Download PDF
CC BY-NC-ND 4.0 · Journal of Health and Allied Sciences NU 2012; 02(01): 54-60
DOI: 10.1055/s-0040-1703560
Review Article

Concepts of Arrangement of Artifical Teeth, Selective Grinding and Balanced Occlusion in Complete Denture Prosthodontics

Krishna Prasad D.
1   Professor and H.O.D., Department of Prosthodontics and Crown & Bridge, A. B. Shetty Memorial Institute of Dental Sciences, Nitte University, Deralakatte, Mangalore - 575 018
,
B. Rajendra Prasad
2   Principal / Dean and Research Guide, Department of Prosthodontics and Crown & Bridge, A. B. Shetty Memorial Institute of Dental Sciences, Nitte University, Deralakatte, Mangalore - 575 018
,
Anupama Prasad D.
3   Lecturer, Department of Prosthodontics and Crown & Bridge, A. B. Shetty Memorial Institute of Dental Sciences, Nitte University, Deralakatte, Mangalore - 575 018
,
Lobo Nikhil Jason
4   P.G. Student, Department of Prosthodontics and Crown & Bridge, A. B. Shetty Memorial Institute of Dental Sciences, Nitte University, Deralakatte, Mangalore - 575 018
› Author Affiliations
› Further Information
  PDF Download Permissions and Reprints

Abstract

Prosthodontic rehabilitation aims at restoring the patient to a state of normal function, health and optimum esthetics.

Numerous factors come together during various phases of complete denture construction. One such factor, the position of artificial teeth, is dependent to a large extent on the state, morphology and position of the denture area existing in the patient's mouth.

Artificial teeth must be placed in a position which will be esthetically acceptable to the patient and the clinician, functionally sound and in harmony with the other structures of the masticatory system.

Factors governing artificial tooth position include maxillo-mandibular relationships, changes in the residual ridge, dislodging forces, presence of para-functional activity and the esthetic requirements of the patient.

While the importance of occlusion in ensuring success of dental therapy cannot be undersated, that seems to be the only point of agreement between authors on this topic. Over the years numerous concepts of occlusion have been proposed which may be indicated and contraindicated based on their benefits and limitations in restoring an edentulous patient. This article explores concepts related to occlusion and esthetics in provision of a complete denture prosthesis.

Keywords

complete denture - balanced occlusion - teeth arrangement - selective grinding - history of occlusion - dentogenics and dynesthetics


Publication History

Article published online:
03 March 2020

© .

Thieme Medical and Scientific Publishers Private Ltd.
A-12, Second Floor, Sector -2, NOIDA -201301, India

 

