OCCLUSAL EXAMINATION University of Kentucky肯塔基大学咬合检查.pptVIP

OCCLUSAL EXAMINATION PURPOSE OF INITIAL SCREENING EXAM Screening device Assist in identifying etiology of symptoms Aid in treatment planning OCCLUSAL EXAM maxillomandibular relationships habits, underlying disease tooth contacts during movement Maxillomandibular Relationship Molar Anterior Crossbite Molar Relationship (Angle) Class I (neutroclusion) mesiobuccal cusp of maxillary first molar fits into buccal groove of mandibular first molar Molar Relationship Class II (distoclusion) Mandibular 1st molar distal to maxillary first molar Molar Relationship Class III (mesioclusion) mandibular 1st molar mesial to maxillary first molar Anterior Relationship CLASS I Anterior Relationship CLASS II Anterior Relationship CLASS III Anterior Relationship OPEN BITE Failure of tooth/teeth to meet antagonists in opposing arch CROSSBITE ANTERIOR Abnormal axial inclinations of maxillary teeth CROSSBITE POSTERIOR Buccal cusp of mandibular teeth buccal to maxillary buccal cusp Habits/Underlying Disease WEAR UNDERLYING DISEASE WEAR Loss of tooth structure attrition ( bruxism) abrasion (external agent) erosion (chemical reaction) abfraction OCCLUSAL WEAR Underlying Disease - Mobility Class I Class II Class III MOBILITY 1mm of movement Tooth Contacts during Movement Physiologic efficient function state of health Pathologic damage to dentition Working/Nonworking Contacts PROTRUSIVE CENTRIC RELATION VS. CENTRIC OCCLUSION CR = most retruded, unstrained position of mandible, from which opening and lateral movements can be made CO= position of maximum contact between maxillary and mandibular teeth - position of habitual closure * *