scholarly journals Determination of the Occlusal Plane in Complete Denture: About the Paterson Technic

2021 ◽  
Vol 8 ◽  
Author(s):  
Jihane El Aoud ◽  
Wijdane El Hawari ◽  
Nadia Merzouk ◽  
Faiza Benfdil

The rehabilitation by complete removable denture is commonly used for edentulous patients. The respect of operating procedures represents the main condition for therapeutic success.Among these procedures, the determination and the orientation of occlusal plane remain an important step to respect minutelyIndeed, it is one of the most stages for obtaining an optimal smile esthetic, a facial harmony and improve the oral functions.Various technics were reported by many authors: anatomical, radiographic, and physiologic methods such as piezography and Paterson technic.This later consists on the determination of the individualized occlusal plane according to the registration of physiological movements.In this context, we will describe Paterson method via a case report and discuss its feasibility, clinical effectiveness as well as its advantages compared to others technics.

2021 ◽  
Vol 11 (15) ◽  
pp. 6948
Author(s):  
Gabriele Cervino ◽  
Sergio Sambataro ◽  
Chiara Stumpo ◽  
Salvatore Bocchieri ◽  
Fausto Murabito ◽  
...  

The aim of this study is to demonstrate the use and the effectiveness of cephalometry and golden proportions analysis of the face in planning prosthetic treatments in totally edentulous patients. In order to apply this method, latero-lateral and posterior-anterior X-rays must be performed in addition to the common procedure. Two main concerns for totally edentulous patients are the establishment of the vertical dimension and the new position of the occlusal plane. The divine proportion analysis was carried out by the use of a golden divider. The prosthetic protocol was divided into three steps and a case was selected for better understanding. Referring to the golden relations, if the distance from the chin to the wing of the nose is 1.0, the distance from the nose to eye is 0.618. This proportion is useful and effective in determining the correct prosthetic vertical dimension. The incisal margin of the lower incisor must be positioned between Point A (A) and protuberance menti (Pm) according to the gold ratio 0.618 of the total height A-Pm. Posteriorly the occlusal plane must be placed 2 mm below the divine occlusal plane (traced from the incisal margin of lower incisors to Xi point). A prosthesis made in accordance with cephalometric parameters and divine proportions of the face helps to improve the patient’s aesthetics, function and social personality.


2012 ◽  
Vol 65 (5-6) ◽  
pp. 217-222 ◽  
Author(s):  
Ljiljana Strajnic ◽  
Darinka Stanisic-Sinobad

Introduction. Optimal reconstruction of vertical dimension of occlusion is crucial for functional and physiognomic rehabilitation of edentulous patients. This article is aimed at presenting attitudes and studies on application of cephalometric analysis in obtaining optimal vertical dimension of occlusion. The review of literature presents the studies which analyse the possibilities of cephalometric analysis aimed at improving the clinical methods for vertical dimension of occlusion determination in treatment of edentulous patients. The research carried out so far can roughly be divided into: cephalometric vertical dimension of occlusion evaluation in dentulous patients performed to determine precise indicators of vertical dimension of occlusion and to establish cephalometric standards for practical application in prosthodontics; the method of producing pre-extraction cephalometric registries involves the production of cephalometric radiographs for potential prosthodontic patients in dental pre-extraction period which are kept for reference to be used in later therapy; the cephalometric method of registering the position of physiologic rest position of the mandible involves measuring cephalometric parameters in cephalometric radiographs made when the mandible is in physiologic rest position; cephalometric evaluation of vertical dimension of occlusion in complete denture therapy after clinical determination of intemaxillary relationship is recommended for timely detection of possible mistakes, with a possibility of correction in the process of complete denture production; and cephalometric analysis in edentulous patients with old complete dentures for a planned vertical dimension of occlusion extension. Conclusion. Data from the literature give no proof of a scientific and universally accepted method for precise determination of vertical dimension of occlusion, which is a point many authors agree upon. Different methods proposed for vertical dimension of occlusion determination in everyday practice are usually recommended in combination with other methods. Determination of individual, morphological vertical dimension of occlusion indicators by cephalometric analysis is, in this sense, one of the directions for finding a better solution when planning an artificial occlusion complex.


