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Lingualized occlusion l Can be used in Class II, Class III & cross-bite situations1.
Concept was introduced by Alfred Gysi in 1927
Disadvantages :
S.H. Payne (1941): 'cusp-to-fossa occlusion'
l Wear 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, 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.
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working and non-working mandibular positions .
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. which comes in contact only in eccentric excursions13.
Indications : De Van has used the same principle without the balancing
l When patient places high priority on esthetics but oral ramp5.
conditions indicate a non-anatomic occlusal scheme
According to this concept teeth which are flat mesiodistally
such as:
and buccolingually are used, oriented as close as possible
• Severe alveolar resorption
parallel to the maxillary and mandibular mean foundation
• Class II jaw relationship
plane.
• Displaceable supporting tissues.
l When a complete denture opposes a removable partial Indication :
denture. l Abnormal closure imbalance, pathosis, trauma,
l When a more favorable stress distribution is desired in neuromuscular disturbances.
patients with parafunctional habits. l Posterior displaceable mucosa.
l Multilated, tortuous ridges with an excessive denture
Advantages :
space14.
l Lingualized occlusal concept is a simple technique
l Ridges are flat or knife edge, rendering dentures more
requiring less precise records than fully balanced
suspectible to horizontal force.
occlusion and is similar in requirements to non-
l When chewing pattern is milling type with broad
anatomic teeth set on a curve.
excursions.
l Most of the advantages attributed to both anatomic &
l Maximum of vertical force and a minimum of horizontal
non-anatomic forms are retained.
stress is desired15.
l Cusp form is more natural in appearance compared to
The amount of horizontal overlap is determined by jaw
non-anatomic tooth form.
relation, ranges from 0mm (edge to edge) Class III
l Good penetration of food bolus is possible. This may
reduce the lateral chewing component. relation to as much as 12mm for severe class II relation17.
l Vertical forces are centralized on mandibular teeth & it Usually the mandibular second molar will be placed on the
provides an area of closure, allowing easier molar slope area, called 'skid row'.
accommodation to unpredictable basal seat changes.
l With lingualized occlusion, 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. second molar but 2 mm above the occlusal plane, well out
of occlusion.
• There should be simultaneous contact during helps to improve stability of the denture during centric,
protrusion. eccentric or parafunctional movements.
Importance of balanced occlusion : For minimal occlusal balance, there should be at least three
Balanced occlusion is one of the most important factors points of contact on the occlusal plane. More the number
that affect denture stability, absence of occlusal balance of contacts, better the balance. Bilateral balanced
will result in leverage of the denture during mandibular occlusion can be protrusive or lateral balance.
movement.
Protrusive balanced occlusion :
Sheppard stated that, “Enter bolus, Exit balance” according This type of balanced occlusion is present when mandible
to this statement, the balancing contact is absent when moves in a forward direction and the occlusal contacts are
food enters the oral cavity. This makes us think that smooth and simultaneous anteriorly and posteriorly. There
balanced occlusion has no function during mastication; should be at least three points of contact in the occlusal
hence, it is not essential in a complete denture, but this is plane. Two of these should be located posteriorly and one
not true. should be located in the anterior region. This is absent in
natural dentition.
On an average, 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. So, In lateral balanced there will be a minimal simultaneous
for these 4 hours of tooth contact, balanced occlusion is three point contact (one anterior, two posterior) present
important to maintain the stability of the denture. during lateral moment of the mandible.
Hence, balanced occlusion is more critical during Lateral balanced occlusion is absent in normal dentition.
parafunctional movements.
Advantages of Bilateral Occlusal Balance
Types of Balanced occlusion l Bilateral simultaneous contact help to seat the denture
Occlusal balance or balanced occlusion can be classified as in a stable position during mastication, swallowing and
follows maintain retention and stability of the denture and the
• Unilateral balanced occlusion health of the oral tissues.
• Bilateral balanced occlusion l Due to cross-arch balance, as the bolus is chewed on one
• Protrusive balanced occlusion side, the balancing cusps will come close or will contact
• Lateral balanced occlusion on the other.
l Denture bases are stable even during bruxing activity.
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 l It is difficult to achieve in mouths where an increased
smooth, uninterrupted glide. This is not followed during vertical incisor overlap is present.
complete denture construction. It is more pertained to l It may tend to encourage lateral and protrusive grinding
fixed partial dentures. habits.
l A semi adjustable or fully adjustable articulator is
Bilateral balanced occlusion :
required3.
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. Bilateral balanced occlusion helps to distribute Arrangement of anterior teeth in class II ridge relations:
the occlusal load evenly across the arch and therefore l Select lower anterior teeth of a narrower mesiodistal
teeth on the upper denture . 24 comprehensive methods used for fabrication of complete
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, but control of the physical
chewing ability, when compared with more simple factors that apply to the relationship of the teeth to each
procedures. Anatomical teeth showed better patient other and that apply to the position of the teeth in the
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satisfaction with chewing ability for tough foods . denture base as related to the ridge must be understood.
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,
non anatomic teeth31.
gnathology, occlusal adjustment have led to controversial
Using Linear occlusal scheme in combination syndrome in the literature. In resorbed ridges, the chances for arch
showed that it is esthetically pleasing, no problem in relationship discrepancies are increased due to greater
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phonetics and ability to chew better . 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. With Lingualized
occlusal schemes and external pterygoid muscle activity occlusal scheme, additional stability is imparted to the
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was found to relatively constant for all occlusal schemes denture during parafunctional movements when balanced
occlusion is used. 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, there is balance or equilibrium. This should be a
class III malocclusions and cross bite cases. 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.
their resultant effect on the movement of the base. A
stable base is the ultimate goal.
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