Occlusion
Question 1. Describe in detail the occlusal relationship of maxillary and mandibular teeth.
Answer:
- The arch form of the maxilla tends to be large than that of the mandible.
- Asa result, the maxillary teeth overhang the mandibular teeth when the teeth are in centric occlusion.
- When the teeth of one jaw come into occlusal contact with their antagonists in the opposite jaw, curved surfaces come into contact with curved surfaces.
- These surfaces may be convex or concave
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- Lingual surfaces of maxillary incisors present some concave surfaces where convex portions of the incisal ridges of mandibular incisors come into occlusal contact.
- Pointed cusps contact marginal ridges on the posterior.
- Deeper portions of sulci and grooves over posteriors provide escapement of food.
- Each tooth has two antagonists, the loss of one still leaves one antagonist remaining.
- This keeps the tooth in occlusal contact with the opposing arch and keeps it in its own arch relation at the same time.
- This prevents elongation and displacement through the lack of antagonism.
Contacts:
- The lingual cusps of the maxillary posterior teeth and the buccal cusps of the mandibular posterior teeth are supporting cusps.
- Areas of occlusal contact that a supporting cusp makes with opposing teeth in centric occlusion are centric stops.
List of occlusal contacts (total 138):
- Lingual surfaces of maxillary incisors and canines – 6
- Labial surfaces of mandibular incisors and canines – 6
- Triangular ridges of maxillary buccal cusps of premolars and molars – 16
- Triangular ridges of mandibular lingual cusps of premolars and molars – 16.
- Buccal embrasure of mandibular premolars and molars – 8
- Lingual embrasure of maxillary premolars and molars 1- 0
- Lingual cusp points of maxillary premolars and molars – 17
- Buccal cusp points of mandibular premolars and molars – 16
- Distal fossae of premolars – 8
- Central fossae of the molars – 12
- Mesial fossae of the mandibular molars – 6
- Distal fossae of the maxillary molars- 6
- Lingual grooves of the maxillary molars – 6
- Buccal grooves of the mandibular molars – 6
Question 2. Centric relation and centric occlusion
Answer:
Centric relation:
- It is the relation of the mandible to the maxilla when the condyles are in the uppermost superior position in their glenoid fossa with the articular disc properly interposed.
Centric occlusion:
- It is the position of the mandibular condyle when the teeth are in maximum intercuspation.
Question 3. Leeway space.
Answer:
- The combined mesiodistal width of premolar and permanent canines is less than that of deciduous molars and canines.
- This is called leeway space.
- Value: Maxillary arch – 1.8 mm
- Mandibular arch-3.4 mm
Question 4. Occlusion.
Answer:
- It is the normal relation of the occlusal inclined planes of the teeth when the jaws are closed.
- It is the contact relationship of the teeth in function or parafunction.
Question 5. Overjet and overbite.
Answer:
Overjet:
- It is the horizontal overlapping of the maxillary and mandibular anterior.
- Value: 1.4-2 mm
Overbite:
- It is vertical overlapping of maxillary and mandibular interiors.
- Value: 1.5-2 mm.
Question 5. Mesial drift.
Answer:
- It describes the migration of teeth in a mesial direction.
Causes:
- Transaction of transseptal fibers.
- It is an active mechanism
- Forces of mastication
- Tongue pressure
- Occlusal forces.
- It is the passive mechanism of Closure of proximal tooth contacts.
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