The document discusses various aspects of functional occlusion including canine guidance, group function, and mutually protected occlusion. It emphasizes that canine guidance involves only the working side canines making contact, while group function involves simultaneous contact of the canines and posterior teeth. Mutually protected occlusion means that during jaw movements like protrusion, the anterior teeth disocclude the posterior teeth to protect them from trauma. The importance of establishing immediate anterior guidance through overjet and overbite is also highlighted.
The document discusses various aspects of functional occlusion including canine guidance, group function, and mutually protected occlusion. It emphasizes that canine guidance involves only the working side canines making contact, while group function involves simultaneous contact of the canines and posterior teeth. Mutually protected occlusion means that during jaw movements like protrusion, the anterior teeth disocclude the posterior teeth to protect them from trauma. The importance of establishing immediate anterior guidance through overjet and overbite is also highlighted.
The document discusses various aspects of functional occlusion including canine guidance, group function, and mutually protected occlusion. It emphasizes that canine guidance involves only the working side canines making contact, while group function involves simultaneous contact of the canines and posterior teeth. Mutually protected occlusion means that during jaw movements like protrusion, the anterior teeth disocclude the posterior teeth to protect them from trauma. The importance of establishing immediate anterior guidance through overjet and overbite is also highlighted.
• Refers to occlusal contacts made when the jaw is moving, as
with chewing. • Alternative names are cuspid disclusion or canine guidance. • Immediate but gentle disclusion of all posterior teeth on any excursion from intercuspal position(ICP) • Post centric stops protect anterior teeth in ICP. • Canines and incisors protect anterior teeth in ICP. • Anterior teeth protect posterior in occlusion. CANINE GUIDED OCCLUSION • Canine protection : contact only on the working-side maxillary and mandibular canines Importance of canine guidance • The strategic positioning of the canine in the arch • The favorable root anatomy • Presence of a better crown-root proportion • The presence of dense and compact bone around the root, which better tolerates the occlusal forces compared with the medullar bone of the posterior teeth • The sensorial pulse that activates less muscles when the canine teeth are in contact than when posterior teeth contact each other. • The achievement of the canine guidance in orthodontics is easier than the group function. It is because mechanically it is much easier to establish the contact in a single tooth than to distribute the contacts simultaneously in all the posterior teeth. GROUP FUNCTION OCCLUSION • Simultaneous contact of the canine and posterior teeth on the working side. Group function must be established When the canine teeth do not present an appropriate position to accept the horizontal forces, for example: • Periodontal problems in the canines, • Cases of atypical upper lateral incisor agenesis, • lower incisor extraction, or • In any case that the first premolar replaces the canine. In this last example, the establishment of the lateral guide should be avoided in order to prevent the development of a traumatic occlusion because premolars are not capable of supporting disocclusion. • CENTRIC OCCLUSION is the occlusion a person makes when they close their jaw and fit their teeth together in maximum intercuspation. It is also referred to as a person's habitual bite, bite of convenience, or intercuspation position (ICP). • CENTRIC RELATION: not to be confused with centric occlusion, is a relationship between the upper and lower jaw. CENTRIC OCCLUSION MUTUALLY PROTECTED OCCLUSION
• During the jaw protrusive movement, the lower incisal
borders slide on the palatal surfaces of the upper incisors, promoting total disocclusion. Likewise, during the lateral movements, the canine must perform the disocclusion. These concepts, known as "mutually protected occlusion", are important to define the occlusal pattern in subjects with complete dentition. • Along those lines, the posterior teeth protect the anterior teeth of any contact in the static jaw position and during the excursive movements Establishment of Immediate Anterior Guidance • When the patient occludes in MI, all posterior teeth must contact, and the anterior teeth must be slightly separated. • As soon as the protrusive movement begins, the lower incisors must contact the palatal face of the maxillary incisors, thus allowing the immediate disocclusion of the posterior teeth. • For this purpose, some orthodontic parameters must be present, for example, overjet and overbite. If the patient presents an increased overjet (more than 3 mm), a longer period is necessary for the anterior teeth to contact, which results in anterior guidance at the expense of the posterior teeth. In 1976, Roth presented the following functional aspects of the occlusion as being fundamental for completion of the orthodontic cases: 1. Teeth must present maximum intercuspal (MI) position with the jaw in centric relation (CR) 2. In centric relation, all posterior teeth must present axial occlusal contacts, and the anterior teeth must maintain a distance of 0.0005 inches between them. 3. During laterotrusion, the canines must disocclude the posterior teeth (canine guidance). 4. During protrusion, the upper anterior teeth must occlude with the lower anterior teeth and the first premolar or the second premolar (in extraction cases), aiming at disoccluding all posterior teeth (immediate anterior guidance). 5. No interference must be present on the balancing side. General rules for diagnosis, evaluation and treatment of occlusal problems
• Make the joints and teeth simultaneously stable
• Posterior contacts must be directed in the long axis of the teeth.
• Create axis loading wherever possible
• Anterior guidance such that the anterior teeth disclude the posterior teeth in protrusive.
• Canine guidance such that the canines disclude the posterior teeth in lateral excursions.
• No occlusal contacts on the balancing side.
• Move off axis loading as far from the fulcrum as possible
• DEFLECTION On opening, the mandibular midline continuously displaced on affected side and does not return to central position. • DEVIATION On opening, the mandibular midline shifts to the side of intereference, but return to central position on maximum opening U U LL FF AA TT