COMPLETE DENTURE OCCLUSION

Major goal for any occlusion is always what

Even and simultaneous bilateral centric contact

Simultaenous bilateral contacts are perpendicular to what

Long axis of tooth

Difference between dentate and denture patients

Contacts during movements

One major difference in the static tooth relationships between dentures and natural teeth

Anterior open bite

The static and dynamic contact relationship between occlusal surfaces of the teeth during function

Articulation

One majro difference in DYNAMIC tooth relationships betweed dentures and natural teeht

Bilateral balance

Teeth arrangement Goals For Complete Denture:

_____ well

Patient ____ normally

_____ pleasing

Will not abuse tissue over ____

Patient _____

Functions

Speaks

Esthetically

Residual

Comfort

What is centric occlusion

When MIP matches CR

Denture teeth material

Acrylic resin

Composite

Porcelain

Metal

Denture teeth form of posterior teeth is according to what

Cusp inclines/angles

Anatomic teeth form facilitates what type of occlusion

Bilateral balanced

Advantages of Anatomic Tooth form:

Closely resembles _______

Provides _____ chewing efficiency

More _______

Cuspal inclines provide a more easily obtained _______

Natural teeth

Greater

Aesthetic

Balanced occlusion

Disadvantages of anatomic tooth form:

Greater cusp angle = greater potential for ____ forces

More _____ and _______compared to non anatomic

Requires adequate ____ space

Used only in class ___ relationships

Lateral

Difficult and time consuming

Interarch

I

Semi Anatomic teeth form have similar adv and disadv to ______ teeth, occlude similar to __ teeth but have a more _______ intercuspation

This possibly reduces the ______ compared to anatomic teeth

Anatomic

Anatomic

Forgiving

Lateral stress

Non anatomic teeth are difficult to ______ unless arranged with a _____ or __________

Balance

Balancing ramp or compensating curve

Advantages of Non Anatomic Teeth form:

_____ to set up compared to cusped teeth

Less _____ stress and ______ to supporting structure

Good for patients with poor ___________

Indicated for what Class and relationship?

Easier

Lateral trauma

Neuromuscular coordination

II and II, crossbite

Disadvantage to non anatomic form

Possible ____ chewing efficiency

Poor _____

Very difficult to obtain

Less

Esthetic

Balance occlusion

Steeper cusps can penetrate a food bolus ____ efficiently than a shallower or flat cusp

More

Steeper cusps creater more ____ forces compared to flat tooth, and they are ______ to balance than flat teeth

Horizontal

Easier

The flatter the ridge, the flatter the _____

Cusp angles

What are the three occlusal schemes

Bilateral balanced

LIngualized

Monoplane

Bilateral Balanced Occlusion: Bilatreal, simultaneous anterior and posterior occlusal contact of teeth in _____ and ____ positions

Centric and eccentric

WHen there is bilateral balanced occlusion, if the mandible moves anterior, what contacts are maintained

Right or left

Bilateral balanced occlusion has ____ centric contacts

Two (on each side)

During lateral excusrion, how many contacts are in bilateral balanced occlusion

3

(2 working, 1 non working)

If teeth maintain contact during function, the denture is less likely to ____

Tip

Which occlusal scheme provides additional stability to the denture

Bilateral balanced

Hanau's Quint:

_____ guidance

______ guidance

____ length

______ of occlusion

______ curve

Condylar

Incisal

Cusp

Plane

Compensating

Advantages of Bilateral Balanced Occlusion:

More ____

Efficient ____

More teeth ____, denture is more ______

Esthetic

Chewing

Contact - stable

Disadvantages of Bilateral Balanced Occlusion:

_____ to achieve

Requires ______ records

Contraindicated in patients with poor _______

Contraindicated in what classes

Difficult

Precise

Muscle control

II and III, cross bite

Monoplane occlusion is _____ to set up, requires ___ time

Indicated in what classes? and what else?

Works with a patient who has poor _________

Difficult to acheive _____

Less _____ and _____ functions

easy, less

II and III, crossbite

Neuromuscular control

Balance

esthetics and chewing

When is the monoplane occlusion indicated

When the goal is to reduce horizontal forces of occlusion

Monoplane occlusion is achieved by adding what two things

Compensating curves and balancing ramp

Indications for Monoplane Occlusion:

_____ ridges

Class?

____ bite

Difficulty obtaining ____

______ patients

______ patients

Flat

II and III

Cross

MMRR

Maxillofacial

Handicapped

To obtain monoplane occlusion:

Mandibular teeth should be placed over what?

Is there a curve of spee or wilson?

Plane of occlusion should be parallel to what

Crest of ridge

No

Ridge, not dictated by condylar inclination

To obtain monoplane occlusion:

There is no ______ overlap of teeth

No teeth are set up on the ___ plane

The articulator horizontal and lateral condylar guidance should be set at what

Reduce the ___ and ____ of posterior teeth

Patient will be a ______ not a _____ or _____

Vertical

Inclined

0

Size and number

Chopper, chewer or grinder

Lingualized Occlusion:

Form of occlusion that articulates the max lingual cusp with what?

In what movements?

Mand occlusal surface in centric, working and non working

Maxillary cusp angle is ___ than mandibular cusp angle

Bigger

What cusp functions as the main supporting cusp in centric occlusion and excursive movements for lingualized occlusion

Max lingual

How many centric contacts in lingualized occlusion

1

Denture modification for lingualized occlusion involves the elimination of what cuspal contacts

Maxillary buccal

Advantages of lingualized occlusion:

Max anatomic teeth give more ______ appearance compared to non anatomic teeth

Good penetration of ________

______ horizontal forces due to non anatomical ____ teeth

Natural

Food

Less - mandibular

Advantages of Lingualized occlusion:

Occlusal forces are more centered over ______ at centric occlusion

Prevents _______

Minimizes occlusal ________

_____ set up than bilateral occlusion

Can be used for what relationships

Ridge crest

Cheek biting

Disharmonies

Easier

all

Lingualized occlusion centric contacts

How many, where?

1, no buccal contact

Max lingual in mand fossa

Patient factor influence posterior tooth selection:

________ control

_____ jaw relationships

_______ jaw relationships

_______

Condition of _____ structures

Neuromuscular

Anteroposterior

Mediolateral

Esthetics

Supporting