NUJHS Vol. 3, No.

2, June 2013, ISSN 2249-7110

Nitte University Journal of Health Science
Review Article

ENHANCING STABILITY : A REVIEW OF VARIOUS OCCLUSAL
SCHEMES IN COMPLETE DENTURE PROSTHESIS
Krishna Prasad D.1, B. Rajendra Prasad2, Anshul Bardia3 & Anupama Prasad D.4
1
Professor and H.O.D, 2 Principal/Dean and Research Guide, 3 Post Graduate student, 4 Lecturer
Department of Prosthodontics and Crown & Bridge, A.B. Shetty Memorial Institute of Dental Sciences,
Nitte University, Deralakatte, Mangalore - 575 018
Correspondence:
Krishna Prasad D.,
Professor and H.O.D, Department of Prosthodontics, A.B. Shetty Memorial Institute of Dental Sciences,
Nitte University, Deralakatte, Mangalore - 575 018
E-mail : drkrishnaprasadd@yahoo.in
Abstract :
A practical approach to rehabilitate the edentulous patients to optimal occlusion is not an easy task. Complete denture prosthesis when
compared to natural teeth have relatively unstable bases and have no proprioception comparable to the periodontal ligament of the
natural tooth and acts as the single unit instead of an individual tooth. To enhance the stability of the complete dentures, the philosophy
of the balanced occlusion has been proposed. Balanced occlusion in dentures implies occlusal contacts that contribute to equilibrium of
the denture bases on their respective ridges.
The search for the ideal occlusal scheme, one which provides stability, comfort, function and esthetics is still underway. While there is
little research to support one occlusal scheme over the other, it is known that the prosthesis is less efficient than natural teeth and the
ability to chew with it varies with the individual, regardless of the occlusal schemes. Poor oral awareness makes it more difficult for a
patient to adapt to the function with the prosthesis especially one with a complicated occlusal scheme. This article reviews several
occlusal schemes, their characteristics, recommendations for usage along with their advantages and disadvantages.
Keywords : Occlusal schemes, neutrocentric occlusion, lingualized occlusion, balanced occlusion, monoplane occlusion.

Introduction : to be giving various occlusal schemes considering only
There has been search for the ideal denture occlusion in an relevant data. The key words used for the search were
effort to find out the tooth forms which provides esthetic, occlusal schemes, neutrocentric occlusion, lingualized
stability, and masticatory efficiency without compromising occlusion, balanced occlusion, monoplane occlusion.
the health of underlying hard and soft tissues of the
Numerous concepts, techniques and philosophies have
edentulous arch. The main aim of clinician is to fulfill these
been documented concerning about complete denture
objectives, regardless of posterior tooth form selected 1,2.
occlusal schemes. There are several schools of thoughts on
This article reviews literature published from 1930 to 2011 occlusal schemes in complete denture and some clinician
with various approaches in the occlusal schemes to believe there should be cusps on the teeth and must be in
enhance the stability of complete denture prosthesis complete harmony with the stomatognathic system. Some
designs. A search in the National Library of Medicine's believe that cuspless teeth create minimum horizontal
PubMed database, Google force to unseat denture. Many investigations on a scientific
Access this article online
search and Science Direct level have not proved that which occlusal schemes is
Quick Response Code
was performed to include superior in function or that best meet the requirements of
all reviews on various biologic and physiologic concepts for each patient3.There
occlusal schemes. A total are many studies states that the merits of a given concept
of 35 articles were or pointing out the deficiencies of another4.
included for discussion in
Occlusal scheme is defined as the form and the
the review found by search

Keywords : Occlusal schemes, neutrocentric occlusion, lingualized 105
occlusion, balanced occlusion, monoplane occlusion. - Krishna Prasad D.

