Dentaltown January 2025 - 32

Fig. 5
just behind the lip will
yield a more accurate
result of where the
central incisor should
be positioned.
STEP
Fig. 6
1 2
Establish
existing
measurements
of the teeth
When we are
assessing a
candidate for
Fig. 7
Fig. 8
an aesthetic vertical
dimension change, the
first step is to measure
the existing lengths
of the teeth, including
overbite, for communication
with the lab.
The four measurements
you want to record are:
the existing length of
the maxillary central
incisor (Fig. 5), the
existing length of the
mandibular central
incisor opposing the
maxillary central that
you measured (Fig.
6) and the CEJ-CEJ
measurement between
these two teeth (Fig. 7).
Lastly, determine the
range of central incisor display at rest
is 0-8 mm4
for adults between the
ages of 30 to 60 years old. The number
of times patients from this study fell
into this 2-4 mm average is less than
30 percent. He showed that the canine
is a far better landmark to use, and in
smile design, the central and canine
are on the same plane. Using a 0 mm
canine show in repose (plus or minus
1 mm), means the canine positioned
existing overbite measurement. The
CEJ-CEJ measurement is the measurement
of the maxillary central plus the
mandibular central minus the existing
overbite. For the patient featured in
these figures the maxillary central
incisor length is approximately 7 mm,
the mandibular central incisor length
is also approximately 7 mm. The existing
CEJ-CEJ measurement is 11 mm,
showing us this patient has a 3 mm
JANUARY 2025 | 32 | DENTALTOWN.COM
STEP
3
overbite. These measurements will be
used moving forward in communication
with the lab to confirm the preoperative
measurements compared to
your desired final lengths.
STEP
Choose the new maxillary
central incisor length
The patient pictured has a
maxillary central incisor
that measures approximately
7 mm in length.
The range of the average
maxillary central incisor, unworn and
unrestored, is approximately 10-12
mm.5, 6
By adding flowable composite
to the incisal edge of the central and
canine, we can position the central
incisor and measure the new desired
length of 10 mm (Fig. 8).
If crown lengthening is required,
we add the planned reduction in
tissue to this measurement to create
the overall new maxillary central
incisor length.
Choose the new
mandibular central
incisor length
The patient's existing
mandibular central incisor
length in these examples
is also a measurement
of 7 mm. The average length of the
unworn, unrestored mandibular
central incisor is approximately 8
mm7
. For this patient we would want
to make sure that adding this 1 mm
length to the mandibular central incisor
position would not create mandibular
teeth with too much display.
Adding flowable to the length of the
mandibular central incisor chairside
for evaluation would aid in this
determination.

http://www.DENTALTOWN.COM

Dentaltown January 2025

Table of Contents for the Digital Edition of Dentaltown January 2025

Title
Office Visit: Dr. Conor Perrin
Simplifying Vertical Dimension - Dr. John Nosti
Don’t Jump to Extractions - Drs. Daniel Boehne and Shane White
High Visibility - Dr. David A. Wank
Howard Speaks: Orchestrating Success 
Professional Courtesy: Future Focused
First Immediate Implant Case Advice Needed   
Lost All Dignity Trying to Appease an Angry Patient 
Online CE: Pediatric Dentistry 
Poll: Sleep Dentistry 
Ad Index   
Dentaltown January 2025 - Intro
Dentaltown January 2025 - Cover1
Dentaltown January 2025 - Cover2
Dentaltown January 2025 - 1
Dentaltown January 2025 - 2
Dentaltown January 2025 - 3
Dentaltown January 2025 - 4
Dentaltown January 2025 - 5
Dentaltown January 2025 - Howard Speaks: Orchestrating Success 
Dentaltown January 2025 - 7
Dentaltown January 2025 - Professional Courtesy: Future Focused
Dentaltown January 2025 - 9
Dentaltown January 2025 - Online CE: Pediatric Dentistry 
Dentaltown January 2025 - Poll: Sleep Dentistry 
