Replacement Of Anterior Teeth Research Articles

A new insight into dental implant treatment for trauma-induced edentulism and associated temporomandibular joint disorders: A Case Report

ABSTRACT Introduction: Anterior implant placement is always challenging, especially when it is caused by trauma. Treatment preference is not only because of bone sufficiency but also aesthetic considerations. The complications aggravated by trauma and temporomandibular joint disorder need particular emphasis. The aim of this case report is to describe a new insight into dental implant treatment for trauma-induced edentulism and associated temporomandibular joint disorders. Case report: A 24-year-old woman had a motor vehicle accident. Her four anterior mandibular teeth were extracted through fractures. The patient also complained of clicking in both jaws during mouth opening. A bone graft and modification provisoris-stabilization splint were applied before definitive treatment. Furthermore, a 4-unit Porcelain Fused to Metal (PFM) implant-supported-fixed partial denture was done to replace the missing teeth. Conclusion: New insight into dental implant treatment for trauma-induced edentulism and associated temporomandibular joint disorders with replacement of several anterior mandibular missing teeth due to trauma with temporomandibular disorders could be treated with dental implant modification splint that functions as a temporary restoration as well, which was an alternative treatment option. The patient was satisfied with the result of the treatment, especially in the aesthetic aspect.KEYWORDSdental implant, trauma, temporomandibular joint disorders, splint

Comparing the modified socket-shield technique with the conventional immediate implantation technique in the anterior dentition: A 5-year retrospective clinical study.

The aim of this retrospective clinical study was to compare the 5-year radiological and clinical outcomes of patients undergoing immediate implantation with or without the modified socket-shield technique. Patients who underwent anterior tooth replacement via the modified socket-shield technique (MSST) or the conventional immediate implantation technique (CIIT) between 2016 and 2017 were included. The labial bone thickness was assessed at different measurement levels (0, 2, 4 and 6 mm apical to the implant shoulder (IS)) postoperatively (T1), 6 months postoperatively (T2) and 5 years postoperatively (T3). The pink aesthetic score (PES) was evaluated before surgery (T0) and at T2 and T3. Implant success, complications and patient satisfaction were evaluated at every visit. Thirty-six patients (18 in the MSST group) underwent follow-up for 5 years, with no cases of implant failure. Two cases of exposure were detected in the MSST group, but there were no significant effects on hard or soft tissue. Patients in the MSST group showed less and more stable bone resorption than did those in the CIIT group at any measurement level and any time. A higher PES was achieved in the MSST group. Patient satisfaction was similar in both groups. The MSST is a reliable immediate implantation method because of its ability to preserve the alveolar bone and provide superior recovery of aesthetics.

The cantilever contact-point resin bonded bridge; adhesion 2.0.

When young patients are congenitally missing anterior teeth, different treatment modalities can be used to complement the dental arch. This article proposes a new treatment modality for the replacement of anterior teeth, the cantilever contact-point resin bonded bridge(CCP-RBB). In this proof of principle study, CCP-RBB's delivered by one operator were clinically assessed. Patients who were missing maxillary incisors and had suitable intra-oral conditions for a contact-point cantilever RBB were included. Three cases are presented to describe all adhesive steps. This proof of principle clinical study is presented with up to 60 months follow-up of the cantilever contact resin bonded bridges. A total of 19 CCP-RBB's were evaluated after a mean period of 29.8 months. None of the restorations exhibited failure, carious lesions or fractures during the follow-up periods, demonstrating an absence of restoration debonding or the need for repair. The new cantilever contact-point resin bonded bridge exhibited an excellent treatment modality without failure or debonding up to 5 years. More and extended duration in vivo studies are needed to evaluate this new treatment modality. In this proof of principle the new cantilever contact-point resin bonded bridge obtained excellent results up to 5 years of clinical follow-up.

