Twin-tables technique for occlusal rehabilitation: Part I--Mechanism of anterior guidance.
Anterior guidance and the condylar path have been considered independent factors. In a recent study, it was revealed that the anterior guidance influenced the working condylar path and even changed when the lateral incisal path deviated from the optimal orbit. This supports the hypothesis that anterior guidance and condylar path are dependent factors. When setting anterior guidance, it is recommended to set the working condyle so that it moves straight outward along the transverse horizontal axis. The angle of hinge rotation created by the angular difference between anterior guidance and condylar path assists the posterior disclusion, but is not solely responsible. The anatomy of the cusps is created by establishing the appropriate form of the posterior cusps aligned to the condylar path so that it also contributes to posterior disclusion. Posterior disclusion is crucial in controlling harmful lateral forces. The molars must disclude slightly more than the deviation in the condylar path to avoid occlusal interferences.
Hobo
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International Dental Academy, Tokyo, Japan.
D003481:Cuspid / Q000502:physiology*; D003766:Dental Occlusion; D006801:Humans; D007180:Incisor / Q000502:physiology*; D007574:Jaw Relation Record; D008335:Mandibular Condyle / Q000502:physiology*