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HORIZONTAL JAW RELATIONS

 RELATIONSHIP

OF THE MAXILLA TO THE MANDIBLE IN THE HORIZONTAL PLANE  *TWO TYPESTYPES CENTRIC  ECCENTRIC

CENTRIC RELATION


The maxillomandibular relationship in which the condyles articulate with the thinnest avascular portion of their respective disks with the complex in the anterosuperior position against the slopes of the articular eminences. This position is independent of tooth contact. This position is clinically discernible when the mandible is directed superior and anteriorly.It is restricted to apurely rotary movement about the transverse horizontal axis. {GPT 5}

 NEED

FOR RECORDING CENTRIC RELATION

SALIENT FEATURES OF CENTRIC RELATION


  

 

1.ITS A LEARNABLE,REPEATABLE AND RECORDABLE POSITION WHICH REMAINS CONSTANT THROUGHOUT LIFE. 2.ITS ADEFINITE LEARNED POSITION FROM WHICH THE MANDIBLE CAN MOVE TO ANY ECCENTRIC POSITION AND RETURN BACK INVOLUNTARILY. 3.IF THE MANDIBLE HAS TO MOVE FROM ONE ECCENTRIC POSITION TO THE CENTRIC RELATION BEFORE ADVANCING TO THE TARGET ECCENTRIC POSITION. 4.FUNCTIONAL MOVEMENTS LIKE CHEWING AND SWALLOWING ARE PERFORMED IN THIS POSITION,BECAUSE ITS THE MOST UNRESTRAINED POSITION. 5.THE MUSCLES THAT ACT ON THE TMJ ARE ARRANGED IN SUCH A WAY THAT IT IS EASY TO MOVE THE MANDIBLE TO THE CENTRIC POSITION FROM WHERE ALL MOVEMENTS CAN BE MADE. 6.THE CASTS SHOULD BE MOUNTED INCENTRIC RELATION BECAUSE ITS THE POINT FROM WHICH ALL THE MOVEMENTS CAN BE MADE OR SIMULATED IN THE ARTICULATOR. 7.ITS HELPFUL IN ADJUSTING CONDYLAR GUIDANCE IN AN ARTICULATOR TO PRODUCE BALANCED OCCLUSSION. 8.ITS A DEFINITE ENTITY,SO ITS USED AS AREFERENCE POINT IN ESTABLISHING CENTRIC OCCLUSSION.

RETRUDING THE MANDIBLE


THE MANDIBLE SHOULD BE IN ITS MOST POSTERIOR POSITION WHILE RECORDING CENTRIC RELATION  THE MANDIBLE SHOULD BE RETRUDED TO ITS POSTERIOR POSITION BEFORE RECORDING THE CENTRIC JAW RELATION.


METHODS OF RETRUDING THE MANDIBLE DIFFICULTIES IN RETRUDING THE MANDIBLE


  

Biological Psychological mechanical

METHODS OF RECORDING CENTRIC JAW RELATION


          

VARIOUS METHODS 1.PHYSIOLOGICAL a.tactile or interocclussal check record method b.static/pressureless method c.pressure method 2.FUNCTIONAL a.Needlehouse method b.Patterson method 3.GRAPHIC METHOD a.intraoral b.extraoral

PHYSIOLOGICAL METHODS
          

BASED ON *proprioceptive impulses of the patient *kinesthetic sense of the mandibular movement *visual acuity and sense of touch of the dentist *no pressure is exerted on the interocclussal record INDICATIONS *abnormally related jaws *displaceable flabby tissues *large tounge *uncontrollable mandibular movements *patients already using a denture

    

MATERIALS USED FOR MAKING INTEROCCLUSSAL RECORD Waxes Impression compound Zincoxide eugenol Impression plaster

PROCEDUREPROCEDURE-involves 2 steps 1.Tentative jaw relations 2.Making the inter-occlussal record inter-

 STATIC/PRESSURELESS

METHOD  A.NICK AND NOTCH METHOD  B.STAPLER PIN METHOD


 PRESSURE

METHOD

FUNCTIONAL/CHEW IN METHOD
THESE METHODS UTILIZE THE FUNCTIONAL MOVEMENTS OF THE JAWS TO RECORD CENTRIC RELATION.  PATIENT IS ASKED TO PERFORM BORDER MOVEMENTS SUCH AS PROTRUSIVE AND LATERAL EXCURSIVE MOVEMENTS SUCH AS PROTRUSIVE AND LATERAL EXCURSIVE MOVEMENTS IN ORDER TO IDENTIFY THE MOST RETRUDED POSITION OF THE MANDIBLE


 

NEEDLE HOUSE METHOD PATTERSON METHOD

GRAPHIC METHODS
          

USE GRAPHS OR TRACINGS TO RECORD THE CENTRIC JAW RELATION TYPES *ARROWPOINT TRACING *PANTOGRAPHIC TRACING ARROWPOINT TRACING Its a one dimensional graphic tracing made using gothic arch tracers Recorded in horizontal plane DEVICES USEDUSEDCENTRAL BEARING DEVICE-2 DEVICEcomponents *central bearing point *central bearing plate

PROCEDURE ARROW PONT TRACINGTRACING*INTRAORAL *EXTRAORAL(ADVANTAGEOUS) *EXTRAORAL(ADVANTAGEOUS)


  

PANTOGRAPHIC TRACINGTRACING*ITS A 3-D GRAPHIC TRACER. 3*MOST ACCURATE METHOD TO RECORD CENTRIC AND ECCENTRIC JAW RELATIONS *INSTRUMENTS ARE VERY SOPHISTICATED AND GENERALLY NOT USED IN FABRICATION OF COMPLETE DENTURES. *USED FOR FULL MOUTH REHABILITATION OF DENTULOUS PATIENTS.

ECCENTRIC JAW RELATION




 

ANY RELATIONSHIP OF THE MANDIBLE TO THE MAXILLA OTHER THAN THE CENTRIC RELATIONRELATION-GPT *INCLUDES PROTRUSIVE AND LATERAL RELATIONS *RECORDED TO ADJUST THE HORIZONTAL AND LATERAL INCLINATIONS IN THE ARTICULATOR WHICH HELPS THE ARTICULATOR TO ESTABLISH BALANCED OCCLUSSION.