scholarly journals Full Mouth Rehabilitation Performed Using Customized Broadrick’s Flag to Restore Mandibular Posterior Teeth-A Case Report

2019 ◽  
pp. 24-28
Author(s):  
Rahul Patil ◽  
Omkar Shetty

Full mouth rehab is an extremely challenging procedure. It needs proper planning and thorough knowledge about the steps involved in the procedure. The patient’s occlusal plane has to be restored in harmony with the tmj and the prosthesis which is to be fabricated. An instrument called the “Occlusal plane analyzer” is used to assist the Prosthodontist in the development of an initial mandibular occlusal plane that is commensurate with the curve of Spee when posterior restorations are designed in diagnostic casts and later as an integral of definitive restorations as well as guidelines for the actual tooth preparations. After complete examination of the reported case, it was planned for full mouth rehabilitation. Pankeymann philosophy was planned to be used for rehabilitation. Bopa being one of the important steps as per the philosophy for restoration of mandibular posterior teeth, it was discussed in detail. The article demonstrates the making and use of a custom made broad rickocclusal plane analyser (bopa) on a semi adjustable articulator to determine the correct orientation of the occlusal plane. Key Words – clear acrylic guide, anterior survey point (A.S.P), posterior survey point (P.S.P), central survey point (C.S.P).

2011 ◽  
Vol 37 (sp1) ◽  
pp. 156-164 ◽  
Author(s):  
Brian J. Jackson

The field of implant dentistry continues to grow globally as clinicians embrace the evolution of various endosseous implant technologies and the array of enhanced surgical and prosthetic products. The utilization of small diameter implants in limited osseous regions increases patients' ability to choose implants as a viable restorative option. Although small diameter implants have been indicated in the incisor region for the maxilla and mandible primarily, their usage should be considered in select posterior regions. These 2 case reports demonstrate the incorporation of small diameter implants to replace missing mandibular posterior teeth.


2019 ◽  
Vol 13 (4) ◽  
pp. 267-273
Author(s):  
Mohammadreza Badiee ◽  
Asghar Ebadifar ◽  
Sanaz Sajedi

Background. Mesiodistal and buccolingual angulations of teeth are variable in different malocclusion classes. This study aimed to assess the mesiodistal angulation of posterior teeth in orthodontic patients with vertical, normal, and horizontal facial growth patterns. Methods. This descriptive, cross-sectional study evaluated 150 lateral cephalograms of orthodontic patients. According to cephalometric analysis, facial growth patterns were divided into three groups of normal, horizontal, and vertical (n=50). The angulation of maxillary and mandibular posterior teeth was then measured. Data were analyzed using SPSS 22. Results. The results showed an increase in the mean angle of maxillary and mandibular posterior teeth relative to palatal and mandibular planes in patients with a vertical facial growth pattern. Conversely, their angulation decreased relative to the bisected occlusal plane (BOP). The angulation of posterior teeth decreased relative to palatal and mandibular planes and increased relative to the occlusal plane with an increase in overbite. The mean angle of all maxillary teeth relative to the palatal plane was significantly greater in open bite patients compared to normal and deep bite patients. This value in patients with normal bite was significantly greater than that in deep bite patients (P<0.05). Conclusion. The current results revealed that in patients with a vertical growth pattern, all the posterior teeth had a forward inclination. Conversely, in patients with a horizontal growth pattern, the teeth had a backward inclination.


2012 ◽  
Vol 3 (5) ◽  
pp. 41 ◽  
Author(s):  
Saurabh Chaturvedi ◽  
A K Verma ◽  
Mariyam Ali ◽  
Mayank Shah

2012 ◽  
Vol 2012 ◽  
pp. 1-4
Author(s):  
Supriya Manvi ◽  
Shaveta Miglani ◽  
C. L. Rajeswari ◽  
G. Srivatsa ◽  
Sarvesh Arora

Proper occlusal plane is an essential consideration when multiple long span posterior restorations are designed. The determination of the occlusal plane can have a profound effect on the short and long term success of a restorative case. Purpose of Study. (1) To determine the appropriate occlusal curve for individual patients. (2) To compare the deviation of the clinical occlusal curve with the ideal ones. Materials and Methods. A total of 20 subjects were examined and study models were made of their maxillary and mandibular dentition. Inter-occlusal records were made and the casts were articulated in semiadjustable articulator. An ideal occlusal plane was created. The distance of the farthest cusp tip from the Broadrick curve was measured along the long axis of the tooth for each individual. Paired t-tests were used to compare the findings between subjects and controls. Results. A statistically significant difference P<0.05 was found in the deviation from the Broadrick curve between patients who have lost posterior teeth and the control group who had a full dentition with no missing teeth. Conclusion. Proper utilization of the broadrick flag on a semi-adjustable articulator will allow for a correct determination of the occlusal plane.


