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22.criteria for posterior tooth selection

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[object Object],Michael Hamada DDS and John Beumer III, DDS, MS Division of Advanced Prosthodontics, Biomaterials and Hospital Dentistry UCLA School of Dentistry This program of instruction is protected by copyright ©. No portion of this program of instruction may be reproduced, recorded or transferred by any means electronic, digital, photographic, mechanical etc., or by any information storage or retrieval system, without prior permission.
[object Object],Lingualized Lingualized vs monoplane Monoplane Anatomic Semi-anatomic
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],Resorbed or flabby ridges Such conditions, as demonstrated in these two patients, make it difficult to obtain accurate intraoral records and permit movement of the denture bases during function. The poorer the record base stability, the less cusp height is indicated. Exception: Some patients with highly resorbed ridges retain superb tongue control and a reasonably stable denture base. If they are vertical chewers, rather than wide envelope grinders, they will prefer and be able to handle cusp fossa teeth. Such patients are ideal candidates for lingualized occlusal schemes.
[object Object],Patients with poor neuromuscular control have difficulty accommodating to anatomic occlusions. They are best served with monoplane occlusal schemes. Physical condition of the patient
Chronic bruxers and grinders ,[object Object],Anxious, nervous individuals are more apt to brux, which can be especially traumatic to the supporting structures when anatomic posterior denture teeth are used. They are best served with monoplane occlusal schemes.
Previous denture occlusion ,[object Object],If the present dentures have anatomic teeth which have not been severely ground or worn and the alveolar ridges are not severely resorbed, anatomic teeth can be used. If the existing denture teeth have been worn flat, nonanatomic teeth may be a better choice.
Ridge relationship ,[object Object],A skeletal class II relationship requires nonanatomic posterior teeth or cusp to open fossae teeth which permit multiple contact positions without occlusal interferences . When the greater width of the mandibular arch requires a crossbite, nonanatomic posterior teeth are often used or cusp-fossae with the upper buccal cusps opposing the lower fossae.
Immediate dentures ,[object Object],[object Object],[object Object]
Immediate dentures ,[object Object],[object Object],[object Object]
Choices Lingualized ,[object Object]
Choices Semi-anatomic ,[object Object]
Choices Lingualized vs Monoplane ,[object Object]
Choices Monoplane ,[object Object]
Choices Anatomic ,[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],Indications for Application ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Monoplane Occlusion Anatomic Denture Teeth
[object Object],[object Object],[object Object],[object Object],Monoplane Occlusion ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Advantages Disadvantages
[object Object],[object Object],[object Object],[object Object],[object Object],Anatomic Occlusion ,[object Object],[object Object],[object Object],[object Object],Advantages Disadvantages
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],Lingualized Occlusion ,[object Object],[object Object],[object Object],[object Object],[object Object],Indications for use Advantages

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