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Types
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Bilateral balanced occlusion
- It is balance in working, balancing & protrusive contacts
- Mutually protected occlusion (canine guided)
- Unilaterally balanced occlusion (Group function)
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Types of Occlusal schemes
- Linear occlusion
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Lingualised occlusion
- Given by : Gysi
Payne: later popularized it
- Articulates maxillary lingual cups with mandibular occlusal surfaces in centric working & non-working mandibular positions
- Indications : ▪︎CD fabrication
▪︎ When esthetics are important
▪︎When CD opposes a RPD
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Neutrocentric occlusion
- Given by : DeVan
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States that anteroposterior plane of occlusion should be parallel to the denture
- Shouldn't be dictated by horizontal condylar guidance
- Monoplane occlusion
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Balanced occlusion
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Bilateral, simultaneous, anterior, posterior occlusal contact of teeth in centric & eccentric positions
- Achieved by arranging teeth in such a way that opposing dentures have 3 point contact in all centric & eccentric movts
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Advantages
- Enhances stability of denture
- Provides a Lever Balance
- Anatomic teeth are used : to decrease the vertical force on the ridges
- Good esthetics
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Disadvantages
- Precise reproducible records are needed
- Not suitable for resorted ridges
- Requirement of specialized equipments & operator expertise
- Spherical occlusion
- Organic occlusion
- Physiological generated occlusion
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Factors affecting Balanced Occlusion
(Hanau's Quint)
- Condylar guidance
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Incisal guidance
- 2nd factor of occlusion
- It's in control of a dentist & can be altered according to need
- It should be kept as shallow as possible for stability of dentures.
- Should be as flat (close to 0 degrees)
- Has significant effect on esthetics & appearance
- Plane of orientation
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Compensatory curves
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Curve of spee
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Anteroposterior curve of occlusal surface of natural teeth
- Passes through tip of canine & buccal cusp tips of posterior teeth
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Wilson curve
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Curve formed by joining the cusps of posterior teeth within the jaw when viewed it in frontal plane
- Mandibular arch - Concave
Maxillary arch - Convex
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Curve of Monson
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Incisal edges of each anterior & cusp tips of posteriors in each arch touches & forms a sphere of 8inches diameter with the centre being Glabella
- Mandibular arch - Concave
Maxillary arch - Convex
- Pleasure curve
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Cuspal angulation
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Teeth can be
- Anatomic
- Semi-anatomic
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Non-anatomic/cuspless teeth/ 0 degree
- Balanced occlusion is achieved by : Balancing ramps & compensatory curves
- Tooth alignment
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Theories of Occlusion
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Bonwill's equilateral triangle
- Distance btw the condyles is equal to the distance btw condyle & midpoint of mandibular incisors (incisal point)
- Equilateral triangle is formed btw 2 condyles & incisal point
- Dimension of equilateral triangle is 4 inches
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Spherical theory
- Given by : Monson
- Lower teeth move over the surface of upper teeth as over a surface of sphere with diameter of 8 inches & center being the Glabella
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Selective grinding
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BULL rule
(Buccal Upper Lower Lingual)
- Described by : Dr. Clyde H Schuyler
- Adjustment is made to inclined planes of upper buccal cusps & lower lingual cusps
- Purpose : in order to preserve centric stops on cusps which are normally in occlusion
- Occlusal discrepancies in CD are best detected by : remounting on semi-adjustible articulator