Indian Dental Academy: will be one of the most relevant and exciting training
center with best faculty and flexible training programs for dental
professionals who wish to advance in their dental practice,Offers certified
courses in Dental implants,Orthodontics,Endodontics,Cosmetic Dentistry,
Prosthetic Dentistry, Periodontics and General Dentistry.
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Indian Dental Academy: will be one of the most relevant and exciting training
center with best faculty and flexible training programs for dental
professionals who wish to advance in their dental practice,Offers certified
courses in Dental implants,Orthodontics,Endodontics,Cosmetic Dentistry,
Prosthetic Dentistry, Periodontics and General Dentistry.
Indian Dental Academy: will be one of the most relevant and exciting training
center with best faculty and flexible training programs for dental
professionals who wish to advance in their dental practice,Offers certified
courses in Dental implants,Orthodontics,Endodontics,Cosmetic Dentistry,
Prosthetic Dentistry, Periodontics and General Dentistry.
Indian Dental Academy: will be one of the most relevant and exciting training
center with best faculty and flexible training programs for dental
professionals who wish to advance in their dental practice,Offers certified
courses in Dental implants,Orthodontics,Endodontics,Cosmetic Dentistry,
Prosthetic Dentistry, Periodontics and General Dentistry.
Indian Dental Academy: will be one of the most relevant and exciting training
center with best faculty and flexible training programs for dental
professionals who wish to advance in their dental practice,Offers certified
courses in Dental implants,Orthodontics,Endodontics,Cosmetic Dentistry,
Prosthetic Dentistry, Periodontics and General Dentistry.
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Indian Dental Academy: will be one of the most relevant and exciting training
center with best faculty and flexible training programs for dental
professionals who wish to advance in their dental practice,Offers certified
courses in Dental implants,Orthodontics,Endodontics,Cosmetic Dentistry,
Prosthetic Dentistry, Periodontics and General Dentistry.
Indian Dental Academy: will be one of the most relevant and exciting training
center with best faculty and flexible training programs for dental
professionals who wish to advance in their dental practice,Offers certified
courses in Dental implants,Orthodontics,Endodontics,Cosmetic Dentistry,
Prosthetic Dentistry, Periodontics and General Dentistry.
Indian Dental Academy: will be one of the most relevant and exciting training
center with best faculty and flexible training programs for dental
professionals who wish to advance in their dental practice,Offers certified
courses in Dental implants,Orthodontics,Endodontics,Cosmetic Dentistry,
Prosthetic Dentistry, Periodontics and General Dentistry.
Indian Dental Academy: will be one of the most relevant and exciting training
center with best faculty and flexible training programs for dental
professionals who wish to advance in their dental practice,Offers certified
courses in Dental implants,Orthodontics,Endodontics,Cosmetic Dentistry,
Prosthetic Dentistry, Periodontics and General Dentistry.
factors influencing centric relation/ orthodontic straight wire techniqueIndian dental academy
Indian Dental Academy: will be one of the most relevant and exciting training
center with best faculty and flexible training programs for dental
professionals who wish to advance in their dental practice,Offers certified
courses in Dental implants,Orthodontics,Endodontics,Cosmetic Dentistry,
Prosthetic Dentistry, Periodontics and General Dentistry.
Horizontal jaw relation /certified fixed orthodontic courses by Indian denta...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
00919248678078
In prosthodontics, replacing the missing, without affecting the other components of the masticatory system has two main reference the maximum intercupation and the centric relation.
In this lecture discussion of centric relation as reference is exposed.
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
The human mandible can be related to the maxilla in several positions in the horizontal plane. Among these centric relation is a significant position, because of its usefulness in relating the dentulous and edentulous mandible to maxilla, where the teeth , muscles and temporomandibular joint function in harmony. It is a position of occluso-articular harmony.
Indian Dental Academy: will be one of the most relevant and exciting training center with best faculty and flexible training programs for dental professionals who wish to advance in their dental practice,Offers certified courses in Dental implants,Orthodontics,Endodontics,Cosmetic Dentistry, Prosthetic Dentistry, Periodontics and General Dentistry.
Jaw relation in fixed partial denture prosthesis/ online orthodontic coursesIndian dental academy
Indian Dental Academy: will be one of the most relevant and exciting training
center with best faculty and flexible training programs for dental
professionals who wish to advance in their dental practice,Offers certified
courses in Dental implants,Orthodontics,Endodontics,Cosmetic Dentistry,
Prosthetic Dentistry, Periodontics and General Dentistry.
