Arrangement of artificial teeth for complete denture: Arrangement of artificial teeth for complete denture Position of teeth: Position of teeth Horizontal positions Anterior teeth Incisive papilla Aid in determining the mid line Labial surfaces of the central incisors are usually 8-10 mm in front of the papillae (distance increase with excessive bone loss) PowerPoint Presentation: Lip Labial surfaces & incisal edges of the teeth are anterior to the tissues at the reflection, where the denture borders would be placed Tone of the skin of the lips Crest of the ridge Upper anterior teeth anterior to the crest of the upper ridge Lower anterior teeth over the crest of the lower ridge PowerPoint Presentation: Over bite: the vertical distance between the incisal edges of maxillary and mandibular teeth. Over jet: the horizontal distance between the incisal edges of maxillary and mandibular teeth. PowerPoint Presentation: The teeth set too far labially giving the lips a “pouched out”appearance. The teeth set too far lingually giving the lips a “dished in” appearance. The occlusal rims contoured to hold the lips in proper position. The teeth properly set in the wax to maintain desired labial fullness. Position of teeth: Position of teeth Posterior teeth Neutral zone Forces exerted by the cheeks & tongue should be equal Position of teeth: Position of teeth Crest of the ridge Mandibular posterior teeth positioned along a line extending from the tip of canine to the middle of retromolar pad. This line should pass through the central fossa of mandibular premolars & molars Distance from distal of the canine to ascending area of the mandible Position of teeth: Position of teeth Lingual cusps of maxillary posterior teeth occlude in the central fossae of the mandibular posterior teeth. This relation ship places the buccal cusp of maxillary posterior teeth lateral to the buccal cusps of mandibular posterior teeth so supporting the cheek & prevent cheek biting PowerPoint Presentation: Curve of spee Curve of wilson Defined as the anatomic curve established by the occlusal alignment of the teeth in the median plane. Defined as the mediolateral curve that contacts the buccal and lingual cusp tips on each side of the arch. Present in natural dentition PowerPoint Presentation: The occlusal plane : The occlusal plane is defined as the average plane established by the incisal and occlusal surfaces of the teeth". Compensating curve : the anterio -posterior curvature (in the median plane) and the mediolateral curvature (in the frontal plane) in the alignment of occluding of surfaces and incisal edges of artificial teeth of complete denture. Arrangement of anterior teeth: Arrangement of anterior teeth Techniques: Techniques Upper central incisor Long axis shows slight mesial inclination to the perpendicular. The incisal edge is on the occlusal plane. The neck of tooth should be slightly depressed. Upper lateral incisor Long axis shows slight more mesial inclination to the perpendicular. The incisal edge is usually 1mm above the occlusal plane. The neck of tooth depressed more than that of central incisor. Techniques: Techniques Upper canine The canine tooth is an important tooth in any tooth arrangement because it forms the corner of dental arch . The maxillary canine have two planes in the facial surface; the mesial plane should follow the contour of the anterior teeth while distal plane will be in line with posterior teeth. Long axis perpendicular to the occlusal plane. The cusp tip touch the occlusal plane. The neck of tooth should be prominent (support the corner of the mouth). Techniques: Techniques Lower central incisor Long axis slightly inclined mesially . The neck of tooth should be slightly depressed. The incisal edge should form (1-2mm) horizontal and vertical overlap in respect with upper central incisor (above the occlusal plane. Lower lateral incisor: Long axis mesially inclined. It placed as in central incisor. Lower canine: Long axis slightly inclined mesially . The neck of tooth should be set prominent and the cusp tip 2mm above the occlusal plane . Techniques: Techniques Set the mandibular central incisors so that the maxillary incisors cover them, 1mm vertically and 1mm horizontally (1mm horizontal and vertical overlap) if you are using anatomic posterior teeth PowerPoint Presentation: The middle of the crest of the