Excursive Movements

All Movements away from Centric Relation

Movements of the Mandible

Rest Position

Rest Position
The Position of the Mandible when the Muscles of Mastication are at Rest

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Establishing Rest Position

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Rest Position is determined by

The Stress Level of the Patient The Stress Level of the Operator The Ability of the Patient to cooperate

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Methods of determining Rest Position

Ask the Patient to lick their Lips and let their Jaw go loose with Lips together

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Centric Relation

The Relationship of the Mandible to the Maxilla

when both Condyles are in their most Superior Position in the Fossa

Irrespective of Tooth Position

Centric Relation
Established by using the Dawson Technique

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First Contact in Centric Relation

Maximum Intercuspidation

Movements of the Mandible

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The Closed Position

The Initial Hinge Movement

The Beginning of Translation

The Fully Open Position

Closing

The Closed Position

Protrusive Movements

Protrusive Movements

Protrusive Movements

Extreme Protrusion

Opening Movements

Initial Hinge Movement

Determined by Ligaments and TMJ Anatomy

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Determined by Ligaments and TMJ Anatomy

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Translation Movement

as the Head of the Condyle moves down the Articular Eminence

Extreme Opening

Border Movements
The Extreme Movements of the Mandible as limited by the Teeth Ligaments the Anatomy of the Temporomandibular Joint
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Border Movements

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Maximum Intercuspidation

Protrusion guided by the Teeth

Protrusion guided by the Teeth

Protrusion guided by the Teeth

Extreme Opening from Extreme Protrusive

Closing during Translation

Closing during Rotation

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Centric Relation

Maximum Intercuspidation

Envelope of Motion

Excursive Movements to the Left

to the Left Side

Functional Side
(Working Side)

The Side towards which the Mandible moves

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Right Molar Teeth

Jaw moving to the Right the Same Side

This is a Functional or Working Movement

This is a Functional or Working Contact

Functional Movements without Posterior Tooth Contact

in Excursive Movements

due to Disclusion caused by Guidance on Front Teeth

The Right Molar Teeth

The Right Molar Teeth

Moving to the Same Side

The Right Molar Teeth

Moving to the Same Side

The Right Molar Teeth

Moving to the Same Side

The Right Molar Teeth

Moving to the Same Side

Functional Movement with Tooth Contact

due to No Disclusion by Front Teeth

The Right Molar Teeth

Moving to the Same Side

The Right Molar Teeth

Moving to the Same Side

The Right Molar Teeth

Moving to the Same Side

The Right Molar Teeth

Moving to the Same Side

The Right Molar Teeth

Moving to the Same Side

The Right Molar Teeth

Moving to the Same Side

The Right Molar Teeth

Moving to the Same Side

Functional Movement with Tooth Contacts in Crossbite

Due to No Disclusion by Front Teeth

The Right Molar Teeth in Crossbite

The Right Molar Teeth

Moving to the Same Side

The Right Molar Teeth

Moving to the Same Side

The Right Molar Teeth

Moving to the Same Side

The Right Molar Teeth

Moving to the Same Side

The Right Molar Teeth

Moving to the Same Side

The Right Molar Teeth

Moving to the Same Side

The Right Molar Teeth

Moving to the Same Side

Right

Left

Non-functional Side (Balancing Side, or Non-Working Side)

The Side away from which the Mandible moves

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Right Molar Teeth Jaw moving to the Left The Opposite Side

This is a NonFunctional or Non-Working Movement

This is a NonFunctional or Non-Working Movement

Nonfunctional Movement without Interference

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Due to Disclusion caused by Guidance on Front Teeth

