Post insertion problems in complete dentures can arise from inaccuracies during the denture construction process. Common complaints include loose dentures, discomfort, poor appearance, and speech problems. Loose dentures may be caused by decreased retention forces or increased displacing forces, and can be addressed by relining or remaking the dentures to improve the fit. Discomfort issues like pain can stem from occlusal errors or poor border extensions, and may be resolved through adjustments like selective grinding. Appearance complaints regarding tooth visibility or lip creasing could require remaking the dentures to correct.
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.
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.
this presentation has all the techniques in impression making in the fabrication of an RPD.
The presentation is available on request. Mail me at apurvathampi@gmail.com
different classification of complete denture patients, includes house classification
for more
https://youtu.be/aaJ6gpQohcs
https://youtu.be/REMKSUty0cE
https://youtu.be/fv3_tWZPJIU
https://youtu.be/GeZIbCwqKYU
if you want me to make ppt on some topic do let me know on the comment section of my youtube channel
Failures in Fixed Partial Denture
(Prosthodontics FPD- Dental science)
Various types of failures in the fabrication of fixed partial denture
Dr.Sachin Sunny Otta
St.Gregorios Dental College,Kothamangalam,Ernakulam
Fixed prosthodontic treatment can offer exceptional satisfaction for both patient and the dentist. Fixed Prosthodontics can transform an unhealthy, unattractive dentition with poor function into a comfortable, healthy occlusion capable of giving years of further service while greatly enhancing esthetics.
Nothing is more important in the construction of fixed partial dentures than an adequate diagnosis and a well-devised treatment plan. Although these two subjects are usually considered together. Astute dentists must recognize their subtle differences. Diagnosis is an evaluation of the condition of the patient when he presents for treatment. Treatment planning concerns the treatment procedures by which the dentist will restore the patient to an optimum state of dental health.
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.
this presentation has all the techniques in impression making in the fabrication of an RPD.
The presentation is available on request. Mail me at apurvathampi@gmail.com
different classification of complete denture patients, includes house classification
for more
https://youtu.be/aaJ6gpQohcs
https://youtu.be/REMKSUty0cE
https://youtu.be/fv3_tWZPJIU
https://youtu.be/GeZIbCwqKYU
if you want me to make ppt on some topic do let me know on the comment section of my youtube channel
Failures in Fixed Partial Denture
(Prosthodontics FPD- Dental science)
Various types of failures in the fabrication of fixed partial denture
Dr.Sachin Sunny Otta
St.Gregorios Dental College,Kothamangalam,Ernakulam
Fixed prosthodontic treatment can offer exceptional satisfaction for both patient and the dentist. Fixed Prosthodontics can transform an unhealthy, unattractive dentition with poor function into a comfortable, healthy occlusion capable of giving years of further service while greatly enhancing esthetics.
Nothing is more important in the construction of fixed partial dentures than an adequate diagnosis and a well-devised treatment plan. Although these two subjects are usually considered together. Astute dentists must recognize their subtle differences. Diagnosis is an evaluation of the condition of the patient when he presents for treatment. Treatment planning concerns the treatment procedures by which the dentist will restore the patient to an optimum state of dental health.
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.
Post insertion complaints in cd patients/ orthodontic continuing educationIndian 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.
FPD failures/dental CROWN & BRIDGE courses by Indian dental academyIndian 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.
A presentation on the instructions to be given to complete denture patients at the insertion appointment. Dealing with patients can be hard at times but with a proper approach, a strong rapport can be formed with the patient.
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.
One of the best seminar of the author. Covered in detail regarding the increasing vertical dimension, centric relation, methods to record centric relation, philosophies of occlusion and in detail everything about full mouth rehabilitation.
Failures in fixed partial dentures /certified fixed orthodontic courses by In...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.
