Manuals_files/CD Manual 12.pdf - Removable Prosthodontics

Selecting & Setting Teeth - 53
Lingualized Maxillary Tooth Setup: Maxillary teeth are set with the distal cusp of the
first molar and the cusps of the second molar raised slightly above the occlusal plane.
This provides a curve of Spee to aid in maintaining posterior contacts.
Monoplane Denture Tooth Setup: All denture teeth are set flush with the occlusal
plane, in maximum contact with the opposing teeth. No overbite is present.
- Posterior teeth should not be placed over a sharply ascending ridge. If there is not
enough room, set three, rather than four posterior teeth if necessary. When doing so,
eliminate the 2nd premolars, since the first premolar usually has a longer neck
(important for esthetics) and it has a lingual contour that smooths the transition from
the anterior teeth to the posterior teeth (in some moulds). Don't eliminate molars as
they provide a greater number of centric and excursive contacts.
- Usually set the maxillary posterior teeth first as their placement has more impact on
esthetics, especially the first premolar.