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Anterior Esthetic Risk Assessment Date: ____________ , Patient: _________________________, DOB: ____________ Esthetic Risk Factors Medical Status* (Dental History)* Local Site Compromise Patient’s expectations Healthy site Low Medium Risk Well controlled systemic disease, moderate smoker Moderate compromise Medium Height of smile line Low Medium High Gingival Biotype Thick “Low scalloped” Thin “High scalloped” Shape of Tooth Crowns Rectangular Intermediate “Medium scalloped” Ovoid Infection at implant site None Chronic Acute Bone volume-Level at adjacent teeth* Restorative Status of adjacent teeth ≤ 5 mm to contact point Virgin Malposition of adjacent teeth Ridge width, height, contour & inclination Nasopalatine Canal Ideal 3D position 5.5-6.5 mm to contact point Sub-gingival restoration with ideal biologic acceptance Distal tipping ≥ 7 mm to contact point Sub-gingival restoration With inflammatory response Excess Prominence Distal Tipping Severe Discrepancy Thickness of facial bone (Extraction Socket) Width of edentulous span Maxillary HeightVestibular Depth Soft tissue* anatomy Volume-ThicknessLevel Bone anatomy of the alveolar crest Low Risk Healthy, Non-smoker Ideal Small Size Dental Midline Moderate Discrpancy Medium Size Dental Midline ≥ 2.0 mm 1.5-2.0 mm 1 tooth (≥ 7 mm) 1 tooth (≤ 7 mm) Adequate Insufficient Intact ≥ 3.0 mm width and thickness No defect Intact ≤ 3.0 mm width and thickness Horizontal defect High RISK Poorly controlled systemic disease, Heavy smoker Severely compromised site High Triangular Large Size Mesial or distal position Bifurcated Canal ≤ 1.5 mm 2 adjacent teeth or more Insufficient with nearby anatomic limitation Soft tissue defects (Unresolved soft tissue pathology) Vertical defect
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