which are very De Van coined the term neutrocentric to embody the two destructive to the residual ridges. ISSN 2249-7110 Nitte University Journal of Health Science arrangement of the occlusal contacts in natural and • Pitch or inclination or tilt artificial dentition. arrangement Devan noted that “the patient will become a Pitch: l chopper. l allow. monoplane occlusion. the lateral forces. Position: l • Positioned the posterior teeth over the posterior Disadvantages residual ridge as far lingually as the tongue would It is the least esthetic of the five basic occlusal schemes. are reduced. • Reduced destructive lateral forces and helped to keep masticatory forces perpendicular to the Occlusal schemes have been classified into: support. neutrocentric occlusion. was developed by De van. not a chewer or a grinder”6. balanced occlusion. denture prosthesis. balance) • This decreased the magnitude of the occlusal force Linear occlusion l and centralized it to the second premolar and first Balanced occlusion l molar area. The quantity and the intensity of mean osseous foundation plane. these contacts determine the amount and the direction of Form: l the forces that are transmitted through the bases of the • Flat teeth with no deflecting inclines•R e d u c e d denture to the residual ridges. Keywords : Occlusal schemes. NUJHS Vol. Class III There are five elements in this occlusal scheme: (prognathic) and crossbite cases. dexterity. l spectrum and the exact opposite of the anatomic Ideal for a patient who have resorbed friable ridges. key objectives of his occlusal scheme. No.2. That is why the occlusal destructive lateral forces and helped to keep scheme is an important factor in the design of complete masticatory forces perpendicular to the support. Neutrocentric occlusion l Number: l Lingualized occlusion l • The posterior teeth were reduced in number from Non anatomic l occlusion (Monoplane occlusion with eight to six. By removing l inclines. l 5 • Reduced vertical stress on the ridge by narrowing the This flat type of occlusion cannot be balanced l . with this tooth the tongue space. • Reduction of tooth width upto 40%. Impair mastication because of poor bolus penetration.Krishna Prasad D. When using this concept of occlusion the patient is • Forces were centralized without encroachment on instructed not to incise the bolus. The pattern of occlusal contacts • There was no compensating curve and no incisal between opposing teeth during centric relation and guidance. functional movement of the mandible will be determined • This positioning directed forces perpendicular to the by the occlusal schemes. . occlusal table. position may not be compatible with the tongue. so that forces would be perpendicular to the Moving l the teeth lingually and altering their vertical support areas. Ideal for Geriatric patient with limited oral when the mandible is in centric relation to the maxillae. . The centralization of forces which act on the basal seat position. 3. The neutralization of inclines. l occlusion. It is especially l good for Class II (retrognathic). of closure and does not lock the mandible into a single 2. lip and Proportion: l cheek function. Because l the neutrocentric technique provides an area 1. Neutrocentric occlusion : Advantages : Neutrocentric occlusion is at the far right of the occlusal Technique is simple and requires less precise records. lingualized 106 occlusion. June 2013.

Abnormal l closure imbalance. the form of intensity results in negotiation of centralization of forces denture occlusion that where the maxillary lingual cusps on the mandibular posterior teeth and increase the like articulate with the mandibular occlusal surfaces in centric hood of lateral displacement. Payne (1941): 'cusp-to-fossa occlusion' Wear l of maxillary lingual cusp or mandibular fossa Pound: 'lingualized occlusion' rapidly results in buccal and lingual contact of equal Lingualized occlusion can be defined as. When l a complete denture opposes a removable partial Indication : denture. When l a more favorable stress distribution is desired in neuromuscular disturbances. . balanced occlusion. This may reduce the lateral chewing component. Cusp form l is more natural in appearance compared to The amount of horizontal overlap is determined by jaw non-anatomic tooth form. pathosis. NUJHS Vol. neutrocentric occlusion. monoplane occlusion. relation. 7 working and non-working mandibular positions . Posterior displaceable mucosa. conditions indicate a non-anatomic occlusal scheme According to this concept teeth which are flat mesiodistally such as: and buccolingually are used. second molar but 2 mm above the occlusal plane. • Displaceable supporting tissues. Class III & cross-bite situations l . trauma. Concept was introduced by Alfred Gysi in 1927 Disadvantages : S.H. allowing easier molar slope area. l tortuous ridges with an excessive denture Advantages : 14 space .2. No. lingualized 107 occlusion. occlusion and is similar in requirements to non- When l chewing pattern is milling type with broad anatomic teeth set on a curve. patients with parafunctional habits. Keywords : Occlusal schemes. Monoplane occlusion : Lingualized occlusion should not be confused with Sear introduced monoplane occlusion with balancing placement of