Indian Dental Academy: will be one of the most relevant and exciting training
center with best faculty and flexible training programs for dental
professionals who wish to advance in their dental practice,Offers certified
courses in Dental implants,Orthodontics,Endodontics,Cosmetic Dentistry,
Prosthetic Dentistry, Periodontics and General Dentistry.
Vertical jaw relations /certified fixed orthodontic courses by Indian dental...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078
Horizontal jaw relations /certified fixed orthodontic courses by Indian dent...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
00919248678078
factors influencing centric relation/ orthodontic straight wire techniqueIndian dental academy
Indian Dental Academy: will be one of the most relevant and exciting training
center with best faculty and flexible training programs for dental
professionals who wish to advance in their dental practice,Offers certified
courses in Dental implants,Orthodontics,Endodontics,Cosmetic Dentistry,
Prosthetic Dentistry, Periodontics and General Dentistry.
Horizontal jaw relation /certified fixed orthodontic courses by Indian denta...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
00919248678078
In prosthodontics, replacing the missing, without affecting the other components of the masticatory system has two main reference the maximum intercupation and the centric relation.
In this lecture discussion of centric relation as reference is exposed.
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
The human mandible can be related to the maxilla in several positions in the horizontal plane. Among these centric relation is a significant position, because of its usefulness in relating the dentulous and edentulous mandible to maxilla, where the teeth , muscles and temporomandibular joint function in harmony. It is a position of occluso-articular harmony.
Indian Dental Academy: will be one of the most relevant and exciting training center with best faculty and flexible training programs for dental professionals who wish to advance in their dental practice,Offers certified courses in Dental implants,Orthodontics,Endodontics,Cosmetic Dentistry, Prosthetic Dentistry, Periodontics and General Dentistry.
Jaw relation in fixed partial denture prosthesis/ online orthodontic coursesIndian dental academy
Indian Dental Academy: will be one of the most relevant and exciting training
center with best faculty and flexible training programs for dental
professionals who wish to advance in their dental practice,Offers certified
courses in Dental implants,Orthodontics,Endodontics,Cosmetic Dentistry,
Prosthetic Dentistry, Periodontics and General Dentistry.
Indian Dental Academy: will be one of the most relevant and exciting training
center with best faculty and flexible training programs for dental
professionals who wish to advance in their dental practice,Offers certified
courses in Dental implants,Orthodontics,Endodontics,Cosmetic Dentistry,
Prosthetic Dentistry, Periodontics and General Dentistry.
Vertical jaw relations /certified fixed orthodontic courses by Indian dental...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078
Horizontal jaw relations /certified fixed orthodontic courses by Indian dent...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
00919248678078
Indian Dental Academy: will be one of the most relevant and exciting training center with best faculty and flexible training programs for dental professionals who wish to advance in their dental practice,Offers certified courses in Dental implants,Orthodontics,Endodontics,Cosmetic Dentistry, Prosthetic Dentistry, Periodontics and General Dentistry.
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Indian Dental Academy: will be one of the most relevant and exciting training center with best faculty and flexible training programs for dental professionals who wish to advance in their dental practice,Offers certified courses in Dental implants,Orthodontics,Endodontics,Cosmetic Dentistry, Prosthetic Dentistry, Periodontics and General Dentistry.
Jaw relation and facebow transfer / Dental Crown and bridge coursesIndian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Orientation jaw relation 4 / dental implant courses by Indian dental academy Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Facebow in orthodontics /certified fixed orthodontic courses by Indian dental...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Vertical jaw relations /certified fixed orthodontic courses by Indian dental ...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
00919248678078
Indian Dental Academy: will be one of the most relevant and exciting
training center with best faculty and flexible training programs
for dental professionals who wish to advance in their dental
practice,Offers certified courses in Dental
implants,Orthodontics,Endodontics,Cosmetic Dentistry, Prosthetic
Dentistry, Periodontics and General Dentistry.
Description :
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
When treating a patient with a removable partial denture, the natural and artificial teeth, both functionally and esthetically, must co-exist in a harmonious relationship.
Occlusal harmony between a removable partial denture and the remaining natural teeth is a major factor in preservation of the surrounding structures.
In removable partial dentures, because of the attachment of the denture to abutment teeth, occlusal stresses can be transmitted directly to the abutment teeth and other supporting structures, which results in sustained stresses that may be more damaging than those transient stresses found in complete dentures.
Splints in orthodontics /certified fixed orthodontic courses by Indian denta...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078
Opportunity for Dentists (BDS/MDS )to relocate to United kingdom -Register as a DENTAL HYGIENIST/ DENTAL THERAPIST without Board exams and after approval you can register in GDC as a DH/DT and start working as a DH/DT Immediately and get paid.
You can complete the whole process in 3-4 months.Salary range for DH/DT is around 2500-3500 Pounds per month.