mandibular ridge should be recorded. mark the midline of the patient’s face by placing a dot on the incisive papilla and marking this midline on the maxillary anterior land area, extending down the front of the cast. The incisive papilla is a much more reliable landmark for the midline than the labial frenum . PowerPoint Presentation: Make a cut with a heated, sharp knife, at the midline in the anterior wax rim. Cut all the way to the baseplate . Make a similar cut just distal to the canine point. Remove this section of wax in its entirety. PowerPoint Presentation: Use a flat plate to position the central incisor so that it contacts the occlusal plane . Set the rest of the anterior teeth on the right side according to the curve defined by ( occlusal rim). PowerPoint Presentation: Use a flexible plastic ruler to verify that the incisal portion of the tooth’s labial surface is properly located and in contact with the anterior curvature of the occlusion rim. PowerPoint Presentation: An anterior view of the maxillary anterior teeth shows that only the lateral incisors do not touch the occlusal plane as recorded by mandibular wax rim. PowerPoint Presentation: Mark the midline of the mandibular ridge on the mandibular wax rim and cut out a section representing the right mandibular anterior teeth from the rim . Arrange the lower anterior teeth following the arch shape Position the teeth over the crest of the ridge and the incisal edges labially inclined. Arrangement of posterior teeth: Arrangement of posterior teeth Techniques: Techniques Upper first premolar The facial surface of 1 st premolar must harmonies with canine. Long axis of tooth perpendicular to the occlusal plane. Buccal cusp touch the occlusal plane Palatal cusp is about 1 mm over the occlusal plane. Palatal cusp over crest of mandibular ridge Upper second premolar Long axis of tooth perpendicular to the occlusal plane. Buccal and palatal cusps touch the occlusal plane Palatal cusp over crest of mandibular ridge Techniques: Techniques Upper first molar Mesiopalatal cusp touch the occlusal plane The facial surface 1 st molar must harmonies with 1 st and 2 nd premolar Palatal cusp over crest of mandibular ridge Upper second molar All four cusps are above the occlusal plane The facial surface of 2 nd molar must harmonies with 1 st molar PowerPoint Presentation: Remove the wax on one side of the maxillary baseplate . The rim is left intact on the opposite side because this will help you to maintain the location of the occlusal plane. PowerPoint Presentation: Set the teeth on the maxillary right side so that the mesiolingual cusp of the maxillary first molar rests in the central fossa of the mandibular first molar . Set the teeth so that the buccal surfaces of the premolar(s) and mesial cusp of the first molar line up with the mid- buccal surface of the canine . The distobuccal cusp of the first molar should deviate approximately 20 o from this plane and the second molar will fall along this plane . Techniques: Techniques Lower first premolar Long axis of tooth perpendicular to the occlusal plane. Buccal cusp above the occlusal plane Lingual cusp is below the occlusal plane. Lower second premolar Long axis of tooth perpendicular to the occlusal plane. Buccal and palatal cusps above the occlusal plane Techniques: Techniques Upper first molar All cusps above the occlusal plane Upper second molar All four cusps are above the occlusal plane PowerPoint Presentation: Remove enough wax to allow setting most of the posterior. Check the position of the teeth over the crest of the ridge. PowerPoint Presentation: Buccal cusp of the lower 1 st premolar contacts the mesial marginal ridge of the upper 1 st premolar. Buccal cusp of the lower 2 nd premolar contacts the fossa between two upper premolars. Mesio buccal cusp of the lower 1 st molar occludes in the fossa between upper 2 nd premolar and 1 st molar. Mesio buccal cusp of the lower 2 nd molar occludes in the fossa between upper 1 st and 2 nd molars. Arrangement for class ii& class iii: A rrangement for class ii& class iii class II Molar relation class I Maxillary anterior teeth larger Mandibular 1 st premolar eliminated PowerPoint Presentation: Class III Molar relation class I Mandibular anterior teeth larger Maxillary 1st premolar eliminated PowerPoint Presentation: ? ? ? ? ? ? ? Questions? Questions? Questions?