Vertical and horizontal jaw relations in complete dentures：垂直和水平的全口义齿颌关系.ppt

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Vertical and horizontal jaw relations in complete dentures：垂直和水平的全口义齿颌关系.ppt

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Vertical and horizontal jaw relations in complete dentures：垂直和水平的全口义齿颌关系

Registering Centric Relation Max Mand Occusion Rims Two sharp “V”-shaped notches in the molar/premolar area of each sided wax Depth 1-2 mm 1-2 mm Ensure Adequate Notch Depth Too Shallow - no undercuts Registering Centric Relation Rehearse making the record without recording medium Place occlusion rims intraorally PVS registration material (Memoreg) over entire occlusal rim Thin Layer of Material Too Thick Good Thin Layer Want flat record, no excess on sides of rims Excess material recording of the sides of the rim can cause deflection when checking record Making the Record Have patient close into record Ensure smooth arc of closure, no horizontal deviations Use index fingers to stabilize lower record base Alternate Medium Alluwax Must be dead soft Registering Centric Relation Place Alluwax into a 1-2mm slot in maxillary rim Fill to slight excess Ensure wax is dead soft Hot water bath for softening (use care) Keep Wax Neat Registering Centric Relation Stabilize mandibular record base using index fingers on the flange (or in a recess in the rim) and the thumbs under the symphysis Registering Centric Relation Patient opens, relaxes, and slowly closes Registering Centric Relation Patient closes until rims are almost touching (1 mm separation) Ask patient to stop as soon as this position has been reached Some may not be able to tell when they contact Registering Centric Relation Never instruct the patient to bite firmly Causes translation or inaccuracy in the record Registering Centric Relation Hold position until set 1-2 min Remove both rims together Separate Registration Should be Sharp, Not Rounded Registering Centric RelationMounting the Mandibular Cast Ensure record is repeatable Increase the height of incisal pin 1?mm, invert articulator Place wax rims together, lute with sticky wax - 4 spots Eccentric relation record Protrusive relation record Lateral relation record Methods for recording eccentric jaw relation Functional method- needles- house patter