Dentaltown January 2025 - 12
Dentaltown January 2025 - 13
Dentaltown January 2025 - First Immediate Implant Case Advice Needed   
Dentaltown January 2025 - 15
Dentaltown January 2025 - 16
Dentaltown January 2025 - 17
Dentaltown January 2025 - Lost All Dignity Trying to Appease an Angry Patient 
Dentaltown January 2025 - 19
Dentaltown January 2025 - 20
Dentaltown January 2025 - Ad Index   
Dentaltown January 2025 - Office Visit: Dr. Conor Perrin
Dentaltown January 2025 - 23
Dentaltown January 2025 - 24
Dentaltown January 2025 - 25
Dentaltown January 2025 - 26
Dentaltown January 2025 - 27
Dentaltown January 2025 - 28
Dentaltown January 2025 - 29
Dentaltown January 2025 - Simplifying Vertical Dimension - Dr. John Nosti
Dentaltown January 2025 - 31
Dentaltown January 2025 - 32
Dentaltown January 2025 - 33
Dentaltown January 2025 - 34
Dentaltown January 2025 - 35
Dentaltown January 2025 - Don’t Jump to Extractions - Drs. Daniel Boehne and Shane White
Dentaltown January 2025 - 37
Dentaltown January 2025 - 38
Dentaltown January 2025 - 39
Dentaltown January 2025 - 40
Dentaltown January 2025 - 41
Dentaltown January 2025 - 42
Dentaltown January 2025 - 43
Dentaltown January 2025 - High Visibility - Dr. David A. Wank
Dentaltown January 2025 - 45
Dentaltown January 2025 - 46
Dentaltown January 2025 - 47
Dentaltown January 2025 - 48
Dentaltown January 2025 - Cover3
Dentaltown January 2025 - Cover4
Dentaltown January 2025 - ElitePractice
https://www.nxtbook.com/farran/dentaltown/dentaltown-february-2025
https://www.nxtbook.com/farran/dentaltown/dentaltown-january-2025
https://www.nxtbook.com/farran/dentaltown/dentaltown-december-2024
https://www.nxtbook.com/farran/dentaltown/dentaltown-november-2024
https://www.nxtbook.com/farran/dentaltown/dentaltown-october-2024
https://www.nxtbook.com/farran/dentaltown/dentaltown-september-2024
https://www.nxtbook.com/farran/dentaltown/dentaltown-august-2024
https://www.nxtbook.com/farran/dentaltown/dentaltown-july-2024
https://www.nxtbook.com/farran/dentaltown/dentaltown-june-2024
https://www.nxtbook.com/farran/dentaltown/dentaltown-may-2024
https://www.nxtbook.com/farran/dentaltown/dentaltown-april-2024
https://www.nxtbook.com/farran/dentaltown/dentaltown-march-2024
https://www.nxtbook.com/farran/dentaltown/dentaltown-february-2024
https://www.nxtbook.com/farran/dentaltown/dentaltown-january-2024
https://www.nxtbook.com/farran/dentaltown/dentaltown-december-2023
https://www.nxtbook.com/farran/dentaltown/dentaltown-november-2023
https://www.nxtbook.com/farran/dentaltown/dentaltown-new-grad-2023
https://www.nxtbook.com/farran/dentaltown/dentaltown-october-2023
https://www.nxtbook.com/farran/dentaltown/dentaltown-september-2023
https://www.nxtbook.com/farran/dentaltown/dentaltown-august-2023
https://www.nxtbook.com/farran/dentaltown/dentaltown-july-2023
https://www.nxtbook.com/farran/dentaltown/dentaltown-june-2023
https://www.nxtbook.com/farran/dentaltown/dentaltown-may-2023
https://www.nxtbook.com/farran/dentaltown/dentaltown-april-2023
https://www.nxtbook.com/farran/dentaltown/dentaltown-march-2023
https://www.nxtbook.com/farran/dentaltown/dentaltown-february-2023
https://www.nxtbook.com/farran/dentaltown/dentaltown-january-2023
https://www.nxtbook.com/farran/dentaltown/dentaltown-december-2022
https://www.nxtbook.com/farran/dentaltown/dentaltown-november-2022
https://www.nxtbook.com/farran/dentaltown/dentaltown-october-2022
https://www.nxtbook.com/farran/dentaltown/dentaltown-new-grad-2022
https://www.nxtbook.com/farran/dentaltown/dentaltown-september-2022
https://www.nxtbook.com/farran/dentaltown/dentaltown-august-2022
https://www.nxtbook.com/farran/dentaltown/dentaltown-july-2022
https://www.nxtbook.com/farran/dentaltown/dentaltown-june-2022
https://www.nxtbook.com/farran/dentaltown/dentaltown-may-2022
https://www.nxtbook.com/farran/dentaltown/dentaltown-april-2022
https://www.nxtbook.com/farran/dentaltown/dentaltown-march-2022
