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Occlusion:
This words is used to describe the
static contact relationship between
the incising or masticating surfaces
of the maxillary or mandibular teeth
or tooth
Terminology
Articulation:
Refers to the static and dynamic
contact relationship of maxillary and
mandibular teeth as they move
against each other during function.
Terminology
Balanced Occlusion:
It refers to the bilateral, simultaneous,
anterior, and posterior occlusal
contact of teeth in centric and
eccentric position.
Terminology
Free Mandibular Movement:
Any mandibular movement without
interference.
Terminology
Occlusal Harmony:
A condition in centric and eccentric jaw
relation in which there are no
interceptive or defective contacts of
occluding surfaces.
Terminology
Occlusal Interference:
Any tooth contact that inhibits the
remaining occluding surfaces from
achieving stable and harmonious
contacts.
Terminology
Occlusal Pattern:
The form or design of the masticatory
surfaces of a tooth or teeth based on
natural or modified anatomic or non
anatomic teeth
Terminology
Maximal Intercuspal Position:
The complete intercuspation of the
opposing teeth independent of the
condylar position.
Introduction
Occlusion in complete denture must be
developed to function effeciently and
with the least amount of trauma to
the supporting tissues.
Objectives
Preservation of the remaining tissues
Proper masticatory efficiency
Enhancement of denture stability,
Difference Between
Natural and Artificial
Occlusion
1. The teeth in natural dentitions are
retained by periodical tissues that are
uniquely innervated and structured.
In complete artificial occlusion all the
teeth are on bases seated on slippery
tissues.
2. In natural dentitions the teeth receive
individual pressures of occlusion and
can move independently.
Difference Between
Natural and Artificial
3. Malocclusion of natural teeth may
Occlusion
Difference Between
Natural and Artificial
5. Incising with the natural teeth does not
Occlusion
Difference Between
Natural and Artificial
8. In natural teeth proprioception gives
Occlusion
the neuromuscular system control
during function.
Requirement of Complete
Denture Occlusion
1. Stability of occlusion in centric relation.
2. Balanced for all eccentric contacts bilaterally
Requirement of Complete
Denture Occlusion
Requirement of Complete
Denture Occlusion
5. Functional lever balance by
favorable tooth to ridge crest
position
Requirement of Complete
Denture Occlusion
6. Cutting and shearing effeciancy of
the occlusal surface (sharp cusps or
ridges)
7. Anterior clearance of teeth during
mastication. Minimum occlusal
contact between the upper and
lower teeth to reduce pressure
during function
(linguilized occlusion)
Requirements for
Incising Units
These units should be sharp in order to
cut effeciently. They should not contact
during mastication.
They should have as flat an incisal
guidance as possible considering
esthetics and phonetics. They should
have horizontal overlap to allow for
base settling without interference.
They should contact only during
prostrusive incising function.
Fundamentals for
Artificial occlusion
The smaller the area of the occlusal
surface acting on food, the smaller
will be the crushing force on food
transmitted to the supporting
structures.
Vertical force applied to an inclined
occlusal surface causes non vertical
force on the denture base.
Fundamentals for
Artificial occlusion
Vertical force applied to a denture
base supported by yielding tissue
causes the base to slide when the
force is not centered on the base.
Vertical force applied outside (lateral
to) the ridge crest creates tipping
force on the base.
Balance occlusion
Balance as related to complete denture
occlusion:
Balance occlusion in complete dentures
can be defined as stable simultaneous
contact of the opposing upper and
lower teeth in centric relation position
and a continuous smooth bilateral
gliding from this position to any
eccentric position within the normal
range of mandibular function.
Balance occlusion
Balance in complete dentures is unique
and man made. The physical factors
that apply to the relationship of the
teeth to each other and that apply to
the position of the teeth in the
denture base as related to the ridge
must be understood. The
application of these physical laws
can be expressed by the
following:
Balance occlusion
1. The wider and larger the ridge and the
Balance occlusion
5. The more centered the force of the
occlusion anteroposteriorly, the
greater the stability of the base.
Types of Balance
(a) Lever Balance This is present when there
Types of Balance
2. Having the denture base cover as
wide an area on the ridge as
possible.
3. Placing the teeth as close to the
ridge as other factors will permit.
4. Using as narrow a buccolingual
width occlusal food table as
practical.
Types of Balance
(b) Occlusal Balance
Bilateral occlusal balance this is
present when there is equilibrium on
both sides of the denture due to
simultaneous contact of the teeth in
centric and eccentric occlusion. It
requires a minimum of three contacts
for establishing a plane of equilibrium.
Types of Balance
c)Protrusive occlusal balance this is
present when the mandible moves
essentially forward and the occlusal
contacts are smooth and simultaneous
in the posterior both anterior teeth. It
is slightly different from bilateral
balance in that it requires a minimum
of three contacts, one on each side
and one anterior, and is dependently
on the interaction of the same factors.
Types of Balance
This total concept of balanced
complete denture occlusion must be
considered in terms of the following:
1.The tooth size and position in relation
to the ridge size and shape.
2.The extent of denture base coverage.
3.Occlussal balance with stable
contacts at the retruded border
position and in an area (long centric)
Types of Balance
N.B. In both natural and artificial
Types of Balance
4. Right and left eccentric occlusal
balance by simultaneous contacts at
the limit of functional and
parafunctional activity.
5. Intermediate occlusal balance for all
positions between centric occlusion
and all other functional or
parafunctional excursion to the right,
left and protrusive.
Advantages of Balanced
Occlusion
1. Distribution of load
2. Stability
3. Reduced trauma
4. Functional movement
5. Efficiency
6. Comfort
Selection of Posterior
Tooth Forms
Factors affecting the selection of posterior
teeth forms:
1. The capacity of the ridge to receive and
resist forces of mastication.
2. Inter ridge distance.
3. Ridge relationship
4. Esthetics
5. Patients age and neuromuscular
coordination
6. Previous denture wearing experience.
Advantages of
lingualized occlusion
a. Most of the advantages attributed
Non-Balanced Occlusion
When the foundation tissues is
compromised, i.e. severely resorbed
ridge, knife-edge, thin wiry ridge or
one that is covered with thick
movable flabby tissues, favorable
control of occlusal forces can be
utilized by the use of non-anatomic
teeth arranged following the
monoplane occlusion concept.
Monoplane Occlusion
Concept
The monoplane occlusion concept utilizing nonanatomic teeth with flat occlusal surfaces set
to a flat occlusal plane. The posterior limit of
the extent of lower posterior teeth is the
point at which the mandibular ridge begins to
curve upward, with elimination of contact
between the upper and lower second molars,
which are considered as space fillers. The
patients should avoid incising with their
anterior teeth, as the purpose of the anterior
teeth is to produce a desired appearance. If
they recognized this limitations, no balancing
contact will be necessary for protrusive
occlusion.