POSSELT’S ENVELOPE OF
MOTION
PRESENTED BY:
Urooj Akhtar#39
Fasahat Ahmed Butt#36
Ausjah Abbas#35
ENVELOPE OF MOTION
Dr ulf posselt’s in 1952 first described a 3D concept
of mandibular movements
It was a Combination of border movements in all 3
planes:
a) Sagittal
b) Horizontal
c) Frontal
The envelope differs from person to person but it
has the same characteristic shape
ENVELOPE OF MOTION
The superior surface of the envelope is
determined by the tooth contacts
The other borders are primarily
determined by the TMJ anatomy and the
ligaments
TEMPOROMANDIBULAR JOINT
WHAT IS
TEMPOROMANDIBULAR
JOINT??
It is the area where the mandible articulates
with the cranium.
 It is described as a complex , multiaxial
,synovial , condylar and ginglimoarthroidal
joint.
Tmj is also known as CRANIOMANDIBULAR
JOINT.
 Cranial component
It is also known as mandibular/glenoid fossa.
 Mandibular component
The articular part of the mandible is an Ovoid
condylar process.
 Tmj capsule
It is a thin sleeve fibrous tissue investing
joint completely.
Inside fibrous tissue capsule, a synovial
membrane is present.
Ligaments:
Following are the ligaments associated with
TEMPOROMANDIBULAR JOINT
 The lateral or temporomandibular ligament
 Sphenomandibular ligament
 Stylomandibular ligament
REFERENCE POSITIONS
Centric Relation
Maximum Intercuspal Position
Postural Position – resting position
CENTRIC RELATION
The position of the mandible in which the condyles
are in the most superior and anterior position in the
articular fossae, resting against the posterior slopes
of the articular eminences with the articular discs
interposed.
Centric Relation (CR)
Condyle determined position
Repeatable, Reproducible, Recordable
Maximal Intercuspal Position
or Maximum Intercuspation
This is a position in which the maxillary and
mandibular teeth make maximum surface contact
with each other. The mandible is elevated as
superiorly as possible in the sagittal plane.
MAXIMUM INTERCUSPATION
(MIP)
Tooth determined position
Does not provide any information about the TMJ
In most people, MIP does not coincide with CR
MAXIMUM INTERCUSPATION
In MIP the condyle-disc assembly is anterior
and inferior and/or medial or lateral or a
combination of the above compared to their
position in CR.
Usually the condyle-disc assemblies are
ANTERIOR and INFERIOR.
POSTURAL POSITION
(PP)
Is the habitual position of the mandible
when the patient is resting comfortably in
the upright position and the condyles are
in a neutral unstrained position in the
glenoid fossae.
In this position there is an equilibrium
between the forces acting on the
mandible.
POSTURAL POSITION
In the POSTURAL POSITION the muscles are
not totally relaxed. There is a degree of
electromyographic activity.
This position is determined by the muscles and
the forces of gravity.
POSTURAL POSITION
The condyles are usually anteriorly and
inferiorly compared to their CR position.
This position can be sustained and it is
comfortable for the patient.
POSTURAL POSITION
In this position, the teeth are apart and there
is a wedge space between the teeth.
The wedge shaped space is called the
INTEROCCLUSAL SPACE and is usually 2-
3mm between the incisors, 2mm between the
premolars, and 0.75-1mm between the
molars.
Physiologic Rest Position
2-3mm
THREE BASIC TYPES OF
MOVEMENT
The mandible can only move against the maxilla
in combinations of Rotational and Translational
positioning's
HINGE MOVEMENT
WHEN THE MANDIBLE IS IN CENTRIC RELATION
THE CONDYLES CAN ROTATE AROUND A
HORIZONTAL AXIS UP TO AN OPENING OF 20-
25 MM MEASURED AT THE CENTRAL
INCISORS.
TRANSLATORY MOVEMENT
IF OPENING OF THE MANDIBLE CONTINUES
BEYOND 20-25 MM THEN TRANSLATION OF
THE MANDIBLE OCCURS.