the mandibular teeth lingual to the ridge ramps or tooth at the distal part of the mandibular arch crest8-12. June 2013. which comes in contact only in eccentric excursions13. Lingualized l occlusal concept is a simple technique Ridges l are flat or knife edge. l Multilated. With l lingualized occlusion.Krishna Prasad D. additional stability is In this the occlusal surface of the maxillary second molar imparted to the denture during parafunctional set parallel to the occlusal surface of the mandibular movements when balanced occlusion is used. Indications : De Van has used the same principle without the balancing When l patient places high priority on esthetics but oral ramp5. . rendering dentures more requiring less precise records than fully balanced suspectible to horizontal force. Most of l the advantages attributed to both anatomic & Maximum of vertical force and a minimum of horizontal l non-anatomic forms are retained. Vertical l forces are centralized on mandibular teeth & it Usually the mandibular second molar will be placed on the provides an area of closure. well out of occlusion. 3. relation to as much as 12mm for severe class II relation17. accommodation to unpredictable basal seat changes. oriented as close as possible • Severe alveolar resorption parallel to the maxillary and mandibular mean foundation • Class II jaw relationship plane. excursions. called 'skid row'. ISSN 2249-7110 Nitte University Journal of Health Science 1 Lingualized occlusion Can be used in Class II. stress is desired15. ranges from 0mm (edge to edge) Class III Good l penetration of food bolus is possible.

Mandibular dentures are almost always less stable than Because the monoplane teeth occlude in more than one l maxillary dentures. thereby Keywords : Occlusal schemes. instead of a point. The plane is set steeper. • No single tooth should produce any interference or disocclusion of the other teeth. lingualized 108 occlusion. more damaging than Stabilization of mandibular denture l vertical forces. Ramp provides “width” or “depth” of occlusal contacts. June 2013. • All the teeth of the working side (central incisor to Esthetically limited. the linear ridge is usually placed on relationship. They are l more adaptable to the unusual jaw relation There is no anterior interference to protrusive and lateral such as class II and class III relations. simultaneous. l second molar) should glide evenly against the Occlude only in two dimensions. contact) teeth in which the blade is in a precisely straight line over the crest of the ridge. geometrically constitutes “length” without either distal to the mandibular second molar. cross bite. used easily in cases movements19. ISSN 2249-7110 Nitte University Journal of Health Science Monoplane occlusion can be balanced by following reducing unfavourable occlusal forces18. of variations in the width of maxillary and mandibular Plane of occlusion l jaws. which occlude with non- and efficiency for a longer period. but the mandible has a l opposing teeth. neutrocentric occlusion. Balancing ramp Zero degree (flat plane) teeth are opposed by bladed (line improves horizontal stability of the denture. . but This concept advocates a straight line of points or knife they should not interfere with the smooth gliding edge contacts on artificial teeth in one arch occluding with movements of the working side. . the maxillary dimension which is the length of the contacting blade (not second molars are similarly inclined but left out of centric surface). Balanced occlusion : The bilateral. mastication. NUJHS Vol. These impart a sense of freedom to the patients.In eccentric relation. Advantages : One arch is set to a flat (monoplane occlusal plane). balanced occlusion. This blade. Patients may complain of lack of positive intercuspation l Characteristic requirements of balanced occlusion: position. being always in the form of a straight contact. anterior and posterior occlusal Disadvantages : contact of teeth in centric and eccentric positions7. No. do not l Esthetics and phonetics determine the maxillary lock mandible in one position. Esthetics l Monoplane teeth permit the use of a simplified and less l For esthetic purpose anatomic teeth are used in time consuming technique and offer greater comfort maxillary posterior region. anterior tooth position They eliminate l horizontal forces. methods: Linear occlusion is a one dimensional contact between two Incline the mandibular second molar to provide contact opposing posterior teeth. tripodal effect of contacts of denture bases. 3. so centric relation developed to an area the lower ridge. Linear occlusion : • There should be contacts in the balancing side. The contact occurs only in one with the maxillary denture in all excursions. monoplane occlusion. 21. The use of customized balancing ramp placed line. 3D movement due to its condylar behavior.2. there is smooth contact anteriorly on teeth and Linear occlusion consists of following basic parameters posteriorly on the balancing ramp. They accommodate l better to the negative changes in the ridge height that occur with aging17. anatomic mandibular teeth20. flat non-anatomic teeth in the opposing arch. No vertical l component to aid in shearing during It is not seen in natural dentition.Krishna Prasad D.