Comparison between platelet rich fibrin as space filling material versus xenograft and alloplastic bone grafting materials in immediate implant placement: a randomized clinical trial

BackgroundThis study aimed to compare the efficacy of different gap filling materials in immediate implant in anterior and premolar regions of maxilla.Materials and methodsThirty-six implants were inserted in patients seeking for replacement of non-restorable maxillary anterior and premolar teeth (esthetic zone) by immediate implant. Patients were randomly distributed into three equal groups, twelve implants in each group. Group 1 received Platelet Rich Fibrin (PRF) into the jumping distance, Group 2 received Xenograft into the jumping distance and Group 3 received Alloplastic bone grafting material into the jumping distance. Implant stability by measuring the changes in Resonance Frequency Analysis (RFA), peri-implant pocket depth, marginal bone loss and changes in buccal bone thickness were evaluated during follow up periods. All the clinical and radiographic data were subjected to statistical analysis by One Way ANOVA test and the Post Hoc Tukey test.ResultsThis study involved 19 female patients and 17 male patients who received 36 dental implants. There was no significant difference between the study groups regarding implant stability, peri-implant pocket depth and palatal bone loss, while there was a significant difference between PRF Group (Group 1) and the other Groups regarding buccal bone loss and changes in buccal bone thickness.ConclusionPRF can be used as a gap filling material in conjunction with immediate implant placement, but other bone grafting materials give superior result regarding buccal bone loss and changes in buccal bone thickness.Trial registrationThe study was listed on www.clinicaltrials.gov with registration number (NCT05878392) on 26/05/2023. The Institutional Review Board (IRB) of the Faculty of Dentistry, Mansoura University, Mansoura, Egypt, approved the current study in compliance with the seventh revision of the Helsinki Declaration in 2013 (A0103023OS).

Inter-implant Papilla Changes Following Anterior Immediate Tooth Replacement with Socket Shields: A 1- to 10-Year Retrospective Study.

This retrospective study investigates the efficacy of the socket shield (SS) in preserving inter-implant papilla and bone in anterior adjacent implant sites. Clinical and radiographic records of 23 patients were evaluated. A total of 31 implants were placed immediately into extraction sockets with SS, resulting in 26 inter-implant sites, and 7 implants were placed without SS. After a mean follow-up of 41.5 months (range: 12 to 124 months), 30/31 (96.8%) implants with SS and 7/7 (100%) implants without SS were clinically successful. The mean changes in inter-implant papilla and bone heights were -0.40 mm and -0.46 mm, respectively. The effects of implant placement timing and the socket shield number, shape, and crestal level on inter-implant tissue height changes were found to be insignificant (P > .05). Supracrestal shield level (31.6% vs 16.6% in equicrestal), U-shape shield (41.2% vs 7.1% in C-shape), and shield-to-implant contact (40.0% vs 12.5% in no contact) were associated with increased occurrence of exposures. The application of SS in adjacent anterior implant situations is a viable treatment option for maintaining inter-implant papilla.

Single geometry abutment for narrow and extra-narrow implant systems: Survival and failure modes

The use of identical prosthetic components for all implant diameters could reduce the production costs by companies and the complexity of component selection for the clinician and his team. However, it would imply in reduction of thickness of the cervical walls of tapered internal connection implants, which could compromise the reliability of narrow and extra-narrow implants. Therefore, this study aims to evaluate the probability of survival and failure modes of extra-narrow implant systems with the same internal diameter as standard-diameter implants using the same prosthetic components. It was used eigth different implant system configurations, including narrow (Ø 3.3 mm) (N) extra-narrow (Ø 2.9 mm) (EN) and extra-narrow-scalloped (Ø 2.9 mm) (ENS) implants, both with cementable abutments (Ce) or titanium bases (Tib) and one-piece implants (Ø 2.5 mm and Ø 3.0 mm) (OP) (Medens, Itu, SP, Brazil), comprising the following groups: OP 3.0; OP 2.5; N Ce; N Tib; EN Ce, EN Tib, ENS-Ce and ENS-Tib. The implants were embedded using polymethylmethacrylate acrylic resin in a 15 mm matrix. Standardized maxillary central incisor crowns were virtually designed and milled to fit on the different studied abutments and cemented using a dual self-adhesive resin cement. The specimens were submitted to SSALT (Step Stress Accelerated Life Testing) at 15 Hz in water until failure or suspension of the test, until a maximum load of 500 N. Fractographic analysis of the failed specimens were realized in scanning electron microscopy. All implant systems demonstrated high probability of survival (90–100%) for missions at 50 and 100 N and values of characteristic strength superior to 139 N. Failure modes were restricted to the abutment in all the implant configurations tested. Therefore, the use extra-narrow implants with standardized prosthetic components for different implant diameters is a viable option for the replacement of anterior teeth.