ROTATIONAL MOVEMENT
Movement of a body around an axis
• Pure rotational movement occurs minimally in
the mandible
• This pure rotational movement is also
referred to as hinge movement and the axis is
referred to as terminal hinge axis
PURE ROTATIONAL MOVEMENT AT
TERMINAL HINGE AXIS
LATERAL MOVEMENTS
(RIGHT AND LEFT DIRECTION)
1) The side to which the mandible is moving is called the
WORKING SIDE
2) The side that is opposite to the working side is called
BALANCING OR NON WORKING SIDE
3) The condyle on the working side is called the
WORKING OR ROTATING CONDYLE
4) The non-working condyle is called THE BALANCING
OR THE ORBITING CONDYLE
MANDIBULAR LATERAL TRANSLATION
The first part of the lateral movement of the mandible, depicted when the
medial pole of non-working condyle starts to travel down the slope of the
articular eminence. The movement is exhibited as a measurement of the
distance between the medial pole of the non-working condyle and the medial
wall of the glenoid fossa.
Also known as Bennett Movement and Immediate Sideshift
Non-Working Side
0.3
mm
FUNCTIONAL MOVEMENTS
(OCCUR WITHIN BORDER
MOVEMENTS)
Occur during functional activity of the
mandible
Are confined within the Border Movements
Begin and end in the maximum intercuspation
position.
FUNCTIONAL
MOVEMENTS
The chewing stroke starts at the MIP and
drops downwards and forwards to the
position of desire opening.
It returns in a straighter pathway slightly
posterior.
BORDER MOVEMENTS
The mandibular movements are limited by
ligaments, the articular surfaces of the TMJ,
and the morphology and alignment of the
teeth. The outer range of movement is
reproducible and called border movements.
PANTOGRAPH APPARATUS
The device has a stylus that marks on special
paper placed in all 3 planes of reference at the
same time. Distinct markings are produced that
are transferable to a fully adjustable articulator.
Recording Paper
PANTOGRAPHIC TRACING TRANSFER
TO FULLY ADJUSTABLE ARTICULATOR
Tracing plates
receive markings on
paper during
movements of the
mandible. The
articulator is set by
“tracing” the
movement recorded
PANTOGRAPHIC TRACINGS
Horizontal Plate
Sagittal Plate
Horizontal
Plate
Tracings are captured and depicted in each plane of reference.
Three-dimensional description of the
Mandibular & Maxillary positioning
REFERENCE PLANES
Also known as Axes of Rotation
Reference Planes
Reference Planes
Sagittal Plane
Also known as a side view.
Reference Planes
Sagittal Axis
BORDER MOVEMENTS IN SAGITTAL PLANE
Items of interest:
>Centric Relation
>Hinge axis movement
>Maximum
Intercuspation
>Edge-to-edge incisal
>Maximum Protrusion
>Maximum Opening
BORDER MOVEMENTS IN SAGITTAL
PLANE
CRC (Centric Relation Contact) will see the condyles in the
glenoid fossa and closure of the mandible along the hinge
axis, until first tooth contact is made (many times this is in
the molar region).
BORDER MOVEMENTS IN SAGITTAL
PLANE
CO (Centric Occlusion), or Maximum Intercuspation
(MI), is achieved when the patient is told to get their
maxillary and mandibular teeth together in a
comfortable, contacting position.
BORDER MOVEMENTS IN SAGITTAL
PLANE
The mandible will
open along the hinge
axis, with the condyles
rotating within the
glenoid fossa. The
rotational movement
will terminate at the
Terminal Hinge Axis
Position.
BORDER MOVEMENTS IN SAGITTAL
PLANE
The Terminal Hinge Axis
is the rotational
movement that occurs
from CR to the Terminal
Hinge Axis position.
The condyles are rotating
completely within the
glenoid fossa. It is a
reproducible and
consistent movement.
BORDER MOVEMENTS IN SAGITTAL
PLANE
Maximum Opening
displays the most
inferior position of
the mandible, after
the patient is
instructed to open
their mouth as wide
as they can.
BORDER MOVEMENTS IN SAGITTAL
PLANE
Maximum Protrusion
depicts complete
contact with the teeth
as the mandible is
completely protruded,
anteriorly. It is the
most anterior of the
positions, when
viewed from the
sagittal plane.
BORDER MOVEMENTS IN SAGITTAL
PLANE
Edge-to-Edge
contact of
Maxillary and
Mandibular
Incisors.
