eae aD PROSTHODONTICS Deepak Nallaswamy a = ep ne JAYPEE \ http://dentalebooks.com.9 Textbook of Prosthodontics Figs 9.25a and b: (a) Normal horizontal overlap (b) Edge fo edge relation in cass Il cases Fig. 9.25¢: Excessive averjet in class Il cases Fig. 9.26: Bucealty arranged tooth may produce cheek biting Though buccal fullness is not as important as labial fullness, it does contribute ‘ignificantly to the appearance of the patient. Level of the Occlusal Plane The occlusal plane should be located at the mid- point of the interarch distance. The upper occlu- sal rim should be reduced upto or 2 mm below 429 ‘h level ofthe upper lip during speech, The lower occlusal rim should be at the level of the lower lip and the angle of the mouth. Posteriorly it should be two-third the height of the retromolar pad. The posterior part of the upper occlusal plane should be one-fourth an inch below the level of the opening of the Stensen’s duct (Fig, 927) Fig. 9.27: Relationship of the occlusal plane to the opening of the Stensen's duct and the retromolar pad area ORIENTATION OF THE PLANE OF THE OCCLUSAL RIM The plane of the occlusal rim should be parallel to the plane of the maxilla. It should not be con- fused with the orientation of the occlusal rim (dis- cussed in orientation jaw relation), which denotes the orientation of the maxilla to the base of the skull, The plane of the maxilla is determined anteriorly by inter-pupillary line and posteriorly by the Camper's line or the ala tragus line. This line extends from the upper border of the tragus of the ear to the lower border of the alae of the nose (Fig, 9.25) The maxillary occlusal plane can be verified using a Fox plane, The fox plane has an inner rim cof inner rim and an outer rim. The inner rim should be placed in contact of the plane of the occlusal rim. The outer rim will show the facial level of the occlusal plane (Fig. 929). Anteriorly it should be parallel to the interpupillary ine and posteriorly to the ala-tragus line. Procedure + The ala-tragus line is marked on the patient's face using a thread dipped in dental plaster or pumice (Fig. 9.30). http://dentalebooks.comFig, 9.28; Occlusal plane should be parallel tothe ala ~ tragus tine ‘A fox plane used to danota the plane of ‘occlusion Fig. 9.30; The ala-tragus in patients face using a thread dipped in dental plaster © The maxillary occlusal rim is inserted into the patient’s mouth. Mazillomandibular Relations © The bite fork of the fox plane is inserted into the mouth and positioned at the level of the occlusal plane of the occlusal rim (Fig. 931) * The level of the outer rim is compared with the ala-tragus line. * Theocelusal rim is removed and altered using a hot plate. * The procedure is done till the outer rim of the fox plane is parallel the ala tragus line. Fig. 9.31: The occlusal nm should be reduced til the outer ‘arm of the fox plane is parallal to the ala tragus bine JAW RELATION * Orientation jaw relation * Vertical jaw relation * Horizontal jaw relation Jaw relation is defined as, “Any relation of the mariibte to the maxilla”-GPT. We must realise that we are placing dentures between two bones and that the function of the denture totally depends upon the jaint between the two bones. ‘Imagine we are tying a stick to the hand. If the stick is tied with the elbow relaxed there is, not much discomfort but if the same stick is tied tightly, overextending the elbow there will be severe discomfort (Fig. 9.32). Similarly if we fabricate a denture whichis not in harmony with the movernents of the temporo- mandibular joint, there will be severe discomfort. Jaw relation is recorded to measure the extensi- bility and the movements permissible by the patient's temporomandibular joint. http://dentalebooks.com 121