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This document summarizes and compares 8 different occlusal concepts and philosophies. It outlines their key salient features and limitations in a table format. The concepts focus on factors like balanced occlusion, disclusion, freedom in centric relation, cusp-fossa relationships and group function. The limitations noted include issues with precision, articulator compatibility and complex adjustment needs.
This document summarizes and compares 8 different occlusal concepts and philosophies. It outlines their key salient features and limitations in a table format. The concepts focus on factors like balanced occlusion, disclusion, freedom in centric relation, cusp-fossa relationships and group function. The limitations noted include issues with precision, articulator compatibility and complex adjustment needs.
This document summarizes and compares 8 different occlusal concepts and philosophies. It outlines their key salient features and limitations in a table format. The concepts focus on factors like balanced occlusion, disclusion, freedom in centric relation, cusp-fossa relationships and group function. The limitations noted include issues with precision, articulator compatibility and complex adjustment needs.
1. Gnathologi Mutually Point centric and cusp-to-fossa
cal protected tripodization concept occlusion complicate the need to obtain (McCollum, Point centric precise gnathologic Stuart, concept restorations Stallard) Maximum Need for a fully adjustable intercuspation articulator coincides with Cast metal transitional centric restorations had limitations relation (RUM related to cost, inability to position) increase occlusal vertical Cusp to fossa dimension, and changes in relationship with mandibular position that tripodism cannot be equilibrated easily to a Narrow occlusal new maximum table intercuspal relation S. Occlusal Salient features Limitations NO concept s /philoso phy 2. Freedom Balancing contacts According to gnathologists, in centric are deleterious and the task of adjusting concept must be avoided maximum intercuspation (Schuyler in natural dentition contacts in two different ) Incisal guidance is a positions on an articulator to predominating factor achieve freedom in for selection centric may result in a lack of of posterior guiding precision in both tooth inclines than positions condylar Cusp-to-surface rather than guidance so it should cusp-to-fossa relation be the first step of affects chewing efficiency occlusal rehabilitation Antero-posterior freedom of movement must be incorporated in the S. Occlusal Salient features Limitations NO concept s /philoso phy 3. Simplified Cusp-fossa relation with only occlusal one occlusal contact per design tooth (Wiskott Anterior disclusion during all and eccentric movements Belser) Freedom in centric occlusion Can be adapted to most anterior guidances and varying degrees of group function S. Occlusal Salient features Limitations NO concept s /philoso phy 4. Pankey, Maxillary cuspids in good Cusp to fossae Mann and functional contact marginal ridge contact Schuyler Group function on working Use of wax Philosoph side functionally generated y Absence of nonworking side path techniques can (1960) contacts. cause errors Freedom of movement in The PM philosophy centric occlusion is necessary was developed and its Long centric is incorporated use in the lingual surfaces of advocated on a non- maxillary incisors arcon articulator, which may not accept interocclusal records made at increased occlusal vertical dimension S. Occlusal Salient features Limitations NO concept s /philoso phy 5 Twin Incisal guidance and The cusp angle was Table condylar path are fabricated parallel to the technique dependant factors measured -Hobo Posterior teeth are condylar path, and the cusp (1991) restored using two angle became too steep customised incisal tables: To obtain a standard without disclusion; and amount of disclusion with with disclusion such a steep cusp angle, the incisal path had to be set at an angle that was extremely steep. This made the patient uncomfortable The customised guide tables were fabricated by means S. Occlusal Salient features Limitations NO concept s /philoso phy 6. Twin Since cusp angle is the main Stage determinant of occlusion, Procedur the measurement of the condylar e- path is not necessary Hobo and The procedure can be indicated for Takayam single crowns, fixed a prosthodontics, implants, complete- mouth reconstructions, and complete dentures Suitable for transmandibular disorder patients It can be incorporated easily with commonly used clinical techniques such as facebow transfer, various centric recording methods, and cusp- fossa waxing S. Occlusal Salient features Limitations NO concept s /philoso phy 7. Youdelis Cuspal anatomy is so arranged that Used in Scheme if the canine advanced disclusion is lost through wear or periodontitis tooth movement, cases the posterior teeth drop into group function S. Occlusal Salient features Limitations NO concept s /philoso phy 8. Nyman When there are long tooth-borne For extremely and cantilevered advanced Lindhe restorations, balanced occlusion must periodontitis Scheme be achieved cases When distal support is present, Type of anterior disclusion is contacts not provided specified
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