Mandible is
protruded forward
from MI, maintaining
some type of tooth
contact throughout.
BORDER MOVEMENTS IN SAGITTAL
PLANE
Protruded contact of
Maxillary and
Mandibular Incisors.
Mandible is continuing
to protrude forward
from Edge-to-Edge
Incisal, maintaining
some type of tooth
contact throughout.
BORDER MOVEMENTS IN SAGITTAL
PLANE
Maximum
Protrusion position.
The teeth are in some
degree of contact
(usually in Premolar-
Canine area) and
mandible is pushed
forward as far as
possible.
Border Movements in Sagittal
Plane
Mandibular Opening.
Going from
Maximum Protrusion
to Maximum
Opening.
Border Movements in Sagittal
Plane
CR
MI
E-T-E
MP
MOA
MO
HA
HAT
HA-MO
Legend:
CR = Centric Relation
MI = Maximum Intercuspation
E-T-E = Edge to Edge Incisal
MP = Maximum Protrusion Point
MOA = Maximum Opening Arc
MO = Maximum Opening Point
HA-MO = Hinge Axis to Maximum
Opening
HAT = Hinge Axis Terminating
Point
HA = Hinge Axis Arc
CL
RP
RP = Rest Position or Postural
Position of the Mandible
CL = Chewing Loop
Reference Planes
Horizontal Plane
Parallel to the Occlusal Plane or the floor
Horizontal Axis
Imaginary line through both condyles
Reference Planes
Border Movements in Horizontal
Plane
Characteristically
described as a
“diamond” shape.
Border Movements in Horizontal
Plane
CR (Centric
Relation). First
tooth contact
when the condyles
are maximally
situated in the
glenoid fossa.
Border Movements in Horizontal
Plane
CO (Centric Occlusion).
Maximum Intercuspation
of the teeth in the
Horizontal Plane.
BORDER MOVEMENTS IN HORIZONTAL
PLANE
Edge-to-Edge
Incisal position of
the teeth in the
Horizontal Plane.
BORDER MOVEMENTS IN HORIZONTAL
PLANE
Border Movements in Horizontal
Plane
BORDER MOVEMENTS IN HORIZONTAL
PLANE
Border Movements in Horizontal
Plane
Legend:
CR = Centric Relation
MI = Maximum Intercuspation
E-T-E = Edge to Edge Incisal
MP = Maximum Protrusion
ERL = Extreme Right Lateral
ELL = Extreme Left Lateral
RP = Rest Position
VCA = Vertical Chewing Arc
HCA = Horizontal Chewing Arc
LLB = Left Lateral Border
RLB = Right Lateral Border
ELL-MPB = Extreme Left Lateral
to Maximum Protrusion Border
ERL-MPB = Extreme Right Lateral
to Maximum Protrusion Border
CR
MI
VCA
HCA LLB
ELL
ELL-MPB
E-T-E
MP
ERL-MPBERL
RLB
RP
FUNCTIONAL RANGE IN HORIZONTAL
BORDER
As the mandible opens, the
size of the horizontal plane
border decreases until it
reaches a “point” at the
maximum opening position.
Reference Planes
Frontal Plane
Best described by facing the patient.
Frontal Axis
Reference Planes
BORDER MOVEMENTS IN FRONTAL
PLANE
Viewing the
Frontal Plane is
described as a
“shield”
diagram.
Border Movements in Frontal
Plane
CO (Centric
Occlusion).
Maximum
Intercuspation of the
teeth.
Border Movements in Frontal Plane
Border Movements in Frontal
Plane
Border Movements in Frontal
Plane
Maximum Opening
of the mandible in
the Frontal Plane.
This is the most
inferior position.
BORDER MOVEMENTS IN FRONTAL
PLANE
Postural position
of the mandible
when viewed in
the Frontal Plane.
BORDER MOVEMENTS IN FRONTAL
PLANE
MO
RP
ELLMI
ERL
CL
Legend:
MI = Maximum Intercuspation
ELL = Extreme Left Lateral
MO = Maximum Opening
CL = Chewing Loop
RP = Rest Position
ERL = Extreme Right Lateral
REFERENCES
Zarb and bolender
John joy
google
Posselt’s envelope

Posselt’s envelope

  • 1.