https://www.nxtbook.com/farran/dentaltown/dentaltown-february-2022
https://www.nxtbook.com/farran/dentaltown/dentaltown-january-2022
https://www.nxtbook.com/farran/dentaltown/dentaltown-december-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-november-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-new-grad-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-october-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-september-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-august-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-july-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-june-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-may-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-april-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-march-2021
https://www.nxtbook.com/farran/dentaltown/dentaltown-february-2021
https://www.nxtbook.com/farran/dentaltown/2021January
https://www.nxtbook.com/farran/dentaltown/2020December
https://www.nxtbook.com/farran/dentaltown/2020November
https://www.nxtbook.com/farran/dentaltown/2020NewGrad
https://www.nxtbook.com/farran/dentaltown/2020October
https://www.nxtbook.com/farran/dentaltown/2020September
https://www.nxtbook.com/farran/dentaltown/2020August
https://www.nxtbook.com/farran/dentaltown/2020July
https://www.nxtbook.com/farran/dentaltown/2020June
https://www.nxtbook.com/farran/dentaltown/2020May
https://www.nxtbook.com/farran/dentaltown/2020April
https://www.nxtbook.com/farran/dentaltown/2020March
https://www.nxtbook.com/farran/dentaltown/2020February
https://www.nxtbook.com/farran/dentaltown/2020January
https://www.nxtbook.com/farran/dentaltown/2019December
https://www.nxtbook.com/farran/dentaltown/2019November
https://www.nxtbook.com/farran/dentaltownuk/2019OctoberNovember
https://www.nxtbook.com/farran/dentaltown/2019October
https://www.nxtbook.com/farran/dentaltown/2019NewGrad
https://www.nxtbook.com/farran/dentaltown/2019September
https://www.nxtbook.com/farran/dentaltown/2019August
https://www.nxtbook.com/farran/dentaltown/2019July
https://www.nxtbook.com/farran/dentaltownuk/2019JuneJuly
https://www.nxtbook.com/farran/dentaltown/2019June
https://www.nxtbook.com/farran/dentaltown/2019May
https://www.nxtbook.com/farran/dentaltownuk/2019AprilMay
https://www.nxtbook.com/farran/dentaltown/2019April
https://www.nxtbook.com/farran/dentaltown/2019March
https://www.nxtbook.com/farran/dentaltown/2019February
https://www.nxtbook.com/farran/dentaltownuk/2019FebruaryMarch
https://www.nxtbook.com/farran/dentaltown/2019January
https://www.nxtbook.com/farran/dentaltownuk/2018Winter
https://www.nxtbook.com/farran/dentaltown/2018December
https://www.nxtbook.com/farran/dentaltown/2018November
https://www.nxtbook.com/farran/dentaltownuk/2018November
https://www.nxtbook.com/farran/dentaltown/2018October
https://www.nxtbook.com/farran/dentaltownuk/2018October
https://www.nxtbook.com/farran/dentaltown/2018NewGrad
https://www.nxtbook.com/farran/dentaltown/2018September
https://www.nxtbook.com/farran/dentaltownuk/2018September
https://www.nxtbook.com/farran/dentaltown/2018August
https://www.nxtbook.com/farran/dentaltownuk/2018July
https://www.nxtbook.com/farran/dentaltown/2018July
https://www.nxtbook.com/farran/dentaltownuk/2018June
https://www.nxtbook.com/farran/dentaltown/2018June
https://www.nxtbook.com/farran/dentaltownuk/2018May
https://www.nxtbook.com/farran/dentaltown/2018May
https://www.nxtbook.com/farran/dentaltownuk/2018April
https://www.nxtbook.com/farran/dentaltown/2018April
https://www.nxtbook.com/farran/dentaltown/2018March
https://www.nxtbook.com/farran/dentaltownuk/2018March
https://www.nxtbook.com/farran/dentaltown/2018February
https://www.nxtbook.com/farran/dentaltownuk/2018February
https://www.nxtbook.com/farran/dentaltown/2018January
https://www.nxtbook.com/farran/dentaltown/2017December
https://www.nxtbook.com/farran/dentaltownuk/2017Winter
https://www.nxtbook.com/farran/dentaltown/2017November
