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Methods of Recording Jaw relations

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<strong>Jaw</strong> Relation<br />

Records& Techniques<br />

for RPD


OBJECTIVES<br />

1. Arrangement <strong>of</strong> the artificial teeth<br />

2. To distribute functional forces<br />

between the remaining natural<br />

teeth & the residual ridge<br />

(harmonious occlusion)


CLINICAL APPROACH<br />

1. There are sufficient teeth present in<br />

both jaws to indicate inter-cuspal or tooth<br />

position<br />

2. There are insufficient teeth present to<br />

indicate inter-cuspal or tooth position<br />

3. One jaw is edentulous and the other is to<br />

be restored by RPD


<strong>Methods</strong> <strong>of</strong> <strong>Recording</strong> <strong>Jaw</strong> <strong>relations</strong><br />

Direct Apposition <strong>of</strong> Casts<br />

(Hand Articulation)<br />

This method can only be used<br />

when sufficient opposing<br />

teeth remain in contact to<br />

make the existing jaw<br />

<strong>relations</strong>hip obvious.


<strong>Methods</strong> <strong>of</strong> <strong>Recording</strong> <strong>Jaw</strong> <strong>relations</strong><br />

Direct Apposition <strong>of</strong> Casts<br />

(Hand Articulation)<br />

The occluded casts are secured together with the<br />

help <strong>of</strong> wooden sticks and sticky wax and<br />

mounted arbitrary on an articulator.<br />

A face-bow record is not indicated.<br />

A clinical appointment is saved by using this method.


<strong>Methods</strong> <strong>of</strong> <strong>Recording</strong> <strong>Jaw</strong> <strong>relations</strong><br />

• The remaining dentition does not provide<br />

sufficient occlusion<br />

• It is not permit occluding the casts by<br />

hands.<br />

• There are Two Possibilities:<br />

Inter-occlusal Record<br />

(Wax, Zinc oxide)<br />

Kennedy Class III<br />

Occlusal Rimes<br />

Distal extension<br />

Long bounded areas


<strong>Methods</strong> <strong>of</strong> <strong>Recording</strong> <strong>Jaw</strong> <strong>relations</strong><br />

Inter-occlusal Record<br />

Bilateral Contact <strong>of</strong> Posterior Teeth at<br />

Inter-cuspal position (ICP).


<strong>Methods</strong> <strong>of</strong> <strong>Recording</strong> <strong>Jaw</strong> <strong>relations</strong><br />

Occlusal Rimes<br />

1. The framework with the attached record block is<br />

first tried in the mouth for reconfirming the fit <strong>of</strong><br />

framework.<br />

2. An auto-polymerizing acrylic resin<br />

base is usually attached to the<br />

framework saddle areas<br />

3. A wax occlusion rim is then placed<br />

over the resin base, while<br />

considering the width and<br />

height dimensions <strong>of</strong> the natural<br />

missing teeth.


<strong>Methods</strong> <strong>of</strong> <strong>Recording</strong> <strong>Jaw</strong> <strong>relations</strong><br />

Adjusting the Occlusion rim<br />

Adjusting the Occlusal Plane following<br />

the remaining natural teeth


<strong>Methods</strong> <strong>of</strong> <strong>Recording</strong> <strong>Jaw</strong> <strong>relations</strong><br />

Adjusting the Occlusion rim


The recording medium (wax or ZnO<br />

paste) is then placed on the<br />

mandibular wax rims the patient is<br />

then guided in the desired C.O or<br />

C.R position.


<strong>Methods</strong> <strong>of</strong> <strong>Recording</strong> <strong>Jaw</strong> <strong>relations</strong><br />

• One jaw is edentulous and the other is to<br />

be restored by RPD<br />

• Vertical <strong>Jaw</strong> Relations:<br />

Rest Vertical Dimension ‘RVD’<br />

• Horizontal <strong>Jaw</strong> Relations:<br />

Occlusion Vertical Dimension ‘OVD’<br />

Centric Relation<br />

Centric Occlusion<br />

Eccentric Relations<br />

Protrusive relation<br />

Lt & Rt Lateral <strong>relations</strong>


<strong>Methods</strong> <strong>of</strong> <strong>Recording</strong> <strong>Jaw</strong> <strong>relations</strong><br />

. One <strong>of</strong> the arches is edentulous.


