DENT 143: COMPLETE DENTURE PROSTHODONTICS

THE OCCLUSION CONTOUR RIM

Dr. Charlie Atienza | August 24, 2017

OUTLINE 2. Primary Impression

3. Diagnostic cast
I. OCCLUSION CONTOUR D.
Incisal Plane 4. Individual tray
RIM E.
Canine Position 5. Final Impression
II. OVERVIEW OF CD F.
Occlusal Plane 6. Master cast
PROCEDURES G.
Occlusal Level
7. Trial Denture Base
A. Resorption process and H.
Labio-lingual and Bucco-
the neutral zone lingual Dimensions
8. Occlusion Contour Rim
B. Impressions and casts I. Bucco-lingual Postion of A. RESORPTION PROCESS AND THE NEUTRAL ZONE
C. Trial Denture Base the Posterior Segments
D. Wax Rim and Occlusion J. Contour of the Polished This is the denture space (Fig. 3), an empty space where the
Contour Rim Surfaces denture will be placed. This spaced is used to be occupied by
III. REFERENCES K. Other Characteristics the teeth, bone and some soft tissue. Then, it resorbs and
A. Midline IV. SUMMARIES becomes a larger space. And that outline is called the neutral
B. Labio-lingual Inclination V. REFERENCES zone.
C. Incisal Level

I. OCCLUSION CONTOUR RIM

Rim of wax that serves as a record used as a template or guide

in selection and setting up of denture teeth.
Wax thats formed on top of the denture base to serve as the
template or the pattern where you are going to set-up the
teeth
Serves as a record of what dimensions of teeth we need to
place, and how they are going to be placed.

Figure 3. Resorption of residual ridges and the neutral zone. [Dr. Atienzas ppt].
B. IMPRESSIONS AND CASTS
Figure 1. Maxillary Wax Rim [Dr. Atienzas ppt].
Primary impression
A pattern in the positioning and inclination of all the teeth and Copy of the denture bearing areas or the basal seat including
their relation to all structures surrounding them. the borders
Used to establish and record maxillo-mandibular relations. Borders should be overextended
AKA positional relations Diagnostic cast
Essentially means how the upper jaw is related to the lower It is used for the fabrication of custom/individual trays
jaw.
Individual tray
Final impression
Accurate copy of denture-bearing areas as well as the
functional limit borders
Master cast
Used to make a trial denture base

Figure 2. Occlusal Contour Rim [Dr. Atienzas ppt].

II. OVERVIEW OF CD PROCEDURES

Pagpasensiyahan na kung bakit biglang nag-iba yung topic. Siningit

lang ni sir yung part na to during OCR lecture. So hindi niya talaga na
discuss nang maayos to. Dapat hiwalay na lecture to sa OCR and
dapat may hiwalay na trans. Most of the info came from 2018 trans
and recording, and the pictures came from the file he posted on
Coders. Anyway review lang naman yung first parts.
Figure 4. Master cast [Dr. Atienzas ppt].
To able to know the purpose of occlusion contour rim, first, we
need to review the procedures in complete denture service: C. TRIAL DENTURE BASE
1. Patient work-up Serves as a vessel where teeth will be planted
Essentially data gathering One of its requirements is the interface which provides
On the initial visit, you can do all your retention, stability and support (RSS).
diagnostics including preliminary radiographs,
examinations (intraoral and extraoral) and interviews

