修复医学教学（中山大学）jaw relationship record.pdfVIP

Jaw Relaonship Record Yan Wang Department of Prosthodoncs Guanghua School of Stomatology Process of Fabricating Complete Denture wax rim impression and cast jaw relationship record facial bow transfer Process of Fabricating Complete Denture mount the articulator teeth arrangement Recording jaw relationship •  Vertical relationship: establish the amount of jaw separation allowable for denture •  Horizontal relationship establish the front-to-back and side-to-side relationships of the upper and lower jaw •  Orientation relationship establish the references in the cranium Basic mandibular positions •  Centric Relation: 正中关系位 •  Centric Occlusion: 正中颌位 •  Rest position: 息止颌位 •  Intercuspal position ：牙尖交错位 •  Muscular position ：肌位，肌力闭合道的终点位 •  Retruded contact position ：最大后退接触位 正中关系(Centric relation, CR) •  下颌适居正中，髁状突处于关节窝的后位 •  附着于下颌骨的肌肉、韧带都处于自然状 态 •  下颌骨对上颌骨的位置关系 •  稳定而可重复 •  功能性后退边缘位 正中颌位 (Centric occlusion, CO) •  上下牙弓HE面接触最广，牙尖相互交错的位 置 •  上颌牙对下颌牙的关系 •  不稳定，可随牙齿本身的改变而产生适应性 改变 息止颌位 (Rest Position) •  头直立、下颌处于休息状态 •  升、降下颌肌群处于张力平衡状态 •  肌群处于最小收缩状态 •  该位置时上下颌间存在一自然间隙 •  可随体位而变化 Basic mandibular positions •  Rest position •  Intercuspal position •  Muscular position Intercuspal position 1 mm (肌力闭合道的终点） Retruded contact •  Retruded contact position 2-4 mm pos