    POSSELT’S ENVELOPE OF MOTION PRESENTEDBY: Urooj Akhtar#39 Fasahat Ahmed Butt#36 Ausjah Abbas#35
  • 2.
    ENVELOPE OF MOTION Drulf posselt’s in 1952 first described a 3D concept of mandibular movements It was a Combination of border movements in all 3 planes: a) Sagittal b) Horizontal c) Frontal The envelope differs from person to person but it has the same characteristic shape
  • 3.
    ENVELOPE OF MOTION Thesuperior surface of the envelope is determined by the tooth contacts The other borders are primarily determined by the TMJ anatomy and the ligaments
  • 4.
  • 5.
    WHAT IS TEMPOROMANDIBULAR JOINT?? It isthe area where the mandible articulates with the cranium.  It is described as a complex , multiaxial ,synovial , condylar and ginglimoarthroidal joint. Tmj is also known as CRANIOMANDIBULAR JOINT.
  • 8.
     Cranial component Itis also known as mandibular/glenoid fossa.  Mandibular component The articular part of the mandible is an Ovoid condylar process.  Tmj capsule It is a thin sleeve fibrous tissue investing joint completely. Inside fibrous tissue capsule, a synovial membrane is present.
  • 9.
    Ligaments: Following are theligaments associated with TEMPOROMANDIBULAR JOINT  The lateral or temporomandibular ligament  Sphenomandibular ligament  Stylomandibular ligament
  • 13.
    REFERENCE POSITIONS Centric Relation MaximumIntercuspal Position Postural Position – resting position
  • 14.
    CENTRIC RELATION The positionof the mandible in which the condyles are in the most superior and anterior position in the articular fossae, resting against the posterior slopes of the articular eminences with the articular discs interposed.
  • 16.
    Centric Relation (CR) Condyledetermined position Repeatable, Reproducible, Recordable
  • 17.
    Maximal Intercuspal Position orMaximum Intercuspation This is a position in which the maxillary and mandibular teeth make maximum surface contact with each other. The mandible is elevated as superiorly as possible in the sagittal plane.
  • 19.
    MAXIMUM INTERCUSPATION (MIP) Tooth determinedposition Does not provide any information about the TMJ In most people, MIP does not coincide with CR
  • 20.
    MAXIMUM INTERCUSPATION In MIPthe condyle-disc assembly is anterior and inferior and/or medial or lateral or a combination of the above compared to their position in CR. Usually the condyle-disc assemblies are ANTERIOR and INFERIOR.
  • 22.
    POSTURAL POSITION (PP) Is thehabitual position of the mandible when the patient is resting comfortably in the upright position and the condyles are in a neutral unstrained position in the glenoid fossae. In this position there is an equilibrium between the forces acting on the mandible.
  • 23.
    POSTURAL POSITION In thePOSTURAL POSITION the muscles are not totally relaxed. There is a degree of electromyographic activity. This position is determined by the muscles and the forces of gravity.
  • 24.
    POSTURAL POSITION The condylesare usually anteriorly and inferiorly compared to their CR position. This position can be sustained and it is comfortable for the patient.
  • 25.
    POSTURAL POSITION In thisposition, the teeth are apart and there is a wedge space between the teeth. The wedge shaped space is called the INTEROCCLUSAL SPACE and is usually 2- 3mm between the incisors, 2mm between the premolars, and 0.75-1mm between the molars.
  • 26.
  • 27.
    THREE BASIC TYPESOF MOVEMENT The mandible can only move against the maxilla in combinations of Rotational and Translational positioning's
  • 28.
  • 29.
    WHEN THE MANDIBLEIS IN CENTRIC RELATION THE CONDYLES CAN ROTATE AROUND A HORIZONTAL AXIS UP TO AN OPENING OF 20- 25 MM MEASURED AT THE CENTRAL INCISORS.
  • 30.
  • 31.
    IF OPENING OFTHE MANDIBLE CONTINUES BEYOND 20-25 MM THEN TRANSLATION OF THE MANDIBLE OCCURS.
  • 32.
