BACKGROUND The documentation of centric relation from the completely edentulous patient and transferring the same to the fully-adjustable articulator or semi-adjustable articulator is the most essential step, that helps in diagnosing, treatment planning, and fabrication of the complete denture prosthesis, that aids in enhancing the facial aesthetics, function, speech, and maintenance of the stomatognathic system. Recording of maxillomandibular relationship is the most critical step, the relation of mandible to maxilla creates more controversy than any other dental-related studies. Hence to re-establish the maxillomandibular relationship in a completely edentulous patient is the most difficult task. However, a historical literature review in dentistry reveals that there are numerous techniques, philosophies, and materials that can be manipulated and used to record the maxillomandibular relationship. The recording of centric and eccentric relationship of the mandible to maxilla can be done using various techniques like check bite record, intra-oral graphic recording, extra-oral graphic recording, functional recording, radiographic imaging and measurements based on anatomical landmarks, and computerized assessment of maxillomandibular relationship based on jaw movement tracking systems. The principle reason of recording maxillomandibular relationship in all the centric and eccentric relationship is to re-establish a maxillomandibular relationship without an error, as stated in literature review, that to initiate any treatment in dentistry it is must to record centric relation with proper guidance of mandibular jaw to maxillary jaw that should be in harmony with all the muscles of mastication and facial expression including the temporomandibular joint and bony structure, that helps to maintain the health and growth of the muscle tissues and bony structures. This article discusses the in-depth details of these techniques and methods used in recording centric jaw relations.
Introduction: The documentation of the maxillomandibular relationship and the recording values of condylar guidance is the most critical, yet essential step in fabrication of complete denture prosthesis and it also helps in diagnosing, treatment planning, and fabrication of the balanced complete denture prosthesis that aids in enhancing the aesthetics, and maintenance of the stomatognathic system. Various techniques are available to record the condylar guidance; One of them being axiographic technique and panoramic radiograph followed by programming the semi adjustable articulators. Aim: The aim of the present study was to evaluate and compare the condylar guidance using the conventional technique the gothic arch tracing with that of axiographic technique and the panoramic radiographs. Materials and Methods: The observational study with the clinical set up was carried out over a period between October 2018- March 2019. Twenty completely edentulous patients were selected for the study. The comparative evaluation of axiographic tracing technique, panoramic radiographic technique and the extraoral gothic arch tracing technique was conducted. The horizontal condylar guidance values obtained with these techniques were assessed. The data obtained was statistically analysed using Karl Pearson correlation test to determine the correlation between the values obtained from all the three techniques on the right side and the left side of the subjects. Paired t-test and Bonferroni Post-Hoc test were used to compare the extraoral gothic arch tracing values and Orthopantomogram values and axiographic tracing values on right side and left side of the subjects. Results: A statistically significant correlation was observed between the extraoral Gothic arch tracing technique and the panoramic radiographic technique on right (r=0.047, p-value 0.04) and left sides (r=0.55, p-value 0.01) of the subjects. The axiographic tracing showed lower values when compared with gothic arch tracing technique and the panoramic radiographic technique. (95%CI of difference was -0.49 lower). Significant differences were obtained on comparison between all three techniques on right (p-value<0.001) and left sides.(p-value 0.008). On pairwise comparison of right sides between Extraoral gothic arch Tracing and Axiographic tracing (p-value<0.001) and between axiographic tracing and Orthopantomographic tracing (p-value<0.001), were significant, while pairwise comparison on left side between Orthopantomogram and Axiographic tracings (p-value 0.01) was significant. Conclusion: The panoramic radiographic images can be used as an alternative method to that of conventional gothic arch tracing technique to obtain the condylar guidance values. The values obtained using axiographic tracings method was comparatively lower. Thus, the values obtained from axiographic technique should be used with caution or the values needs to be compared to gold standard techniques to further analyse the accuracy of the values that can be used as a valuable aid in setting the condylar guidance in semi-adjustable articulators.
The success of any prosthetic rehabilitation depends on several factors; most important factor is precisely recording of centric relation and transferring the same to the articulator. When partial or completely edentulous arches are present, cast mounting is considerably more complex. Interocclusal records are the means by which the interarch relationships are transferred from mouth to an articulator. The purpose of this review is to evaluate the accuracy and stability of the materials used in routine clinical practice to obtain interocclusal records.
Introduction- Several materials have been introduced in dentistry for dentures for over last century. Poly Ether Ether Ketone (PEEK) has adequate flexural strength as a denture base and thereby prolonging its clinical longevity and also overcoming the most common reason for failure of Poly Methyl Metha Acrylate (PMMA) denture base that frequently results in the fracture. Aim- The aim and objective of the present study is to evaluate and compare the flexural strength and hardness of heat-cured PMMA denture base with PEEK. Material and methods- The sample size comprised of 60 samples of PMMA and PEEK which were prepared and divided into two groups i.e.; group I and group II respectively, of 30 each. Both the groups were further divided into subgroups consisting of 15 samples of PMMA and PEEK. The flexural strength was test in group I specimens by universal testing machine (UTM), and group II samples was subjected to hardness test using Vickers microhardness tester. The values were analysed statistically. The unpaired t-test was done for comparison of flexural strength and hardness of PEEK and PMMA.Result-The flexural strength of PEEK was 185 MPa, while that of PMMA was 85 MPa.
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