Facial Esthetic Considerations with All-on-4: A Report on Two Cases

Int J Periodontics Restorative Dent. Jan/Feb 2019;39(1):57-64. doi: 10.11607/prd.3563.


This article describes two case reports of immediate full-arch dental implant- supported prostheses using facial parameters to determine the anticipated incisal edge (AIE) position. Treatment planning the terminal dentition is driven by several facial parameters. A frontal photo is obtained to assess the facial thirds and the symmetry in the lower third. A profile photo allows the clinician to measure Holdaway's angle, nasolabial angle, and labiomental sulcus depth and anatomy. Facial assessment is a diagnostic tool that assists the clinician in addressing the challenges of ideal tooth position in the absence of dental landmarks to achieve dentofacial esthetics.

Publication types

  • Case Reports

MeSH terms

  • Dental Implantation, Endosseous / methods*
  • Dental Prosthesis, Implant-Supported*
  • Denture, Complete, Upper*
  • Esthetics, Dental*
  • Female
  • Humans
  • Jaw, Edentulous / rehabilitation*
  • Maxilla
  • Middle Aged
  • Photography