Evaluation of Patient’s Aesthetic Satisfaction after the Cementation of the Porcelain Fused to Metal Crown

Aim: To assess the aesthetic satisfaction with the metal-ceramic dental prosthesis in relation to patient education, age and gender. Methods: This prospective longitudinal study was undertaken by selecting 360 adult patients from both genders indicated for single maxillary porcelain fused to metal crowns. These patients were categorized into three groups based on gender, age, and education. Patients were assessed for aesthetic satisfaction for tooth shape; color, angulation, visibility, and shade at the time of insertion and at a follow-up of 12 weeks. At the time of the prosthesis insertion, a self-evaluation questionnaire was provided to each patient to record their satisfaction levels with the prosthesis. Satisfaction levels among the participants were evaluated based on participants' age, gender, and education level (Chi-square). A p-value of 0.05 was considered statistically significant. Results: The study enrolled 150(41.67%) males and 210(58.33%) females with the participant age ranging from 19 to 60 years and a mean age of 30.53 (± 10.88 years). 84(23.3%) were uneducated participants, 210(58.3%) were high school graduates, and 66(18.3%) were university graduates. A decrease in the level of satisfaction was observed with increasing years of patient education at insertion. The overall aesthetic satisfaction among patients at PFM crown insertion (65%) and at 12 weeks follow-up (69.2%) was statistically comparable (p>0.05). Practical implication: Aesthetic is the most important consideration for the replacement of anterior teeth. Numerous studies evaluated the aesthetic satisfaction of the patients after providing full ceramic prosthesis, however, data regarding patient satisfaction after the metal ceramic dental prosthesisis scarce in the scientific literature. Conclusion: Satisfaction with the esthetic restoration depends on patient education and awareness. Age and education add to a person's experience and increase awareness with respect to better aesthetics. Keywords: Aesthetics; patient satisfaction; assessment; patient care, metal ceramic prosthesis

Facial implant gingival level and thickness changes following maxillary anterior immediate tooth replacement with scarf-connective tissue graft: A 4-13-year retrospective study.

A scarf-shaped connective tissue graft can be placed at the facial and proximal aspect of the peri-implant soft tissue zone during immediate implant placement and provisionalization (IIPP) procedures in the esthetic zone to optimize implant esthetics without the need of flap reflection. This retrospective study evaluated soft tissue stability after scarf-connective tissue graft (S-CTG) in conjunction with IIPP procedures in the esthetic zone. Patients who received IIPP with S-CTG with a minimum 1-year follow-up were evaluated. Mid-facial gingival level (MFGL) change and mid-facial gingival thickness (MFGT) change were measured and compared at the pre-op (T0), IIPP + S-CTG surgery (T1), follow up appointment with MFGT measurement (T2), and latest follow-up appointment (T3). Implant success rate and graft necrosis were also recorded. A total of 22 IIPP and S-CTG procedures in 20 patients were evaluated in the study. After a mean follow-up of 8.2 years (3.9-13.4) (T3), all implants remained osseointegrated (22/22 [100%]), with statistically insignificant mean midfacial gingival level change of -0.19 mm (-1.5 to 0.8). Statistically significant difference in midfacial gingival thickness (MFGT) was noted (2.5 mm [1.8-3.5 mm]) after a mean follow-up time (T2) of 2.3 years (1-8.6) when compared with MFGT at baseline (1.1 mm [0.6-1.3 mm]) (T1). Necrosis of S-CTG during initial healing phase was noted in 9% (2/22) of the sites. Within the confines of this study, scarf-connective tissue graft at time of immediate implant placement and provisionalization can thicken the gingiva and maintain the gingival level at the critical soft tissue zone. Managing the soft tissue zone is as important as that of the hard tissue zone for peri-implant esthetics. Connective tissue graft is one of the methods that can enhance the final esthetic outcomes. This retrospective study has demonstrated that Scarf-CTG technique is an effective treatment modality to maintain soft tissue stability.

THE TECHNIQUE FOR MAKING AESTHETIC ACRYLIC RESIN REMOVABLE PARTIAL DENTURES IN AN ANTERIOR CROSS BITE CASE

Background: Certain cases such as anterior cross bites require a different aesthetic removable denture technique from the conventional removable denture. Purpose: To provide an overview of a case about the technique of making aesthetic acrylic resin removable partial dentures for anterior tooth replacement in cases of anterior cross bite. Case analysis: The study examined the working model with maxillary and mandibular anterior cross bite cases. Result: The arrangement of artificial teeth was carried out as ideally as possible, so that it became harmonious. In this case, the incisal artificial teeth 11, 12, 21 were brought forward labially, so that an edge-to-edge position was formed with the opposing teeth. The clasp made was a half jackson which was placed on teeth 15 and 25, so that when the patient smiles the clasp is not visible to fulfill the aesthetic requirements. Conclusion: The technique of making aesthetic removable partial dentures in cases of anterior cross bite that has received more attention is the arrangement of the dental elements because it is different from the normal tooth arrangement. The artificial teeth were arranged in edge-to-edge bite position in order to obtain a harmonious occlusion while taking into account of the labial arch of the adjacent tooth as well as occlusion with the opposing tooth.

