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8.Anterior Guidance
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Introduction
The reason for replacement of natural teeth is not only to aid
mastication, mastication, but but for various functions functions like like the maintenance maintenance of pro
support support for the orofac oro facial ial muscul mus culatu ature, re, esthet est hetic ic appeara appearance nce,, pro speech production, prevention of teeth migration, maintenance of m or or ph ph ol ol og og ic ic
f ac a c ia ia l
h ei ei gh gh t
a nd nd
p r ev e v en en ti ti on on
of
T MJ MJ
d ys ys fu fu n
syndromes.
Requirements of occlusal contact relationships
It should be within the adaptive capacity of the patient.
To
restore
and
maintain
the
health
&
f unction
of
stomatognathic system
Simultaneous bilateral contact of opposing posterior teeth m
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The posterior teeth are in solid and even contact and the anter teeth are in slightly lighter contact.
cclusal forces are in the long a(es of the teeth
I n l at a t er e r al a l e (c (c ur u r si s i on o n s, s , w or o r ki k i ng n g s id i d e c on o n ta t a ct c t s ) pr p r ef e f er e r ab ab l
canines* disocclude )or* separate the non+working teeth instan
In protrusive e(cursions, anterior tooth contacts will disoccl the posterior teeth
In an upright posture, posterior teeth contact more heavily t do anterior teeth.
Diagnosis
This is necessary to determine the basis for patients treatme
Information Information about the e(isting e(isting occlusal scheme can be derived from
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T hi s e (a mi na ti on i s d on e t o r ev ea l s ig ns a nd s ym pt om s occlusal pathosis, if present
In case occlusal pathosis is present, they will be found during$
Testing the teeth for the presence or absence of mobility
Severe dental attrition
1harting of periodontal pockets
2etermination of defective occlusal contacts from 1 to 1
I n t he a bs en ce o f a ny s ig ns a nd s ym pt om s, t he se o cc l You're Reading a Preview
contacts may be functional and physiologic.
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2. Radiographic Survey
3
radiograph
is
a
4
dimensional
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representation
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be used e(clusively to arrive upon a diagnosis. 6et , there are ce
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8idening of the 92: space
3ngular bony defects
1hanges in lamina dura
Thickening
Thinning
These radiographic findings have to be correlated with clini evidence found during the time of patient e(amination.
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3. Examination of the mounted diagnostic casts Unlock full access with a free trial.
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visuali;ed from the mounted diagnostic casts must be identified bef treatment planning. This knowledge is necessary for - reasons$
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of factors that may contribute to any e(isting pathosis or m
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In order to plan for an occlusal scheme, the dentist has to f decide whether changes have to be made in respect to$ a. 1haracter of the opposing dentition b. :ocation and amount of tooth contact c . 9 l an e of o cc lu si on d . T h e p o s it io n i n w hi ch t he o cc lu si on m u st b e e st ab l )1 or 1*
e. Type and number of lateral tooth contacts that occur dur eccentric mandibular movements. You're Reading a Preview Unlock full access with a free trial.
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Factors to be studied on the mounted diagnostic casts
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dictated by tooth position. Since it is a position controlled by the # system, it can vary slightly from day to day and different times of day.
1 is a tooth position. It is the position of the ma(illa in relat to the mandible when the teeth are in ma(imum inter+cuspation.
changes through attrition, tooth migration, tooth loss though it does very slowly.
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regard to
Initial tooth contact
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Interference from 1 to 1 caused by deflective tooth contact
Magnitude and direction of the interference from 1 to 1.
!nowing the difference that e(its between 1 and 1 will f u tu re p la nn in g f or a ny o cc lu sa l a d5 us tm en t n ec es sa r y t o a c harmonious and simultaneous contact during function.
B. Pl ane o occlusion
The plane of occlusion of the natural dentition can be visua You're Reading a Preview
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posterior and mesio+distal curved plane is important functionally allows the mandibular teeth to be cradled within the confines of
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and in stabili;ing the mandible during final closure to 1.
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t hi s e (t ru de d t oo th w il l c on ta ct t he p ro (i m al s ur f ac e o f t he bonding the indentation resulting in a deflection downwards. leads to increase stresses to tooth, bone and musculature.
8hen this e(ceeds the patients adaptive capacity, it leads to$
Increase tooth wear
1hanges of lamina dura
Increase tooth mobility
TMJ dysfunction You're Reading a Preview Unlock full access with a free trial.
This problem can be due to one single tooth e(trusion or the en Download With Free Trial
segment of an arch.
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