5. Occlusal Scheme

Question 1

2

Which appointment is used to determine the condylar inclination?

Question 2

4

How many appointments are there for complete dentures at Creighton?

Question 3

4

What are the measurements for the horizontal and vertical overlap for anterior teeth in anatomic set up?

Question 4

4

In centric, should the anteriors have occlusal contact?

Question 5

4

What does it mean when it says that anterior teeth in centric are “brush border?”

Question 6

5

What are the three reasons why there is minimal horizontal and vertical overlap of anterior teeth in complete dentures?

Question 7

7

What are the three types of arch forms?

Question 8

8

Why is more horizontal overlap necessary for class II skeletal relationship patients compared to class I?

Question 9

8

Why is little to no horizontal overlap desired for patients with skeletal class III relationships?

Question 10

9

Denture occlusion is designed to ______ to best stabilize the denture during function.

Question 11

9

Occlusal concepts for dentures should never be confused with ______.

Question 12

9

Should canine guidance ever be used for complete dentures?

Question 13

10

What is the mantra for occlusion in patients with dentate?

Question 14

11

What is the mantra for occlusion in edentulous patients?

Question 15

11

What is the degree of inclination for anatomic teeth?

Question 16

11

Do anatomic teeth allow for balanced occlusion?

Question 17

11

What is the inclination for nonanatomic teeth?

Question 18

11

What are three other names for nonanatomic teeth?

Question 19

11

Can nonatomic teeth be used to achieve balanced occlusion?

Question 20

11

What is the degree of inclination for lingualized teeth?

Question 21

11

Can lingualized teeth be used to obtain balanced occlusion?

Question 22

13

What is the name for the Anatomic teeth?

Question 23

13

What is the name for the Lingualized teeth?

Question 24

13

What is the name for the Nonanatomic teeth?

Question 25

14 Is there any evidence that exists to support the superiority of one posterior tooth form over another?

Question 26

14 What is the main determinant of denture tooth position? Why is this so?

Question 27

14 The mandibular arch covers a ______ area than the maxillary arch. The mandibular arch requires more ______ for its stability.

Question 28

14 When natural teeth erupt they occupy a position that functions best with what three things? What is this zone called?

Question 29

14 The _____ is where we want to build denture occlusion.

Question 30

14 With denture occlusion we want centralization of _________ over the ________.

Question 31

20 What are 7 factors to consider when choosing an occlusal scheme?

Question 32

20 According to Ortman, the flatter the ridge, the ___________.

Question 33

21 What type of occlusion would be indicated for poor residual ridges?

Question 34

21 What type of occlusion would be indicated for poor neuromuscular control?

Question 35

21 What type of occlusion would be indicated for patients previously successful with monoplane dentures or severely worn occlusion on previous dentures?

Question 36

21 What occlusion would be indicated for a patient with skeletal class II, III, or cross-bite occlusion?

Question 37

21 What occlusion would be indicated for a patient with immediate dentures, except when opposing natural dentition?

Question 38

21 What occlusion would be best indicated for a patient with potential poor follow up?

Question 39

21 What occlusion would be best indicated for a patient with good residual ridges (height)?

Question 40

21 What occlusion would be indicated for patients who are skeletal class I?

Question 41

21 What occlusion would be best indicated for patients who are ACP Class I or II?

Question 42

21 What occlusion would be best indicated for patients who are well coordinated?

Question 43

21 What occlusion would be best for patients whose denture opposes natural dentition?

Question 44

21 What occlusion would be best for when lingualized or anatomic bilateral balanced occlusion is desired?

Question 45

22 What are 6 advantages of monoplane occlusion?

Question 46

22 What are 4 disadvantages of monoplane occlusion?

Question 47

23 Describe the bearing surface that a monoplane occlusion would be best indicated for.

Question 48

23 What are Hardy Cutter dentures?

Question 49

24 Is there anatomy in Nonanatomic Orthoplane teeth?

Question 50

25 What are 4 advantages of Anatomic (cusped) occlusion?

Question 51

25 What are 5 disadvantages of anatomic (cusped) occlusion?

Question 52

27 Examples of Cusped Teeth: ____ Degree Ortholingual Type _____ Degree Orthotype Teeth ____ Degree Postaris Teeth ____ Degree Posterior Teeth by Dentsply