The Right Molar Teeth

The Right Molar Teeth

Moving to the Opposite Side

The Right Molar Teeth

Moving to the Opposite Side

The Right Molar Teeth

Moving to the Opposite Side

The Right Molar Teeth

Moving to the Opposite Side

The Right Molar Teeth

Moving to the Opposite Side

The Right Molar Teeth

Moving to the Opposite Side

Nonfunctional Movement with Contact

Due to No Disclusion by Front Teeth

The Right Molar Teeth

The Right Molar Teeth

Moving to the Opposite Side

The Right Molar Teeth

Moving to the Opposite Side

The Right Molar Teeth

Moving to the Opposite Side

The Right Molar Teeth

Moving to the Opposite Side

The Right Molar Teeth

Moving to the Opposite Side

Contacts in Crossbite

due to No Disclusion by Front Teeth

The Right Molar Teeth

The Right Molar Teeth

Moving to the Opposite Side

The Right Molar Teeth

Moving to the Opposite Side

The Right Molar Teeth

Moving to the Opposite Side

The Right Molar Teeth

Moving to the Opposite Side

The Right Molar Teeth

Moving to the Opposite Side

The Right Molar Teeth

Moving to the Opposite Side

Non Functional Contact Clinical Cases

18 Year Old Patient

The Jaw has moved to the Left (The Opposite Side)

The Right Molar Teeth in Contact

This is a Non-Functional Contact

During the Patients Lifetime this may cause

Increased Bruxing and Clenching Wear of the Teeth Loosening of the Teeth Fracture of the Teeth

During the Patients Lifetime this may cause

Headaches Muscle Spasm Temporomandibular Joint Problems

A Clinical Case

Jaw Movements to the Left

Jaw Movements to the Left

Lower Left Canine/Cuspid riding down the Palatal surface of the Upper Canine/Cuspid

Front Teeth separated by a Non-Functional Contact

Front Teeth separated by a Non-Functional Contact

Jaw Movements to the Right

Guidance on the Front Teeth

Guidance on the Front Teeth

Although There is Guidance on the Front Teeth in This Case

There may also be Non-Functional Contacts present as well

In Some Patients
This may cause Headache and/or Temporomandibular Joint Problems

Jaw Movement to the Left

Guidance on the Premolars/Bicuspids

Front Teeth Separated by a Non-Functional Contact

On biting hard the Front Teeth came into Contact

The Mandible pivoted around the Non-Functional Contact stretching the Right Temporomandibular Joint apart

The Patient had a History of a Loud Clicking Joint on the Right Side during Eating

Jaw Movements to the Right

Guidance on the Premolars/Bicuspids

Front Teeth separated by a Non-Functional Contact

Space present between the Front Teeth

The Patient did not have a History of a Clicking Joint on the Left Side during eating

Jaw Movements to the Left

Lower Left Canine/Cuspid riding down the Palatal surface of the Upper Canine/Cuspid

Front Teeth separated by a Non-Functional Contact

Front Teeth separated by a Non-Functional Contact

Front Teeth separated by a Non-Functional Contact

Front Teeth separated by a Non-Functional Contact

Jaw Movements to the Right

Jaw Movements to the Right

Front Teeth separated by a Non-Functional Contact

Jaw Movements to the Right

Front Teeth separated by a Non-Functional Contact

Front Teeth separated by a Non-Functional Contact

Jaw Movements after Occlusal Adjustment

Jaw Movements to the Left

Guidance on the Front Teeth

Guidance on the Front Teeth

Guidance on the Front Teeth

Guidance on the Front Teeth

Jaw Movements to the Right

Guidance on the Front Teeth

Guidance on the Front Teeth

Crossover
The Point at which the Tips of the Canines pass over Each other

Crossover Interferences
Any Contacts after the Tips of the Canines pass over Each other

Interferences in Crossover
may cause increased Bruxing and Clenching Headaches Temporomandibular Joint Problems

Balanced Occlusion
When Functional and Nonfunctional Sides contact Simultaneously in Excursive Movements
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Suitable for Complete Dentures

Balanced Dentures are less likely to be dislodged causing Denture Sores

Movement to the Left

Functional/Working Contacts

And Non Functional/Balancing Contacts

Movement to the Right

Functional/Working Contacts

And Non Functional/Balancing Contacts

Not Suitable for Natural Dentitions

Balanced Natural Dentitions are likely to cause Headaches and Temporomandiblar Joint Problems

The End