11/27/2018 Occlusion.

Static Occlusion, Dynamic Occlusion and Guidance : Verifiable CPD Online - Dentistry

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dental juice ! Previous pages have looked at mandibular movements in the saggital (forward-back) plane.
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We will now examine the e ects of the mandible moving in lateral excursions.
Juce Home
Demo Pages Static occlusion
Juce Learning Static occlusion is the study of contacts between the teeth when the jaw is
Team CPD new! not moving. The contacts are points (seen as dots when articulating paper
Full Pages Index
is used). 
Help & FAQ
CPD Certificates
Search For example, close your teeth in your intercuspal position (i.e. where they
meet best). Is your bite heaviest on your back teeth? Is it evenly spread
Occlusion
over all the back teeth? Is there hardly any weight on the front teeth? Many dentists would
Welcome
describe that as the “ideal”. If you are providing a crown or lling for a patient like this, you would
Basic Mandibular
Movements try not to disturb such an occlusion by leaving the restoration high (or low). 
CR, RCP, and ICP
The Slide and The IDC Click the picture on the top right to see the ink marks made with a static occlusion (intercuspal
The Posselt Envelope position in this case - the patient was asked to "tap together on the back teeth").
3D Animations

Dynamic Occlusion more...

Guidance
Interferences Freedom In Centric
Conform or Re-organise? Bite on your back teeth. Can you slide a tiny way forwards before you
Practical procedures bump into your anteriors? If so, you have "Freedom In Centric Occlusion"
Facebow Transfer (also known as "Long Centric"). Remember - Centric Occlusion is another
Recording ICP word for Intercuspal Position (ICP).
Recording Centric Relation
Lateral and Protrusive
Records The picture to the right shows no freedom in centric - ICP causes marks to
Incisal Guidance Table appear on the incisors. Compare it with the picture above, which has freedom in centric.
Fabricating a lucia jig

Self Assessments Dynamic occlusion

Basic Principles Dynamic occlusion is the study of the contacts that teeth make when the mandible is moving –
Articulators contacts when the jaw moves sideways, forwards, backwards, or at an angle. The contacts are not
points, they are lines.
Glossary

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If you get a patient to grind their teeth in every direction on piece of articulating paper, you will see
the lines formed by dynamic occlusion

Although the jaw is moved by muscles, the contact lines depend on both the teeth positions and
shapes (obviously), and the shape of the TMJ. These shapes GUIDE the occlusion.

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You may have heard the phrases posterior guidance and anterior guidance used when the
mandible moves about in protrusive and lateral excursions Can you say what the terms mean?
Optional: type your answer here. 2
marks
 
Posterior guidance is provided by the TMJ. As the condyle slides down the glenoid fossa, the angle
of the mandible is changed depending how far the condyle is down the fossa’s slope.
Anterior guidance is provided by the teeth. Not all of them, just the ones in contact during the
movement. 
Score yourself: 0 1 2

Did you think posterior meant back teeth and anterior meant front teeth? Not here it doesn’t!

Put your teeth together and slide all the way forwards: probably you can feel only your incisors
“guiding”.

Now imagine you had no upper front teeth or upper premolars at all, only molars on the top. In
this case when you protrude, the “anterior guidance” is provided by molars. 

Some dentists prefer to use the phrase Anterior Determinant for teeth, and Posterior Determinant
for the TMJs. This helps reduce the confusion.

Working side and non-working side.

Can you de ne these terms?
Optional: type your answer here. 2
marks
 
If the mandible moves to the right, the right is the working side (and left is non-working).
If the mandible moves to the left, the left is the working side (and right is non-working).
Score yourself: 0 1 2

Types of anterior guidance in lateral excursions. 

Click the pictures to see typical ink marks associated with each type of guidance.  Note the dots
formed by intercuspal position (static), and the lines caused by a lateral excursion to the right.

Canine Guidance
If you slide you teeth to your right, and only your right canines contact
during this lateral excursion, then you have canine guidance. This is
reckoned to be a good thing, as canines are excellent at coping with
lateral forces. If this happens, you are said to have a canine-protected
occlusion. (The same idea applies to the left of course.)
Click to magnify

Group function
If however when you slide laterally a number of teeth on your working
side are in contact at the same time, all sharing the load, this is called
group function. This might happen if your canines have worn down over
time, or are crooked.
This is reckoned to be second best. With group function, the heaviest
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11/27/2018 Occlusion. Static Occlusion, Dynamic Occlusion and Guidance : Verifiable CPD Online - Dentistry

loads should ideally be near the most anterior of these teeth, and
lighter loads near the back.

Click to magnify

Working side interference

When you move your jaw laterally, if the rst contact is just on a single
tooth near the back (on the working side), this is called a working side
interference. For example, perhaps there is an upper molar which has
tilted into an adjacent extraction space.

Click to magnify

A non-working side interference is when any tooth on the opposite side

makes the rst contact.

Click to magnify

These interferences are providing anterior guidance, but as the name suggests, not in a way that
dentists approve of ! They are considered the least desirable types of anterior guidance.

Educational aims of this juce

 This page aims to introduce the lateral mandibular movements.

 It explains and discusses:
   • Static occlusion 
   • Freedom In Centric 
   • Dynamic occlusion 
   • Working side and non-working side
   • Canine Guidance 
   • Group function 
   • Interferences
 Pictures show the typical appearance of the dental arch with various types of
guidance when articulating paper is used.

This page contains veri able CE / CPD

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