Bilateral balanced will result in leverage of the denture during mandibular occlusion can be protrusive or lateral balance. Protrusive balanced occlusion : Sheppard stated that. 3. ISSN 2249-7110 Nitte University Journal of Health Science • There should be simultaneous contact during helps to improve stability of the denture during centric. In lateral balanced there will be a minimal simultaneous for these 4 hours of tooth contact. as the bolus is chewed on one l • Protrusive balanced occlusion side. during lateral moment of the mandible. neutrocentric occlusion. Denture bases are stable even during bruxing activity. habits. there should be at least three Balanced occlusion is one of the most important factors points of contact on the occlusal plane. There balanced occlusion has no function during mastication. Advantages of Bilateral Occlusal Balance Types of Balanced occlusion Bilateral l simultaneous contact help to seat the denture Occlusal balance or balanced occlusion can be classified as in a stable position during mastication. parafunctional movements. complete denture construction. should be at least three points of contact in the occlusal hence. This is absent in natural dentition. NUJHS Vol. Importance of balanced occlusion : For minimal occlusal balance. two posterior) present important to maintain the stability of the denture. Exit balance” according This type of balanced occlusion is present when mandible to this statement.Krishna Prasad D. This is a type of occlusion that is seen when simultaneous contact occurs on both sides in centric and eccentric Occlusal schemes in class II jaw relation : positions.2. monoplane occlusion. More the number that affect denture stability. Hence. protrusion. but this is plane. better the balance. a normal individual makes masticatory tooth contact only for 10 minutes in one full day compared Lateral balanced occlusion : to 4 hours of total tooth contact during other functions. . balanced occlusion is three point contact (one anterior. . A semi l adjustable or fully adjustable articulator is Bilateral balanced occlusion : 3 required . swallowing and follows maintain retention and stability of the denture and the • Unilateral balanced occlusion health of the oral tissues. l Unilateral balanced occlusion: This is a type of occlusion seen on occlusal surfaces of teeth Disadvantages of Balanced Occlusion : on one side when they occlude simultaneously with a It is difficult l to achieve in mouths where an increased smooth. eccentric or parafunctional movements. balanced occlusion is more critical during Lateral balanced occlusion is absent in normal dentition. It is more pertained to It may tend to encourage lateral and protrusive grinding l fixed partial dentures. On an average. Two of these should be located posteriorly and one not true. the balancing contact is absent when moves in a forward direction and the occlusal contacts are food enters the oral cavity. movement. This makes us think that smooth and simultaneous anteriorly and posteriorly. absence of occlusal balance of contacts. Bilateral balanced occlusion helps to distribute Arrangement of anterior teeth in class II ridge relations: the occlusal load evenly across the arch and therefore Select l lower anterior teeth of a narrower mesiodistal Keywords : Occlusal schemes. So. balanced occlusion. No. it is not essential in a complete denture. lingualized 109 occlusion. • Bilateral balanced occlusion Due to cross-arch balance. the balancing cusps will come close or will contact • Lateral balanced occlusion on the other. uninterrupted glide. This is not followed during vertical incisor overlap is present. should be located in the anterior region. “Enter bolus. June 2013.

