Manuals_files/CD Manual 12.pdf - Removable Prosthodontics

Delivery & Adjustments - 70
record. If the condylar elements remain flush with the anterior metal stops, then
continue - otherwise remake the centric position record. A second check is to mark
centric contacts both intraorally and on the articulator with different colour
articulating paper to ensure that the marks coincide. Do NOT adjust the occlusion
until the centric record is verified.
6. Verify the protrusive record using a elastomeric registration material over the
occlusal surfaces of all posterior teeth, and have the patient occlude 4-6 mm in
protrusion. Set the condylar inclination. It should be similar, but not necessarily
identical to that taken previously.
7. Adjust the occlusion on the articulator, using articulating film of separate colour for
centric and excursive contacts. Ensure:
- there are no anterior contacts in CO
- there are even simultaneous, bilateral contacts of centric stops
- that movement of teeth over antagonists feels smooth, not bumpy
- ensure balancing contacts (lines on inner inclines of functional cusps)
- there are balancing contacts should never be heavier than working contacts
- light grazing contacts of the anterior teeth in protrusion and lateral excursions
8. Intraorally verify the contacts are similar and the occlusion feels comfortable to the
patient
9. Check vertical dimension:
- 2-4 mm of interocclusal distance at physiologic rest position
- phonetics:
‘F’ sounds- max. incisors touch lower lip
‘S’ sounds, incisors close together maxillary and mandibular posterior
teeth do not hit
10. Check the esthetics, provide care instructions