33˚/22˚ Lingualized Occlusion Arrangement

33˚ Maxillary Posteriors over BioStabil® 22˚ Mandibular Posteriors

1 The maxillary posterior

32mm
The mandibular mould should occlude to its corresponding
maxillary mould. Trubyte® Portrait IPN BioStabil 22˚
mandibular mould form number 532 corresponds to a Trubyte
Portrait IPN 33˚ maxillary mould 32L. The 32 in each mould
form number represents 32mm from the mesial of the
maxillary first premolar to the distal of the maxillary second
molar.
teeth are set using a flat
occlusal plane. Place the 33˚
maxillary premolars with their
long axis at right angles to the
occlusal plane. The lingual
cusps should touch the plane and the buccal cusps should be
raised approximately 0.5mm above the plane. The cusps of the
molars are set incorporating the curve of Spee and the curve of
Wilson. The first and second molars may be set with their long axis
inclined slightly mesially. The mesiolingual cusp of the first molar
touches the plane, and the mesiobuccal cusp is approximately
0.5mm above the plane. The distolingual cusp is slightly above the
plane and the distobuccal cusp is approximately 1mm above the
plane. The second molar is set to follow the position of the first
molar. The distolingual cusp is approximately 1-1/2mm above the
plane and the distobuccal cusp is approximately 2mm above the
plane.

2 Amaystraight edge
be used to 3 The buccal ridges
of the molars 4 Occlude the
central fossae
align the labial may be similarly area of the
ridge of the canine, aligned, but angled mandibular 22˚
the buccal ridge of slightly inward. This BioStabil teeth to
the premolars, and is an average the lingual cusps of
the mesiobuccal arrangement and the maxillary 33˚
ridge of the first modifications can be teeth. Check the
molar. made as conditions centric and lateral
indicate. Follow the relationships of
same procedure for each tooth as well
setting the posterior as the complete
teeth on the opposite tooth arrangement
side. in all relations.

Centric Working Balancing

Buccal view Buccal view Buccal view

Lingual view Lingual view Lingual view

A 30˚ condylar inclination and a 0˚ incisal guidance were used for this arrangement. Other guidance factors may be used as
individual conditions indicate. Some slight grinding modification in the developmental groove areas of the 22˚ mandibular posteriors
will permit a "tighter" lingualized relationship with the lingual cusps of the maxillary 33˚ posteriors.
33˚/0˚ Lingualized Occlusion Arrangement
33˚ Maxillary Posteriors over 0˚ Mandibular Posteriors

The maxillary posterior teeth

32mm
The mandibular mould should occlude to its corresponding
maxillary mould. Trubyte® Portrait IPN 0˚ mandibular mould
form number 632 corresponds to a Trubyte Portrait IPN 33˚
maxillary mould 32L. The 32 in each mould form number
represents 32mm from the mesial of the maxillary first
premolar to the distal of the maxillary second molar.
1 plane.
are set using a flat occlusal
Place the 33˚
maxillary premolars with their
long axis at right angles to the
occlusal plane. The lingual
cusps should touch the plane and the buccal cusps should be raised
approximately 0.5mm above the plane. The cusps of the molars are
set incorporating the curve of Spee and the curve of Wilson. The first
and second molars may be set with their long axis inclined slightly
mesially. The mesiolingual cusp of the first molar touches the plane,
and the mesiobuccal cusp is approximately 0.5mm above the plane.
The distolingual cusp is slightly above the plane and the distobuccal
cusp is approximately 1mm above the plane. The second molar is
set to follow the position of the first molar. The distolingual cusp is
approximately 1-1/2mm above the plane and the distobuccal cusp
is approximately 2mm above the plane.

2 Amaystraight edge
be used to 3 The buccal ridges
of the molars may 4 Occlude the
central fossae area
align the labial be similarly aligned, of the mandibular 0˚
ridge of the canine, but angled slightly teeth to the lingual
the buccal ridge of inward. This is an cusps of the maxillary
the premolars, and average arrangement 33˚ teeth. Check the
the mesiobuccal and modifications can centric and lateral
ridge of the first be made as conditions relationships of each
molar. indicate. Follow the tooth as well as the
same procedure for complete tooth
setting the posterior arrangement in all
teeth on the opposite relations.
side.

Centric Working Balancing

Buccal view Buccal view Buccal view

Lingual view Lingual view Lingual view

A 30˚ condylar inclination and an approximate minus 10˚ incisal guidance were used for this arrangement. Other guidance factors may be used as
individual conditions indicate. Some slight grinding modification in the developmental groove areas of the 0˚ mandibular posteriors will permit a "tighter"
lingualized relationship with the lingual cusps of the maxillary 33˚ posteriors.

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