NUJHS Vol. ISSN 2249-7110 Nitte University Journal of Health Science width and try to achieve the normal canine relationship. June 2013. 24 comprehensive methods used for fabrication of complete Keywords : Occlusal schemes. crushing hard food. et al that among patient's provided with complete Cuspless l teeth may be used to allow freedom of dentures with lingualized occlusion and bilateral balanced buccolingual placement and provide occlusal contact in occlusion. efficiency of monoplane occlusion versus lingualized Occlusal schemes in class III jaw relation occlusion and found that 67% of the patients preferred Arrangement of anterior teeth in class III ridge relations: lingualized articulation26. mandibular residual ridge resorption on masticatory An extra l lower incisor should be included to avoid the measures of lingualized and fully bilateral balanced spaces between the lower anterior teeth so that denture articulation and he found that lingualized denture appears esthetically better. a little crowding of the lower anterior l Numerous studies have been done which evaluate and teeth compare occlusal concepts based on various parameters. Arrangement of posterior teeth in class III ridge relations: Upper l posterior teeth can be placed slightly buccal to However on the contrary it was found in a study by Kimoto the crest of the upper ridge. In case of wider lower arch. and the stress to the supporting tissues Select l a larger lower tooth mould. neutrocentric occlusion. balanced occlusion. Discussion : If esthetics permit. monoplane occlusion. Chewing to provide support for the cheek22.2. No. Slight spaces between the upper anterior teeth to attain l In a study by Heydecke et al it was found that patient ratings normal canine relation. they found that teeth on the upper denture . he evaluated the influence of acceptable.Krishna Prasad D. 3. anatomic teeth28. the incisal In a study by Ohguri to estimate which occlusion scheme edges of the upper and lower incisors and canines will shows best conditions of pressure distribution on also meet in edge-to-edge relationship. wider lower arch width. if discrepancy is more. of the prosthesis were not significantly different for a Lower l first premolar must be eliminated from dental lingualized scheme as compared to a simple scheme with arch. greater satisfaction with their denture retention33. a was found that lingualized occlusion and fully balanced negative or reverse horizontal labial overlap must be occlusion a great occlusal force was not required for used. results shown that increase in vertical on the upper posterior teeth in wax is replaced by tooth- dimension is similar to set in conventional balanced colored acrylic resin to fulfill esthetic requirements and occlusion and lingualized balanced occlusion29. Then the buccal surface are built occlusion. . . occlusion is the preferred occlusal scheme for patients with severe RRR32. 23. ridge. if esthetically In a study by Matsmaru . The upper teeth are then set so that they occlude Effect of occlusal scheme on vertical dimension at with the lower teeth. Participants provided with complete Arrangement of posterior teeth in class II ridge relations: dentures having lingualized or anatomic posterior occlusal Upper posterior teeth can be placed slightly palatally to l forms exhibited significantly higher levels of self-perceived provide a working occlusal contact with the lower teeth. Those with lingualized occlusion displayed upper and lower teeth. If the ridges l are in an edge-to-edge relation. satisfaction compared to those with 0-degree posterior The lower l posterior teeth are placed over crest of the occlusal forms25. an interchange can be done l by using upper teeth on the lower denture and lower In another study by Heydecke et al. supporting structures in a complete denture prosthesis it In case l of extreme protrusion of the mandible. Crowding l in upper anterior teeth. lingualized 110 occlusion. to compensate for is smaller than with monoplane occlusion30.

