[The mandibular position and the masticatory surface complex in rehabilitations with total prostheses].
The construction principles for a complete denture were discussed in terms of the jaw relation and the masticatory surface complex with special reference to the conservation and preservation of the prosthetic support material. The habitual, neuromuscularly determined, position is recommended as a starting position of the mandible for the construction of this alignment; intraoral, central rod analysis of the support is helpful for the determination. When the lateral teeth are aligned, masticatory stability should be considered. The occluding surfaces therefore should be reduced, and the occlusal cusps determined according to the transversal interval of the crests for the maxilla and the mandible. In terms of the occlusion (articulation) concept, the biomechanical demands shold be determined on the basis of unobstructed sliding movements; a completely balanced occlusion seems to be the most advantageous in spite of certain disadvantages. The desired goal may be achieved with a unilaterally balanced occlusion. Based on previous experience, canine guidance as articulation concept has proved to be less suitable since symmetrical stress is unobtainable with at least one crest.
D001696:Biomechanical Phenomena; D003767:Dental Occlusion, Balanced; D003779:Denture Design; D003824:Denture, Complete / Q000592:standards*; D006801:Humans; D007574:Jaw Relation Record; D014093:Tooth, Artificial
Unterkeiferposition und Kauflächenkomplex bei der Rehabilitation mit totalen Prothesen.