Eligibility / requirements-
1. An International English Language Testing System (IELTS) certificate
at the appropriate level.(Within 2 yrs of application date )
2: A recent primary dental qualification that has been taught and examined in English..(Within 2 yrs of application date )
3: A recent pass in a language test for registration with a regulatory authority in a country where the first language is English.
If you are interested Please contact us for more details.
1ST, 2ND AND 3RD ORDER BENDS IN STANDARD EDGEWISE APPLIANCE SYSTEM /Fixed ort...Indian dental academy
Indian Dental Academy: will be one of the most relevant and exciting training center with best faculty and flexible training programs for dental professionals
who wish to advance in their dental practice,Offers certified courses in Dental implants,Orthodontics,Endodontics,Cosmetic Dentistry, Prosthetic Dentistry,
Periodontics and General Dentistry.
Indian Dental Academy: will be one of the most relevant and exciting training center with best faculty and flexible training programs for dental professionals who wish to advance in their dental practice,Offers certified courses in Dental implants,Orthodontics,Endodontics,Cosmetic Dentistry, Prosthetic Dentistry, Periodontics and General Dentistry.
I –Aligners are made with FDA approved transparent thermoplastic materials using 3D scanning, 3D Printing and finally Trays with Pressure vacuum formers.
Dear Doctor,
Indian Dental Academy Now offers comprehensive online Orthodontics course.
Course includes:
1.whiteboard lecture presentations
2.Case Discussions
3.with hundreds of pictures.
4.Demo on Models
5.Demo on Patients
6. subtitles in your own language
12 months unlimited access and support @350 USD only.
For Demo please visit :www.idalectures.com/preview/
For more details visit: www.idalectures.com
Please contact us for any clarifications:
idalectures@gmail.com
indiandentalacademy@gmail.com
Thanks & Regards
Indian Dental Academy
--
Indian Dental Academy
Leader in continuing dental education
www.indiandentalacademy.com
skype:indiandentalacademy
+919248678078
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Cytotoxicity of silicone materials used in maxillofacial prosthesis / dental ...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Diagnosis and treatment planning in completely endntulous arches/dental coursesIndian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Properties of Denture base materials /rotary endodontic coursesIndian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Use of modified tooth forms in complete denture occlusion / dental implant...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
The French Revolution, which began in 1789, was a period of radical social and political upheaval in France. It marked the decline of absolute monarchies, the rise of secular and democratic republics, and the eventual rise of Napoleon Bonaparte. This revolutionary period is crucial in understanding the transition from feudalism to modernity in Europe.
For more information, visit-www.vavaclasses.com
Ethnobotany and Ethnopharmacology:
Ethnobotany in herbal drug evaluation,
Impact of Ethnobotany in traditional medicine,
New development in herbals,
Bio-prospecting tools for drug discovery,
Role of Ethnopharmacology in drug evaluation,
Reverse Pharmacology.
The Indian economy is classified into different sectors to simplify the analysis and understanding of economic activities. For Class 10, it's essential to grasp the sectors of the Indian economy, understand their characteristics, and recognize their importance. This guide will provide detailed notes on the Sectors of the Indian Economy Class 10, using specific long-tail keywords to enhance comprehension.
For more information, visit-www.vavaclasses.com
2024.06.01 Introducing a competency framework for languag learning materials ...Sandy Millin
http://sandymillin.wordpress.com/iateflwebinar2024
Published classroom materials form the basis of syllabuses, drive teacher professional development, and have a potentially huge influence on learners, teachers and education systems. All teachers also create their own materials, whether a few sentences on a blackboard, a highly-structured fully-realised online course, or anything in between. Despite this, the knowledge and skills needed to create effective language learning materials are rarely part of teacher training, and are mostly learnt by trial and error.
Knowledge and skills frameworks, generally called competency frameworks, for ELT teachers, trainers and managers have existed for a few years now. However, until I created one for my MA dissertation, there wasn’t one drawing together what we need to know and do to be able to effectively produce language learning materials.
This webinar will introduce you to my framework, highlighting the key competencies I identified from my research. It will also show how anybody involved in language teaching (any language, not just English!), teacher training, managing schools or developing language learning materials can benefit from using the framework.
The Roman Empire A Historical Colossus.pdfkaushalkr1407
The Roman Empire, a vast and enduring power, stands as one of history's most remarkable civilizations, leaving an indelible imprint on the world. It emerged from the Roman Republic, transitioning into an imperial powerhouse under the leadership of Augustus Caesar in 27 BCE. This transformation marked the beginning of an era defined by unprecedented territorial expansion, architectural marvels, and profound cultural influence.
