Kaohsiung Journal of Medical Sciences
Volume 23, Issue 10 , Pages 519-525, October 2007

Three-dimensional Relationship of the Maxillary Anterior Teeth to the Incisive Papilla in Young Adults

  • Po-Sung Fu

      Affiliations

    • Departments of Family Dentistry and Kaohsiung Medical University Hospital, Kaohsiung, Taiwan
  • ,
  • Chun-Cheng Hung

      Affiliations

    • Department of Prosthodontics, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan
    • Graduate Institute of Dental Science, Kaohsiung Medical University, Kaohsiung, Taiwan
  • ,
  • Jau-Ming Hong

      Affiliations

    • Department of Prosthodontics, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan
    • Graduate Institute of Dental Science, Kaohsiung Medical University, Kaohsiung, Taiwan
  • ,
  • Jen-Chyan Wang

      Affiliations

    • Department of Prosthodontics, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan
    • Graduate Institute of Dental Science, Kaohsiung Medical University, Kaohsiung, Taiwan
  • ,
  • Ching-Fang Tsai

      Affiliations

    • Department of Prosthodontics, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan
    • Graduate Institute of Dental Science, Kaohsiung Medical University, Kaohsiung, Taiwan
  • ,
  • Yi-Min Wu

      Affiliations

    • Departments of Family Dentistry and Kaohsiung Medical University Hospital, Kaohsiung, Taiwan
    • Graduate Institute of Dental Science, Kaohsiung Medical University, Kaohsiung, Taiwan
    • Corresponding Author InformationAddress correspondence and reprint requests to: Dr Yi-Min Wu, Department of Family Dentistry, Kaohsiung Medical University Hospital, 100 Tzyou 1st Road, Kaohsiung 807, Taiwan

Received 19 September 2006; accepted 12 April 2007.

Article Outline

The use of the incisive papilla as an important guide for setting maxillary teeth has been applied in prosthetic dentistry. The purpose of this study was to estimate the relationship between maxillary anterior teeth and the incisive papilla of young adults with approximately optimal occlusion in Taiwan. Study casts of 100 young adults (50 males, 50 females; mean age, 22.4 years) were selected in this study. All of the marked points on maxillary casts were measured using a three-dimensional precise measuring device. The relative positions of maxillary teeth landmarks to incisive papilla were measured and analyzed using SAS software (JMP 4.02). Student's t test and Pearson's correlation test were used to test the statistical significance of any differences (p < 0.05). The results showed that the mesiolabial incisal edge of the upper central incisor was 7.30 ± 0.64mm anterior to the center of the incisive papilla. There was no significant difference in gender (p > 0.05). The intercanine line was 0.27 ± 1.30 mm posterior to the center of incisive papilla. There was no significant difference in gender (p > 0.05). The horizontal distances of the mesiolabial incisal edge of the upper central incisor and the intercanine line to the center of the incisive papilla showed only weak correlation (r < 0.5). In addition, the three-dimensional relationship of maxillary anterior teeth to the center of the incisive papilla was measured and analyzed. We suggest using the incisive papilla as a reference landmark for the setting of maxillary anterior teeth.

Key Words:  incisive papilla , maxillary anterior teeth , three-dimensional analysis

No full text is available. To read the body of this article, please view the PDF online.

 

Back to Article Outline

References 

  1. Watt DM , Likeman PR . Morphological changes in the denture bearing area following the extraction of maxillary teeth . Br Dent J . 1974;136:225–235
  2. Watt DM . Teeth positions on complete dentures . J Dent . 1978;6:147–160
  3. Grave AMH , Becker PJ . Evaluation of the incisive papilla as a guide to anterior tooth position . J Prosthet Dent . 1987;57:712–714
  4. Boucher CO . The current state of prosthodontics . J Prosthet Dent . 1960;10:411–425
  5. Hickey JC , Boucher CO , Woelfel JB . Responsibility of the dentist in complete dentures . J Prosthet Dent . 1962;12:637–653
  6. Martone AL . The phenomenon of function in complete denture prosthodontics . J Prosthet Dent . 1963;13:204–228
  7. Watt DM . Designing Partial Dentures . Philadelphia: Saunders; 1976;
  8. Murray CG . Anterior tooth positions in prosthodontics . Aust Dent J . 1977;22:113–119
  9. Mavroskoufis F , Ritchie GM . Nasal width and incisive papilla as guides for the selection and arrangement of maxillary anterior teeth . J Prosthet Dent . 1981;45:592–597
  10. Watt DM , MacGregor AR . In: Designing Partial Dentures . London: Saunders; 1984;p. 184–199
  11. Fenton AH . Selecting and arranging prosthetic teeth and occlusion for the edentulous patient . In:  Zarb GA ,  Bolender CL ,  Eckert S , et al. editor. Prosthodontic Treatment for Edentulous Patients . 12th edition. St Louis: Mosby; 2004;p. 310
  12. Harper RN . The incisive papilla . J Dent Res . 1948;27:661–668
  13. McGee GF . Tooth placement and base contour in denture construction . J Prosthet Dent . 1960;10:651
  14. Schiffman P . Relation of the maxillary canines to the incisive papilla . J Prosthet Dent . 1964;14:469–472
  15. Ehrlich J , Gazit E . Relationship of the maxillary central incisors and canines to the incisive papilla . J Oral Rehabil . 1975;2:309–312
  16. Grove HF , Christensen LV . Relationship of the maxillary canines to the incisive papilla . J Prosthet Dent . 1989;61:51–53
  17. Klemetti E , Lassila L , Lassila V . Biometric design of complete dentures related to residual ridge resorption . J Prosthet Dent . 1996;75:281–284
  18. Sugaya K , Suminokura S , Ohira H , et al.   A study on correlationship among various planes in dental prosthetics . J Jpn Prosthodont Soc . 1986;30:1347–1358
  19. Han K . A study of the relationships among occlusal plane, camper plane and hamular notch-incisive papilla plane . Chin J Stoma . 1992;27:54–57 [In Chinese]
  20. Lau GCK , Clark RFK . The relationship of the incisive papilla to the maxillary central incisors and canine teeth in Southern Chinese . J Prosthet Dent . 1993;70:86–93
  21. Huang SJ , Chou TM , Lee HE . Exploring the distance between upper central incisor edge and incisive papilla in Taiwanese population . Taiwan J Oral Med Health Sci . 2004;20:4–10
  22. Cooperman HN . HIP plane of occlusion in oral diagnosis . Dental Survey . 1975;51:60–62
  23. Fu PS , Hung CC , Hong JM , et al.   Three-dimensional analysis of the occlusal plane related to the Hamular-Incisive-Papilla occlusal plane in young adults . J Oral Rehabil . 2007;34:136–140

PII: S1607-551X(08)70010-X

doi:10.1016/S1607-551X(08)70010-X

Kaohsiung Journal of Medical Sciences
Volume 23, Issue 10 , Pages 519-525, October 2007