Single Anterior Tooth Replacement By Maryland Bridge With Loop Connector: A Case Report

Restoring a single missing tooth in the mandibular anterior region is often a great concern to the dentist because it requires unnecessary removal of healthy abutment tooth structure. Also because of the drifting of the teeth may reduce the available pontic space or presence of diastema before can result in excessive mesiodistal space which again compromises the aesthetics. When the patients demand more conservative and less invasive treatment options, a combination of Maryland Bridge with a loop connector may be the best alternative option to restore the missing teeth whenever the diastema is present. It is the modification of resin bonded FPD which offers a simple solution when the above dilemma is present. It consists of a loop on the lingual aspect, joining the pontic in the center, and then attaches to the wing retainer on the abutment tooth. This case report provides a straightforward and innovative method for the fabrication of modified resin bonded FPD along with maintaining diastema.

Bone Loss Evaluation by Cone Beam Computed Tomography Postdental Implant Placement: An Original Research.

Introduction:The success of the prosthetic rehabilitation is a factor of the periodontal reactions. Hence, in the current study, we aim to assess bone loss in the osseointegrated implants posttreatment by the cone beam computed tomography (CBCT) imaging.Materials and Methods:We conducted a prospective clinical observational study among 50 subjects who received mandibular dental implants for the replacement of the single lost anterior tooth. The follow-up was done at 1 week, 2 weeks, and after 6 weeks. The bone loss around the implant was noted by imaging with CBCT. The values were compared and analyzed statistically.Results:We observed a significant variation among the genders and the age groups. The mean bone loss around the implants was statistically significant for the different time intervals (P = 0.001).Conclusion:Significant bone loss was noted in the first few weeks after implantation. Care should be focused in the initial posttreatment phase to eliminate the factors aggravating the periodontitis.

Shade Determination in Anterior Teeth with Spectrophotometer and Digital Camera in The Making of Fixed Partial Dentures

Introduction: Fixed partial denture is a prosthesis that is permanently attached to one or more damaged teeth, or to replace missing teeth. Shade determination was one of the first step in restoration procedures or making dentures. Restoration could be a failure due to the selection of an inappropriate tooth shade, especially in the replacement of anterior teeth that have high requirements to support appearance and aesthetics. The use of a spectrophotometer and digital camera could help dentists in choosing tooth shades. Purpose: The purpose of this study was to determine and analyze differences in the color accuracy of anterior teeth using a spectrophotometer and digital camera in the manufacture of fixed partial denture. Method: This study used a systematic literature review with fifteen journals.The type of research was a survey and cross-sectional so that the bias analysis will use the Critical Appraisal Skills Program (CASP) and the data extraction in this study also uses a form according to CASP. The data obtained will be synthesized qualitatively. Result: This study showed that seven out of fifteen journals reported that the use of a spectrophotometer in the tooth shade determination provided an accurate result in the selection of anterior tooth shade, while eight other journals stated that the use of a digital camera could be an alternative in choosing tooth shade because digital cameras are easy to get and could combine color features to produce accurate colors. Conclusion: Spectrophotometers and digital cameras could provide good results in terms of shade accuracy and precision.

Replacement of maxillary lateral incisors with digitally manufactured single tooth retained all-ceramic pontics: a clinical report

Several treatment options for replacement of anterior missing teeth exist, varying from no-prep (no preparation)adhesive restorations to implants. Patients’ biological, psychological, economic conditions or age have an effect onthe treatment choice. It is important to perform the most conservative and beneficial treatment option consideringthe patient based factors. The aim of this case report was to demonstrate a single session, minimally invasive,cantilevered 2-unit all-ceramic restorations replacing anterior missing teeth combined with the advantages ofCAD/CAM technology and materials.KEYWORDSCAD/CAM; Cantilever; Digital dentistry; Resin-bonded Fixed dental prostheses.

