the edentulous jaws has been developed using a designed measuring device. Results: The results of digital calculations based on the determination of the root-mean-square deviation of the interalveolar lines revealed a different amount of bends and configurations of the interalveolar gaps and median arches common to both parts of the frontal segments. Five main variants of the interalveolar fissure and 26 cases of symmetric or asymmetric arrangement of the tops of the alveolar ridges of the right and left sides were obtained. Accordingly, the divergence angles for each pair in the projection of the missing teeth had their own characteristics, which must be taken into account when deciding on the choice of tooth placement in each specific case. Conclusions: Based on the obtained digital interpolation ratios of the interalveolar lines and the angles of their inclination in relation to the midline, the anterior teeth are placed taking into account the level of the sagittal gap, the parameters of which have different levels of symmetry or asymmetry on the right and left sides.