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The examination should begin with a complete history and an evaluation of the patient’s past & present systemic diseases
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Hatched face,flat face,mouse face,dish face,are obvoius indications for an analysis of the facial form
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1-Early loss of primary teeth 2-Prolonged retention of the primary teeth  3-Oral habits ( sucking)
Where the anterior relationship is  normal ,an  open-bite  of this type may be  self - correcting ,provided that the child  ceases  his sever sucking habit by the age of 4 years
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Crowded,permenent incisors erupt lingually to decideus teeth, Diastema – leeway space
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A harmonious balance between the oral and facial musculature and the teeth  are very important .
 
 
 
 
 
 
 
 
 
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Lateral&other abnormal shifts of the mandible ( protrusion) may be observed by the examiner when the patient is requested to occlude the teeth from the rest position of the mandible.
An occlusion that is  considered normal  at the age of  18  years  cannot  be considered normal for the same individual at the age of  40 or 50y .  Physiologic & pathologic process Mamelons(incisal wear),second molars(increse the width of the alveolar arches)
Extraction, replacement of teeth, attration,extrusion,tipping,migration
It is a systematic examination of the anatomy and function of the masticatory system with special consideration given  to functional disturbances  and  pathologic  changes in the periodontium,teeth,joint,and muscles of mastication
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Pain in and around the joints  Restriction of mandibular movements Tenderness of masticatiory muscles Clicking noises in the joints
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Sharpnes,flatness,height and relation to the opposing arches, nasal spine,zygomatic process of the maxilla,hamulus,mental foramen, buccal vestibule,retromolar area, genial tubercles,mylohyoid line,tongue,floor of the mouth
The main difference lies in the analysis. the  analysis of the areas  to recive  dentures relates to effective impressions for adequate construction of the denture base  wheres  the analysis of denture bearing areas relates to dentures already in use .
*Areas required relief  *Hard & soft tissue  *Dentures already being worn
Bony spines,unerupted teeth,retained roots,hyperplastic tissue,tori,protuberant alveolar ridges,frenula,inadequate buccal vestibule.
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The separation of complaints of organic origin from those caused by lack of adjustment often taxes the skull and patience of the examiner
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424 Examination of occlusion

  • 1.
  • 2.
  • 3. The examination should begin with a complete history and an evaluation of the patient’s past & present systemic diseases
  • 4.
  • 5.
  • 6.
  • 7.
  • 8.  
  • 9.
  • 10.
  • 11.  
  • 12.
  • 13.
  • 14.  
  • 15.
  • 16. Hatched face,flat face,mouse face,dish face,are obvoius indications for an analysis of the facial form
  • 17.
  • 18.  
  • 19.  
  • 20.  
  • 21.  
  • 22.  
  • 23.  
  • 24.  
  • 25.
  • 26.
  • 27.  
  • 28.
  • 29.  
  • 30.
  • 31.  
  • 32.  
  • 33. 1-Early loss of primary teeth 2-Prolonged retention of the primary teeth 3-Oral habits ( sucking)
  • 34. Where the anterior relationship is normal ,an open-bite of this type may be self - correcting ,provided that the child ceases his sever sucking habit by the age of 4 years
  • 35.
  • 36.  
  • 37.  
  • 38.  
  • 39.  
  • 40.  
  • 41.  
  • 42.
  • 43. Crowded,permenent incisors erupt lingually to decideus teeth, Diastema – leeway space
  • 44.
  • 45. A harmonious balance between the oral and facial musculature and the teeth are very important .
  • 46.  
  • 47.  
  • 48.  
  • 49.  
  • 50.  
  • 51.  
  • 52.  
  • 53.  
  • 54.  
  • 55.
  • 56.  
  • 57.  
  • 58. Lateral&other abnormal shifts of the mandible ( protrusion) may be observed by the examiner when the patient is requested to occlude the teeth from the rest position of the mandible.
  • 59. An occlusion that is considered normal at the age of 18 years cannot be considered normal for the same individual at the age of 40 or 50y . Physiologic & pathologic process Mamelons(incisal wear),second molars(increse the width of the alveolar arches)
  • 60. Extraction, replacement of teeth, attration,extrusion,tipping,migration
  • 61. It is a systematic examination of the anatomy and function of the masticatory system with special consideration given to functional disturbances and pathologic changes in the periodontium,teeth,joint,and muscles of mastication
  • 62.
  • 63.
  • 64.
  • 65. Pain in and around the joints Restriction of mandibular movements Tenderness of masticatiory muscles Clicking noises in the joints
  • 66.
  • 67.
  • 68.
  • 69.
  • 70.
  • 71. Sharpnes,flatness,height and relation to the opposing arches, nasal spine,zygomatic process of the maxilla,hamulus,mental foramen, buccal vestibule,retromolar area, genial tubercles,mylohyoid line,tongue,floor of the mouth
  • 72. The main difference lies in the analysis. the analysis of the areas to recive dentures relates to effective impressions for adequate construction of the denture base wheres the analysis of denture bearing areas relates to dentures already in use .
  • 73. *Areas required relief *Hard & soft tissue *Dentures already being worn
  • 74. Bony spines,unerupted teeth,retained roots,hyperplastic tissue,tori,protuberant alveolar ridges,frenula,inadequate buccal vestibule.
  • 75.
  • 76.
  • 77. The separation of complaints of organic origin from those caused by lack of adjustment often taxes the skull and patience of the examiner
  • 78.
  • 79.
  • 80.
  • 81.
  • 82.

Editor's Notes

  1. 04/18/10 Prof.M.Hamam