NUJHS Vol. In resorbed ridges. 18. This should be a class III malocclusions and cross bite cases.94:49–81. J Prosthet Dent. 22. versu comprehensive fabrication of complete dentures: patient Keywords : Occlusal schemes. Igarashi T. 1983. 26. method of studying the influence of occlusal schemes on muscular 14. Strub JR.7 625-633. 24.CV Mosby. 13.B. Heydecke G. Calif.1972.Publishers 2009 : 217-249. L. Koran A.J Prosth Dent. Tillitson EW. Donald GG. 2: 353-361. 6. their resultant effect on the movement of the base. Simplified Prosth. when compared with more simple factors that apply to the relationship of the teeth to each procedures.J. P.1949. June 2013.85: 781-783.97:292-298 5: 313-318. balanced occlusion. Frush. Pudwill ML. Practical Occlusion in Relation to Complete Dentures. 20. With Lingualized occlusal schemes and external pterygoid muscle activity occlusal scheme. Woelfel JB. Anatomic denture teeth made up of all ceramic show high Conclusion : average pressure transmission compared to zero degree Differing ideas about occlusion relative to centrics. Becker CM .1: 307-321. Unilateral vs Bilateral Balanced Occlusion. Sears VH. Boucher CO. J relations: mandibular protrusion and wider lower arch. Leeper SH. Zarb GA .I. Hickey. The Occlusion And Occlusal Patterns Of Artificial 1. lingualized 111 occlusion.J 28. Goyal BK. Vogeler M. Lineal Occlusion Concepts For Complete 1954. Concept of Neutro-centric occlusion.2. Porter CG. 1955. Prosthet. Specifications for Artificial Posterior Teeth. and zero-degree posterior occlusal forms for complete 11. The Use of Porcelain and Plastic Teeth in Opposing 4.T.1974. Dent 1964. McMillian HW. 3. 19. 1957. J Dent.50:176-179. A Comparative Analysis Of Conflicting Factors In activity.2005. References: 15. Carl O.38:601-608. Complete Denture Occlusion In: Sheldon Winkler . 10. JF McCord : A randomized clinical trial comparing anatomic.1955 II jaw relations. neutrocentric occlusion. there is balance or equilibrium. Clough HE. J.Prosthodontic Treatment For Dent 1955. 16. 17. Linear occlusal primary consideration of the dentist when considering the scheme stabilizes the denture bases by minimizing lateral forces that act on the teeth and the denture bases with occlusal forces. Craig RG. J Prosthet Dent. 25. The Selection Of The Occlusal Pattern For Edentulous Patients. JADA 1972. The Cuspless Centralized Occlusal Pattern. Anatomical teeth showed better patient other and that apply to the position of the teeth in the 34 satisfaction with chewing ability for tough foods . Stablilty In Full Denture Construction. Dentures. Bhargava K : Arrangement of artificial teeth in abnormal jaw 8. M M : Synopsis. Dent 1954. Glendale. dentures. 1963. Robert Rapp. Hardy IR. ed 10. J. Five Year Changes in the Edentulous relations: maxillary protrusion and wider upper arch. non anatomic teeth31. Wolkewitz M..St Louis.: Linear Occlusion.J Prosth 2.4:461-480. J Prosthet Mandible as Determined on Oblique Cephalometric Radiographs. dentures. removable prosthodontics. DeVan. the chances for arch showed that it is esthetically pleasing. of lingualized occlusion and monoplane occlusion in complete 17:1207-1221. Prosthet Dent 13:606-610.1974. :A. Türp JC. J. Knodle JM. JADA 48:165-169. J Prosthet Dent. but control of the physical chewing ability. A stable base is the ultimate goal.32:107.22:8. Effect of occlusal horizontal overlap and lack of specific interdigitation make scheme on muscular activity shown that least activity for all neutrocentric occlusal scheme ideal.Krishna Prasad D. The glossary of prosthodontic terms. Monoplane occlusal scheme are more When forces act on a body in such a way that no motion adaptable to the unusual jaw relation such as class II and results.St Louis. Sameul Friedman.Lingualized occlusion for Posterior Teeth. J.S.27: 269-274. J Prosthet Prosthet Dent. Charles JS. Bernard Levin : A Review Of Artificial Posterior Tooth Forms Including A Complete Dentures.5:313-318. Winter CM. Swissedent Essentials of Complete Denture Prosthodontics . gnathology. Swoope CC. 53: 1455-1467. De Van. 2. Myerson RL. Harold R Ortman. Dent Res. Method of arranging artificial teeth for class Penn. Boucher. J Prosthet Dent. Dent..14:31-44. Dent. Levin.32:458. Judson C. AF Sutton. M. Guckes AD . Hickey JC. 7. Edentulous Patients. monoplane occlusion. 