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JAW RELATIONSHIP IN EDENTULOUS PATIENTS

INTRODUCTION
In order to ensure comfort and efficiency from a denture it is important to record correct intermaxillary relationship both

vertically and horizontally. Therefore a variety of techniques have been developed to produce an accurate record and the functional technique is most appropriate.

ANATOMY OF TEMPROMANDIULAR JOINT

BASIC MANDIBULAR MOVEMENTS


HINGE AXIS MOVEMENT
TRANSLATIONAL MOVEMENT

MANDIBULAR POSITIONS
MI- MAXILLARY INTERCUSPATION
CR- CENTRIC RELATION ECCENTRIC POSITIONS OR MOVEMENTS

CENTRIC RELATION
The relation of the mandible to the maxillae when the condyles are in their most posterosuperior unstrained positions in the glenoid fossae, from which lateral movements can be made at the occluding vertical relation normal for the individual. Centric relation is a relation that can exist at any degree of jaw separation.

VERTICAL DIMENSION

The height of the lower third of the face


The distance between the upper and the

lower arches

TYPES OF VERTICAL DIMENSION


Vertical dimension of occlusion(OVD) Distance between maxilla and mandible when teeth are in MI Vertical dimension at rest(RVD) Distance between the maxilla and mandible in physiological rest position

REQUIREMENTS OF COMPLETE DENTURE OCCLUSION


1. 2. 3. 4. 5. 6. 7. 8. 9.

Stability of occlusion at centric relation position and in an area forward and lateral to it. Balanced occlusal contacts bilaterally for all eccentric mandibular movements Unlocking the cusps mesiodistally to allow for gradual settling of. Control of horizontal force by buccolingual cusp height reduction according to residual ridge resistance form and interarch distance. Functional lever balance by favourable tooth to ridge crest position. Anterior incisal clearance during all posterior masticatory function and bruxing activity. Minimum occlusal contact areas for reduced pressure in communiting food( lingual contact occlusion). Cuttimg , penetrating, and shearing efficiency of occlusal surfaces. Sharp ridges or cusps and generous sluice ways to shear and shred food with the minimum of force necessary.

UNITS OF COMPLETE DENTURE OCCLUSION


INCISING UNITS

WORKING OCCLUSAL UNITS, AND


BALANCING OCCLUSAL UNITS

REQUIREMENTS OF INCISING UNITS


These units should be sharp in order to cut efficiently 2. They should not contact during mastication. 3. They should have as flat incisal guidance as possible for esthetics and phonetics 4. They should have horizontal overlap to allow for base setting without interference. 5. They should contact only during protrusive incising function.
1.

THEORIES OF OCCLUSION
THE BONWILL THEORY OF OCCLUSION

(the theory of equilateral triangle)


THE CONICAL THEORY OF OCCLUSION

THE SPHERICAL THEORY OF OCCLUSION

RECORDING CENTRIC RELATION