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OCCLUSAL RIM

Difficulties in Guiding Mandible to Centric


Relation
Position
1. Biologic = caused by habitual eccentric jaw
positions adopted by patients to accommodate
to malocclusion.
2. Psychological
3. Mechanical = It is essential that the denture
bases on which the occlusal rims is made fit
perfectly and do not interfere with each other.
Failure of adaptation of denture base to the
tissue surface may result in unevenly distributed
pressure on the underlying resilient tissue
leading to discrepancy in jaw relation recording.
Various Methods of Recording
Centric Relation
1. Functional (Chew-in) methods
a. Needle house method.
b. Pattersons method.
c. Meyers method.
2. Excursive methods (Graphic method)
a. Intraoral tracing. [Intraoral balancer (Hanau co.),S-Agothic arch
tracer(Tokyo shikasha)]
b. Extra-oral tracing. [Height Tracer (Hanau co.)
3. Tactile or interocclusal check records.
4. Terminal hinge axis method
5. Other methods.
a. Heating the surface of one of the rims.
b. Softened wax placed over the occlusal surfaces of the occlusal rim.
c. Soft cones of wax placed on the lower denture trial bases.
Interocclusal check records: It is particularly
indicated in
situation of:
1. Abnormally related jaws.
2. Excessively displaceable supporting
tissues.
3. Large awkward tongue.
4. Uncontrollable or abnormal
mandibular movements.
5. To check the occlusion of teeth in
trial dentures.
Inter-occlusal record:
(A) Nick and notch in the
maxillary occlusal rim
(B) Trough in the mandibular
occlusal rim

Inter-occlusal centric relation record


Requirements of Completed Record
Base
1. It should be rigid, accurate and stable.
2. The borders should be developed like borders of
finished denture.
3. The surface that contacts lips, cheeks and
tongue should be smooth and polished.
4. The slopes of the base on labial and buccal sides
and in the crest area should be thin for
placement of teeth.
5. The non-anatomical surface should be smooth
for the comfort of the patient during jaw
relationrecording procedure.
Heat cure record base: (A) Wax pattern
(B) Processing (C) Processed record base
Occlusal Rim /Record Rim
occlusal rims are prepared using
standard dimensions. Most patients
require modifications in the occlusal
rim to suit the patient. These
alterations should be done before
recording the jaw relation.
The occlusal rims are inserted into the
patients
mouth and the following factors are
checked:
1. Lip support and labial fullness
2. Overjet
3. Cheek support and buccal fullness
4. Level of the occlusal plane
5. Orientation of plane of occlusion
1. Lip support and labial fullness

The occlusal rim should provide


adequate lip support. Inadequate or
excessive labial support will seriously
affect the aesthetics of the denture.
2. Overjet
The incisal edge of the maxillary
occlusal rim should be around 2 mm
in front of the incisal edge of the
mandibular occlusal rim.

Edge to edge Excessive overjet


Normal horizontal
relation in class III in class II cases
overlap
cases
3. Cheek support and buccal fullness
The occlusal rims should be designed to
be within the neutral zone. This is
important because if the occlusal rims
have excess wax buccally, the buccal
musculature will produce displacement
of the occlusal rim. Apart from that, the
teeth arranged buccally produce
frequent cheek biting.
4. Level of the occlusal plane

The occlusal plane should be located


at the midpoint of the interarch
distance. The upper occlusal rim
should be reduced upto or 2 mm
below the level of the upper lip
during speech
Posteriorly it should be two-third the
height of the retromolar pad.
5. Orientation of plane of occlusion

The plane of the occlusal rim should


be parallel to the plane of the
maxilla. It should not be confused
with the orientation of the occlusal
rim (discussed in orientation jaw
relation), which denotes the
orientation of the maxilla to the base
of the skull.
The ideal dimension of maxillary
occlusion rim:
1. Height
A. Anterior24 mm (from the
deepest area of the sulcus)
B. Posterior21 mm (in the first
molar region)
The ideal dimension of mandibular occlusion rim:

1. Height
A. Anterior20 mm (from the deepest area
of the sulcus)
B. Posteriorapproximately 18 mm (height
of anterior 2/3rd of retro molar pad)
2. Width of occlusal rim (maxillary and
mandibular)
Anterior6 mm
Posterior8 mm
Mandibular occlusal plane in relation to the
anterior 2/3rd of the retromolar pad

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