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Arrangement of teeth

By

Dr. IBRAHIM RAMADAN ELTORKY


Ass. Professor of Prosthodontics Faculty of Dentistry Tanta University

Occlusion rims are used to make five determinations:


1. 2. 3. 4.

Proper lip contour. Proper placement of occlusal plane. Correct vertical dimension of occlusion. Placement of guiding lines.

Occlusion rim is used as a guide for arrangement of artificial teeth

Physiologically.

must be compatible with lips, cheeks and tongue. Esthetically. must be correctly positioned.

Anterior teeth: Three important factors must be considered; 1. Esthetics. 2. Phonetics. 3. Incision.

Correct position of max. Anterior teeth to satisfy: 1. Esthetic. 2. Phonetics. 3. Incision.

:Four important factors must be considered


1. 2. 3. 4.

The crest of the lower ridge. Compensating curves. Common horizontal plane. Spacing of max. posterior teeth.

The palatal cusps of upper posterior teeth are positioned parallel to and directly over the lower ridge crest.

The palatal cusps of upper posterior teeth are positioned parallel to and directly over the lower ridge crest.

Relationship of maxillary palatal cusps to the mandibular ridge. Cusps are placed over the lower ridge crest and thus occlude with the central fossae of the mandibular posterior teeth.

The posterior teeth must be arranged in such a way that upper and lower teeth remain in contact in centric and excentric excursions during the chewing process.

Are artificial curves introduced into dentures in order to facilitate the production of balanced occlusion. Artificial counterparts of curve of Monson and curve of Spee.

The occlusal surfaces of upper right and left posterior teeth must be on the same horizontal plane or level.

Posterior teeth are spaced by to mm in order to:


To make proper adjustment when arranging the

lower posterior teeth.

To prevent crowded arrangement when setting the

lower first premolar.

Movement of the mandible

to the side where mastication is to be performed is called working side. The other side where the teeth are cusp to cusp contact is called balancing side.

The buccal cusps of mandibular teeth contact the central fossae of the maxillary teeth while the lingual cusps of maxillary teeth fit the central fossae of mand. teeth.

The buccal cusps of maxillary teeth meet the buccal cusps of mandibular teeth.

The alveolar ridge. The vertical axis and occlusal

plane. The other teeth.

Teeth are positioned on the alveolar ridge anteroposteriorly and mediolaterally in order to:
Provide stability. Direct the masticatory forces to be

well supported by the ridge. Support lips and cheeks for esthetics.

In maxilla:

resorption pattern is vertically and facially; maxilla becomes narrower. In mandible: resorption pattern is vertically and lingually; mandible becomes wider.

Incisive papilla is a guide line to place

the max. central incisors.


The forces that retain the lower denture

in place are much less than those retaining the upper denture.

1. Arrangement of the the

posterior teeth over the ridge. 2. Placement of the posterior occlusal plane at half the vertical height of the retromolar pad or below the level of the tongue. 3. Arrangement of the upper and lower teeth in the neutral zone.

Placement of the posterior occlusal plane at half the vertical height of the Retromolar pad or below the level of the tongue.

A mandibular denture shaped to conform to the patients neutral zone with reduced bucco-lingual width of the posterior teeth

Vertical axis:

a line passing straight thorough the cast. The occlusal plane: anteriorly; is parallel to interpupillary line. posteriorly; is parallel to ala-tragus line.

The long axis; parallel or

inclined distally when viewed from the front and inclined labially when viewed from the side. Incisal edge; in contact with the occlusal plane.

The long axis;

inclined distally when viewed from the front and inclined labially when viewed from the side. the neck is slightly depressed. Incisal edge; to 1 mm. above the occlusal plane.

The long axis; parallel or

inclined distally when viewed from the front and vertical when viewed from the side. The neck is prominent. Cusp tip; in contact with the occlusal plane. The mesial plane should follow the contour of ant. teeth while the distal plane should be in line with the post. teeth.

Maxillary anterior teeth are arranged carefully in relation to properly contoured occlusion rim.

The long axis:

is parallel to the vertical axis when viewed from the front and the side. The buccal cusp: is raised nearly mm from the occlusal plane. The palatal cusp: touches the occlusal plane.

The long axis:

is parallel to the vertical axis when viewed from the front and the side. The buccal cusp: touches the occlusal plane. The palatal cusp: touches the occlusal plane.

The long axis:

is inclined slightly to the mesial when viewed from the front. The mesiopalatal cusp: is the only touching the occlusal plane.

The long axis:

is inclined slightly to the mesial when viewed from the front. The cusps: all four cusps are short of occlusal plane but the mesiopalatal cuso is the

The long axis:

its long axis is parallel to the vertical axis when viewed from the front and slopes labially when viewed from the side. The incisal edge: the incisal edge is 1 mm above the occlusal plane to establish vertical overlap of the maxillary anteriors.

The long axis:

Its long axis is parallel or slightly inclined mesially to the vertical axis when viewed from the front and slopes labially when viewed from the side. The incisal edge: the incisal edge is 1 mm above the occlusal plane.

The long axis:

Its long axis is slightly inclined mesially to the vertical axis when viewed from the front and slopes slight lingually when viewed from the side. The incisal edge: the incisal edge is 1 mm above the occlusal plane (the same occlusal plane as the central and lateral incisors).

The relationship of the teeth to each other

Every tooth

[except the lower central incisor and the upper last molar] occlude with two teeth.

The six upper anterior

teeth overlap the six lower anteriors by about 1 mm . Vertical overlap is called overbite. Horizontal overlap is called overjet.

The buccal cusps of

upper posterior teeth overlap the lower posteriors to prevent cheek biting.

The buccal surface of

the first and second premolars should be arranged in straight line with the labial surface the canine. the molars should be arranged in another straight line.

The buccal surface of

Well processed and polished complete dentures

The lower jaw is narrower than the upper jaw with a receding chin

Upper posterior teeth will need to be

set inside the ridge.


lower posterior teeth should never be

set outside the ridge.

Upper anterior teeth will be set with a large overjet similar to that exists in natural dentition with superior protrusion. Any attempt to tilt the upper anteriors backwards or the lower anteriors forwards will give the patient a rabbity appearance and destabilize the lower denture.

The lower ridge is broader than the upper with a protrusive chin.

Cross bite is made by setting the buccal cusps of the lower molars to fit into the fossa of the upper molars. Upper max. teeth may be set outside the ridge.

In some patients with overdeveloped maxillary incisor region, the six upper anterior teeth are fitted directly onto the alveolar ridge without labial flange (open faced denture).

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