The empire's roots lie in the city of Rome, founded, according to legend, by Romulus in 753 BCE. Over centuries, Rome evolved from a small settlement to a formidable republic, characterized by a complex political system with elected officials and checks on power. However, internal strife, class conflicts, and military ambitions paved the way for the end of the Republic. Julius Caesar’s dictatorship and subsequent assassination in 44 BCE created a power vacuum, leading to a civil war. Octavian, later Augustus, emerged victorious, heralding the Roman Empire’s birth.
Under Augustus, the empire experienced the Pax Romana, a 200-year period of relative peace and stability. Augustus reformed the military, established efficient administrative systems, and initiated grand construction projects. The empire's borders expanded, encompassing territories from Britain to Egypt and from Spain to the Euphrates. Roman legions, renowned for their discipline and engineering prowess, secured and maintained these vast territories, building roads, fortifications, and cities that facilitated control and integration.
The Roman Empire’s society was hierarchical, with a rigid class system. At the top were the patricians, wealthy elites who held significant political power. Below them were the plebeians, free citizens with limited political influence, and the vast numbers of slaves who formed the backbone of the economy. The family unit was central, governed by the paterfamilias, the male head who held absolute authority.
Culturally, the Romans were eclectic, absorbing and adapting elements from the civilizations they encountered, particularly the Greeks. Roman art, literature, and philosophy reflected this synthesis, creating a rich cultural tapestry. Latin, the Roman language, became the lingua franca of the Western world, influencing numerous modern languages.
Roman architecture and engineering achievements were monumental. They perfected the arch, vault, and dome, constructing enduring structures like the Colosseum, Pantheon, and aqueducts. These engineering marvels not only showcased Roman ingenuity but also served practical purposes, from public entertainment to water supply.
Students, digital devices and success - Andreas Schleicher - 27 May 2024..pptxEduSkills OECD
Andreas Schleicher presents at the OECD webinar ‘Digital devices in schools: detrimental distraction or secret to success?’ on 27 May 2024. The presentation was based on findings from PISA 2022 results and the webinar helped launch the PISA in Focus ‘Managing screen time: How to protect and equip students against distraction’ https://www.oecd-ilibrary.org/education/managing-screen-time_7c225af4-en and the OECD Education Policy Perspective ‘Students, digital devices and success’ can be found here - https://oe.cd/il/5yV
Synthetic Fiber Construction in lab .pptxPavel ( NSTU)
Synthetic fiber production is a fascinating and complex field that blends chemistry, engineering, and environmental science. By understanding these aspects, students can gain a comprehensive view of synthetic fiber production, its impact on society and the environment, and the potential for future innovations. Synthetic fibers play a crucial role in modern society, impacting various aspects of daily life, industry, and the environment. ynthetic fibers are integral to modern life, offering a range of benefits from cost-effectiveness and versatility to innovative applications and performance characteristics. While they pose environmental challenges, ongoing research and development aim to create more sustainable and eco-friendly alternatives. Understanding the importance of synthetic fibers helps in appreciating their role in the economy, industry, and daily life, while also emphasizing the need for sustainable practices and innovation.
Read| The latest issue of The Challenger is here! We are thrilled to announce that our school paper has qualified for the NATIONAL SCHOOLS PRESS CONFERENCE (NSPC) 2024. Thank you for your unwavering support and trust. Dive into the stories that made us stand out!
2. Introduction
Definition
Significance of centric relation
Retruding the mandible to centric relation
Methods of recording centric relation
Factors influencing centric relation record
Interocclusal records
3. Eccentric relation records
Recording of eccentric jaw relations
Review of Articles.
Conclusion
Bibliography.
4. INTRODUCTION
Horizontal relation are those that are established
anterio posteriorly & mediolaterally,
It is classified as
1, Centric relation
2, Eccentric relation- which includes
-Protrusive
-Left & Right lateral movements
5. The principles of good occlusion apply to both
dentulous & edentulous patients.
Different requirements are necessary in the
occlusion for the complete dentures because
artificial teeth are not attached to the bone as in
natural teeth.
6. To maintain stability of complete dentures,the
opposing teeth must meet evenly on both sides of
the dental arch when the teeth contact anywhere
within the normal functional range of mandibular
movements.
7. An occlusion for complete dentures that provides
these even contacts can only be developed with
centric occlusion in harmony with centric relation
& smooth gliding contact from this position to any
eccentric position with in the normal range of
mandibular movements.
