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    Occlusion in Complete Denture

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    Bhushan Chavan
    Occlusion refers to the relationship between the teeth of the upper and lower dentures when they contact each other. An ideal occlusion provides stability of the dentures during function with balanced contact across all teeth and minimal pressure during chewing through features like reduced cuspal height. The document discusses different concepts for occlusion in complete dentures including balanced, non-balanced, and lingualized occlusion and their characteristics.

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    Occlusion in Complete Denture

    Uploaded by

    Bhushan Chavan
    1K views20 pages
    Occlusion refers to the relationship between the teeth of the upper and lower dentures when they contact each other. An ideal occlusion provides stability of the dentures during function with balanced contact across all teeth and minimal pressure during chewing through features like reduced cuspal height. The document discusses different concepts for occlusion in complete dentures including balanced, non-balanced, and lingualized occlusion and their characteristics.

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    Occlusion refers to the relationship between the teeth of the upper and lower dentures when they contact each other. An ideal occlusion provides stability of the dentures during function with balanced contact across all teeth and minimal pressure during chewing through features like reduced cuspal height. The document discusses different concepts for occlusion in complete dentures including balanced, non-balanced, and lingualized occlusion and their characteristics.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    1K views20 pages

    Occlusion in Complete Denture

    Uploaded by

    Bhushan Chavan
    Occlusion refers to the relationship between the teeth of the upper and lower dentures when they contact each other. An ideal occlusion provides stability of the dentures during function with balanced contact across all teeth and minimal pressure during chewing through features like reduced cuspal height. The document discusses different concepts for occlusion in complete dentures including balanced, non-balanced, and lingualized occlusion and their characteristics.

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    The key takeaways are that the document discusses different types of occlusion like balanced occlusion, non-balanced occlusion and lingualized occlusion for complete dentures. It explains the requirements and concepts of these different occlusal schemes.

    The different types of occlusion discussed are balanced occlusion, non-balanced occlusion and lingualized occlusion. Balanced occlusion aims for simultaneous contacts on both sides during function while non-balanced occlusion uses concepts like spherical theory and organic occlusion. Lingualized occlusion involves using large palatal cusps.

    The requirements for a balanced occlusion are that all teeth of the working side should glide evenly against the opposing teeth with no interference, there should be simultaneous contact during protrusion and contacts in the balancing side should not interfere with smooth movements of the working side.

    Occlusion in Complete Denture

    By
    Bhushan Chavan
    Introduction
    What is Occlusion?
    Occlusion is a relationship
    between the occlusal surfaces of
    maxillary and mandibular teeth when
    they are in contact.
    Ideal Requirements Of Complete
    Denture Occlusion
    - Stability of denture and occlusion in centric and eccentric relation

    - Balanced occlusal contact in all eccentric movements.

    - Reduced cuspal height to control horizontal forces.

    - Functional lever balance sholud be obtained by vertical tooth to ridge crest


    relationship

    - Cutting,penetrating and shearing efficiency of the occlusal surface

    - Incisal clearance during posterior functions like chewing

    - Minimal area of contact to reduce pressure while crushing food


    Units In Complete Denture Occlusion
    INCISAL UNIT : Includes four incisors

    WORKING UNIT : Includes Canine and Posterior


    teeth of the sides toward which mandible moves

    BALANCING UNIT : Includes canine and posterior


    teeth opposite to the working side.
    Ideal Requirements Of Occlusal Units
    INCISAL UNIT
    1)Sharp incisal edges
    2)No contact during mastication
    3)Shallow incisal guidance
    4)Increased horizontal overlap
    WORKING UNIT
    1)Cusp for grinding and cutting efficiency
    2)Smaller buccolinual width
    3)Plane of occlusion parallel to the plane of ridge
    4)Occlusal load directed to the anteroposterior centre of denture
    BALANCING UNIT
    1)Second molar Should be in contact during protrusive action
    2)They should have contact along with the working side at the end of chewing
    cycle
    3)Smooth guiding contacts for lateral and protrusive movements
    CONCEPTS OF OCCLUSION
    BALANCED OCCLUSION

