DETERMINATION OF JAW

RELATIONSHIPS IN PATIENTS
WITHOUT VERTICAL STOP

Instructor: VS
Presenter: G1
 OUTLINE

Methods of determining the vertical dimension & jaw

relationships
Vertical dimension
Horizontal Jaw relationships

Methods of recording the jaw relationships

Materials
Methods
DETERMINING THE VERTICAL
DIMENSION & JAW
RELATIONSHIPS
 JAW RELATIONSHIP
Vertical jaw relation
Horizontal jaw relation
 JAW RELATIONSHIP
Vertical jaw relation Vertical Dimension
Horizontal jaw relation
 VERTICAL DIMENSION

The distance between two selected anatomic or marked points

(usually one on the tip of the nose and the other on the chin),
one on a fixed and one on a movable member
Vertical dimension of occlusion
Vertical dimension of rest
Vertical dimension of speech

GPT9, Volume 117, Issue 5, Supplement, May 2017, Pages C1, e1-e105
 VERTICAL DIMENSION
VDO: vertical dimension of occlusion
the distance between two selected anatomic or marked points
when in maximal intercuspal position

VDR: vertical dimension of rest position

The postural position of the mandible when an individual is
resting comfortably in an upright position and the associated
muscles are in a state of minimal contractual activity

VDS: vertical dimension of speech

that distance measured between two selected points when the
occluding members are in their closest proximity during speech

GPT9, Volume 117, Issue 5, Supplement, May 2017, Pages C1, e1-e105
 METHODS OF DETERMINING THE
VERTICAL DIMENSION
Mechanical methods
Pre-extraction records
Profile radiographs
Casts of teeth in occlusion
Facial measurements
Ridge relation
Measurement of the former
dentures
Physiological methods
Physiological rest position
Phonetics and esthetics
Swallowing threshold
Tactile sense
Perception of comfort

Zarb et al. Prosthodontic Treatment for Edentulous Patients, 12th edition

DETERMINING THE JAW
RELATIONSHIPS
 HORIZONTAL JAW RELATIONS

Centric relation
Eccentric relation
Protrusive position
Rt and Lt lateral excursion
Immediate position
METHODS AND MATERIALS OF
RECORDING THE JAW
RELATIONSHIPS
 METHODS OF RECORDING THE
JAW RELATIONSHIPS
1.Direct Checkbite (interocclusal recordings )
2.Graphic recording (intraoral & extraoral)
3.Functional recordings
4.Cephalometric

Michael L. Myer. Centric relation records-Historical review. J Prosthet Dent 47: 141~144, 1982