2021 ◽  
Vol 7 (2) ◽  
pp. 91-96
Author(s):  
S Suganya ◽  
K Sounder Raj ◽  
Gagan Malode

Residual ridge resorption is the reduction in size of the bony ridge under the mucoperiosteum. Obtaining retention and stability in a severely resorbed ridges using a conventional technique is a tedious task. The resorption occurs at a faster rate in mandibular arch as compared to the maxillary arch. In order to have a favorable prognosis for the denture therapy, impression technique selected should be based on the present state of the basal tissue support for mandible. In this article neutral zone concept was incorporated in to impression making in an effort to achieve successful mandibular complete denture. The anterior region of maxilla is the most affected area in edentulous patients. Complete denture wearers with flabby ridges may face a number of difficulties, of which major complaints would be pain, compromised stability, support, and retention and an ill-fitting denture. Special impressions often involve window technique for static impression of flabby area, which present multiple challenges. This article presents a case report of modified widow impression technique for maxillary anterior flabby tissues along with a hollow maxillary complete denture in a patient with resorbed maxillary and mandibular ridges with increased interridge distance to reduce the weight of the prosthesis and thereby enhances the retention.


2020 ◽  
Vol 6 (4) ◽  
pp. 21-26
Author(s):  
Dr. Uttkarsh Shah ◽  
Dr. Nirali Shyani ◽  
Dr. Priyanka Das ◽  
Dr. Adit Kumar AM ◽  
Dr. Shweta Thakkar

Author(s):  
Rohit Saini ◽  
Rajeev Gupta ◽  
Archana Nagpal ◽  
Vishal Katna ◽  
Kusha Thakur ◽  
...  

Purpose: The purpose of the study was to compare measurements of maxillary occlusal cant obtained through facebow transfer and through lateral cephalogram. Method: 40 subjects were included in this study according to inclusion and exclusion criteria and divided into two groups: dentulous and edentulous. For edentulous subjects, all the steps of complete denture fabrication were carried out and finished dentures were delivered. Alginate impressions were now made for all the subjects (with complete denture worn in edentulous cases) for both upper and lower arches. The study was conducted in two parts. Facebow transfer was done next and casts were mounted. In first part of the study, sagittal inclination was measured after facebow transfer. After mounting of the casts, four points were marked to measure the inclination of the occlusal plane. In second part, cephalometric evaluation of occlusal plane and Frankfurt horizontal plane was carried out. Angle between Frankfurt horizontal plane and the occlusal plane was maxillary occlusal cant. which was evaluated by tracing. Paired t test was used to compare mean facebow values and lateral ceph values in edentulous subjects. Intergroup comparison between lateral ceph and mean facebow values between dentulous and edentulous subjects was evaluated using independent t test. Results: Facebow  measurements  gave comparatively higher values in both dentulous and edentulous patients and are subjected to less variation as compared to the lateral cephalogram values p<0.0001. Conclusion: The occlusal plane angle of lateral cephalogram was found to be significantly different from angle obtained through facebow transfer.


2014 ◽  
Vol 62 (3) ◽  
pp. 305-308
Author(s):  
Roque Alécio PEGORARO ◽  
Helder Luis DETTENBORN ◽  
Vânia BERGESCH

Dentistry is constantly concerned with enabling better living conditions for patients, as well as providing comfort so that functions such as chewing, speaking, and swallowing may be executed properly and esthetically satisfactory. In edentulous patients, many of these functions are lost, but can be restored by prosthodontics. Within this context, the present article seeks to report a clinical case in which a maxillary complete denture was made for a patient presenting with maxillomandibular discrepancy and marked maxillary prognathism.


2021 ◽  
Vol 7 (3) ◽  
pp. 124-127
Author(s):  
Ramandeep Singh ◽  
Sonali Sharma ◽  
Aquib Javaid ◽  
Asusa Cicilia Loli ◽  
Chander Udhey ◽  
...  

Denture esthetics in the field of prosthodontics has become a prime most demand of the edentulous patients in the recent time. The different processes that are required in the fabrication of complete denture in terms of esthetics constitutes from impression making, selection of teeth, occlusion, proper vertical dimension, accurate recording of the occlusal plane and a good smile line.


2021 ◽  
Vol 4 (12) ◽  
pp. CR9-CR12
Author(s):  
Vidushi Saxena ◽  
Nikhil Kumar Chaudhary ◽  
Manisha Gulati ◽  
Salil Pawah

The goals of replacement of teeth with a complete denture are not limited to only providing the patient with the ability to chew food comfortably. Due to the increasing demands and consciousness of the patients regarding esthetics, prosthodontist must emphasize on not just the function but also overall appearance of the patients.  The loss of support of the facial musculature is of great concern in treating completely edentulous patients. Sunken cheeks are one of the major consequences of flaccid facial musculature. The incorporation of cheek plumpers in the dentures has improved the appearance of patients with such conditions. They are noninvasive and straightforward to fabricate. Various attachments may be used for this purpose depending upon the case present. This case report involves 2 cases with different techniques for the attachment of detachable cheek plumpers.


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