9. DEFINITION
“The maxillo mandibular relationship in which the
condyles articulate with the thinnest avascular portion of their
respective discs with the complex in the anterior superior
position against the shapes of the articular eminences”
This position is independent of tooth contact and is
clinically discernible when the mandible is directed superiorly
and anteriorly. It is restricted to a purely rotary movement
about the transverse horizontal axis - GPT
10. Boucher defined as “The most posterior relation of
the lower jaw to upper jaw from which lateral
movements can be made at a given vertical
dimension”
Ramsfjord defined as “a clinically determined
position of mandible placing both condyles into
their anterior uppermost position. This can be
determined in patients without pain or
derangement in TMJ”
11. TWO DIMENSIONS OF CENTRIC RELATION-
DUAL CENTRIC
Centric relation should be understood as a
complex term with a condylar and mandibular
dimension. the condylar centeric position should
be differentiated from mandibular centric position.
1.condylar centric position - condyle disc fossa /
eminentia relationship
2. mandibular centric position – maxillomandibular
position
both these components of centric relation coexist
collectively known as centric relation
12. Significance of Centric Relation:
It is a definite learned position which is
independent of the presence or absence of teeth.
It is reproducible ,repeatable and
recordable position.
13. When the centric relation & centric occlusion of
natural teeth do not coincide, the periodontal
structures around the natural teeth are endangered
If the occlusion of artificial teeth do not coincide,
there is instability of the dentures leading to pain &
discomfort
14. RELATING CENTRIC RELATION TO THE
HINGE AXIS
During mandibular opening movement the
condyles rotate initially in a hinge and later in a
translatory motion.A pure hinge movement of the
condyle occurs only when the condyle is in its
centric position.
15. Combinations of translation and hinge
movement take place when the condyle moves
anterior to centric relation.
Hence ,centric relation is known as the Terminal
hinge relation.
16. CHARACTER OF OCCLUSION IN
CENTRIC RELATION:
There are two concepts:
Point centric :
Long centric/ Freedom in centric / Area centric:
17. CONCEPTS AND OBJECTIVES IN
RECORDING CENTRIC RELATION:
1. minimal closing pressure
2. heavy closing pressure
18. RELATING CENTRIC RELATION TO
CENTRIC OCCLUSION:
Centric relation is a bone to bone relation
Centric occlusion is a relationship of upper
and lower teeth to each other.
Centric relation must be accurately recorded
so that centric occlusion can be built to
coincide with it.
19. When natural teeth are removed,many
receptors that initiate impulses resulting in
positioning of mandible away from deflective
occlusal contacts into centric occlusion are lost or
destroyed.
Therefore edentulous patients cannot
control mandibular movements or avoid deflective
occlusal contacts in centric relation as in dentulous
patients.
20. These deflective occlusal contacts in centric
relation causes movement of the denture bases or
direct the mandible away from the centric
relation.
Thus centric relation must be recorded for
edentulous patients so that centric occlusion can
be established in harmony with this position.
21. Retruding the mandible to centric relation:
Difficulties seen are
Biological
Psychological
Mechanical
22. Methods of assisting the patient to retrude the
mandible:
Instructing the patient to:
Relax the jaw ,pull it back and close slowly and
easily on back teeth.[ never ask the patient to bite]
Get the feeling of pushing your upper jaw out and
close your back teeth together.
23. Protrude and retrude the
mandible repeatedly as the
patient holds the fingers
lightly against the chin.
Turn the tongue backwards
towards the posterior border
of the upper denture.
Ask the patient to swallow &
conclude the act with the
blocks in contact.
24. Assist the patient to retrude
the mandible by placing the
index fingers on the buccal
flanges on the premolar
regions with the thumbs
under the patients chin.
25. Factors Influencing Centric Relation Records
The resiliency of the supporting tissue.
The stability of the recording bases.
The TMJ and its associated neuromuscular
mechanism.
The nature of pressure applied in making the
recording.
26. The technique in making the recording & the
associated recording devices used
The skill of the dentist.
The health & the co-operation of the patient.
The maxillomandibular relationship
27. Primary Requirements for Making Centric
Relation Records
To record the correct horizontal relationship of
the mandible to the maxilla.
To exert equalized vertical pressure.
To retain the record in an undistorted condition
until the cast has been accurately mounted on the
articulator.
28. Methods Of Recording Centric Relation:
Physiological / tactile / interocclusal check
record method.
Functional/ chew in method.
-Patterson technique
-Needle house technique
Graphic method.
-Intra oral tracing
-Extra oral tracing
29. Physiological / tactile / interocclusal check
record method:
History
In 1756,Philip pfaff, the dentist of Frederick the
great of Germany, was the first to describe this
technique.
The direct interocclusal record during that period
was a non-precision jaw record obtained with a
thermoplastic material, usually wax or compound.