    ROTATIONAL MOVEMENT Movement ofa body around an axis • Pure rotational movement occurs minimally in the mandible • This pure rotational movement is also referred to as hinge movement and the axis is referred to as terminal hinge axis
  • 33.
    PURE ROTATIONAL MOVEMENTAT TERMINAL HINGE AXIS
  • 34.
    LATERAL MOVEMENTS (RIGHT ANDLEFT DIRECTION) 1) The side to which the mandible is moving is called the WORKING SIDE 2) The side that is opposite to the working side is called BALANCING OR NON WORKING SIDE 3) The condyle on the working side is called the WORKING OR ROTATING CONDYLE 4) The non-working condyle is called THE BALANCING OR THE ORBITING CONDYLE
  • 35.
    MANDIBULAR LATERAL TRANSLATION Thefirst part of the lateral movement of the mandible, depicted when the medial pole of non-working condyle starts to travel down the slope of the articular eminence. The movement is exhibited as a measurement of the distance between the medial pole of the non-working condyle and the medial wall of the glenoid fossa. Also known as Bennett Movement and Immediate Sideshift Non-Working Side 0.3 mm
  • 36.
    FUNCTIONAL MOVEMENTS (OCCUR WITHINBORDER MOVEMENTS) Occur during functional activity of the mandible Are confined within the Border Movements Begin and end in the maximum intercuspation position.
  • 37.
    FUNCTIONAL MOVEMENTS The chewing strokestarts at the MIP and drops downwards and forwards to the position of desire opening. It returns in a straighter pathway slightly posterior.
  • 38.
    BORDER MOVEMENTS The mandibularmovements are limited by ligaments, the articular surfaces of the TMJ, and the morphology and alignment of the teeth. The outer range of movement is reproducible and called border movements.
  • 39.
    PANTOGRAPH APPARATUS The devicehas a stylus that marks on special paper placed in all 3 planes of reference at the same time. Distinct markings are produced that are transferable to a fully adjustable articulator. Recording Paper
  • 40.
    PANTOGRAPHIC TRACING TRANSFER TOFULLY ADJUSTABLE ARTICULATOR Tracing plates receive markings on paper during movements of the mandible. The articulator is set by “tracing” the movement recorded
  • 41.
    PANTOGRAPHIC TRACINGS Horizontal Plate SagittalPlate Horizontal Plate Tracings are captured and depicted in each plane of reference.
  • 42.
    Three-dimensional description ofthe Mandibular & Maxillary positioning REFERENCE PLANES
  • 43.
    Also known asAxes of Rotation Reference Planes
  • 44.
  • 45.
  • 46.
    BORDER MOVEMENTS INSAGITTAL PLANE Items of interest: >Centric Relation >Hinge axis movement >Maximum Intercuspation >Edge-to-edge incisal >Maximum Protrusion >Maximum Opening
  • 47.
    BORDER MOVEMENTS INSAGITTAL PLANE CRC (Centric Relation Contact) will see the condyles in the glenoid fossa and closure of the mandible along the hinge axis, until first tooth contact is made (many times this is in the molar region).
  • 48.
    BORDER MOVEMENTS INSAGITTAL PLANE CO (Centric Occlusion), or Maximum Intercuspation (MI), is achieved when the patient is told to get their maxillary and mandibular teeth together in a comfortable, contacting position.
  • 49.
    BORDER MOVEMENTS INSAGITTAL PLANE The mandible will open along the hinge axis, with the condyles rotating within the glenoid fossa. The rotational movement will terminate at the Terminal Hinge Axis Position.
  • 50.
    BORDER MOVEMENTS INSAGITTAL PLANE The Terminal Hinge Axis is the rotational movement that occurs from CR to the Terminal Hinge Axis position. The condyles are rotating completely within the glenoid fossa. It is a reproducible and consistent movement.
  • 51.
    BORDER MOVEMENTS INSAGITTAL PLANE Maximum Opening displays the most inferior position of the mandible, after the patient is instructed to open their mouth as wide as they can.
  • 52.
    BORDER MOVEMENTS INSAGITTAL PLANE Maximum Protrusion depicts complete contact with the teeth as the mandible is completely protruded, anteriorly. It is the most anterior of the positions, when viewed from the sagittal plane.
  • 53.
