Professional Documents
Culture Documents
22
CENTRIC RELATION
INTRODUCTION
must meet evenly on both sides of the dental arch when the teeth
DEFINITION
5).
(Boucher)
22
Centric relation
23
HARMONY BETWEEN CENTRIC RELATION AND CENTRIC
OCCLUSION
centric).
maxillae both for locating the transverse hinge axis and for
in verification purposes
CR records:
so the tissues supporting the bases will not be displaced while the
so the tissues under the recording bases will be displaced while the
yet the condyles will still be in their most retruded position. This
relations.
TMJs will not allow Thus, undue pressure in securing the relation.
processing of dentures.
the patient. The more the dentist tries to overcome the apparent
the patient may become and the less likely he is to respond to the
his mandible.
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26
Instruct the patient by saying, Let your jaw relax, pull it back,
together repeatedly.
Tilt the patients head back while the various exercise just listed
patient. Let your lower jaw relax, pull it back, close on your back
manner.
record are:
maxillae
I. Static Method
interocclusal distance
movements.
Retract the stylus and conduct training exercises with the patient.
Place the tips of the index fingers under the mandible near the
chin. Calmly and quietly instruct the patient to move the jaw
forward, backward, and to the right and left while gently apply
record plate.
The point of the stylus should be at the point of the apex of the
Remove the assembly and mount the mandibular cast with the
new record.
interocclusal check record when the teeth are arranged and the wax
is contoured.
posterior to the apex. The stylus is mounted on the lower trial base;
the apex (centric relation) will point posteriorly. This concept was
(1908, 1929). A hole may be drilled in the plate at the apex of the
ensure that the patients jaw is in the retruded position while the
Advantage
disk or washer. This disk is luted on the plate with sticky wax in
c. Modifications in tracers
Philips 1930
Sears 1949
Terrill 1951
Robinson 1952
Koper 1959
bone.
steps:
in.
Centric relation
32
The technique includes these steps:
records.
interocclusal distance.
by having the patient retrude and close the jaws until he feels
separation.
occlusion.
follows:
Seat the mandibular record base. Do not let the patient make
posterior teeth and have the patient to close the teeth on the
tissues.
under the wax. Resoften the wax with a controlled flame from
the second bicuspids and rest the tips of the thumbs under the
stabilize the record base, and the thumbs are used as guides.
Calmly ask the patient to move the lower jaw back and close
made.
Allow the wax to harden. Remove and dry the occlusal surface
the vertical direction, the cusp tips should penetrate the wax
cast.
the original record, the condylar elements will rest against the
Centric relation
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centric stops in the same position as when the casts were
originally mounted.
mounting record with check records until the three records agree.
of warm air.
Raise the incisal guide pin from the incisal guide table and
secure it.
occlusion rims with four metal stylii placed in the maxillary rim.
When the mandible moves with the styli contacting the mandibular
rim, the styli cut four diamond shaped tracings. The tracings
types of articulators.
instructed to retrude the mandible and the occlusion rims are joined
Disadvantage
is being made
mandibular rim from the first premolar area distally to the end of
the wax rim both on the right and left sides. On the maxillary rim in
Centric relation
38
the corresponding areas cut two or three notches. This surface
jaw, and the patient is instructed to close slowly and gently on the
When you are satisfied that the patient can close in centric
which you removed 3-mm of wax rim. The Aluwax should be about
then placed in warm water so that the wax on both the right and left
seated over the ridge; the patient is guided in retruding the jaw and
critical and only the soft wax should come in contact with the
until the anterior occlusion rims are almost but not quite, touching;
trimmed buccally and lingually. The bases are returned to the mouth,
Centric relation
39
the jaw retruded, and closure made to see if the bases contact
resins. The patient closes into the recording medium with the lower
relationship.
to heat the surface of one of the rims and have the patient close
relation impression.
Generated Path.
CONCLUSION
Centric relation
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To record centric relation is the most important step in
patient
REFERENCES
Centric relation
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Anderson JD. Biological and clinical considerations in making
2004. p. 268-297.