1-5 UPCD 2019: Haluag, Madlangbayan, Rivera, Rizare 1 of 8

 3. After filling up the upper space, the next step is to establish the
relationship of the maxilla to the mandible, which is called
Positional relations
Positional relationships of the maxilla and mandible:
Supero-inferior position vertical relationship of maxilla
and mandible.
Horizontal position can be forward-backward, or lateral-
medial (side to side)
Vertical dimension the vertical distance between the
maxilla and the mandible.
The mandible is a movable structure. So where are we going
to put the lower? When we used to have teeth, the
Figure 5. Trial Denture Base [Dr. Atienzas ppt]. relationship between the upper and the lower is guided by
D. WAX RIM AND THE OCCLUSION CONTOUR RIM the contacts of the teeth. Our brain tells us that we cannot
bite any further when there is already contact between the
1. Formation of arbitrary Wax Rim upper and lower teeth. Imagine when we lost our teeth, what
Preparation of the temporary denture base as well as the will tell the brain when to stop moving the mandible?
wax rim prior to the clinical step and the patients next We have to retrace and regain the position by developing the
appointment lower half of that space based on the established positional
This is done to save chair time relation.
Only the maxillary arch is prepared
Mandibular wax rim may be prepared chair side later on
when you are be able to establish the relationship
between the maxilla and the mandible
Basically putting wax on the TDB
Main objective: make the starting point (wax rim) as near as
possible to the end point (OCR)
Faster to develop the OCR
Time constraints: Less chair-time for patient
It is easier to work with a cast, than to work with a patient.
Thus, you should make the wax rim as near as the
finished product or OCR so that it will be easier for you
and the patient.
2. Formation of Occlusion Contour Rim
The modifications that will be done on the arbitrary wax rim
when the patient is already in the clinic Figure 7. Filling up of lower half and recording of positional relations [Dr. Atienzas ppt].
Proper contours, levels, planes, dimensions and all other
4. So after recording the positional relationship, you will need to
necessary requirements are incorporated in the wax rim
transfer the positional relationship to a device called the
When they are fully developed, thats when we call that
articulator. This method is called mounting.
rim as the occlusion contour rim
You need to use an articulator since you cannot take your
OCR, when developed, should be in harmony with everything
patients head to the laboratory to continue working.
thats inside and outside the mouth.
Through the articulator, you are able to simulate the
Determine the references (see III.) of structures that have
movement of the patients mandible.
been lost
There is also an instrument called the facebow that would
Re-establish the lost structures using those
help you orient the upper and lower arches to the articulator.
references/records and reconstruct them using wax
In developing the OCR, you are able to fill up the upper half
of the denture space
The outline of OCR + TDB can be divided into three:
Tissue surface: in contact with the mucosa
Borders: in contact with the vestibular area
Contours of the polished surfaces: in contact with the
surrounding musculature, like the cheek and tongue

Figure 6. Filling up of upper half, and the three surfaces of OCR+TDB. Tissue
surface (green), Borders (blue), and Contours of the Polished Surface (orange)
[Dr. Atienzas ppt].
Figure 8. Recording jaw relations, mounting, and setting-up of teeth [Dr. Atienzas ppt].
5. Placement of the teeth by series of trials and try-ins
Placement of anterior teeth anterior try-in Verify your
records placement of posterior teeth posterior try-in
verify your records
6. After completing setting up of the entire set of teeth and
verifying records, you can now process the denture.
7. Installation

Dent 143 The Occlusion Contour Rim 2 of 8

 Wax Rim VS OCR There references translate to polished surfaces of the
Both are essentially combinations of wax and the resin material denture which should conform with the contour of the
(TDB) but they are also different surrounding musculature
Reference items found on the cast that will be used to
Table1. Differences between wax rim and occlusion contour rim
establish the OCR. MUST MEMORIZE!
Wax rim OCR
Midline
Laboratory procedure Clinical procedure
Formation and fabrication Modifications done to the Labio-lingual inclination
of arbitrary wax rim arbitrary wax rim Incisal level + cervical level
Formed based on cast Patient landmarks and guides Incisal plane
landmarks and More accurate because Canine position
references/guides patient is already there Occlusal level
Arbitrary In harmony with all the Occlusal plane
structures, contours, levels, Labio-lingual/bucco-lingual dimensions
planes, and dimensions inside Bucco-lingual position
and outside the mouth Contour of the polished surfaces
How do we incorporate these items?
Make use of guides, landmarks, and references
Wax rim: cast guides
OCR: patient guides
A. MIDLINE
Represents the line where mesial surfaces of central incisors
meet. Normally coincides with the facial midline.
Guides
CAST (WAX RIM) PATIENT
1. Incisive papilla 1. Tip of the nose
a stable landmark behind and Commonly falls at the
Serves as a starting point End point of this procedure between central incisors midline of the face,
Done on the cast in the lab Developed chair side with the when the anterior segment of not applicable if nose
the ridge resorbs, it still is crooked
patient
remains in its original position 2. Philtrum
III. REFERENCES 2. Median palatine raphe 3. Labial frenum
Formed through fusion of the Not reliable if distorted
When the teeth are present, there are certain references suture. With the elevated 4. Midline of the face
existing before. When teeth are lost, there are also references surface, it can be easily Most recommended
we can use to trace the lost teeth or structures. traced from the incisive Most accurate guide
Frontal view useful in establishing symmetry papilla going posteriorly. So except when there is
Midline: divides the head into two equal parts its like splitting the cast in an obvious
equal halves. abnormality
Midline of the teeth normally coincides with the facial
midline
Incisal plane
Incisal level
Canine position
Lateral view
Labio-lingual inclinations of the teeth
Occlusal plane
Occlusal level