This was known as “mush” “biscuit” or “squash
bite.
30. Hanau[1929] was the first individual to be
concerned about equalization of pressure when
recording the bite. He coined the word “realeff”
which is formed by the beginning letters of the
words “resilient and like effect”.
This became a major factor in “check bite”
techniques.
31. Schuyler[1932] preferred modelling compound
to wax for the occlusal records
Wright (1939) described the four factors which
affected the accuracy of records-
1. Resiliency of tissues.
2. TMJ & neuromuscular control
3. Fit of bases
4. Pressure applied
32. Payne[1955] & Hickey[1964] stated a preference
for plaster
Trappzzano[1955] stated that wax check bite
method was the technique of preference
Boos[1959] stated that it was important to avoid
torsion when recording centric relation & felt that
plaster & zinc oxide eugenol paste was more
accurate
33. Scyhyler, Payne and Trapozzano advocated the
use of light pressure
The problem of pressure in any record was
recognized by Boucher (1960) who wrote,
“In addition to technical errors are the
errors which occur as a result of failure to
control jaw activities and pressure at the time of
registration”.
35. Methods of sealing record blocks together
1. Heat
2. Nick and notch
3. pinning
36. Physiological / Tactile / Interocclusal Check
Record Method:
It is particularly indicated in situation of
Abnormally related jaws
Supporting tissues that are excessively
displaceable
Large tongue.
Uncontrollable or abnormal mandibular
movements
To check the occlusion of the teeth in try-in
dentures
37. The technique for this record is divided into two
steps-
1. Tentative records using occlusion rims attached
to accurate stable bases.
2. Inter occlusal check records with teeth arranged
for try-in.
38. Nick and notch method:
Nick and notch are cut
on the maxillary occlusal
rim and a trough on the
mandibular rim.
Interocclusal record
material is placed on
the troughs created on
mandibular occlusal rim.
39. Patients is asked to close in centric relation.After the
material is set,occlusal rims are removed and
articulated.
In this method, the final centric relation is recorded
after establishing a proper vertical jaw relation.
40. Verification of Centric Relation
Wax check bite record
Palpating the temporalis and the masseter
muscles.
Use of guide lines on the occlusion rims
41. Functional/chew in Method :
HISTORY
Functional recordings were described as early as
1910 by Greene where he used a pumices and
plaster mixture in one of the rims and instructed
the patient to grind the rims together. The teeth
were set to the generated paths.
42. Needles(1923) mounted studs on the maxillary
rims which cut tracing into the mandibular rims
Petterson(1923) used a carborundum and plaster
mixture which were filled in a trough cut in the
upper and lower rims
Meyers(1934) used soft wax occlusion rims.
43. Boos (1959) felt that it was essential that all
registrations be made under the biting force so
that the displacement of the soft tissues which
occur in function would occur during bite
registration
44. Functional/chew in Method ::
Needles-house technique:
Compound occlusal rims
with 4 metal styli placed
in the maxillary rim.
When the mandible moves
with the styli contacting the
mandibular rim , the styli
cuts 4 diamond shaped
tracings.
45. The pathways cut into the
modeling compound indicate
both the centric position and the
eccentric mandibular
excursions.
The records are placed on a
suitable articulator to receive
and duplicate the records.
46. Disadvantages
1. The displaceable basal tissues, the resistance of
the recording medium and the lack of control of
equalized pressure in the eccentric relation
contribute to inaccuracies.
2. Patients should have a good neuromuscular co-
ordination and should be capable of following
instructions.
47. The Patterson method:
Uses wax occlusal rims.
A trench is made in the
mandibular rim and a
mixture of half pumice
and half carborundum
paste is placed in the trench.
48. When the pumice and carborundum are reduced to
the pre determined height the patient is asked to
retrude the mandible and the occlusion rims are
joined with metal staple pins.`
49. NEEDLE POINT TRACING:
HISTORY
• The earliest graphic recording Were based on
mandibular movements by Blackwill in 1866.
The intersections of the arcs produced by the
right and left condyles formed the apex of what is
known as the “Gothic arch tracing”.
• The first known”Needle point tracing” was by
Hesse in 1897, and the technique was improved
and popularized by Gysi around 1910”
50. • Gysi’s tracer was an Extraoral incisal tracer in
which the plate was attached to the mandibular
rim & spring loaded pin was mounted on the
maxillary rim.
51. Phillips(1927) recognized that any lateral
movement of the jaw would cause interference of
the rims resulting in a distorted record.
He developed a plate for the upper rim under
tripoded ball bearing mounted on a jack screw for
the lower rim. The innovation was named the
“Central bearing point”, which was supposed to
produce the equalization of pressure on the
edentulous ridges.
