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REMOUNTING

IN COMPLETE DENTURE
 Introduction
 Laboratory remounting
 Clinical remounting
Remounting

 It is the procedure by which the processed dentures


are returned to their previous mounting on the
articulator

 to correct occlusal errors resulting from the various


steps during denture construction.
There are 2 types of remounting :

 Laboratory remounting
 • Performed after deflasking before the dentures are
handed to the patient

 Clinical remounting
 • Done on new recordings from the patient and new
mounting
Importance of remounting

 If remounting is skipped, dentures will:


 Deform underlying tissues
 Destruct supporting bone
 Discomfort the patient
 The occlusal errors can be concealed and cannot be
easily located and corrected at a later stage
1.Laboratory remounting

It is the procedure by which the processed dentures


are returned back to their previous mounting on the
articulator to correct the occlusal errors resulting from
laboratory procedures during processing.
N.B
Advantages of laboratory remount :

 1. Errors in the processed denture are easily spotted


on the articulator rather than in patient’s mouth.

 2. Correcting occlusal errors before denture insertion


provides the patient with comfort and psychological
confidence.

 3. Selective grinding is performed to remove only


premature occlusal contacts, thus restoring occlusal
vertical dimension and centric occlusion
2-Clinical remounting

 Clinical remounting is a procedure where by occlusal


adjustment is carried-out on the articulator after
remounting the dentures with new records obtained from
the patient.

 These records are :


 1.Facebow record.
 2.Remount record index to mount the maxillary denture
on the articulator
 3.Centric relation record to mount the mandibular
denture
Steps of clinical remounting

1.Preparation of remount record index.

2. Preparation of remount cast(new cast).

3. Orientation of maxillary cast on the articulator (facebow


or remount record index).

4.Centric interocclusal record.

5.Mounting the mandibular cast .

6. Selective grinding.
1.Preparation of remount record index.

 It is occlusal registration of the maxillary denture


which is recorded on a remount jig attached to the
lower member of the articulator to preserve the
original facebow mounting record.

 Its done before flasking of the denture or after


laboratory remount
2. Preparation of remount casts

Master cast is destroyed during removal of the 


processed denture during de-flasking, so new
remounting casts are fabricated after finishing and
polishing of the denture
3. Orientation of maxillary cast to the articulator

 Made either by :
 - Facebow record ( after finished denture)
 - Remount record (before flasking)
3. Orientation of maxillary cast to the articulator
4. Centric interocclusal record

Mandibular denture is oriented to the maxillary 


denture by a centric interocclusal record taken from
the patient.(ALU wax)
5.Mounting the mandibular cast
6. Selective grinding

 It is the modification of the occlusal and incisal


surface of the teeth by grinding at selected positions
by spots made by articulating paper.

 N.B:
 Selective grinding should be done also intraorally
after being done on articulator
6. Selective grinding

 Methods of detecting occlusal errors:


 1.articulating paper
 2.Wax occluding template
6. Selective grinding

 Correction of occlusal errors:


 Correction centric position
 Correction in eccentric position
1. working side
2. non working side
3. Correction in protrusive position
6. Selective grinding

 General rule:
 Functional cusps should not be altered
(palatal cusps of maxillary denture and buccal cusps
of mandibular denture)

 If the functional cusps are indicated for modification, the


opposing fossae should be modified or the opposing cusp
incline is ground.

 Functional cusp height should never altered:


1. To maintain the vertical dimension
2. To maintain the functional efficiency
6. Selective grinding

Errors in centric position

1- Opposing teeth can be


too long and hold other
teeth out of contact
 Correction:
 Deepening of the
fossae
6. Selective grinding

Errors in centric position

2- Upper and lower teeth can


be too nearly end to end.
Correction:
1.Cusp inclines are ground.

2.Central fossae become broader by


grinding :
…Buccal inclines of the lower
lingual cusp
…Palatal inclines of the upper
buccal cusp

3 The cusps are not reduced


6. Selective grinding

Errors in centric position

 3- Upper teeth can be too far


buccal in relation to lower teeth
Errors in working side:
Errors in working side:
Errors in working side:
Errors in working side
Errors in balancing side
Errors in balancing side
Error in protrusive
Extra-oral selective grinding is more preferable than intraoralselective
grinding for the following reasons:

1.Presence of compressible tissue under the denture, that


may move with the denture especially in flabby ridge and
very resorbed ridges, while in extra-oral selective
grinding the dentures are on hard bases (casts).

2. The bad psychological impact on the patient as he will


see his teeth ground in front of him in intra-oral selective
grinding.
3. Eliminates continuous removal and replacement of denture

4. Lateral excursion (right and left) and protrusive movements are


difficult
.
5. More accurate markings (NO SALIVA)
Advantages of Remounting

1. Occlusal correction is done on the articulator rather than


inside the patient mouth thus reducing patient participation
and gives better psychological reaction.

2. The articulator provide stable rather than resilient soft tissue


foundation.

3. More accurate articulating paper markings are exposed due


to the absence of the saliva.

4. It is easier to see, spot and correct errors on the articulator


rather than in the patient mouth.

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