3. Labial frenum
Positioned between the
central incisors
Can be used to substitute the
midline in the cast since the
cast doesnt have a face, but
the guide is not as accurate,
because it can be slightly
deviated or distorted during
impression making, so its just
an alternative.
How will you know the labial
Figure 9. Frontal and lateral views frenum is an accurate guide?
Occlusal/coronal view Its actually part of the
Labio-lingual and bucco-lingual dimensions: width or examination during the initial
visit. Titingnan niyo yung
thickness
labial frenum, if it coincides
Bucco-lingual position: location in reference to horizontal or with the facial midline, initial
latero-medial landmarks examination pa lang, alam
Contour of the external surfaces niyo na pwede siyang gamitin
Slope of the mucosa sa cast.
Attached gingiva to the free gingiva
Buccal surface of the teeth: contour of the external Drawing the midline on the cast:
surfaces Before you for the arbitrary rim, you have to draw a straight
Lingual surface: shape of the tongue line at the cast using a pencil to set the midline.
Dent 143 The Occlusion Contour Rim 3 of 8
 You place a temporary mark on the land at the labial of the
cast first. Then validate it with other midline references like
median palatine raphe, etc. So if you check it posteriorly, the
arch will appear symmetrically divided.

Figure 10. Established midline following the median palatine raphe, producing a
symmetrical wax rim [Dr. Atienzas ppt].

B. LABIO-LINGUAL INCLINATION
Represents the proper contour and inclination of the labial
surface of the wax-rim/OCR because we want to establish the 2. Ladaos Template Designed 2. Vermillion border should
proper way on how we provide support for the lip since it is in by Dr. Joaquin Ladao, Jr., the be prominent
contact with the lip template is made of a transparent Separates lip mucosa
It is how far the labial surface should be positioned anteriorly plastic material and serves as a from skin
and how inclined it should be. guide in developing the arbitrary Thin when edentulous
Represents how far the incisal surface of the rim extends wax rim before the development of 3. Thickness of the upper
labially the OCR. lip
Inclination begins from the vestibular area (functional limit) If lip support is
going to the edge of the rim inadequate, the upper
Represents anterior arch form and position in relation to the lip will tend to curve
residual ridge (arbitrarily rounded but depends on the shape you inward, and appear
want to achieve, can be tapering or squarish) thin.
The anterior segment of the rim positioned in relation to the
maxillary ridge is slightly labial because of the resorption
pattern.
Guides
CAST (WAX RIM) PATIENT (OCR) Creating a Ladaos Template:
1. Incisive papilla 1. Adequate lip support 1. Using a compass, draw a circle 24 mm in radius on the
Refer to figure below: From the should form approximately wafer. (48 mm in diameter)
incisive papilla, project an 90-degree or right angle 2. After marking the circle, draw a vertical line that splits the
imaginary line downwards with the nose. circle in half, passing through the midpoint.
vertically and measure the 3. Measure 9mm downwards from the top of the vertical line
horizontal line anteriorly to tip of intersecting with the circle. Mark this point.
incisal edge, the value would 4. Draw a line perpendicular to the marked vertical line,
be 8-9mm (average value).
starting from and ending with the circle. There is now an x-
and a y-axis intersecting which is the approximate
position of the incisive papilla.
Top edge of the circle should coincide with edge of
Should not form an the rim.
obtuse angle or an acute If you follow the arch form, which means from one
angle with the nose (will corner to the other, all of them are straight surfaces, no
have a protuding or concave, no convex.
collapsed appearance) If you project from vestibule to incisal edge of tooth
resulting to inadequate
should form a near spherical shape and that applies
lip support
from one canine the other.
Entire labial surface should have a single plane that is
curved.

Even when extracted, the

incisive papilla remains where it
used to be. Thats why it is an
accurate guide in establishing Figure 10. Proper contour of the labial surface of the maxillary rim [Dr. Atienzas ppt].

the labio-lingual extent or

inclination.

Figure 11. Improper contour of the labial surface of the maxillary rim (convex) [Dr.
Atienzas ppt].

