Posselt's Envelope of Movement Flashcards
REFERENCE POSITIONS (3)
- CENTRIC RELATION
- MAXIMUM INTERCUSPAL POSITION
- POSTURAL POSITION
CENTRIC RELATION
the position of the mandible in which the condyles are in the most superior and anterior position in the articular fossa, resting against the posterior slopes of the articular eminences with the articular discs interposed
CENTRIC RELATION (CR) --- DETERMINED POSITION
CONDYLE
CR is (3)
repeatable
reproducible
recordable
when the mandible is in CR, the condyles can rotate around a horizontal axis up to an opening of — measured at the central incisors
20-25 mm
if the opening of the mandible continues beyond 20-25 mm, then — of the mandible occurs
translation
pure rotational movement is also referred to as — movement and the axis is referred to as —
hinge movement
terminal hinge axis
MAXIMAL INTERCUSPAL POSITION
OR MAXIMUM INTERCUSPATION
— determined position
tooth
MAXIMAL INTERCUSPAL POSITION
OR MAXIMUM INTERCUSPATION
does not provide any info about the
TMJ
in most people, MIP does not coincide with
CR
in MUP The condole-disc assembly is
anterior inferior and/or medial or lateral or a combo of the above compared to the position in CR
usually, the condyle disc assemblies are
anterior and inferior
when is MI used
clinically if the patient needs minimal restorations
position restorations are made in
MI
postural position
the habitual postural of the mandible when the patient is resting comfortably in the upright position and the condyles are in the neutral unstrained position in the glenoid fossa
in PP< there is an equilibrium between the
forces acting on the mandible
in the PP, the muscles are not totally
relaxed
there is a degree of electromyographic activity
PP is determined by the
muscles and the forces of gravity
PP does not give us information about the
condyles or the teeth
in PP, the condyles are usually
anterior and inferior compared to their CR position
PP can be – and is — for the patient
sustained
comfortable
in PP, the teeth are
apart and there is a wedge space between the teeth
the wedge shaped space is called the
interocclusal space
interocclusal space is usually –mm between the incisors, –mm between the premolar, and –mm between the molars
2-3
2
3/4-1
there is a -:- ratio from anterior to posterior
1:3
PP is clinically used to determine the
OVD in edentulous patients or in patients with severely worn dentition
the OVD is the distance measure between two points when the
occluding members are in contact
the vertical dimension at rest (in PRP) is usually — greater than the occlusal vertical dimension
2-3mm
type of movement (3)
rrotation
translation
combo
the mandibular movements are limited by the (3)
ligaments,
the articular surfaces of the TMJ,
and the morphology and alignment of the teeth