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Complete Denture
INDEX
• Introduction
• Differences between natural & artificial
occlusion
• Ideal requisites of complete denture
occlusion
• Occlusal scheme requisites
• Types of occlusion
• Balanced occlusion
• Factors influencing balanced occlusion
• Monoplane or non balanced occlusion
• Lingualised occlusion
• Conclusion
Introduction
• Occlude means to ‘to close’.
• Definition: ‘ Any contact between the incising or
masticatory surfaces of the maxillary and
mandibular teeth’ is termed as occlusion
• Complete denture must meet three major needs
a). Comfort
b). Function
c). Esthetics
– Occlusion deals with the
static relationship of
the opposing teeth while
articulation deals with
the dynamic relationship
of the opposing teeth.
• Occlusion is an important
factor that governs the
stability and retention of
the complete denture.
Important differences between
natural and artificial occlusion
• Natural teeth • Artificial teeth
function function as a group
independently and and occlusal loads
each tooth are not individually
disperses the managed.
occlusal load. • There is no
• Proprioceptive feedback & the
impulses from denture rests in
peridontium avoid centric relation.Any
the occlusal prematuries can
prematurities shift the base
• Malocclusion can be • Malocclusion pose
nonproblematic for yrs. immediate drastic
• Non vertical forces are problems.
well tolerated. • Non vertical forces
damage the
supporting tissues.
• Bilateral balance is
• Bilateral balance is not mandatory to produce
necessary & usually stability of the
considered a hindrance denture.
• 2nd molar favored for • Heavy pressure on
mastication owing to the 2nd molar will tilt
leverage & power. the base on inclined
foundation
General concepts of complete denture
occlusion
• Spherical concept:
the anterioposterior & mesiodistal inclines of
artificial teeth should be arranged in
harmony with a spherical surface.
• Organic concept
Movement of the condyle determines the
direction of the ridges and the grooves &
mandibular movement determines other
factors like cusp height, depth of fossa.
• Neutrocentric concept of occlusion
plane of occlusion should be flat & parallel
to the residual alveolar ridges.
Neutrocentric
plane parallel to
residual alveolar
ridge
Ideal requirements of complete
denture occlusion
1). Stability of the denture & its
occlusion when the mandible is in
both centric & eccentric relations.
2).Balanced occlusal contacts.
3).Unlocking the cusps mesiodistaly so
that the denture can settle down when
there is ridge resorption.
4).Functional lever balance should be
obtained by vertical tooth to ridge
crest relationship.
5)Cutting, penetrating and shearing
efficiency of occlusal surface.
Condylar
guidance
Incisal
guidance
Compensating
curves
Relative cusp
height
Plane of
orientation
Nine factors governing the articulation are
called as”Laws of articulation”
• Horizontal condylar guidance
• compensating curve
• Protrusive incisal guidance
• Plane of orientation
• Buccolingual inclination of the tooth axis
• Sagittal condylar pathway
• Sagittal incisal guidance
• tooth alignment
• Relative cusp height
6).Boucher’s concept-
✦ Orientation of the occlusal plane, incisal guidance &
the condylar guidance.
✦ Anguation of the cusp.
✦ Increase in the height of the cusp without changing
the form of the teeth.
7). Lott’s
concept-
Shallow condylar guidance
produces lesser tooth
separation during
protrusion
• Reverse curve is
used in the
bicuspid area for
lever balance
5). CUSPAL ANGULATION -
“Angle made by the average slope of a cusp
with the Cuspal plane measured
mesiodistally or buccolingually”.
• It is an important factor that modify the
effect of plane of occlusion & the
compensating curves.
• Mesiodistal cusps are reduced to prevent
the locking of cusps
• In shallow bite cases- cuspal angle should
be reduced to balance the incisal guidance.
In Deep bite cases with steep incisal
guidance , the jaw separation is more
during protrusion .Teeth with high cuspal
inclines are required for these cases
“ Occlusal reshaping is done after teeth
arrangment to produce balanced
occlusion.”
2).MONOPLANE Or NON-
BALANCED OCCLUSION
• Shepherd gave the statement “ Enter bolus
and exit balance”
• According to this multiple uniform contacts in
centric relation was sufficient to avoid
harmful lateral forces, non anatomic teeth
were preferred
• Following concepts developed
(ii)Spherical theory
(iii)Organic occlusion
(iv)Occlusal balance theory
Pound’s concept- proposed
monoplane occlusion with
sharp upper lingual & wide
lower central fossa with
buccal cusp reduced,
thus suggesting lingualised
occlusion.
Cusp form gold occlusal concept - suggests the use
o teeth with a 33o cusp form made on a gold surface.
Occlusal pivot by Sears
Kurth’s concept
Philip M. Jones Scheme of non-balanced occlusion
Neutrocentric concept-
a). Non-anatomic teeth
b). Plane of occlusion parallel to the
residual ridge.
C).No compensating curves, teeth are
set flat
d). Maxillary & mandibular teeth
arranged without any vertical overlap.
(e). Complete intercuspation between
the upper & lower posterior teeth
except second molar.
(f).Narrow teeth selected to decrease
occlusal forces.
3) LINGUALISED
First proposed by Alfred Gysi in 1927.
1941 Payne desired a modification of
anatomic teeth.
Involves the use of a large upper palatal cusp
against a wide lower central fossa.
Buccal cusps of upper & lower teeth do not
contact each other.