Professional Documents
Culture Documents
. danai@kku.ac.th
1. Anatomic, balanced occlusion. 2. Semi-anatomic, balanced occlusion. 3. Nonanatomic, balanced occlusion. 4. Neutrocentric occlusion. 5. Lingualized occlusion. : Balanced or : Non-balanced
1. Esthetics. 2. Better penetration of food bolus, 3. Decrease of vertical stresses. 4. Harmony with muscles of mastication and TMJ during functional and non-functional movements.
1. precise technique required. 2. greater lateral forces 3. more time, not long-lasting, require occlusal adjustment 4. difficult to tooth position in class II, III, Xbite
1. Esthetics 2. Good chewing efficiency 3. Balanced occlusion 4. Less lateral forces 5. Functional occlusal balance
1. Same as for anatomic teeth. 2. More difficult to achieve cross arch, cross tooth balance. 3. Esthetics reduced somewhat by decreasing the incisal guidance of anterior teeth.
compensating curve
1. Slightly more esthetic than neutrocentric occlusion. 2. patients with poor neuromuscular coordination, difficult to obtain precise, repeatable jaw relation records.
3. Less time involved in set up and articulation.. 4. patients with cross bite or Class III relationships and particularly for patients with Class II relationships who move the mandible far forward in functional relationships.
1. Use of a compensating curve may cause the same damaging effects as cuspal inclines. 2. Occlusal adjustments are more difficult to accomplish.
NEUTROCENTRIC OCCLUSION
"neutralizing cuspal inclines and centralizing occlusal forces". Position Proportion Pitch Form Number
1. simple and less time consuming. 2. less precise jaw relation records. 3. lateral forces are reduced by eliminating (neutralizing) cuspal inclines.
4. simpler and easier occlusal adjustments 5. occlusion is not locked 6. good for patients with Class II (Retrognathic), Class III (Prognathic) and crossbite ridge relations. 7. for the geriatric patient
1. least esthetic 2. poor bolus penetration 3. disclusion of the posterior teeth in Class II patients. 4. can not be balanced in eccentric excursions.
LlNGUALIZED OCCLUSION
LlNGUALIZED OCCLUSION
Balanced lingualized class I arrangement Tooth- to- tooth Max. Li cusp to central fossa
LlNGUALIZED OCCLUSION
LlNGUALIZED OCCLUSION
LlNGUALIZED OCCLUSION
Balanced lingualized class II arrangement Narrower mand. anterior Drop mand. first premolar
LlNGUALIZED OCCLUSION
Balanced lingualized class III arrangement Wider mand. Anterior Drop max. first premolar
LlNGUALIZED OCCLUSION
LlNGUALIZED OCCLUSION
Nonbalanced lingualized class I Blunt max. Li cusp and mand. limited occlusal anatomy
1. Esthetics 2. Better penetration of the food bolus 3. Decrease of vertical and lateral forces 4. Simpler technique. less precise CR records 5. Useful in a wide variety of patients
6. Added stability is gained during parafunctional movements with a balanced occlusion. 7. Easier to adjust occlusion 8. May be used in Class II, Class III and crossbite 9. may be used to incorporate many of the advantages but few of the disadvantages of other occlusal schemes.
There is no one ideal occlusal scheme to fit all the variety of patient situations and requirements. There is not clear cut research in occlusion to support one occlusal scheme over another
(Balanced Occlusion)
Christensens phenomenon
AB CB
(Condylar guidance) (Incisal guidance) (Plane of occlusion) (Compensating curve) (Inclination of the teeth)
Hanau Quints
HCG x IG CC x CA x OOP
= K