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    Occulsal Morphology Determinants

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    russchallenger
    This document discusses factors that determine cusp height and different types of occlusion. It describes how the angle of eminence, overbite, overjet, and immediate side-shift impact cusp length, with steeper angles and greater overbites and overjets allowing for longer cusps. The three main types of occlusion covered are bilaterally balanced, unilaterally balanced, and mutually protected. Mutually protected occlusion, with anterior guidance, is described as optimal as it protects posterior teeth and distributes forces more favorably onto anterior teeth via class III levers. Five criteria for optimum occlusion are outlined.

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    Occulsal Morphology Determinants

    Uploaded by

    russchallenger
    208 views38 pages
    This document discusses factors that determine cusp height and different types of occlusion. It describes how the angle of eminence, overbite, overjet, and immediate side-shift impact cusp length, with steeper angles and greater overbites and overjets allowing for longer cusps. The three main types of occlusion covered are bilaterally balanced, unilaterally balanced, and mutually protected. Mutually protected occlusion, with anterior guidance, is described as optimal as it protects posterior teeth and distributes forces more favorably onto anterior teeth via class III levers. Five criteria for optimum occlusion are outlined.

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    Occlusal morphology and subsequent determinants of dental occlusion lecture

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    This document discusses factors that determine cusp height and different types of occlusion. It describes how the angle of eminence, overbite, overjet, and immediate side-shift impact cusp length, with steeper angles and greater overbites and overjets allowing for longer cusps. The three main types of occlusion covered are bilaterally balanced, unilaterally balanced, and mutually protected. Mutually protected occlusion, with anterior guidance, is described as optimal as it protects posterior teeth and distributes forces more favorably onto anterior teeth via class III levers. Five criteria for optimum occlusion are outlined.

    Copyright:

    © All Rights Reserved
    Download as PPT, PDF, TXT or read online from Scribd
    Download as ppt, pdf, or txt
    208 views38 pages

    Occulsal Morphology Determinants

    Uploaded by

    russchallenger
    This document discusses factors that determine cusp height and different types of occlusion. It describes how the angle of eminence, overbite, overjet, and immediate side-shift impact cusp length, with steeper angles and greater overbites and overjets allowing for longer cusps. The three main types of occlusion covered are bilaterally balanced, unilaterally balanced, and mutually protected. Mutually protected occlusion, with anterior guidance, is described as optimal as it protects posterior teeth and distributes forces more favorably onto anterior teeth via class III levers. Five criteria for optimum occlusion are outlined.

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    You are on page 1of 38

    INTRODUCTION TO OCCLUSION

    CUSP HEIGHT DETERMINANTS

    CUSP HEIGHT

    VERTICAL DETERMINANTS
    ANGLE OF EMINENTIA
    GRADUAL EMINENTIA
    SLOPE REQUIRES SHORT
    CUSPS

    STEEP EMINENTIA SLOPE


    PERMITS LONGER CUSPS

    VERTICAL DETERMINATS

    VERTICAL OVERLAP (OVERBITE)


    DEEP ANTERIOR OVERBITE
    PERMITS LONGER CUSPS

    MINIMUM ANTERIOR OVERBITE


    REQUIRES SHORTER CUSPS

    VERTICAL DETERMINANTS HORIZONTAL


    OVERLAP

    (OVERJET)
    PRONOUNCED ANTERIOR
    OVERJET REQUIRES SHORTER
    CUSPS
    MINIMUM ANTERIOR OVERJET
    PERMITS LONGER CUSPS

    VERTICAL DETERMINANTS

    IMMEDIATE SIDE-SHIFT
    EXCESSIVE IMMEDIATE SIDESHIFT REQUIRES SHORT CUSPS
    GRADUAL IMMEDIATE SIDESHIFT PERMITS LONGER CUSPS

    SHORT CUSPS MAY BE INCREASED IN LENGTH BY


    INCREASING THE EFFECTS OF ANTERIOR GUIDANCE

    REDUCING OVERJET
    INCREASING OVERBITE

    INCISAL GUIDANCE
    Can be increased
    Has > influence on cusps
    Further from power source
    Has > proprioception

    VERTICAL DETERMINANTS
    Incisal (Anterior) Guidance

    INTRODUCTION TO OCCLUSION
    TYPES OF OCCLUSION

    TYPES OF OCCLUSION
    BILATERALLY BALANCED

    UNILATERALLY BALANCED (GROUP FUNCTION)

    MUTUALLY PROTECTED (CANINE GUIDANCE)

    BILATERAL BALANCED
    OCCLUSION
    USED PRIMARILY IN REMOVABLE
    PROSTHETICS
    A MAXIMUM NUMBER OF TEETH SHOULD
    CONTACT IN ALL EXCURSIVE MOVEMENTS
    USEFULL TO PREVENT TIPPING OF
    DENTURES
    WILL CAUSE EXCESSIVE WEAR TO NATURAL
    TEETH

    BILATERAL BALANCED
    OCCLUSION

    Right Working

    Left Working

    Protrusive

    Maximal Intercuspation
    View

    Protrusive View

    Right Working View

    Left Working View

    UNILATERALLY BALANCED
    OCCLUSION
    Group Function
    Elimination of all contacts on the nonworking side
    More than one tooth on the working side is
    in contact during lateral excursions

    Distributes the occlusal load


    ACTIVATES/TRIGGERS MORE MUSCLE FIBERS
    (**not a good thing)

    UNILATERAL BALANCED
    OCCLUSION/ Group Function

    Anterior Guidance
    Canine Guidance aka. Cuspid Rise

    Anterior teeth bear all the load in excursive


    movements of the mandible.
    Posterior teeth are discluded in all excursive
    movements

    MUTUALLY PROTECTED
    OCCLUSION
    Anterior teeth protect the posterior teeth in
    all excursive movements of the mandible.
    (Working, Non-working, Protrusive, etc.)

    Posterior teeth protect the anterior teeth in


    the Maximal Intercuspal Position (MIP)

    MUTALLY PROTECTED
    OCCLUSION

    WHY USE ANTERIOR


    GUIDED OCCLUSION?
    FORCE IS MORE FAVORABLY PLACED ON TEETH

    CLASS THREE LEVER IS THE LEAST EFFICIENT AND


    THUS LESS FORCE PLACED ON THE ANTERIOR
    TEETH

    POSTERIOR VS ANTERIOR
    OCCLUSAL FORCE

    LEVER TYPES
    CLASS I LEVER SIMILAR TO A CROWBAR
    POWER

    FULCRUM

    WORK

    CLASS II LEVER SIMILAR TO A WHEELBARROW

    FULCRUM

    WORK

    POWER

    CLASS III LEVER SIMILAR TO A DRAWBRIDGE


    FULCRUM

    POWER

    CONDYLE

    MUSCLE

    WORK
    ANTERIOR TEETH

    Lever Class I: Crowbar

    Lever Class I

    Lever Class I: Most


    Powerful

    Lever Class II:


    WheelBarrow

    Lever Class III: Chopsticks

    CRITERIA FOR OPTIMUM


    OCCLUSION
    5 Criteria

    1. Stable contacts are established between the

    teeth when the condyles are in their most


    anterior, superior, middle-most position.
    (MIP=CR)

    2. An anterior guidance that is in harmony


    with the border movements of the

    envelope of function

    3. Disclusion of all posterior teeth in the


    protrusive movement

    4. Disclusion of all posterior teeth on the


    Non-Working Side

    5. Disclusion of all posterior teeth on the

    Working Side

    In Review
    Cusp height determinants
    Types of Occlusal Schemes

    Lever Classifications
    Optimal Occlusion Principles

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