1951. The Cuspless Centralized Occlusal Pattern. Taylor DT. 3. Preliminary Report On A New Posterior Tooth. Myerson. James A. Passamonti GA.CV Mosby. Otto Storz : A Construction. Monoplane Teeth. Bhargava K : Arrangement of artificial teeth in abnormal jaw 9.J Prosth.A comparison 12. ISSN 2249-7110 Nitte University Journal of Health Science dentures including semi-anatomical lingualized teeth and a Total stability is not possible because of the yielding nature full registration did not greatly influence patients perceived of the supporting structures. 23. 1952. Coefficient of Friction of Prosthetic 38:3-15. 21. B. JADA. 1959. J Prosthet Dent 1977 . India Corporation. Tooth Materials. additional stability is imparted to the 27 was found to relatively constant for all occlusal schemes denture during parafunctional movements when balanced occlusion is used. Goyal BK. 1967. Boswell JV. denture base as related to the ridge must be understood. J Prosthet Dent 2007.Dent. No. occlusal adjustment have led to controversial Using Linear occlusal scheme in combination syndrome in the literature. 1930. 1974. no problem in relationship discrepancies are increased due to greater 35 phonetics and ability to chew better . .1990. J Prosthet Dent.. R. lingualized.9:498-505.2nd ed.M. 5.1974.32:122-129. J Prosthet Dent 1977. Chastain G Porter. Kreider. Dent. Prosthet. . Seras VH : Principles And Technique Of Complete Denture 27.

ratings of chewing ability from a randomised crossover trial: 31. Kawai occlusion and conventional balanced occlusion J Prosthet Dent Y. Mansuang Arksornnukit. Yamakawa A. J Prosthodont Res.a Sergio Sualdini Nogueira. Combination Syndrome : A Case Report. Int J Prosthodont.39(2):107-16 objective masticatory measures of lingualized and fully bilateral 29.Thitima Phunthikaphadr. William S Jameson:The Use Of Linear Occlusion To Treat A Patient With angulations. Wolkewitz M. Ichikawa T.12(4):353-8. Matsumoto N.J Prosthet Dent 2011. balanced occlusion. Epub 2010 Jan 19. Vogeler M. June 2013. Akkad AS. monoplane occlusion. Kobayashi K.2. Gerodontology. . NUJHS Vol. Ohguri T. and Hidekazu lingualised vs. 32. 2008 Feb. Int J Prosthodont. first premolar/canine-guided occlusionfor complete Takahashi: Pressure transmission and distribution under denture dentures. Heydecke G. Michael Frederico Manzolli Basso. the pressure distribution under a complete denture. Influence of occlusal scheme on dentures: a pilot study. 2010 Jul. lingualized 112 occlusion.85:15-19. Kanno K. . Shinomiya M. bases using denture teeth with different materials and cuspal 35. ISSN 2249-7110 Nitte University Journal of Health Science ratings of denture satisfaction from a randomized crossover trial. Prospective clinical trial comparing 2006.Patient 1999 Jul-Aug. Kawara M. after processing complete dentures made with lingualized balanced 33. Gunji A. .Krishna Prasad D. lingualized occlusion to bilateral balanced occlusion in complete 30. Matsumaru Y.96:200-4. neutrocentric occlusion. Strub JR.54(3):112- Neudenir Arioli-Filho: Comparison of the occlusal vertical dimension 8. 3.19(1):103-9. Keywords : Occlusal schemes. Joao balanced denture articulation. Influence of mandibular residual ridge resorption on Quintessence Int.105:127-13.24(2):77-86. 34. 2007 Jun. Kimoto S. No. Ajiro H. .J Prosth Dent 2001. 2006 Jan-Feb.