This document discusses bite registration techniques for removable partial prosthodontics. It describes how bite registration allows the accurate transfer of the relationship between the upper and lower jaws from a patient's mouth to an articulator. This preserves the patient's occlusion when fabricating restorative procedures. Various materials that can be used for bite registration are discussed, including requirements like stability and ability to record occlusal surfaces accurately. Methods for inter-occlusal records are presented, including using wax or occlusal rims when there are insufficient teeth for hand articulation of dental casts. The concepts of centric relation and centric occlusion are also defined.
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This document discusses bite registration techniques for removable partial prosthodontics. It describes how bite registration allows the accurate transfer of the relationship between the upper and lower jaws from a patient's mouth to an articulator. This preserves the patient's occlusion when fabricating restorative procedures. Various materials that can be used for bite registration are discussed, including requirements like stability and ability to record occlusal surfaces accurately. Methods for inter-occlusal records are presented, including using wax or occlusal rims when there are insufficient teeth for hand articulation of dental casts. The concepts of centric relation and centric occlusion are also defined.
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BITE
REGISTRATION REMOVABLE PARTIAL PROSTHODONTICS I
Dr. Ahmad M. Abu Al-Adous
1
BDS, MClinDent (Pros)
BITE REGISTRATION • Bite registration : is a technique by which the dentist transfer the relationship between the upper and lower jaw from the patients mouth to the articulator. • Bite registration allows the dentist to observe accurately tooth contact, occlusal discrepancies and to fabricate restorative procedure for the patient without changing in patients occlusion. • Its important to establish and transfer the relationship between the maxillary and mandibular dental arches that exists when the condylars are in the posterior superior position in the glenoid fossa to an articulator using a bite registration materials REQUIREMENTS OF MATERIAL USED 1. It should be stable (have little or no dimensional change during setting. 2. It should give accurate record of occlusal surface and incisal edges of the teeth. 3. It should not affect normal closing of the mandible. 4. The material should remain rigid after setting. When enough teeth are present in both dental arches we can transfer the relation by hand articulation of the casts. i.e., no bite registration is needed in such cases, so we can occlude the opposing casts by hand, then we mount them on the articulator. If the remaining teeth are insufficient to produce hand articulation of the casts, we have to record the bite by using either of the followings: 1. Pink base plate wax. 2. Bite registration paste. 3. Bite rim or occlusal rim Centric relation: It is an arch to arch (mandible to maxilla) relationship when the condyles are in their terminal hinge axis (on the most superiorposterior position) in the glenoid fossa irrespective to teeth contact, It is the starting point of occlusion. Centric relation is the physiological position of the condylar head of the mandible (without stress) from which all other movement is initiated. Centric relation is taken when no enough occlusal stops are left after teeth preparation especially in cases of full mouth rehabilitation of fixed partial denture. In centric relation it must not perforate the registration material. Centric occlusion : teeth to teeth relation ship it is the maximum occlusal contact or intercuspation irrespective of condylar position. Maxillary and mandibular teeth should contact in harmonious manner that allows optimum function, minimum trauma to the supporting structure and an even distribution of load through the dentition. MAXIMUM INTERCUSPATION (CENTRIC OCCLUSION) IN HEALTH DENTATION IS USUALLY 0.5-1.0MM ANTERIOR TO CENTRIC RELATION In Recording The Centric Occlusion With Maximum Intercuspation The Record Material Must Show Perforation In Area Of Contact Teeth. METHODS OF INTER-OCCLUSAL RECORD: 1. If enough teeth are present in both upper and lower arches to stabilize their relation ship. No bite registration is needed we can transfer the relation by hand articulation. 2. If the remaining teeth are insufficient to provide hand articulation of the cast we can use: -Pink base plate wax or alu-wax (wax reinforced with fiber) Apiece of wax is placed on the maxillary teeth and ask the patient to close in centric relation then the wax is removed and placed in water for cooling. • 3- Occlusal rims: - When insufficient number of the teeth are present to stabilize the cast. A bite rim must be made using a base plate wax to replace the remaining teeth. Bite rim: The bite rim is used in the following cases: 1. Free end saddle. 2. When we need to restore the anterior teeth. 3.When we don’t have enough teeth to obtain the centric relation. STEPS OF JAW RELATION Recor ds Lipsupport (class IV) and occlusal plane adjustments Vertical Jaw Relations: Rest Vertical Dimension ‘RVD’ Occlusion Vertical Dimension ‘OVD’ Horizontal Jaw Relations: Centric Relation Centric Occlusion Eccentric Relations • Protrusive relation • Lt & Rt Lateral relations LIP SUPPORT AND OCCLUSAL PLANE ADJUSTMENTS
The upper rim may require to be
thinned from the palatal aspect to accommodate lower natural anterior Position of Anterior Teeth by Esthetics and Phonetics
The desired incisal level. This is decided by reference to adjacent teeth
and to resting level of upper lip Incisal level of the rim should be parallel to the interpupillary line. The upper posterior occlusal is parallel to the ala- (tragus line (Camper’s Line VERTICAL JAW RELATION
Rest Ver tical Dimension
( RVD)
Is the distance measured
when the mandible is in the rest position.
Occlusal ver tical Dimension
( OVD)
Is the distance measured
when the occluding rims or teeth are in contact. T HA N K YO U …
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