HIPERPLASIA FIBROSA INFLAMATORIA TRATADA CON VESTIBULOPLASTIA MODIFICADA: REP...Edwin José Calderón Flores
La hiperplasia fibrosa inflamatoria es una condición reactiva que se origina, con mayor frecuencia, por el uso de prótesis totales o parciales mal adaptadas, produciendo un traumatismo crónico de baja intensidad. Las lesiones pequeñas pueden ser manejadas de forma conservadora mientras que las lesiones extensas y de larga evolución necesitarán de escisión quirúrgica. La técnica quirúrgica empleada debe restaurar el contorno normal del tejido y la adaptación protética.
Post insertion managment of edentulous patientsNusrat Fahmida
brief discussion on common problems faced by patients wearing complete denture after insertion and their management, presented in a seminar at Dhaka dental college and hospital.
New denture makes patients to be persevered. This presentation will help young dentists to solve the problems which both patients and dentists encountered.
Prevention and Treatment of Abused Tissue /cosmetic dentistry 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
Post insertion complaints in cd patients/ oral surgery courses 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
Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
263778731218 Abortion Clinic /Pills In Harare ,sisternakatoto
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Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
4. Examination
• 24 hour oral examination & treatment
• Visual and digital examination of oral cavity
• 1-3 day adjustment
• Critical period
• Periodic recall
– 3 to 4 months for difficult patients
– 12 month interval for most
5. Review of Denture Requirements
Compatibility
Restoration
Harmony
Esthetics
Preservation
6. Review of Literature
• Basker RM, Beck CB, et al 1993 did a survey
of the dissatisfied denture patient. In the
majority of cases technical errors in denture
construction accounted for the presenting
complaint.
7. • Champion H et al in 1995 investigated into the
problems experienced by 114 referred
patients with complete. The commonest
problems were those of pain and lack of
retention, mainly due to occlusal
discrepancies and excessive VDO.
8. • Muller F et al, 1995 did a study on adaptation
to complete dentures. They concluded that
good denture retention facilitates the
adaptation process.
9. • Yoshida M, Sato Y, Akagawa Y. 2001 did a
study on the correlation between the quality
of life, and denture satisfaction in elderly
complete denture wearers and concluded that
people who are well satisfied with their daily
lives are also satisfied with their complete
dentures.
10. • Dervis E. et al 2002 did a study to investigate
relationships between patient complaints with
complete dentures and several factors such as
age, gender, medical status and denture
faults.
11. • No significant relationship was found when
age, gender, and medical status were
compared but, statistically significant
relationships were observed between denture
construction faults or the condition of the
patient's denture bearing mucosa and patient
complaints.
12. • Roessler DM et al. 2003 Before treatment
even begins, the patient's motivation for
denture treatment and emotional attitude
towards dentures must be evaluated.
13. –Patients will thereby gain realistic
expectations of what can and cannot
be achieved, and dentists will
understand what the patient really
wants.
– Finally, patients must be informed
that continued success depends on
regular denture maintenance at home,
combined with periodic consultation
with the dentist .
14. Causes For Post Insertion Problems
• Inaccuracies in various denture construction
steps
15. Border Moulding in Open Mouth
Technique
• Vertical dimension and Support to muscles
• Reduced force
• Overextended flanges
16. Jaw Relation Recording
• Inaccurate record bases
• Flabby & displaceable tissue
• Use of existing dentures
• Excessive or unequal pressure
• Patient inability to give proper registration
17. Mounting Errors
• Record bases not properly seated
• Interferences in Heel region
• Occlusal rims not properly keyed in correct
orientation position.
35. Commissural Cheilitis
• Excessive interocclusal distance
• Occlusal plane of lower teeth is too high
• Elimination of Buccal Corridor
• New Dentures
36. Burning Tongue & Palate
• Anterior third of palate
• Association with menopause
37. Tingling or Numbing sensation
• Felt at corner of mouth / lower lip
• Excessive pressure from mandibular buccal
flange
• Impingement of mental nerve
• Excessive resorption
38. Food under the denture
• Usually by first time denture wearers
• A perfect peripheral seal is rarely attained
• Failure to keep dentures clean
• Failure to polish denture surfaces
39. Care Of The Denture
• To avoid dropping of denture
• To avoid self adjustments
• Good oral and denture hygiene
– Cleaned after each meal
– Not to use boiling water
– Denture should be kept in water or dilute
antiseptic solution
41. References
• Arthur O Rahn, Charles M. Heartwell: Textbook of
complete Dentures, ed 5, London, 1993.