  • References

  • 1 Misch CE. Rationale for dental implants. In: Misch CE. Dental implant prosthetics. 1st ed. St. Louis Missouri: Mosby; 2005: 1-17
  • 2 Watt DW, McGregor AR. Complete dentures: General considerations. nd In Designing complete dentures. 2nd ed. Bristol: WB Saunders; 1986: 1-2
  • 3 Rahn OA, Heartwell LM. Tooth arrangement. In: Rahn OA, Heartwell LM. Textbook of complete dentures. 5th ed. India: Elsevier Science; 2002: 325-37
  • 4 Lang BR, Kelsey CC, editors. International prosthodontic workshop on complete denture occlusion. Ann Arbor (MI): The University of Michigan, School of Dentistry; 1973
  • 5 Ortman HR. Complete denture occlusion. In: Winkler S, editor. Essentials of complete denture prosthodontics. 2nd edition. Littletown (MA): PSG Publishing Co.; 1988. p. 217–49
  • 6 Beck HO. Occlusion as related to complete removable prosthodontics. J Prosthet Dent 1972; 27:246–56
  • 7 Gysi A. Masticating efficiency in natural and artificial teeth, III. The bites in natural and porcelain teeth. Dent Dig 1915; 2:139–45
  • 8 Gysi A. Practical application of research results in denture construction. J Am Dent Assoc 1929; 16:199–223
  • 9 The new Pilkington-Turner vacuum fired 30 degree posteriors. York (PA): Dentists' Supply Company of New York; 1953. p. 48
  • 10 Payne SH. A posterior set-up to meet individual requirements. Dent Dig 1941;47:20–2
  • 11 Sears VH. Thirty years of nonanatomic teeth. J Prosthet Dent 1953;3:596–617
  • 12 Sears VH. Occlusal pivots. J Prosthet Dent 1956; 6:332–8
  • 13 Pound E. Utilizing speech to simplify a personalized denture service. J Prosthet Dent 1971; 24:586–600
  • 14 Jones PM. The monoplane occlusion for complete dentures. J Prosthet Dent 1972;85: 94–100
  • 15 Rahn OA, Heartwell LM. Relating Inclinations of teeth to concepts of occlusion. In: Rahn OA, Heartwell LM. Textbook of complete dentures. 5th ed. India: Elsevier Science; 2002: 3357-372
  • 16 Harold R Ortman, Complete Denture Occlusion In: Sheldon Winkler. Essentials of Complete Denture Prosthodontics. 2nd ed. India: A.I.T.B.S. Publishers 2009: 217-249
  • 17 Rinchuse DJ, Kandasamy S, Sciote J. A contemporary and evidencebased view of canine protected occlusion. Am J Orthod Dentofacial Orthop. 2007 Jul; 132(1):90-102
  • 18 MacMillan HW. Unilateral vs bilateral balanced occlusion. J Am Dent Assoc 1930; 17:1207-20
  • 19 B.R. Lang / Dent Clin N Am 48 (2004) 641–665
  • 20 Brudvik JS, Wormley JH.A method of developing monoplane occlusions. J Prosthet Dent. 1968 Jun; 19(6):573-80
  • 21 DeVan, M.M. Concept of Neutro-centric occlusion. JADA 48:165-169, 1954
  • 22 Badel T, Panduric J, Kraljevic S, Dulcic N. Checking the occlusal relationships of complete dentures via a remount procedure. Int J Periodontics Restorative Dent. 2007 Apr; 27(2):181-92
  • 23 Zarb GA, McGinney GP. Completing the rehabilitation of the patient. In: Zarb GA, Bolender CL, Carlsson GE (eds). Boucher's Prosthodontic Treatment for Edentulous Patients. St Louis: Mosby, 1997:358–389
  • 24 Heydecke G, Vogeler M, Wolkewitz M, Türp JC, Strub JR. Simplified versus comprehensive fabrication of complete dentures: patient ratings of denture satisfaction from a randomized crossover trial. Quintessence Int. 2008 Feb; 39(2):107-16
  • 25 Rehmann P, Balkenhol M, Ferger P, Wöstmann B. Influence of the occlusal concept of complete dentures on patient satisfaction in the initial phase after fitting: bilateral balanced occlusion vs canine guidance. Int J Prosthodont. 2008 Jan-Feb; 21(1):60-1
  • 26 Kimoto S, Gunji A, Yamakawa A, Ajiro H, Kanno K, Shinomiya M, Kawai Y, Kawara M, Kobayashi K. Prospective clinical trial comparing lingualized occlusion to bilateral balanced occlusion in complete dentures: a pilot study. Int J Prosthodont. 2006 Jan-Feb 19(1):103-9
  • 27 Heydecke G, Akkad AS, Wolkewitz M, Vogeler M, Türp JC, Strub JR. Patient ratings of chewing ability from a randomised crossover trial: lingualised vs. first premolar/canine-guided occlusion for complete dentures. Gerodontology. 2007 Jun; 24(2):77-86
  • 28 .Matsumaru Y. Influence of mandibular residual ridge resorption on objective masticatory measures of lingualized and fully bilateral balanced denture articulation. J Prosthodont Res. 2010 Jul;54(3):112-8. Epub 2010 Jan 19
  • 29 Ohguri T, Kawano F, Ichikawa T, Matsumoto N. Influence of occlusal scheme on the pressure distribution under a complete denture. Int J Prosthodont. 1999 Jul-Aug;12(4):353-8
  • 30 Clough HE, Knodle JM, Leeper SH, Pudwill ML, Taylor DT. A comparison of lingualized occlusion and monoplane occlusion in complete dentures. J Prosthet Dent. 1983 Aug; 50(2):176-9
  • 31 Dubojska AM, White GE, Pasiek S. The importance of occlusal balance in the control of complete dentures. Quintessence Int. 1998 Jun 29(6):389-94
  • 32 Lytle RB. Complete denture construction based on a study of the deformation of the underlying soft tissues. J Prosthet Dent 1959; 9:539-551
  • 33 Bishop M, Lamb DJ. A comparison of two methods for recording the retruded jaw relation in edentulous subjects. Eur J Prosthodont Restor Dent 1997; 5:11-15
  • 34 Schlosser RO. Checking completed dentures for adaptation and retention and establishing balanced Articulation, J Am Dent Assoc. 1928; 15:17-23
  • 35 Ansari IH. Simplified clinical remount for complete dentures. J Prosthet Dent 1996; 76:321-324
  • 36 Firtell DN, Finzen FC, Holmes JB. The effect of clinical remount procedures on the comfort and success of complete dentures. J Prosthet Dent 1987; 57:53-57
  • 37 Holt JE. Research on remounting pocedures. J Prosthet Dent 1977; 38:338-341
  • 38 Landa JS. Trouble shooting in complete denture prosthesis, part IV. Proper adjustment procedures, J Prosthet Dent 1960; 10:490-495
  • 39 Atashrazm P, Ansari Lari H, Khorsand M. An Evaluation of Occlusal Contacts of Remounted Complete Denture before Final Occlusal Adjustment Shiraz Univ 4 Dent J 2009; Vol.9, Suppl.,1-6
  • 40 John P. Frush and Roland D. Fisher “Dentogenics : Its practical application”. J. Prosthet. Dent., 1959; 9:914-921
  • 41 Salvatore J. Esposito “Esthetics for denture patients” J. Prosthet. Dent., 1980; 144,608-615
  • 42 William S. Jameson, Dynesthetic and Dentogenic Concept Revisited, J.Esthet. Restor. Dent. 2002; 14:139-149
  • 43 John P. Frush and Roland D. Fisher “Introduction to Dentogenic Restorations” J. Prosthet. Dent., 1955; 5:586-595