Relationship of Interalar and Intercommissural Distance with the Width of Maxillary Anterior Teeth

Introduction: The anterior teeth are primarily selected to satisfy esthetics. Their selection requires the dentist’s artistic skill and scientific knowledge. This clinical study was conducted to explore the relationship of interalar and intercommissural distance with the combined width of maxillary anterior teeth. Materials and Methods: Measurements of the parameters was made using a Digital caliper. The patient was seated up right position and asked to look straight; the intercommisural and interalar width were measured between commissures and ala without applying pressure. The combined width of maxillary anteriors form the distal surface of left and right canines were measured with a dental floss, which was then sectioned and measured. Each parameter was measured three times and the average value was computed and recorded. Results: Mean Interalar, intercommisural and intercanine distance were 34.72 mm, 48.9 mm and 49.61 mm respectively. Statistical analysis revealed a highly significant difference between the interalar width, intercommisural width and intercanine width of male and female respectively. Spearman’s rho analysis showed a highly significant correlation between Inter canine and both inter alar width (r=0.098, p <0.04) and Intercommisural width (r=0.234, p <0.05). Similarly, Spearman’s rho analysis in both sexes showed a highly significant correlation between intercanine and intercommisural width however such correlation was not seen between intercanine and inter alar width. Conclusions: This study concluded that there is significant correlation between interalar and intercommissural width with the combined width of maxillary anterior teeth. The inter alar and inter commissural width may be a useful guideline for the selection and replacement of maxillary anterior artificial teeth.

Pragmatic approach to rehabilitate maxillary teeth in aesthetic zone using resin bonded FDP- A case report

Resin bonded fixed dental prosthesis offers most conservative and cost-effective option with missing teeth in aesthetic zone specially when an implant prosthesis is not indicated. This case report describes a treatment option for the replacement of a missing maxillary central incisor using a double-retainer resin-bonded fixed partial denture (RBFPD), fabricated from zirconium dioxide (ZrO) ceramic. No clinical complications were observed at follow-up examination after placement of the prosthesis. Satisfactory functional and aesthetic results were achieved. A treatment modality using a ZrO ceramic RBFPD is an alternative for single anterior tooth replacement.

Biological and esthetic outcome of immediate dental implant with the adjunct pretreatment of immediate implants with platelet-rich plasma or photofunctionalization: A randomized controlled trial.

Aim:The purpose of the study was to assess biological and esthetic outcomes of immediate dental implant in esthetic zone with the adjunct pretreatment of immediate implants with photofunctionalization or platelet-rich plasma in comparison to standard tapered root form implant without pretreatment.Settings and Design:Patients visiting department of Prosthodontics of a tertiary care health Institution. Design of the study was randomized controlled trial.Materials and Methods:Ninety subjects who required replacement of maxillary anterior teeth immediately after extraction were selected and randomly divided into three groups: control group and two case groups. Two case groups were treated with immediate implants with pretreatment with Photofunctionalization (PF group) or platelet-rich plasma (PRP group). Delayed loading protocol was followed with prosthesis given after 6 months. Follow-up was performed at 2nd and 4th weeks and 2, 4, 6, and 12 months (P < 0.05). Biological outcomes (mean marginal bone loss, implant stability), esthetic outcome (pink esthetic score and white esthetic score), and success and survival rate were evaluated.Statistical Analysis Used:Outcomes were compared using one-way ANOVA, while intragroup changes with baseline and follow up were assesed using repeated-measures ANOVA. Statistical analyses were performed using Statistical Package for Social Sciences version 25.0 (SPSS Inc., Chicago, IL, USA). The level of significance was set at <.05.Results:Mean marginal bone loss was not significantly different in PF group and PRP group than the control group. PF group and PRP group showed significantly greater implant stability as compared to the control group. Pink and white esthetic scores were not significantly different among groups.Conclusion:Pretreatment of commercial dental implants with PF or PRP exhibited a statistically significant difference in implant stability but not with other outcomes.

Multiple variants of oral candidiasis as a predictor for HIV/AIDS diagnosis-A case report

Oral candidiasis is the most common opportunistic infection in human immunodeficiency virus infection. History, clinical examination, investigation and diagnosis of oral candidiasis is important for early diagnosis and treatment of HIV infection. Pseudomembranous candidiasis and erythematous candidiasis are associated with immune compromised state and so it is of prognostic significance like reduction in the viral load and CD4 positive T lymphocytes. In this case report, we present a case of a 34-year-old physically challenged asymptomatic male who came for replacement of mandibular anterior tooth who was diagnosed with all four common variants of oral candidiasis which predicted HIV infection. Quality of life of the patient was improved after the diagnosis and treatment.&#x0D;

Secure and precise insertion of minimally invasive resin-bonded fixed dental prostheses after ridge augmentation by means of a positioning splint.

