Yasser Baraka, BDs, MDs. DDs.

Recording jaw relationships

The inter-maxillary relations are,
Three dimensional.
Vertical H

i or
st er
-po
t ro
An
W
Medio-lateral L
I. THE VERTICAL DIMENSION

II. THE HORIZONTAL RELATIONSHIP

( CENTRIC RELATION )
A. Antro-posterior
B. Medio-lateral
 Basic Positions of the Mandible
⚫ A basic position is a mandibular position
used frequently during function or alternatively a
reference position against which other positions or
movements can be compared.
The Most Important Basic Positions Are
⚫ Rest position (postural position or rest relation).
⚫ Centric occlusion (intercuspal position).
⚫ Centric relation (retruded position).
 Rest position
⚫ The rest position is used as a reference position
when determining the appropriate occlusal vertical
dimension for new complete dentures.
⚫ It can be defined as the vertical position the
mandible assumes when the mandibular musculature is
relaxed and the patient is upright.
⚫ When the mandible is in the rest position there is a
space between the occlusal surfaces of the teeth which is
known as the freeway space or interocclusal rest space.
The separation between the teeth is most commonly within
the range 2–4 mm (fig. 2).
 Centric Occlusion
⚫ It is the relation of opposing occlusal
surfaces, which provides the maximum planned contact
and /or intercuspation.
 Centric Relation
⚫ It is 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.
 Jaw relationship
I. Adjustment of upper record blocks
II.The vertical dimension
III.The horizontal relationship
(Centric relation)
 ADJUSTMENT OF THE
UPPER RECORD BLOCKS
ADJUSTMENT OF THE UPPER
RECORD BLOCKS
1. Labial Fullness
2. The Height of the Rim:
3. Anterior Plane
4. Anteroposterior Plane
5. Post-Damming
6. Guide Lines
Labial Fullness
The Height of the Rim
Anterior Plane
Antero-posterior occlusal plane
The Position of the Posterior
Palatal Border
(Post-Damming)
The vibrating line
Guide Lines
The center line
The high lip line
The corner line
II- THE VERTICAL DIMENSION
 TECHNIQUES OF
RECORDING THE VERTICAL
DIMENSION OF OCCLUSION
A- Rest Position (Free Way Space)
Measurement
Measuring the VD by a divider
or by a caliper
III- THE HORIZONTAL
RELATIONSHIP

(CENTRIC RELATION)
 METHODS FOR
REGISTRATION OF
CENTRIC RELATION
I-The interocclusal registration
method.

II-The central bearing point

(Gothic arch tracing) method.
 Centric Relation

I-Interocclusal Registration
V-SHAPED NOTCHES ARE
CUT IN THE UPPER RIM
Wax interocclusal record
Excess wax is removed
Aids to retrude the mandible
⚫ Always ask the patient to close, never ask him to
bite
⚫ Tongue retrusion
⚫ Relaxation
⚫ Swallowing
⚫ Fatigue
⚫ Head position
⚫ The temporalis muscle check
THE EFFECTS OF EXCESSIVELY
INCREASING THE VERTICAL
DIMENSION OF OCCLUSION

1. Discomfort
2. Trauma
3. Clicking of Teeth
4-Appearance
 EFFECTS OF EXCESSIVELY
REDUCING THE VERTICAL
DIMENSION
1. Inefficiency
2. Cheek biting
3. Appearance
4. TMJ troubles
5. Angular chelitis
Angular chelitis