    NON-BALANCED OCCLUSION

    LINGUALIZED OCCLUSION
    BALANCED OCCLUSION
     DEFINITION:-
    The simultaneous contacting of the maxillary and
    mandibular teeth on the right and left and in the posterior
    and anterior occlusal areas in centric and eccentric
    positions, developed to lessen or limit tipping or rotating of
    the denture bases in relation to the supporting structures.
    It is associated cusp form posterior teeth
    BALANCED OCCLUSION(contd.)
    REQUIREMENTS:-
    All the teeth of working side should glide evenly against opposing
    teeth
    No single tooth should produce any interference or any
    disocclusion
    There should be contacts in balancing side but they should not
    interfere with smooth gliding movements of working side
    There should be simultaneous contact during protrusion
    BALANCED OCCLUSION(contd.)
    GENERAL CONSIDERATIONS:-
    Ideal balance can be achieved in cases with wide and large
    ridges and in complete dentures with teeth arranged close to
    the ridge
    Complete dentures that have teeth arranged away from the ridge
    and those that rest on narrow and short ridges will have poor
    balanced occlusion
    Teeth that have narrow buccolingual width provide ideal
    balanced occlusion
    Ideal balance can be achieved by arranging the teeth slightly on
    lingual side of ridge
    BALANCED OCCLUSION(contd.)
    TYPES:-

    - UNILATERAL BALNCED OCCLUSION

    - BILATERAL BALANCED OCCLUSION

    - PROTRUSIVE BALANCED OCCLUSION

    - LATERAL BALANCED OCCLUSION


    BALANCED OCCLUSION(contd.)
    UNILATERAL BALANCED OCCLUSION
    Occlusal surfaces of teeth on one side when they occlude
    simultaneously with smooth uninterrupted glide
    Related to FPD

    BILATERAL BALANCED OCCLUSION


    Simultaneous contact occurs on both sides in centric and
    eccentric relations
    BALANCED OCCLUSION(contd.)
    PROTRUSIVE BALANCED OCCLUSION
    When mandible moves in forward direction and the
    occlusal contacts are smooth and simultaneous
    anteriorly and posteriorly.

    LATERAL BALANCED OCCLUSION


    Minimal simultaneous three point contact present during
    lateral movement of mandible
    BALANCED OCCLUSION(contd.)
    FACTORS INFLUENCING BALANCED OCCLUSION
    Inclination of condylar path or condylar guidance

    Incisal guidance

    Orientation of plane of occlusion or occlusal plane

    Cuspal angulation

    Compensating curves
    NON-BALANCED OCCLUSION
    DEFINITION:-
    It is an arrangement of teeth with form or purpose
    It is used to set non-anatomic teeth in occlusion
    It includes following concepts
    Spherical theory
    Organic or Organised occlusion
    Occlusal balancing ramps for protrusive balance
    Transographics
    NON-BALANCED OCCLUSION (contd.)
    Spherical theory
    According to this theory,anteroposterior and mesiodistal inclines of artificial
    teeth should be arranged in harmony with spherical surface.

    Organic occlusion
    Arrangement of teeth should relate the occlusal elements of teeth so that
    teeth will be in harmony with muscles and joints in function
    It has 3 phases of mutually interdependent protecttion
    - Posterior teeth should protect anterior teeth in centric occlusal position
    - The maxillary incisors should have vertical overlap sufficient to provide
    the separation of the posterior teeth when incisors are in end to end contact
    - In lateral mandibular positions outside the masticatory cyclic movements
    the cuspid should prevent the contact of all other teeth
    NON-BALANCED OCCLUSION (contd.)
    General considerations:-
    Opposing teeth should not contact when jaws are in
    eccentric relation since it may give destabilizing
    forces to the basal seat area
    Tooth contact should occur only when the mandible
    is in centric relation to maxilla
    The patient should be encouraged to repeat
    mandibular movements till there is no discomfort
    in centric relation
    LINGUALIZED OCCLUSION
    It involves the use of large palatal cusps against wide
    lower central fossa

    Maxillary palatal cusps are main functional occlusal


    elements
    Characteristics BALANCED NON-BALANCED LINGUALIZED
    OCCLUSION OCCLUSION OCCLUSION

    1.Better + - +
    Esthetics

    2.Ease of + - +
    penetration

    3.Denture
    stability during + - +
    parafunctional
    movements

    4.Simple techinique - + +
    Characteristics BALANCED NON-BALANCED LINGUALIZED
    OCCLUSION OCCLUSION OCCLUSION

    5.Decreased lateral - + +
    forces

    6.Ease of adjustment - + +

    7.Class II and III - + +


    jaw relations

    8.Good stability, - + +
    forces centralized

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