Dent 143 The Occlusion Contour Rim 4 of 8

 C. INCISAL LEVEL
The vertical position of the incisal surface of the maxillary rim in Guides
reference to the position of the upper lip CAST (WAX RIM) PATIENT (OCR)
Upper lip at rest low lip line; established when the patient Parallel to the base of the cast Parallel to the inter-pupillary
says M (arbitrary), therefore, should be line
High lip line is synonymous with smile line; highest position oriented properly to avoid errors in Draw an imaginary line
of upper lip during function such as when smiling or laughing the base from one pupil crossing to
How do you describe the high lip line? You make use of Look at arches/ridges inside the face to the other pupil
references, you describe what you see. The patients mouth since they are generally reference for the
high lip line can go above or below the gingival margin, parallel to the horizontal plane. horizontal plane
or can reveal up to the middle thirds or the cervical thirds If one ridge is slightly tilted to If the pupils of the patient
the side (because of more are uneven, you can use
of the teeth.
severe resorption), when you the position of the portion
Represents the vertical height of the anterior segment of the form the base, have another as seen in a skeletal
rim (vestibule to incisal edge) guide in establishing the assessment.
Guides horizontal orientation of the The position of the
base, dont follow the ridges. condyles can also be used
CAST (WAX RIM) PATIENT (OCR)
called the transverse
Measurement from vestibule to In the mouth, you make use of horizontal axis.
incisal edge should be at least the lip position.
22-25mm (arbitrary only to Measurement should be 1-
lessen the possibility of having 2mm below the low lip line
inadequate wax) but it could be (also arbitrary).
more than this, so, you can
make it longer since its easier to
reduce wax than to add.

E. Canine Position
Represents the 3 dimensions in the mouth which approximates
antero-posterior (labio-lingual), later-medial, (mesio-distal), and
supero-inferior of the maxillary canines and canine eminences
(represented in the rim)
The supero-inferior of the canine is represented by the
incisal level.
Dictates the transition between the anterior and posterior
segment
Corner. Determines where the
curved anterior segment ends and where the
straight posterior segment begins

Guides
High lip line
CAST (WAX RIM) PATIENT
Represents the approximate cervical margins of the teeth
1. Lines* tangent to the anterior 1. Commissures
It should be marked on the OCR to determine the length and posterior segments of the Buccal corridor: space from
or the cervico-incisal height of the denture teeth arch must be in contact with the the canine going posterior;
edge of the circle should be small
represented by the arch and Lips should be in resting
should be projected at the slope state, then look at the
area, hindi sa ibabaw o sa distance between the canine
crest** tip and mouth corner
a. Labial to the crest: The approximate space
Anterior line depends on the prope
b. Buccal to the crest: bucco-lingual position of the
Posterior line rim (posterior segment)
Figure 12. High lip line [Dr. Atienzas ppt] [again] already an issue about the
*Line projected is BUCCAL to neutral zone
D. INCISAL PLANE the crest for posterior line, and
Represents the orientation of the general plane of the incisal LABIAL for the anterior line
surfaces (or incisal edges) of the anterior segment of the rim in **Yung intersection ng lines =
reference to the horizontal plane approximate location of the
canine
**HINDI PUWEDE CRESTAL
Tells you if the canine
kasi magiging too anterior yung
position is symmetrical
position
If one is bigger then tabingi,
unless may asymmetry sa lip
2. Most prominent anterior 2. Ala of the nose
rugae lead to the original
position of the canine
Figure 13. Incisal plane parallel to base of the cast and interpupillary line.

Dent 143 The Occlusion Contour Rim 5 of 8

 Coincides with canine latero- Table 2. Outlining the most prominent rugae
medially (canine tips) Determine the most anteriorly
Canine should be near the positioned rugae on the palatal
area of the cast.

