Beruflich Dokumente
Kultur Dokumente
SECTION
EDITOR
DANIEL H. GEHL
protrusive record made at the time of the final try-in. 3. Assume an edge-to-edge position of the opposing
The horizontal guidance (Bennett angle) is set with anterior teeth. The upper member is sequentially moved
Iianau’s formula (Hanau Engineering Co. Inc., Buffalo, down the ramp to centric relation (Fig. 5) to give the
N.Y.), or it can be set for maximum movement. ramp its basic shape (Fig. 6).
1. Add wax to the surface posterior to the most distal 4. Reheat the wax and move the upper member
mandibular molars in opposition to the most posterior through lateral border excursions.
maxillary molar. Overbuild the wax slightly (Fig. 4). 5. Reheat the wax and perform intermediate excur-
2, Release the centric locks on the articulator. sions.
432 MARCH 1985 VOLUME 53 NUMBER 3
BALANCING RAMPS IN DENTURE OCCLUSION
6. Evaluate the balancing contacts to ensure contact We wish to thank Hilary Pritchard, editor, Department of Restor-
in all excursions, and add wax as necessary. ative Dentistry, for her assistance in the preparation of the manu-
script.
7. Process the dentures. Do not adjust the balancing
ramps during the laboratory remount. REFERENCES
8. Evaluate the balancing ramps at the patient- 1. DeVan, M. M.: The concept of neutrocentric occlusion as related
articulator clinical remount and adjust as necessary to to denture stability. J Am Dent Assoc 48~165, 1954.
2. Jones, P. M.: The monoplane occlusion for complete dentures. J
ensure smooth balancing contacts without interferences
Am Dent Assoc 85~94, 1972.
(Figs. 7 to 10). 3. Payne, S. H.: A posterior set-up to meet individual requirements.
Dent Digest 47~20, 1941.
Modifications of the technique for use at 4. Pound, E.: Lost-Fine arts in the fallacy of the ridges. J
clinical remount PROSTHET DENT 4~6, 1954.
The balancing ramps can be incorporated at the 5. Sears, V. H.: Centric and eccentric occlusions. J PROSTHET DENT
l&1029, 1960.
insertion appointment in conjunction with the clinical Pound, E.: Utilizing speech to simplify denture service. J
6.
remount. Final accurate centric relation and protrusive PROSTHET DENT 24~586, 1970.
records are obtained, and the condylar inclinations are 7. Ortman, H. R.: The role of occlusion in the preservation and
set as previously described. prevention of complete denture prosthodontics. J PROSTHET
DENT 26~121, 1971.
1. Roughen the denture base posterior to the most
8. Hardy, I. R.: Technique for the use of non-anatomic acrylic
distal mandibular molar with a carbide bur. posterior teeth. Dent Digest 48~562, 1942.
2. Prepare autopolymerizing resin and wet the 9. Boswell, J. V.: Practical occlusion in relation to complete
roughened surfaces with monomer. When the acrylic dentures. J PROSTHET DENT 1:307, 1951.
resin reaches a doughy stage it is added to the roughened 10. Sears, V. H.: Specifications for artificial posterior teeth. J
PROSTHET DENT 2:353, 1951.
surface.
11. Porter, C. G.: The cuspless centralized occlusal pattern. J
3. Perform all eccentric positions on the articulator PROSTHET DENT 5~313, 1955.
whiIe the resin is still soft. The denture can be placed in 12. Nepola, S. R.: Balancing ramps in prosthetic occlusion. J
a pressure pot to cure the resin. PROSTHET DENT 8~776, 1958.
4. Refine and smooth the balancing ramps after Reprznt requests to:
curing is complete, and carefully evaluate the contacts in DR. ARTHUR NIMMO
eccentric occlusion. UNIVERSITY OF CALIFORNIA
5. Correct deficiencies by adding autopolymerizing SCHOLL OF DENTISTRY, D-321 2
SAN FRANCISCO, CA 94143
resin.
SUMMARY
A simple technique for providing bilateral balancing
contacts in nonanatomic dentures has been presented.