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    Occlusion - L8

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    Mustafa Akhundzadah

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    Occlusion - L8

    Uploaded by

    Mustafa Akhundzadah
    6 views19 pages

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    Copyright:

    © All Rights Reserved
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    Download as pptx, pdf, or txt
    6 views19 pages

    Occlusion - L8

    Uploaded by

    Mustafa Akhundzadah

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    You are on page 1of 19

    Ministry of Higher Eduction

    Cheragh Medical University


    Faculty of Dentistry
    Fixed Prosthodontics

    Fundamentals of Occlusion
    (Chapters 2)
    Semster 4

    Lecturer: Dr. Ahmad Mustafa Akhundzadah, DMD


    Fundamentals of Occlusion
    ● Long-term successful restoration with cast metal or ceramic
    restorations is dependent on the maintenance of occlusal
    harmony.
    Centric Relation
    ● is an anteriorly, superiorly braced position along the
    articular eminence of the glenoid fossa.
    ● maximal intercuspation of the teeth
    ● the most posterior condylar position in the fossa
    Mandibular Movements
    ● occur around three axes
    1. Around Horizontal axis:
    ● The movement occurs in
    the sagittal plane
    ● mandible in centric
    relation makes a purely
    rotational opening and
    closing border movement
    Mandibular Movements
    2. Around Vertical axis:
    ● The movement occurs in
    the horizontal plane
    ● the mandible moves into
    a lateral excursion
    ● The center for this
    rotation is a vertical axis
    extending through
    working-side condyle
    Mandibular Movements
    3. Around saggital axis:
    ● The movement occurs in
    the frontal plane
    ● the mandible moves to
    one side, the condyle on
    the opposite side travels
    forward and downward
    ● The center for this
    rotation is a saggital axis
    extending through non-
    working-side condyle
    Organization of the Occlusion
    ● There are three recognized concepts that describe
    the manner in which teeth should and should not
    contact in the various functional and excursive
    positions of the mandible:
    1- bilateral balanced occlusion
    2- unilateral balanced occlusion
    3- mutually protected occlusion.
    1. Bilateral balanced occlusion
    • a maximum number of teeth should contact in all
    excursive positions of the mandible.
    • particularly useful in complete denture construction,
    in which contact on the nonworking side is important
    to prevent tipping of the denture
    • reduce the load on individual teeth by sharing the
    stress among as many teeth as possible
    2. Unilateral balanced occlusion
    • Also commonly known as group function
    • widely accepted and used method of tooth
    arrangement in restorative dental procedures today
    • This concept had its origin in the work of Schuyler 44
    and others who began to observe the destructive
    nature of tooth contact on the nonworking side.
    • eliminate all tooth contact on the nonworking side
    3. Mutually protected occlusion
    • also known as canine-protected occlusion or organic
    occlusion
    • the overlap of the anterior teeth prevent the posterior
    teeth from making any contact on either the working or
    the nonworking side during mandibular excursions
    (termed disocclusion)
    • the anterior teeth bear the entire load, and the
    posterior teeth are disoccluded in any excursive
    position of the mandible.
    • probably the most widely accepted because of its ease
    of fabrication and greater tolerance by patients
    • necessary to have anterior teeth that are periodontally
    healthy
    Anatomical Determinants
    Molar disocclusion
    • The measured deviation averages 0.2 mm in centric
    relation, 0.3 mm in working movements, and 0.8 mm in
    both protrusive and nonworking movements.
    • Measurements of disocclusions from the mesiofacial cusp
    tips of mandibular first molars in asymptomatic test
    subjects with good occlusions showed separations
    averaging 0.5 mm in working, 1.0 mm in nonworking, and
    1.1 mm in protrusive movements.
    Anatomical Determinants
    Condylar guidance
    • protrusive condylar path inclination and mandibular
    lateral translation are among those aspects of condylar
    guidance that will have an impact on the occlusal surface
    of posterior teeth.
    • If the protrusive inclination is steep, the cusp height may
    be longer.
    • if the inclination is shallow, the cusp height must be
    shorter.
    Anatomical Determinants
    Condylar guidance
    Anatomical Determinants
    Anterior guidance
    • Therefore, when the mandible moves protrusively, the
    anterior teeth guide the mandible downward to create
    disocclusion, or separation, between the maxillary and
    mandibular posterior teeth.
    • The same phenomenon should occur during lateral
    mandibular excursions.
    • Anterior guidance, which is linked to the combination of
    vertical and horizontal overlap of the anterior teeth, can
    affect occlusal surface morphology of the posterior teeth.
    • The greater the vertical overlap of the anterior teeth, the
    longer the posterior cusp height may be.
    • The greater the horizontal overlap of the anterior teeth,
    the shorter the cusp height must be.
    Anatomical Determinants
    Anterior guidance
    Thank You For Your Attention!

    Any Questions?

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