Question 53

30 When is Condylar inclination determined?

Question 54

30 If your condylar inclination is 20 degrees, for example, what teeth should you use?

Question 55

31 Anatomic teeth (especially _____ teeth) look more natural than cuspless teeth.

Question 56

32 ~Good Residual Ridges (PDI Class I or II) ~Well Coordinated Patient ~Previously successful with cusped teeth ~Condylar Inclination of 30 degrees What posterior teeth would you select for this patient?

Question 57

33 Is incisal overlap possible with balanced articulation?

Question 58

33 Balanced articulation allows for _____ occlusal forces and better _____.

Question 59

33 Balanced articulation requires _____ records (_________ records).

Question 60

34 What degree teeth are used in balanced anatomic posterior occlusion?

Question 61

34 What is the name for the Anteroposterior compensating curve in balanced anatomic posterior occlusion?

Question 62

34 What is the name for the mediolateral compensating curve in balanced anatomic posterior occlusion?

Question 63

35 In balanced occlusion, desribe the contacts in excursive movements with anatomic teeth.

Question 64

38 In the anatomic occlusal plane, there is a _______ relationship.

Question 65

38 What are the three points of contact in the anatomic occlusal plane?

Question 66

38 Anatomic teeth are at least ____ degrees or higher.

Question 67

39 How far below the top of the retromolar pad should the maxillary occlusal plane project?

Question 68

39 Once anterior teeth are set it is important to reestablish your _____ in the posterior so you can start to set your posterior teeth.

Question 69

40 Where should mandibular posterior teeth NOT be set?

Question 70

40 What should you remember to do when determining the buccolingual position of the mandibular posterior teeth?

Question 71

41 Mandibular posterior teeth must be positioned where?

Question 72

41 Why must mandibular posterior teeth be positioned over the ridge?

Question 73

41 For any type of occlusal scheme, where should the mandibular central grooves line up?

Question 74

42 Where should the mandibular occlusal plane line up?

Question 75

43 What is one popular suggestion for placing the central fossa of the mandibular posterior teeth?

Question 76

43 Dr. Earl Pound suggested that the mandibular lingual cusps be located within a _____ (__________) formed by the buccal and lingual sides of the _____ and the _____ of the canine.

Question 77

45 Where does the MB cusp of the maxillary first molar line up in class I occlusion?

Question 78

45 What does horizontal overlap of molars in class I prevent?

Question 79

46 What is critical for monoplane occlusion?

Question 80

46 Monoplane occlusion decreases _______.

Question 81

47 Is there any vertical overlap in the anteriors in monoplane occlusion?

Question 82

48 Which teeth should be on the plane of occlusion in monoplane occlusion?

Question 83

48 In monoplane occlusion, which cusps contact the plane of occlusion for the maxillary teeth?

Question 84

49 Describe the space in the posterior teeth in monoplane occlusion. What does this lead to and which patients are at a disadvantage because of this?

Question 85

50 What are the two ways to achieve bilateral balance with monoplane occlusion?

Question 86

50 What is Christensen's phenomenon?

Question 87

51 In lingualized occlusion, how far are the maxillary buccal cusps elevated?

Question 88

52 In lingualized occlusion, where should the maxillary lingual cusps contact?

Question 89

53 In lingualized occlusion, maxillary buccal cusps should have a ____ mm space between the _______ and the ________.

Question 90

57 For lingualized occlusion, what should the relative degree of cusps be for maxillary vs. mandibular teeth selection? What would be an example?

Question 91

57 In clinic, what degree posterior teeth do you use for lingualized occlusion?