ACP, ch2, 2.6.1 and 2.6.2, Khalid Alshareef

Chapter 2
Anatomy & Physiology
2.6 Occlusion and Morphologic Variation

2.6.1 STATIC VS. DYNAMIC OCCLUSAL CONTACTS
Static contacts: usually occur in maximal intercuspation or in centric occlusion.
dynamic contacts: occur during eccentric mandibular movements such as laterotrusion,
mediotrusion, and protrusion.
anterior teeth provide esthetics for smiling, lip and orofacial muscle support, and
articulation for speech. They also create disocclusion of the posterior teeth during eccentric
mandibular movements.
Posterior teeth have both centric cusps and shear cusps. The centric cusps are important
to maintain maximal intercuspation and occlusal vertical dimension. (Functional cusp) The
palatal cusps of the maxillary teeth and the buccal cusps of the mandibular teeth
represents centric cusps.
The shear cusps are represented by the maxillary buccal cusps and the mandibular lingual
cusps (BULL) and assist in tooth stabilization. The shear cusps protect the soft tissues,
the maxillary buccal cusps’ horizontal overlap holds the cheek away from the occlusal
surface and prevent “cheek biting,” and in similar fashion, the mandibular lingual cusps
hold the tongue away from the occlusal surface preventing the tongue from being injured.
variation of the natural occlusal dentition maybe results from: genetics, growth and
development, anatomy, physiology, or external factors. For example, if the maxillary buccal
horizontal overlap or mandibular lingual horizontal overlap is inadequate, or if the shear
cusps become higher because of centric holding cusp wear, a reverse curve of Wilson may
result.
An excessive curve of Spee essentially creates a greater cusp angle, which increases the
potential for deflective occlusal contacts in the natural dentition.
The posterior condylar guidance and anterior incisal-canine guidance along with the
neuromuscular system serve as determinants that control the dynamic spatial inter
relations of the maxillary and mandibular teeth and occlusal interface during centric closure
and eccentric jaw movements.
Dentate Occlusion: In natural dentition and in treatment occlusion for prosthetic
replacements all posterior teeth should contact uniformly and simultaneously in
maximal intercuspation. (Static contacts)
“tooth-to-two-teeth” referred to cusp tip occludes with two teeth,

found in natural teeth and can contribute to the loss of proximal
contacts resulting in food impaction.
“tooth-to-tooth” the cusps simultaneously occlude into an opposing

fossa, as in the restored occlusion, the contact is known as cusp-to-
fossa contact, may be more stable.
“tripodal” or cusp-tip-to-fossa more stable and reduce cusp-tip wear, and therefore
would better maintain the occlusal vertical dimension.
MUTUALLY PROTECTED ARTICULATION

Mutually protected articulation is an occlusal scheme in which the posterior teeth
prevent excessive contact of the anterior teeth in maximal intercuspation, and the
anterior teeth disengage the posterior teeth in all mandibular excursive movements.
In other words, an occlusal scheme in which the anterior teeth disengage the
posterior teeth in all mandibular excursive movements, and the posterior teeth
prevent excessive contact of the anterior teeth in maximal intercuspation.
Deflective Occlusion: When teeth occlude prematurely they create a deflective

occlusion. Deflective occlusal contacts may occur in mandibular closure in centric occlusion
and maximal intercuspation, preventing uniform static contacts (all posterior teeth
touching simultaneously) from occurring. Deflective occlusal contacts can also occur in
laterotrusion, mediotrusion and protrusion, which interferes with harmonious dynamic
gliding tooth contacts by the anterior teeth. deflective occlusal contact situations can result
in tooth sensitivity, pain, trauma, increased tooth mobility, irregular wear or migration, and
accompanying alveolar bone loss. Eccentric progressive posterior occlusal contacts
occurring on the working-laterotrusive side (group function) may be acceptable as long as
they do not interfere with the anterior (incisor/canine) and posterior (condylar) guidance.
2.6.2 INFLUENCE OF OCCLUSAL DETERMINANTS
(Horizontal condylar inclination-HCI)
(Lateral condylar inclination-LCI)
(Horizontal condylar
inclination-HCI)
(Lateral condylar
inclination-LCI)

ACP, ch2, 2.6.1 and 2.6.2, Khalid Alshareef

Uploaded by

Copyright:

Available Formats

ACP, ch2, 2.6.1 and 2.6.2, Khalid Alshareef

Uploaded by

Document Information

Original Title

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

ACP, ch2, 2.6.1 and 2.6.2, Khalid Alshareef

Uploaded by

Copyright:

Available Formats

Chapter 2

Anatomy & Physiology

2.6 Occlusion and Morphologic Variation

“tooth-to-two-teeth” referred to cusp tip occludes with two teeth,

“tooth-to-tooth” the cusps simultaneously occlude into an opposing

MUTUALLY PROTECTED ARTICULATION

Deflective Occlusion: When teeth occlude prematurely they create a deflective

(Horizontal condylar inclination-HCI)

(Lateral condylar inclination-LCI)

You might also like