52. Stansbery (1929) introduced a technique which
incorporated a curved plate corresponding to
monson’s curve.
He mounted this on the upper ring and a central
bearing screw was attached to a lower plate
corresponding to the reverse monsoon curve.
After the tracing was made , a biconcave centric
registration was obtained using plaster.
53. Later gothic recording methods used the central
bearing point to produce gothic arch tracing.
Various tracing devices were designed by hight,
Phillips, Terrell, Sears, House, Messerman and
others
54. The graphic recording like the check bites
records received much praise and criticism.
Critics of Gothic arch tracing stated that
equalization of pressure did not occur,
prognathic and retrognathic patients could not be
used, flabby tissues and large tongues could
cause shifting of the bases and finally too much
of patient cooperation was needed.
56. • Earliest graphic recordings were based on mandibular
movements by balkwill in 1866
• First known needle point tracing was done by hesse in
1897
• needle point tracing was improved and popularised by gysi
in 1910
• Clapp 1914 used gysi tracer attached directly to impression
trays
57. • Sears 1926 attached needle point to
mandibular
• Philips 1927 recognised that any lateral
movement causes interferences of rims
which could distort the record. He
developed plate for upper rim and ball
bearing screw on lower rim
58. Extra Oral Tracing Assembly
It has a central bearing device consisting of a central
bearing point & a plate
It has a tracing device consisting of a stylus & a
recording plate
59. Hight extra oral tracer assembly Sears extra oral tracer assembly
Swissdent ball bearing bite recorder Microtracer for intra oral use
60.
61. When the patient is
proficient in executing the
mandibular movements
prepare the tracing plate to
record the tracing by coating
with thin coat of precipitated
chalk in denatured alcohol.
Develop an acceptable
tracing by dropping the stylus
to the record plate.
62. When a definite arrow point tracing
with a sharp apex is made, have the
patient retrude the mandible to the
centric relation.
Inject quick setting dental plaster
between the occlusion rims.
Remove the assembly and mount the
mandibular cast with the new record.
63. ADVANTAGES
Tracing point is much larger because they are
made farther from the centers of rotation & the
apex is more discernible
Extra oral tracings are visible when the tracings
are made, therefore patients can be guided &
directed more intelligently
64. The stylus can be observed in the apex of the
tracing during the process of injecting plaster
between the occlusal rims & no hole is required.
67. Classical, pointed form
The symmetry indicates an
undisturbed movement sequence in
the joints and uniform muscle
guidance. Gothic arch angle is about
120 degrees
Evaluation of Gothic Arch Tracings:
Classical flat form
Indicates distinct lateral movements
of the condyles in the fossa. More
than 120 degrees
68. • Blunt apex indicates acquired functional
relationship
• Double tracing lack of coordinated
movements or recordings at different
vertical dimension
69. Weak Gothic arch tracing
Indicates a lax and negligent performance
of the movements. The registration must be
repeated: Stronger movements must be
demanded from the patient.
Asymmetrical form
The tracing indicates a distinct inhibition of
the forward movement on one side of joint.
70. Miniature Gothic arch tracing
This tracing points restricted
mandibular movements.
•Due to badly fitting and pain-
causing record bases or
•Long standing edentulous state with
inhibited movement in the joints.
71. Double arrow point – habitual and also seen when
vertical dimension is altered
Interupted gothic arch – posterior interference at
heels of occlusal rims during lateral movements
Atypical form - bruxism
72. Intra-oral tracing devices
It is a combination of a central – bearing point and
plate with a needle point tracing made inside the
mouth.
The bearing point is sharp which makes a tracing
on the opposing central bearing plate .
73.
74. A hole may be drilled at the apex of the
tracing to ensure that the patients jaw is in the
most retruded position while the registration is
being recorded.
A plastic piece with a hole in the center can
also be placed at the apex.
75. DISADVANTAGES
Tracings are small, hence its difficult to find the
apex.
The tracer must be seated in the hole at the point
of the apex to assure accuracy when injecting
plaster between the occlusion rims.
If the patient moves the rims before they are
secured, the records shift on their basal seat
which destroys the accuracy.
76. Williamson,Bowley and Randy :
Mandibular denture base stability
has been reported to be increased by using an
central bearing intra oral gothic arch tracing
device,as it provides equalization of occlusal
pressure.
78. Other methods of recording centric relation:
Strips of celluloid placed between the rims
Heating the surface of one of the rims
Softened wax placed over the occlusal surface of
the mandibular posterior teeth
Soft cones of wax placed on the lower denture
bases
79. Consequences of recording incorrect centric
relation
1. Denture instability
2. TMJ dysfunction
3. Mucosal ulceration and irritation
4. Spasm of muscles
5. Resorption of bone
80. Eccentric relation records
An eccentric maxillo-mandibular relation is any
relationship of the mandible to the maxillae other
than the centric relation.