Single-retainer resin-bonded fixed dental prostheses (RBFDPs) are described as an excellent minimally invasive treatment modality for the replacement of a single missing incisor even in cases of congenitally missing teeth that are often associated with hard and soft tissue defects that need to be properly managed to optimize the esthetic outcome. The lack of a retentive form due to the minimally invasive preparation form makes the adhesive bonding procedure for RBFDPs relatively technique-sensitive and might discourage practitioners from offering this treatment modality. A patient with both maxillary lateral incisors congenitally missing was assessed for eligibility for treatment with RBFDPs. Bilateral horizontal ridge defects were present and treated through ridge augmentation to ensure an ovate pontic design and enhance the esthetic outcome. A minimally invasive preparation within enamel was conducted; the restorations were digitally designed and milled out of (3Y-TZP) zirconia ceramic with labial veneering with feldspathic ceramic for enhanced esthetics. An improved design of positioning splints was used for the adhesive bonding procedure to ensure exact, secure, and flawless insertion of the restorations. RBFDPs offer a highly esthetic treatment modality for missing teeth in the anterior area. Tissue defects could be overcome be means of a minor oral surgery, while using improved positioning splints might ensure flawless adhesive bonding and promote the usage of RBFDPs. Hard and soft tissue defects can be remarkably optimized through a minor ridge augmentation. Improved positioning splints allow an easy and secure positioning as well as visual inspection of the seating in end-position and complete removal of resin cement excess. Implementing the concept of insertion splints might promote RBFDPs for anterior tooth replacement as it helps preventing bonding errors.

Fixed Partial Dentures vs Implants in Replacement of Single Missing Tooth in University Hospital Setting - A Retrospective Study

The goal of prosthetic treatment is to restore the normal function, contour and comfort of the teeth. In replacement of anteriors enormous effort is required to bring up aesthetics whereas in posterior teeth replacement effort to replace the function should not be compromised. This study aims to evaluate the preference of FPD and implants in replacement of single lower anterior teeth. A retrospective data collection was done by collecting and reviewing 86000 case sheets of the outpatients department. The study period was about 10 months. Inclusion criteria &amp; exclusion criteria were available. Parameters were tabulated and analysed using SPSS software. There were totally 667 patients treated for replacement of a single missing tooth in the study period. Among these 346 were males and 321 were females.90% of both the population irrespective of age and gender had been preferring fixed partial dentures in replacement of single missing tooth. This study is in consensus with existing literature that fixed partial dentures are widely used for the replacement of single teeth. However, though not statistically significant,10-20% of our study group still preferred to be treated with conventional fixed partial denture treatment. Whether systemic health issues or socioeconomic reasons played a role in the choice of treatment needs to be further evaluated with larger sample size and multicentre studies among our population.

Estimation of Different Facial Landmarks as a Guide in Intercanine Distance Determination (Clinical Study)

Aims:To evaluate the relationship between some of facial parameters including [(alae of nose, mouth, philtrum of upper lip) widths with interzygomatic distance] and straight maxillary intercanine distance for clinical application advantage. Materials and Methods: In this clinical study, (140) dental students in College of Dentistry/University of Mosul were examined and their facial and dental measurements were taken directly from each student by using an electronic digital vernier caliper. The data were collected and analyzed with computer to determine the correlation between the studied factors.Result: The results of this study demonstrated that all the measured parameters were larger in males than females which being statistically different between the two sexes and the Pearson Product Moment Correlation Coefficient test revealed that non of the facial parameters were measured had a significant correlation with straight maxillary intercanine cusp tips distance in females, while both of interzygomatic distance and philtrum width of upper lip had a significant correlation with straight maxillary intercanine cusp tips distance in males which they could be used to determine this distance for replacement of maxillary anterior teeth in males. Conclusion: Depending on previously mentioned results the straight maxillary intercanine distance was equal to interzygomatic distance divided by a factor of( 3.3), while multiplying the width of the philtrum of upper lip with a factor of ( 2.75) gives us an estimation of the straight maxillary intercanine cusp tips distance.