Occlusal Concepts and Considerations in Fixed Prosthodontics

Amin, Kiran; Vere, Joseph; Thanabalan, Naren; Elmougy, Abdulrahman

doi:10.1308/205016819827601545

Cited by 6 publications

(3 citation statements)

References 21 publications

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“…Given the above data, it is possible to see that the semi-adjustable articulator combined with the clinical examination is an important tool for occlusal analysis, diagnosis, and treatment plan, being able to reproduce protrusion and lateral movements similar to those performed by the patient, which allows performing prosthetic work under biological and functional principles (Amin et al, 2019;Buduru et al, 2020).…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of the Semi-Adjustable Articulator Compared to Clinical Examination

Werneck

Freitas

Lopes-Júnior³

et al. 2022

Int. J. Odontostomat.

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This work aims to verify the effectiveness of the semi-adjustable articulator (SAA) when compared to a clinical examination of samples in individuals comparing the number of occlusal interferences. The research was carried out at FAESA (Integrated University of São Pedro), in which two independent researchers compared occlusal interferences in protrusion and laterality movements in the clinical examination and in models mounted on a semi-adjustable articulator, with carbon from Baush, in 77 patients who attended to the graduation clinic. Data were tabulated and evaluated by the Mann-Whitney statistical test and data normality was verified by the Kolmogorov-Smirnov test. When analyzing the interference of protrusion on central incisors, it was found that the mean was higher for the SAA on clinical examination. As for the right laterality in the canine guides, it was observed that the clinical examination had a higher interference average in relation to the SAA. The same was true for left laterality, where the mean interference was also higher for the clinical examination. That is, by increasing the values of occlusions in the SAA, the values of occlusions in the clinical examination also increase. As central incisor protrusions between the SAA and clinical examination were moderately positive, there was a strong positive relationship for the right sides and a moderate positive relationship for the left sides. It is concluded that a semi-adjustable articulator is an effective tool for the diagnosis and planning of the dentist, due to its ability to simulate mandibular movements. However, such a tool requires prior knowledge for an ideal assembly for treatment success.

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Section: Discussionmentioning

confidence: 99%

Effectiveness of the Semi-Adjustable Articulator Compared to Clinical Examination

Werneck

Freitas

Lopes-Júnior³

et al. 2022

Int. J. Odontostomat.

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“…In addition, a detailed occlusal analysis is important as it shows all tooth contacts and anterior guidance that should be maintained when preparing the teeth. It also allows clinicians to decide whether to maintain the existing occlusal scheme (conformative approach) or to modify the existing occlusal scheme (reorganized approach) [79].…”

Section: Occlusal Concepts In the Fabrication Of Conventional Fixed (...mentioning

confidence: 99%

The Relationship between Dental Occlusion and “Prosthetic Occlusion” of Prosthetic Restorations Supported by Natural Teeth and Osseointegrated Dental Implants

Ćelić¹,

Pezo²,

Senzel³

et al. 2023

Dentistry

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The concept of human dental occlusion represents much more than the mere physical contact of the biting surfaces of opposing teeth. It is not a static, unchanging, structural relationship, but rather a dynamic, real, physiological relationship between different tissue systems. It is best defined as the functional relationship between the components of the masticatory system, which includes the teeth, the periodontium, the neuromuscular system, the temporomandibular joints and the craniofacial skeleton. Biologically, occlusion represents a coordinated functional interaction between different cell populations of the masticatory tissue systems that differentiate, model, remodel, destroy and regenerate. When the functional balance of the masticatory system is disturbed or when occlusion is restored by various types of prosthetic restorations, specific goals of occlusal treatment become important, especially today with the rapid insertion of dental implants. The aim of this chapter is to highlight the characteristics of dental occlusion in relation to the characteristics and requirements of ‘prosthetic occlusion’ for different types of prosthetic restorations supported by natural teeth, gingiva, alveolar ridges and dental implants. A particular focus in writing the chapter is the analysis of the scientific literature on the interrelationship between the so-called occlusion concepts and the biomechanical aspects of different types of implant prosthetic restorations.

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“…It is a well-known fact that the basis for the formation of physiological occlusion is equal distribution of functional loads in cases of sufficient number of correctly placed occlusal contacts and adequate placement of TMJ components [10][11][12]. Modern methods of functional assessment of the condition of the masticatory muscles and occlusal relationships allow reaching the most adequate balance of the thyroid gland objectively in real time [13][14][15][16].…”

Section: Introductionmentioning

confidence: 99%

Analysis of the Dynamics of Functional Occlusion Indicators in the Construction of Occlusion Surfaces of Orthopedic Structures

et al. 2020

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The aim: Is to evaluate the effectiveness of the proposed method of constructing occlusal surfaces of orthopedic structures by monitoring the dynamics of functional indicators of occlusion and the functional condition of the masticatory muscles. Materials and methods: The object of the study was made up by 64 patients with included defects of the dentition of the 3rd class according to Kennedy. Patients were divided into two equal groups – the main group (patients were treated by using the suggested method of construction of occlusal surfaces of orthopedic structures) and control (dentition defects were replaced according to the traditional protocol). Results: The results of evaluating the effectiveness of the proposed method showed that the index of symmetry of the anterior bundles of the temporal muscles dropped by 18.5%, the index of symmetry of the masticatory muscles reduced by 22%, the torque of the mandible reduced by 32%, the index of stabilizing occlusal – by 27%, relative efforts of balance disturbance for more than 10 % regarding the left and right reduced by a factor of 4.4, the rate of opening time was 1.5 times higher than before, the rate of time of opening of the jaws – 1.8 times. Conclusions: The use of the suggested method of orthopedic treatment with temporary structures leads to probable changes in the studied functional parameters in comparison with the control group (p <0,05).

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Occlusal Concepts and Considerations in Fixed Prosthodontics

Cited by 6 publications

References 21 publications

Effectiveness of the Semi-Adjustable Articulator Compared to Clinical Examination

Effectiveness of the Semi-Adjustable Articulator Compared to Clinical Examination

The Relationship between Dental Occlusion and “Prosthetic Occlusion” of Prosthetic Restorations Supported by Natural Teeth and Osseointegrated Dental Implants

Analysis of the Dynamics of Functional Occlusion Indicators in the Construction of Occlusion Surfaces of Orthopedic Structures

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