Vertical <strong>Jaw</strong> Relations<br />

Rest Vertical Dimension ‘RVD’<br />

Occlusion Vertical Dimension ‘OVD’<br />

Inter-occlusal Distance / Free<br />

way Space


Horizontal <strong>Jaw</strong> Relation<br />

Centric Relation<br />

‘the most retruded position <strong>of</strong> the mandible<br />

to maxilla at an established OVD’.<br />

It is a bone to bone relation


Horizontal <strong>Jaw</strong> Relation<br />

Centric Occlusion<br />

‘the relation <strong>of</strong> the mandible to maxilla in<br />

the maximum intercuspation <strong>of</strong> the teeth’.<br />

It is a tooth-tooth relation - a position <strong>of</strong> habitual<br />

closure.


Horizontal <strong>Jaw</strong> Relation<br />

What to Record – C.R or C.O?<br />

In more than 90% <strong>of</strong> people, C.O is 0.1 - 2mm in<br />

front <strong>of</strong> the CR.


Horizontal <strong>Jaw</strong> Relation<br />

What to Record – C.R or C.O ?<br />

Centric Occlusion should be recorded<br />

whenever a patient requiring a partial denture has<br />

cusps on remaining natural teeth that can guide<br />

the mandible back to this position,


Horizontal <strong>Jaw</strong> Relation<br />

What to Record – C.R or C.O<br />

C.R should be recorded, e.g., for distal extension<br />

RPD, or when the opposing arch is edentulous.


The registration obtained by means <strong>of</strong> a<br />

face-bow is called a<br />

“face-bow record”.


Obtaining & Transferring the Face-bow Record<br />

Orientation <strong>of</strong> face-bow to articulator.


Functional- Generated Path<br />

Method(Dynamic Method)


STEP BY STEP PROCEDURE FOR<br />

REGISTRING OCCLUSAL PATHWAY<br />

After the framework has been adjust to fit the mouth,<br />

the technique for registration <strong>of</strong> occlusal pathways<br />

is as follow:<br />

1. Support the wax occlusion rim by a denture base<br />

having as same degree <strong>of</strong> accuracy and stability as<br />

the finished denture base.<br />

The wax used for the occlusion rim should be hard<br />

enough to support biting stress and should be tough<br />

enough to resist fracture.( purple hard inlay wax)<br />

2. Inform the patient that the occlusal rim must be worn<br />

for 24hours or longer. It should be worn constantly,<br />

including night-time, excepts for removal during<br />

meal. By wearing and biting into a hard occlusal rim ,<br />

record is made <strong>of</strong> all extent <strong>of</strong> jaw movement


STEP BY STEP PROCEDURE FOR<br />

REGISTRING OCCLUSAL PATHWAY<br />

3. After 24 hours the occlusal surface <strong>of</strong> the wax<br />

rim should show gloss generated pathways.<br />

Which indicate functional contact with opposing<br />

teeth in all extreme <strong>of</strong> movements.<br />

Any are <strong>of</strong> deficient are add this time.<br />

4. These generated pathways are reproduced by<br />

stone. Each grove in wax representing pathway<br />

<strong>of</strong> a cusp becomes a ridge <strong>of</strong> stone<br />

5. Artificial teeth are arranged on the RPD<br />

framework to inter-cuspate with the pathways <strong>of</strong><br />

their antagonists


This method eliminate the need <strong>of</strong> face bow transfer<br />

Bec. Patient himself, is the best articulator for<br />

developing occlusion.


GUIDELINES FOR CHOICE OF OCCLUSAL<br />

CONCEPT FOR PARTIALLY EDENTULOUS<br />

PATIENTS<br />

Maxillary arch Mandibular arch Occlusal concept<br />

1 Fully edentulous<br />

restored by CD<br />

Kennedy Class I<br />

restored by RPD<br />

2 Fully dentate Kennedy Class I<br />

restored by RPD<br />

Balanced occlusion<br />

(working, Balancing,<br />

protrusive)<br />

Working side contact<br />

3 Kennedy Class I<br />

restored by RPD<br />

Fully dentate<br />

Working & Balancing<br />

side contact<br />

4 Kennedy Class II Fully dentate Working side contact<br />

5 Fully dentate Kennedy Class III Working side contact<br />

6 Kennedy Class III Kennedy Class III Working side contact<br />

7 Kennedy Class IV Fully dentate Contact in centric<br />

No eccentric contact

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