https://www.nxtbook.com/farran/dentaltown/2017October
https://www.nxtbook.com/farran/dentaltownuk/2017october
https://www.nxtbook.com/farran/dentaltown/NewGrad2017
https://www.nxtbook.com/farran/dentaltown/2017September
https://www.nxtbook.com/farran/dentaltownuk/2017September
https://www.nxtbook.com/farran/dentaltownuk/2017August
https://www.nxtbook.com/farran/dentaltown/2017August
https://www.nxtbook.com/farran/dentaltown/2017July
https://www.nxtbook.com/farran/dentaltownuk/2017July
https://www.nxtbook.com/farran/dentaltown/2017June
https://www.nxtbook.com/farran/dentaltownuk/2017may
https://www.nxtbook.com/farran/dentaltown/2017May
https://www.nxtbook.com/farran/dentaltownuk/2017April
https://www.nxtbook.com/farran/dentaltown/2017April
https://www.nxtbook.com/farran/dentaltown/2017March
https://www.nxtbook.com/farran/dentaltownuk/dentaltownuk/2017march
https://www.nxtbook.com/farran/dentaltown/February2017
https://www.nxtbook.com/farran/dentaltown/2017January
https://www.nxtbook.com/farran/dentaltown/2016December
https://www.nxtbook.com/farran/dentaltown/2016November
https://www.nxtbook.com/farran/dentaltown/2016October
https://www.nxtbook.com/farran/dentaltown/2016nge
https://www.nxtbook.com/farran/dentaltown/2016september
https://www.nxtbook.com/farran/dentaltown/2016august
https://www.nxtbook.com/farran/dentaltown/2016july
https://www.nxtbook.com/farran/dentaltown/2016june
https://www.nxtbook.com/farran/dentaltown/2016may
https://www.nxtbook.com/farran/dentaltown/2016april
https://www.nxtbook.com/farran/dentaltown/2016march
https://www.nxtbook.com/farran/dentaltown/2016february
https://www.nxtbook.com/farran/dentaltown/2016january
https://www.nxtbook.com/farran/dentaltown/2015december
https://www.nxtbook.com/farran/dentaltown/2015november
https://www.nxtbook.com/farran/dentaltown/2015october
https://www.nxtbook.com/farran/dentaltown/2015nge
https://www.nxtbook.com/farran/dentaltown/2015september
https://www.nxtbook.com/farran/dentaltown/2015august
https://www.nxtbook.com/farran/dentaltown/2015july
https://www.nxtbook.com/farran/dentaltown/2015june
https://www.nxtbook.com/farran/dentaltown/2015may
https://www.nxtbook.com/farran/dentaltown/2015april
https://www.nxtbook.com/farran/dentaltown/2015march
https://www.nxtbook.com/farran/dentaltown/2015february
https://www.nxtbook.com/farran/dentaltown/2015january
https://www.nxtbook.com/farran/dentaltown/2014december
https://www.nxtbook.com/farran/dentaltown/2014decemberb
https://www.nxtbook.com/farran/dentaltown/2014november
https://www.nxtbook.com/farran/dentaltown/2014october
https://www.nxtbook.com/farran/dentaltown/2014newgrad
https://www.nxtbook.com/farran/dentaltown/2014september
https://www.nxtbook.com/farran/dentaltown/2014august
https://www.nxtbook.com/farran/dentaltown/2014july
https://www.nxtbook.com/farran/dentaltown/2014june
https://www.nxtbook.com/farran/dentaltown/2014may
https://www.nxtbook.com/farran/dentaltown/2014april
https://www.nxtbook.com/farran/dentaltown/2014march
https://www.nxtbook.com/farran/dentaltown/2014february
https://www.nxtbook.com/farran/dentaltown/2014january
https://www.nxtbook.com/farran/dentaltown/2013december
https://www.nxtbook.com/farran/dentaltown/2013november
https://www.nxtbook.com/farran/dentaltown/2013october
https://www.nxtbook.com/farran/dentaltown/2013newgrad
https://www.nxtbook.com/farran/dentaltown/2013september
https://www.nxtbook.com/farran/dentaltown/2013august
https://www.nxtbook.com/farran/dentaltown/2013july
https://www.nxtbook.com/farran/dentaltown/2013june
https://www.nxtbook.com/farran/dentaltown/2013may
https://www.nxtbook.com/farran/dentaltown/2013april
https://www.nxtbook.com/farran/dentaltown/2013march
https://www.nxtbook.com/farran/dentaltown/2013february
https://www.nxtbook.com/farran/dentaltown/2013january
https://www.nxtbook.com/farran/dentaltown/2012december
https://www.nxtbook.com/farran/dentaltown/2012November
https://www.nxtbookmedia.com