• George A. Zarb, Charles L.Bolender, Judson C. Hickey,
Gunnar E. Carlsson: Boucher’s prosthodontic
treatment for edentulous patients, ed 10, B.I
Publications Pvt Ltd.
• John J. Sharry: Complete Denture Prosthodontics,
McGrawhill Book Company, Inc. 1962.
• Sheldon Winkler: Essentials of complete Denture
Prosthodontics, ed 2, Ishiyaku Euro America Inc.
47. PPS
• Under extension – Loose denture
• Overextension – loose while talking
• Insufficient depth – loose while eating.
48. Causes of Poor Fit
• Deficient impression
• Damaged cast
• Warped denture
• Over adjustment of impression surface.
49. Treatment: Lack of Seal
• Under extended borders – soft tracing
compound
• Incorrect posterior palatal seal – correct
placement of border
• Inelasticity of Cheeks – incremental border
moulding and functional movements.
50. Treatment: Air beneath Impression
Surface
• Relining the denture
• Remaking the dentures
• A rotational path of insertion in case of
unilateral undercuts.
51. Treatment: Xerostomia
• Presence / Absence of glandular function
• Artificial saliva substitutes
• Sucking on sour candy
• Intermittent sips of water
• Pilocarpine hydrochloride.
55. • Maximal intercuspal position not coinciding
with centric relation position
–Patient unable to control mandibular
movement
–Poor ridge
–Use of non anatomic teeth
56. • Lack of occlusal balance
• Incorrect plane of occlusion
– Dentures move while eating
– Commonly associated with large tuberosities
• Removal of second molars may help
57. Treatment: Occlusal errors
• Suspected when patient complains that
dentures become loose after a few hours of
wearing
• Also when a collection of calculus is seen on
one side of the denture
58. • Clinical Remounting
– Better view of occlusion
– Reduced patient participation
– Stable foundation without shifting bases
– Absence of saliva – accurate markings
– Reduced clinical time & adjustment appointments.
59. • Mounting: maxillary cast
– A remount jig fabricated after lab remount &
selective grinding
– Or a new facebow record
64. Treatment
• Pain on eating – premature contacts / lack of
occlusal balance
– Use articulating paper to identify offending area
• Pain / ulceration lingual to lower anterior
ridge
– CR and MIP do not coincide
– A slide from CR to MIP
– Selective grinding to correct
65. • Pain / ulceration – labial aspect of lower ridge
& incisive papilla
– Undercut or sharp acrylic
– Trim labial aspect of lower anteriors
• Excessive vertical dimension
– If increased greater than 2mm, better to remake
dentures.
66. Biting of tongue
• Usually due to
– Teeth placed lingual to lower ridge
– Decrease in tongue space in patients accustomed
to old dentures
– Changes in occlusal level
68. Cheek biting
• Usually due to
– Insufficient overjet, in posterior region.
– Very lax cheeks
– Reduced vertical dimension
• Treatment
– Increase buccal overjet and plump the denture
– Remove last molars
– Grind buccal surfaces of lower posteriors.
69. Insufficient / Excessive tooth visibility
• Can be due to improper
– Orientation of occlusal plane
– Vertical dimension
– Labiolingual & labiopalatal positioning of anterior
teeth.
• Difficult to correct appearance without
remaking dentures
70. Creases at Corner of Mouth
• Can be due to
– Decreased labial fullness
– Decreased vertical dimension
• May require remaking of dentures
• Important to verify and take patient consent
for aesthetics at time of try-in.
71. Speech Problems
• Takes few days for getting accustomed
• Dentures may need to be remade
• Causes include
– Incorrect vertical dimension
– Incorrect overjet / overbite
– Incorrect incisor position.