[Therapeutic immediate denture, class II].
Without posterior support and because of dysfunction many people have very loose joints: their condyles are in a most retruded and downward situation. The occlusion cannot be stable in this relationship. The most retruded clinical position should not be used for prosthetic restoration. We must establish a therapeutic centric occlusion more anteriorly without increasing the vertical dimension. The amount of anterior condylar repositioning is determined by viewing the original TMJ tomographs. The position and the orientation of a normal occlusal plane can only be accurately determined by cephalometric analysis. This good occlusal scheme programmes the muscle coordination and maintains the anterior mandibular position.
D000202:Activator Appliances; D003768:Dental Occlusion, Centric; D003779:Denture Design; D003831:Denture, Partial, Immediate; D006801:Humans; D008310:Malocclusion / Q000628:therapy*; D008335:Mandibular Condyle / Q000033:anatomy & histology; D009968:Orthodontic Appliances, Removable; D013704:Temporomandibular Joint / Q000033:anatomy & histology; D014087:Tooth Movement Techniques
Prothèse immédiate thérapeutique, classe II.