Jaw Relation Records& Techniques for RPD

OBJECTIVES
1. Arrangement of the artificial teeth 2. To distribute functional forces between the remaining natural teeth & the residual ridge (harmonious occlusion)

CLINICAL APPROACH
1. There are sufficient teeth present in both jaws to indicate inter-cuspal or tooth position

2. There are insufficient teeth present to indicate inter-cuspal or tooth position

3. One jaw is edentulous and the other is to be restored by RPD

Methods of Recording Jaw relations

Direct Apposition of Casts (Hand Articulation)

This method can only be used when sufficient opposing teeth remain in contact to make the existing jaw relationship obvious.

Methods of Recording Jaw relations

Direct Apposition of Casts
(Hand Articulation)

The occluded casts are secured together with the help of wooden sticks and sticky wax and mounted arbitrary on an articulator.

A face-bow record

is not indicated.

A clinical appointment is saved by using this method.

Methods of Recording Jaw relations

The remaining dentition does not provide sufficient occlusion It is not permit occluding the casts by hands. There are Two Possibilities:
Inter-occlusal Record (Wax, Zinc oxide) Kennedy Class III Occlusal Rimes Distal extension Long bounded areas

Methods of Recording Jaw relations

Inter-occlusal Record

Bilateral Contact of Posterior Teeth at Inter-cuspal position (ICP).

Methods of Recording Jaw relations Occlusal Rimes

1. The framework with the attached record block is first tried in the mouth for reconfirming the fit of framework. 2. An auto-polymerizing acrylic resin base is usually attached to the framework saddle areas 3. A wax occlusion rim is then placed over the resin base, while considering the width and height dimensions of the natural missing teeth.

Methods of Recording Jaw relations Adjusting the Occlusion rim Adjusting the Occlusal Plane following the remaining natural teeth

Methods of Recording Jaw relations

Adjusting the Occlusion rim

The recording medium (wax or ZnO paste) is then placed on the mandibular wax rims the patient is then guided in the desired C.O or C.R position.

Methods of Recording Jaw relations

One jaw is edentulous and the other is to be restored by RPD Vertical Jaw Relations:
Rest Vertical Dimension RVD Occlusion Vertical Dimension OVD

Horizontal Jaw Relations:

Centric Relation Centric Occlusion Eccentric Relations Protrusive relation Lt & Rt Lateral relations

Methods of Recording Jaw relations

.

One of the arches is edentulous.

Vertical Jaw Relations

Rest Vertical Dimension RVD Occlusion Vertical Dimension OVD Inter-occlusal Distance / Free way Space

Horizontal Jaw Relation Centric Relation

the

most retruded position of the mandible to maxilla at an established OVD. It is a bone to bone relation

Horizontal Jaw Relation Centric Occlusion

the relation of the mandible to maxilla in the maximum intercuspation of the teeth.
It is a tooth-tooth relation - a position of habitual closure.

Horizontal Jaw Relation

What to Record C.R or C.O?
In more than 90% of people, C.O is 0.1 - 2mm in front of the CR.

Horizontal Jaw Relation

What to Record C.R or C.O ?

Centric Occlusion should be recorded

whenever a patient requiring a partial denture has cusps on remaining natural teeth that can guide the mandible back to this position,

Horizontal Jaw Relation

What to Record C.R or C.O

C.R should be recorded, e.g., for distal extension

RPD, or when the opposing arch is edentulous.

The registration obtained by means of a face-bow is called a face-bow record.

Obtaining & Transferring the Face-bow Record

Orientation of face-bow to articulator.

Functional- Generated Path Method(Dynamic Method)

STEP BY STEP PROCEDURE FOR REGISTRING OCCLUSAL PATHWAY

After the framework has been adjust to fit the mouth, the technique for registration of occlusal pathways is as follow: 1. Support the wax occlusion rim by a denture base having as same degree of accuracy and stability as the finished denture base. The wax used for the occlusion rim should be hard enough to support biting stress and should be tough enough to resist fracture.( purple hard inlay wax) 2. Inform the patient that the occlusal rim must be worn for 24hours or longer. It should be worn constantly, including night-time, excepts for removal during meal. By wearing and biting into a hard occlusal rim , record is made of all extent of jaw movement

STEP BY STEP PROCEDURE FOR REGISTRING OCCLUSAL PATHWAY

3. After 24 hours the occlusal surface of the wax rim should show gloss generated pathways. Which indicate functional contact with opposing teeth in all extreme of movements. Any are of deficient are add this time. 4. These generated pathways are reproduced by stone. Each grove in wax representing pathway of a cusp becomes a ridge of stone 5. Artificial teeth are arranged on the RPD framework to inter-cuspate with the pathways of their antagonists

This method eliminate the need of face bow transfer Bec. Patient himself, is the best articulator for developing occlusion.

GUIDELINES FOR CHOICE OF OCCLUSAL CONCEPT FOR PARTIALLY EDENTULOUS PATIENTS

Maxillary arch 1 Fully edentulous restored by CD Fully dentate Mandibular arch Kennedy Class I restored by RPD Kennedy Class I restored by RPD Fully dentate Occlusal concept Balanced occlusion (working, Balancing, protrusive) Working side contact

Kennedy Class I restored by RPD Kennedy Class II Fully dentate Kennedy Class III Kennedy Class IV

Working & Balancing side contact Working side contact Working side contact Working side contact Contact in centric No eccentric contact

4 5 6 7

Fully dentate Kennedy Class III Kennedy Class III Fully dentate