Preeti Kalia

Ist year PG student

Department of Prosthodontics
A.E.C.S Maaruti Dental College
 Definition
Eccentric
relation
records

Theories of
centric relation

Techniques

Physiologic
Other
Functional Graphic
GPT 1’ defines centric relation as “The most
retruded relation of the mandible to the
maxillae when the condyles are in the most
posterior unstrained position in the glenoid
fossae from which lateral movement can be
made, at any given degree of jaw separation.”
GPT 8 is “The maxillomandibular relationship in which the
condyles articulate with the thinnest avascular portion of
their respective discs with the complex in the anterior
superior position against the slopes of the articular
eminences. This position is independent of tooth contact.
This position is clinically discernible when the mandible is
directed superior and anteriorly. It is restricted to a purely
rotary movement about the transverse horizontal axis”
 Anatomical

S. Davies and R. M. J. Gray, What is occlusion? British Dental Journal, Vol 191, No. 5,
September 2001
 Conceptual

S. Davies and R. M. J. Gray, What is occlusion? British Dental Journal, Vol 191, No. 5,
September 2001
 Geometrical

S. Davies and R. M. J. Gray, What is occlusion? British Dental Journal, Vol 191, No. 5,
September 2001
Muscle theory
The ligament theory
Osteofibre theory
Meniscus theory
 Checkbites

Excursive recordings

According to
John.J.Sharry

Deglutition

Terminal hinge axis

 Tactile

Physiological Pressureless

Pressure

Needlehouse
Techniques Functional
Patterson

Intraoral
Graphic
Extraoral
 Physiological method
Indications

Flabby tissue
 Physiological method
Materials used

Aluwax Aluwax Aluwax

Aluwax
 Physiological method

Tactile sense or interocclusal record method

 It involves 2 steps.

 First a tentative centric jaw relation is recorded using

wax occlusal rims.

 In the second step an interocclusal check record is

made using the trial denture during try-in
 Physiological method

Pressure less method

 Physiological method
Nick and notch method
 Physiological method

Pressure method

 The lower occlusal rim is fabricated to be of excess

height

 occlusal rim is softened in a water bath and inserted

carefully into the patient’s mouth

 patient is guided to close his mouth in centric relation

Staple pin method
Needle house method
Patterson’s technique
Intraoral tracing device
Extaoral tracing device
Extaoral tracing device
Indications

 Well healed broad edentulous ridges.

 Adequate interarch space

 Contraindications
 Severely resorbed ridges

 Excessively flabby ridges

Instability of denture bases

 Decreased arch space

 In patients with
temporomandibular joint disorders

 In patients with abnormal jaw

relation
Greber 1966
1) Classical pointed form

2) Classical flat form

3) Asymmetrical form

4) Miniature tracing

5) Vertical line protrudes beyond the arrow point

 Swallowing

 Chin point guidance

 Chin point guidance with anterior jig

 Bilateral manipulation

Martin E. Kantor, Sidney I. Silverman and Lawrence Garfinkel ,Centric-relation

recording techniques-a comparative investigation,J Prosthet Dent
1972:28;6,593-600
Whip mix
Hanau
Hanau
Whip mix
 Set side shift guide at 45o.

 6mm from centric relation along LL.

 Right condyle is in protrusion.

Hanau
 Unstability of records

 Resiliency and displaceability of denture bearing

tissues

 Materials used in record making

 Equipment used in record making

 Lack of muscle coordination by the patient

 Use of articulators not adjusting to all introcclusal check

records
Ansari.I.H, A one appointment complete denture impression and centric relation record
method for compromised complete denture patients, J Prosthet. Dent,December,
1997:78;320-323
Ansari.I.H, A one appointment complete denture impression and centric relation record
method for compromised complete denture patients, J Prosthet. Dent,December,
1997:78;320-323
Bissasu.M, Use of the tongue for recording centric relation for edentulous patients, J
Prosthet Dent 1999;82:369-70
 Sheldon Winkler,Essentials of Complete
Denture Prosthodontics,2nd edition,A.I.B.T.S
publishers and distributors, India, pp-183-201
 John.J.Sharry, Complete denture
prosthodontics, 3rd edition, Mcgraw-Hill book
company,USA, pp-215-222
 Charles.L.Bolender,Prosthodontic treatment for
edentulous patients,12th edition,2003,Mosby
publications,St.Louis,pp-268-297
 A.O Rahn and C.M Heartwell,Textbook of
complete dentures,4th edition,1993,Lea and
Fabiger,USA,pp-290-308
 Deepak Nallaswamy,Textbook of
Prosthodontics, Ist edition,2003,Jaypee
publishers,New Delhi,pp-108-151
 A.O Rahn and C.M Heartwell,Textbook of
complete dentures,4th edition,1993,Lea and
Fabiger,USA,pp-290-308
 Granger.E.R. Centric relation, J Prosthet Dent
1953:2;2 pp:160-177
 Cohen.R, Hinge axis and its practical
application in the determination of centric
relation,Jprosthet Dent 1960:20;2 pp:248-257
 Martin E. Kantor, Sidney I. Silverman and
Lawrence Garfinkel Centric- relation recording
techniques-a comparative investigation,J Prosthet
Dent 1972:28;6,59

 James Hart long, An instrument for locating

centric relation ,J Prosthet Dent 1973:30;1,50-52

William E. Avant , Using the term “centric”, J

Prosthet Dent 1971:25;1,pp:12-15
 Lawrence A. Weinberg, Temporomandibular
joint function and its on centric relation,J
Prosthet Dent 1973:30;2,176-195
 Ansari.I.H, A one appointment complete
denture impression and centric relation record
method for compromised complete denture
patients, J Prosthet. Dent,December,
1997:78;320-323
 Bissasu.M, Use of the tongue for recording
centric relation for edentulous patients, J
Prosthet Dent 1999;82:369-70.
 S. Davies and R. M. J. Gray, What is
occlusion? British Dental Journal, Vol 191, No.
5, September 2001,
 Thomas E.J. Shanahan, Physiologic vertical
dimension and centric relation ,J Prosthet
Dent 2004: 91;3,203-209
 13) Yoshiyuki Watanabe,Observation of
horizontal mandibular positions in an
edentulous patient using a digital gothic arch
tracer:A clinical report,J Prosthet Dent 2004
:91;1,15-19
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