Project labially and mark the land

of the arbitrary position of the
line, in cases na malapad upper canine.
yung ilong, you can use
other landmarks such as the
commissure
3. Ladaos template
Approximately forms where
the horizontal line
intersects with the circle
(yung green points) inside F. Occlusal Plane
(doesnt need to be exact;
hence, arbitrary) Represents the general plane of the occlusal surface of the
When fabricating the OCR posterior segment of the maxillary rim
yung prominent anterior
rugae ang tinitingnan. When Guides
you draw a vertical line CAST (WAX RIM) PATIENT
inferiorly, it may coincide near 1. Arbitrary: Use the existing 1.Parallel to the Campers line
the canines. (puwedeng incisal plane or level. Slightly Imaginary line form the ala of
nasa labial, doesnt need to inclined posteriorly in relation to the nose to the tragus of the
be exact just a guide.) the horizontal plane (base). ear
* You can combine all three guides and come up with a common Project it posteriorly.
location so youd know if its too anterior/ posterior
Sir: base of the cast [should be]
Methods properly oriented. Occlusal plane
1. Tangent lines method should be slightly inclined
2. Outlining the most prominent rugae compared to the base. This will
3. Ladaos template tell you na slightly inclined siya in Reference to the occlusal
reference to the horizontal plane plane
Table 1. Tangent Lines Method
boomerang like instrument that
Orient a long and straight Emphasis: cast base is extends outside so kung
instrument (ex: plaster spatula) represented by the horizontal tabingi sa loob, tabingi rin sa
tangent to the buccal surface of plane (so pag nag pour dapat labas
the posterior segment of the pantay) Handle of the mouth mirror can
residual ridge.
be used to check if theyre
Mark the land which coincides
parallel make the px bite and
with the anterior position of the
trace the plane
inst.
A fox plane orients the inside
and outside of the mouth
Orient the inst tangent to the
helps orient the OP, also
labial surface of the anterior
shows whether the left and
segment.
right side are the same level
Mark the land that coincides with Fox plane
the end of the inst
**pag nasa bibig na ang ocr how
do you determine the orientation
of the occlusal plane? How do
you compare the occlusal plane
Intersection of 2 lines = arbitrary of your ocr to the campers line?
position of the canine; Mark the use a plaster spatula or any
land. straight instrument

2. reference point is the base and

there is no exact amount of
degrees but some make it parallel
to the bas

Anterior line

Figure. 15 Occlusal plane relative to the horizontal plane [Dr. Atienzas ppt].

Figure 14. Anterior and Posterior tangent lines approximating the canine

Dent 143 The Occlusion Contour Rim 6 of 8


Figure. 16
Yung blue line: horizontal plane and is parallel sa base ng cast pero yung yellow
line: occlusal plane, hindi
The occlusal plane as you go posteriorly is tilted so pag binaligtad yung cast
pababa siya posteriorly mas mataas yung incisal level kasya occlusal level
G. Occlusal Level
Represents the vertical position/level of the occlusal surface of the
posterior segment of the rim/s
Should approximate half the distance between the upper and lower
arches
The height of the OCR, from canine to the most posterior segment
Ideally, when you establish this, you want the left and the right levels
to be of the same height inside the mouth
Guides
CAST (WAX RIM) PATIENT (OCR)
Approximate the height using 1. Opening of the Stensens
the orientation of the occlusal duct
plane with the incisal Duct of the Parotid gland
plane/level as basis About 5mm above the
Incisal plane is higher than proposed occlusal level
the occlusal plane If you project further
posteriorly, the plane should
be passing through a level
that is 5mm below the
opening of the Stensens duct
2. Modiolus
Where the facial muscles
meet/converge
The most anterior reference
for the occlusal plane would
be the canine tip. Canine tip
would pass through the
modiolus.
Modiolus plays an important
role in chewing. When the
patient starts to chew, the
modiolus presses against the
buccal surface of premolars.
Thus, if the levels and planes
are improperly positioned,
chewing would be affected.
If it doesnt press on the
buccal surface, occlusal level
is short. Food spills out when
the patient chews [2018 trans]
3. 2/3 level of the retromolar
pad (verified after mounting in
the articulator)
H. Labio-lingual and Bucco-lingual Dimensions
Based on the approximate labio/bucco-lingual width of the teeth
Anteriors are narrower than posteriors [2018 trans]
Not referring to the edges (incisal edges) because if you
make the L-L/B-L dimensions too thin, they would be prone
to distortion [2018 trans]
Dent 143 The Occlusion Contour Rim
Tells you how thick the rim should be
Basis for the L-L and B-L thickness of the rim: denture teeth
Load management principles: What is the desired width of the
denture teeth compared to the anatomy of the natural teeth?
Smaller and narrower [2018 trans]
Width is narrower than the width of the planned artificial teeth
[2018 trans]
From the canine going to the tuberosity B-L dimensions become
a little wider [2018 trans]
Figure 17. Labio/Bucco-lingual Dimensions [Dr. Atienzas ppt].
I. Bucco-lingual Position of the Posterior Segment
Bucco-lingual extent of the posterior segment of the maxillary rim
Reference: Positioned slightly buccal to the crest of the
maxillary residual ridge. Why? Because the resorption
pattern of maxillary arch is upwards and inwards. Thus, the
teeth should be placed buccal to the ridge
For the mandibular ridge, the resorption pattern is generally
downwards. Thus, the teeth should be positioned above the
crest of the ridge
Approximates the bucco-lingual dimensions of the posterior teeth
Refers to how far should the posterior teeth be in relation to the
crest of the ridge
Guides
CAST (WAX RIM) PATIENT (OCR)
Position the posterior segments 1. (Maxillary rim) Coincides
slightly buccal to the crest of the with the crest of the lower
posterior ridges of the maxillary ridge
cast Can be adjusted once the
How far buccal initially? It is cast is mounted
arbitrary. Make an Validate by comparing the
approximation because it is B-L position of the Mx ridge
still in the cast. There is no to the Md ridge.
standard measurement but it Refer to the figure below:
is recommended to have a The middle part of the
2mm measurement buccal to maxillary rim coincides with
the ridge. It is acceptable as the crest of the lower ridge
long as it is slightly buccal (yellow line)
when you view it
2. Note the Neutral zone
Zone of equilibrium
Resultant of the various
forces acting on teeth
Area where the forces
exerted by the LIPS,
CHEEKS and TONGUE
Refer to the figure above: cancel out
If you draw a line at the By making the Mx rim
middle part of the rim, it coincide with the lower
should not coincide with the crest, you are actually
crest of the ridge establishing the proper
contour of the neutral zone
If you go too far buccally
and labially (beyond the
lower crest), that means
you are violating the
7 of 8
 neutral zone Length of the posterior segment (ends inch from the hamular
To establish the cancelling notch).
out of forces exerted by You dont need to cover the Mx tuberosity. [2018 trans]
muscles, you must Proper heel contours (rounded and sloping)
establish the proper contour
of the rims thereby reducing
the possibility of
dislodgement. At the same
time, you are making use of
the muscles to graband
hold the denture in place.
Thus, improving retention
and stability
Note: positioning of the Figure 18. Rounded and sloping heel contour (most posterior part) [Dr. Atienzas ppt].
teeth also has a bearing on
the neutral zone. Proper labio/bucco-lingual thickness of the rims
Denture teeth
Frenum relief
Proper Contours
Labial
Buccal
Palatal