    BORDER MOVEMENTS INSAGITTAL PLANE Edge-to-Edge contact of Maxillary and Mandibular Incisors. Mandible is protruded forward from MI, maintaining some type of tooth contact throughout.
  • 54.
    BORDER MOVEMENTS INSAGITTAL PLANE Protruded contact of Maxillary and Mandibular Incisors. Mandible is continuing to protrude forward from Edge-to-Edge Incisal, maintaining some type of tooth contact throughout.
  • 55.
    BORDER MOVEMENTS INSAGITTAL PLANE Maximum Protrusion position. The teeth are in some degree of contact (usually in Premolar- Canine area) and mandible is pushed forward as far as possible.
  • 56.
    Border Movements inSagittal Plane Mandibular Opening. Going from Maximum Protrusion to Maximum Opening.
  • 57.
    Border Movements inSagittal Plane CR MI E-T-E MP MOA MO HA HAT HA-MO Legend: CR = Centric Relation MI = Maximum Intercuspation E-T-E = Edge to Edge Incisal MP = Maximum Protrusion Point MOA = Maximum Opening Arc MO = Maximum Opening Point HA-MO = Hinge Axis to Maximum Opening HAT = Hinge Axis Terminating Point HA = Hinge Axis Arc CL RP RP = Rest Position or Postural Position of the Mandible CL = Chewing Loop
  • 58.
    Reference Planes Horizontal Plane Parallelto the Occlusal Plane or the floor
  • 59.
    Horizontal Axis Imaginary linethrough both condyles Reference Planes
  • 60.
    Border Movements inHorizontal Plane Characteristically described as a “diamond” shape.
  • 61.
    Border Movements inHorizontal Plane CR (Centric Relation). First tooth contact when the condyles are maximally situated in the glenoid fossa.
  • 62.
    Border Movements inHorizontal Plane CO (Centric Occlusion). Maximum Intercuspation of the teeth in the Horizontal Plane.
  • 63.
    BORDER MOVEMENTS INHORIZONTAL PLANE Edge-to-Edge Incisal position of the teeth in the Horizontal Plane.
  • 64.
    BORDER MOVEMENTS INHORIZONTAL PLANE
  • 65.
    Border Movements inHorizontal Plane
  • 66.
    BORDER MOVEMENTS INHORIZONTAL PLANE
  • 67.
    Border Movements inHorizontal Plane Legend: CR = Centric Relation MI = Maximum Intercuspation E-T-E = Edge to Edge Incisal MP = Maximum Protrusion ERL = Extreme Right Lateral ELL = Extreme Left Lateral RP = Rest Position VCA = Vertical Chewing Arc HCA = Horizontal Chewing Arc LLB = Left Lateral Border RLB = Right Lateral Border ELL-MPB = Extreme Left Lateral to Maximum Protrusion Border ERL-MPB = Extreme Right Lateral to Maximum Protrusion Border CR MI VCA HCA LLB ELL ELL-MPB E-T-E MP ERL-MPBERL RLB RP
  • 68.
    FUNCTIONAL RANGE INHORIZONTAL BORDER As the mandible opens, the size of the horizontal plane border decreases until it reaches a “point” at the maximum opening position.
  • 69.
    Reference Planes Frontal Plane Bestdescribed by facing the patient.
  • 70.
  • 71.
    BORDER MOVEMENTS INFRONTAL PLANE Viewing the Frontal Plane is described as a “shield” diagram.
  • 72.
    Border Movements inFrontal Plane CO (Centric Occlusion). Maximum Intercuspation of the teeth.
  • 73.
    Border Movements inFrontal Plane
  • 74.
    Border Movements inFrontal Plane
  • 75.
    Border Movements inFrontal Plane Maximum Opening of the mandible in the Frontal Plane. This is the most inferior position.
  • 76.
    BORDER MOVEMENTS INFRONTAL PLANE Postural position of the mandible when viewed in the Frontal Plane.
  • 77.
    BORDER MOVEMENTS INFRONTAL PLANE MO RP ELLMI ERL CL Legend: MI = Maximum Intercuspation ELL = Extreme Left Lateral MO = Maximum Opening CL = Chewing Loop RP = Rest Position ERL = Extreme Right Lateral
  • 78.