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Mandibular Movement

Section 6-5
starting on pg. Pg. 113 of Chapter #6

Mandibular Movements
Mandible is capable of many different,
subtle kinds of movements
When a mandible moves, the condyles
also move with itbut with a twist!
Type & direction of condylar movement
will not nessarily be the same in each TMJ

The Basic Outline

Three Basic Mandibular Movements


Hinge Movements
Translatory Movements
Lateral Movements
However, a typical mandibular movement is a
smooth, fluid blend of two or three of these
basic movements!
The Basic Outline

Subdivisions of the Basic Movements


Hinge Movement:
either opening or closing motions of the
mandible around a horizontal axis that is
common to both condyles
So, what does this movement look like?

The Basic Outline

Hinge Movement

The Basic Outline

Subdivisions of the Basic Movements


Protrusive or Retrusive Movements (also
called Translatory or Sliding Movements:
As the mandible moves during Protrusion,
both condyles leave their fossae and move
forward along the articular eminences
When the mandible Retrudes, both condyles
leave the eminences and move back into
their respective fossae
How does this movement look?
The Basic Outline

Translatory Movement

The Basic Outline

Translatory + Hinge Movements


The Full Envelope of Hinge and Translatory
Movements as viewed in the midsaggital
reference plane appears as a special
envelope-like figure known as:
POSSELTS ENVELOPE (after Dr. Ulf Posselts
book, The Physiology of Occlusion and
Rehabilitation)
So, What does this envelope look like?

The Basic Outline

Posselts Envelope

The Basic Outline

Posselts Envelope fig. 6-7


Represents the mandibles range of vertical
and also anteroposterior movement
In your picture the teeth are slightly
separated, incisal edge of mand. Incisor is at
the a position
So, what kind of vertical position of the
mandible is this (if the teeth are slightly
separated)?
Yes! This is Physiological Rest Position!

The Basic Outline

Lets study Fig. 6-7


We need to understand figure
6-7 of Posselts Envelope a
little bit better

The Basic Outline

Posselts Envelope fig. 6-7


Predicatable Positions of the Mandible:
#1: Centric Relation
#2: CO or MIP (Centric Occlusion or Max.
Intercuspal Position)
#3: Edge to Edge incisor contact
#4: Neg. Horiz. & Vert. Overlaps at incisors
#5: Max. mand. Protrusion
(for #1-#5, teeth are in contact!)

The Basic Outline

Posselts Envelope fig. 6-7


Predicatable Positions of the Mandible
Continued (note teeth are not in contact!):
a: Physiologic Rest Position
b: Maximum Opening of Mandible (Yawn)
Path 2ab: Path of HABITUAL OPENING/CLOSING
(Physiologic Rest a is along this path too!)
Path 1cb: Most RETRUDED Path mandible is
capable of taking
From 1 to C: Condyles in CR & mand. Is making
pure hinge movement (1 or so)
Between c & b: Mandible continues to open, but is
also TRANSLATED FORWARD-condyles out of
fossae and onto the eminences
Path 5b Most PROTRUDED path mandible is
capable of makingSo, We have Learned about
The Basic Outline

What have we learned?


So far we have covered 2 of the 3 Mandibular
Movements:
Hinge and Translatory Movements
What is the third movement that we still
need to learn about?

Lateral Movements
(Right and Left)
The Basic Outline

Lateral Movements
(Right and Left Direction)
The side to which the mandible is moving
is called the WORKING SIDE
The side that is opposite the WORKING
SIDE is called the BALANCING SIDE
The condyle on the WORKING side is
called the.WORKING CONDYLE (aka
ROTATING CONDYLE)
By exclusion, the other condyle is the
BALANCING CONDYLE (aka
ORBITTING CONDYLE)
The Basic Outline

That is all for now!


Exam Next Week! Read up through Page 114
(end your reading at the sentence just before
Figure 6-8) in Chapter #6 AFP Vol. III, Blue
Book, Start reading on Page 108.
To summarize, Read from Pg. 108 to 114
Possible Exam Topics will follow

The Basic Outline

Exam Topics (17)


Various definitions of
occlusion
The five classical positions
of the mandible
Centric Occlusion/MIP/CO
Occlusal Plane
Curves of Spee and Wilson
Overjet/Overbite/
Vertical Overlap/Horizontal
Overlap
Angles Classifications I-III
Cusp Types-stamp & shear

The Basic Outline

Two types of stamp cusp


arrangements or patterns of
occlusion:
1. CUSP-TO-OCCLUSAL
EMBRASURE
2. CUSP-TO-FOSSA
Application of the Cusp/Fossa
Philosophy
Vertical Dimension/VDO/
Physiologic Rest
Estimating VDO based on
speech sounds
Errors in VDO
(open & closed)
Centric Relation (CR)
Mandibular Movements
(all 3 of them)

Thank you!
Break Time (20 minutes)