2013 ◽  
Vol 39 (2) ◽  
pp. 210-213 ◽  
Author(s):  
Jayanth Christian ◽  
Manita Grover ◽  
Padmanabhan Thallam Veeravalli

This case report describes the prosthetic rehabilitation of a patient who was treated for ameloblastoma by segmental resection of the mandible. Because of the size of the defect it was decided to use a healing obturator to facilitate bone formation in the defect. At the end of 3 months, bone formation had led to complete obliteration of the defect with an almost complete fill to the crest of the ridge. The next phase of the treatment was prosthetic rehabilitation. The patient preferred a fixed replacement of teeth as opposed to a removable option. The final treatment plan was an implant-supported fixed prosthesis that was progressively loaded.


2013 ◽  
Vol 14 (5) ◽  
pp. 836-841 ◽  
Author(s):  
V Vinod ◽  
R Balamurugan ◽  
Sanjay Nilawar ◽  
Thota Kiran Kumar ◽  
Vivek Thomas ◽  
...  

ABSTRACT Proper management of the occlusal plane is an essential consideration when multiple long span posterior restorations are designed. When restorations are added to an existing tooth arrangement characterized by rotated, tipped or extruded teeth, excursive interferences may be incorporated. The curve of Spee which exists in natural dentition, allows harmony to exist between the anterior teeth and the condylar guidance. Broadrick flag or occlusal plane analyzer is used to assist in the reproduction of tooth morphology that is commensurate with the curve of Spee when posterior restorations are designed; its use prevents the introduction of protrusive interferences. The current study determines the relationship of the center of anteroposterior curve of occlusion in the cranium and its relationship to other cephalometric landmarks and also evaluates the relationship of anteroposterior curve of occlusion to the condyle. How to cite this article Kumar TK, Thomas V, Nilawar S, Balamurugan R, Marwaha BS, Vinod V. A Cephalometric Study to Determine the Center of Anteroposterior Curve of Occlusion in the Cranium. J Contemp Dent Pract 2013;14(5):836-841.


2012 ◽  
Vol 13 (5) ◽  
pp. 627-631
Author(s):  
KN Jagadeesh ◽  
HM Kashinatha ◽  
Mahanthesh S Bembalgi ◽  
PC Ramesh Kumar ◽  
Kiran Babu Yarlagadda ◽  
...  

ABSTRACT Introduction Occlusion and occlusal plane is the primary criteria in fabrication of posterior restorations. The simplest method of establishment of occlusal plane is through the use of Broadrick occlusal plane analyzer. Aims This study aims to know the reliability of Broadrick flag in determination of curve of Spee with different proposed radii in different skeletal relation in Indian population. Materials and methods Male and female dentulous subjects were selected randomly. Maxillary and mandibular full arch impressions were made; casts were prepared and mounted in semiadjustable articulator using face bow transfer. Broadrick occlusal plane analyzer was mounted on upper member of articulator. Analysis was done using the proposed radii of curvature. The same procedure was repeated by taking different radii with variations of ¼ inch, difference was measured by metal caliper, tabulated and subjected to statistical analysis. Results Results showed that Indian subjects show minor variations in radii, but most of the subjects confirmed the radii, which was proposed by the Lynch CD and McConnell RJ. Conclusion Statistical analysis confirmed that proposed radii confirms to existing occlusal plane for different skeletal relationships. Broadrick occlusal plane analyzer is a reliable tool with the proposed radii for Indian population. How to cite this article Jagadeesh KN, Kashinatha HM, Bembalgi MS, Ramesh Kumar PC, Yarlagadda KB, Ateeq PM. Reliability of Broadrick Flag in Determination of Curve of Spee in Indian Population. J Contemp Dent Pract 2012;13(5):627-631.


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