It is recorded to adjust the lateral and horizontal
condylar inclinations.
81. The adjustment permits the condylar elements to
travel to and from the centric and eccentric
positions and make it possible to arrange the
teeth for complete dentures in balanced
occlusion.
The eccentric positions to be recorded are the
protrusive and the right & left lateral.
82. Tactile or Inter Occlusal Check Record
The preferred time to make the record is during
the try-in procedure
The trial dentures are inserted & the patient is
instructed to protrude his lower jaw to
approximately 5-6 mm
Midline of maxillary & mandibular incisors
should coincide
83. Once the patient has learned this position, 3
layers of wax is placed over the mandibular teeth,
seal the wax on the lingual & buccal surface of
the teeth.
The wax is softened over the controlled water
bath.
84. Try-in dentures are re-inserted & the lower jaw is
protruded until the upper teeth contact the wax.
The wax is allowed to harden and transferred to
the articulator to record the horizontal inclination.
85. Recording of eccentric jaw relations:
Gothic arch tracing :
(protrusive relation records)
Measure a distance of 5 to 6 mm from the apex
of the arrow point tracing on the protrusive
tracing and mark this point
Instruct the patient to protrude until the point of
the stylus rests in the marked point
86. Inject quick setting dental plaster between the
occlusal rims.
Free the horizontal condylar adjustment on the
articulator.
Raise the incisal pin about one half inch from the
top of the guide table.
Carefully seat the record bases on the cast.
87. Using the locknuts as handles manipulate one
side ,then the other.
An accurate seating of both record bases must be
secured without forcing so that the protrusive
record is not destroyed.
Secure the lock nuts.
88. Lateral relation records :
Gothic arch tracing:
Two records are required – one of right lateral and
one of left lateral
The articulator is adjusted as each record is made.
However with complete dentures, it is more
difficult to secure accurate & reproducible
records.
89. Hanau recommended a formula to arrive an
acceptable lateral inclination
L =H/8+12
L- Lateral condylar guidance
H- Horizontal condylar inclination in
degrees as established by the protrusive record
The value of this formula is neither proved or
disproved
90. Atwood, D.A. A critique of research of the posterior limit of the mandibular position. J Prosthet Dent 20:21-36, 1968.
Review of literature
Atwood,D.A.Acritique ofresearchoftheposterior limitofthemandibularposition.J ProsthetDent20:21-36,
1968.
PosteriorlimitofthemandibleatVDOisestablishedbystructuresanteriorandlateraltothecondylesrather
thanposteriortothem.(lateralpterygoid andtemporomandibularligament)Thetemporomandibularligaments
contain proprioceptivenerveendingssusceptibletostretchingleadingtoinhibitionoftheretrusive
muscles(temporalisanddigastrics),andstimulationoftheprotrusiveantagonistmuscles(lateralpterygoids).
96. Conclusion
The accurate determination,recording
& transfer of jaw relation records from the
edentulous patient to the articulator is essential
for the restoration of function,facial appearance
and the maintenance of patient health.
97. Therefore it is emphasized that irrespective of the
method used, subsequent clinical checking and
rechecking must be done throughout the entire
denture construction phases.
The skill of the dentist & the co-operation of the
patient being most important factor.
98. References
1.Complete denture prosthetics- john p sharry
2.Essentials of complete denture- sheldon winkler
3.Syallabus for complete dentures – charles heartwell
4.Treatment planning for completely edentulous – boucher
5.Fundamentalsofocclusionand temporomandibulardisorders-JefferyP.Okeson
6.Acritiqueofresearchoftheposteriorlimitofthemandibularposition.JProsthetDent20:21-36,1968.
7.Afunctionalcranialanalysisofcentricrelation.DCNA19:431-442,1975.
JAW RELATION-Any spatial relationship of the maxilla to the mandible.
Thus an occlusion that is physiologically acceptable or desirable may not be applicable for the complete dentures.
Path of the condyle in eccentric movmnts is not a straight line.
Shape of the mandibular fossa is an OGEE curve viewed in sagital plane
This double curve will cause the apparent path of the condyle to be different with varying amounts of protrusion.
Ideal amount of protrusion is amount to bring anterior teeth end to end.
Mechanical limitation of articulators require a minimum of 6mm to adjust condylar guidance.
Lateral tracing if done, should be recorded 6 mm on the tracing because its moves 3mm at the molar region. Because its appx middle between the tracing & working side condyle