IV. SUMMARIES

J. Contour of the Polished Surfaces Table 3. Summary of References, Cast and Patient Guides
Note: Memorize this!
Represents the external surfaces that are lost (slopes, soft ITEM GUIDES IN CAST PATIENT GUIDES
tissues, etc.) [2018 trans] (arbitrary)
Guides 1. Midline Coincides with: Facial midline,
Incisive papilla, philtrum,
CAST (WAX RIM) PATIENT (OCR)
labial frenum, tip of nose,
Slightly curved approximating the Make these surfaces
contours of the surrounding conform with the contour median raphe labial frenum
musculature and shape of the 2. Labio- 8mm labial to Proper lip support,
Curved and sloped surrounding musculature lingual incisive papilla, vermillion border,
buccal/polished surfaces. Not inclination Ladaos template lip thickness
the same for the labial surfaces. 3. Incisal level Arbitrary/ at least 1-2 mm below the
Lingually, from the rest seat of approximately 22- low lip line
the base sloping away to 25mm
conform with the shape of the 4. Incisal plane Parallel to the base Parallel to inter-
tongue. [2018 trans] of the cast pupillary line
Concave shaped in the cheek 5. Canine Tangent lines, Commissure,
side position most anterior ala of the nose
Curved in the vestibular area prominent rugae,
and slowly slanting near the Ladaos template
edges 6. Occlusal Project incisal plane Parallel to Campers
plane posteriorly with base line (Ala-tragus)
of cast as guide
7. Occlusal Approximate the Level of 2/3
level height using the retromolar pad,
orientation of the opening of
occlusal plane with Stensens duct,
the incisal modiolus
plane/level as basis
8. Bucco/Labio Approximate the Neutral zone,
-lingual bucco/labio-lingual anticipate
Dimensions width of teeth dimensions of
of the rims denture teeth
9. Bucco- Slightly buccal to the Neutral zone,
lingual crest of the maxillary upper rims coincide
position residual ridge with lower crest
10.Contour of Slightly curved Conform with
the polished approximating the musculature
surfaces contours of the contours
surrounding
musculature

K. Other Characteristics
V. REFERENCES
Symmetry
Curved anterior segment (arc) Dr. Charlie Atienza and Dr. Winston Cham: ppt: The_OCR_Atienza-
Cham.pdf and lecture audio recording
Straight posterior segment Batch 2018 trans
Curved transition from anterior to posterior segment
Canine eminence/position (rounded corners)
Incisal and occlusal planes lie flat on a single plane

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