Upload
indian-dental-academy
View
257
Download
3
Embed Size (px)
Citation preview
SEMINAR ON SEMINAR ON CONSTRUCTION BITECONSTRUCTION BITE
INDIAN DENTAL ACADEMY
Leader in continuing dental education www.indiandentalacademy.com
www.indiandentalacademy.com
PURPOSE OFCONSTRUCTION BITE:
A)FABRICATE AN APPLIANCE INCLUDING THE FOLLOWING EFFECTS:
www.indiandentalacademy.com
1)TO BRING THE LOWER JAW INTO TOLERABLE FORWARD POSITION WITH EVERY OCCLUDING ACTION OF THE MANDIBLE.
2)BLOCK THE BITE.
www.indiandentalacademy.com
www.indiandentalacademy.com
PROCEDURE OF TAKING PROCEDURE OF TAKING CONSTRUCTION BITECONSTRUCTION BITE
IMPRESION PROCEDURE:PROPER EXTENSION.
SMOOTH AND ROUND BORDERS.NO IRREGULARITIES,NO AIR
BUBBLES.
www.indiandentalacademy.com
STUDY MODEL ANALYSIS:NO POROSITIES.
FIRST PERMANENT MOLAR RELATIONSHIP.
NATURE OF MIDLINE DISCREPANCY.SYMMETRY OF THE DENTAL
ARCHES.CURVE OF SPEE.
www.indiandentalacademy.com
CROWDING AND ANY DENTAL DISCREPENCIES.
www.indiandentalacademy.com
www.indiandentalacademy.com
www.indiandentalacademy.com
www.indiandentalacademy.com
www.indiandentalacademy.com
www.indiandentalacademy.com
www.indiandentalacademy.com
GROOVING OF THE STUDY MODELS.
www.indiandentalacademy.com
www.indiandentalacademy.com
www.indiandentalacademy.com
www.indiandentalacademy.com
FUNCTIONAL ANALYSIS:REGISTRATION OF THE POSTURAL REST POSITION.
PATH OF CLOSURE.
www.indiandentalacademy.com
ASSESEMENT OF PREMATURESITIES,POINT OF INITIAL CONTACT,OCCLUSAL INTERFERANCE,AND MANDIBULAR DISPLACEMENT.
www.indiandentalacademy.com
PROCEDURE OF ASSESMENT OF POSTURAL REST POSITION -PHONETIC EXERCISE.
COMMAND METHOD.NONCOMMAND METHOD.COMBINED METHOD.
www.indiandentalacademy.com
DIRECT INTRAORAL METHOD.DIRECT EXTRAORAL METHOD.INDIRECT EXTRAORAL METHOD.ASSESEMENT OF FREEWAY SPACE.
www.indiandentalacademy.com
ASSESMENT OF FUNCTIONAL ABNORMALATIESOF TMJ.
ASSESMENT OF FREEWAY SPACE.
ASSESEMENT OF RESPIRATION.
www.indiandentalacademy.com
PATIENT EDUCATION:PSYCOLOGICAL ASSESEMENT.
VIDEO IMAGING.
PATIENT EDUCATION ABOUT MANDIBULAR MOVEMENT.
www.indiandentalacademy.com
PREPARATION OF WAX BITE:PREPARATION OF HORSESHOE-SHAPED WAX BITE.
WAX BITE SHOULD HAVE PROPER ARCH FORM ,SIZE AND THICKNESS
www.indiandentalacademy.com
DIAMETER-1 C.M(THICKNESS SHOULD BE SAME AS LITTLE FINGRE).
IT CAN BE MADE FOR EITHER THE UPPER OR LOWER ARCH OCCLUSAL SURFACE.
www.indiandentalacademy.com
EDGES OF THE INCISORS ARE NOT COVERED BY WAX.
LOWER MIDLINE SHOULD BE MARKED.
www.indiandentalacademy.com
ANTERIOR SECTION IS POSITIONED LINGUAL TO THE LOWER INCISOR(ANGULAR SHAPE)
www.indiandentalacademy.com
ENDS ARE SHORTENED SO THAT DISTAL HALVES OF THE LAST MOLAR SHOULD NOT COVERED BY WAX.
www.indiandentalacademy.com
www.indiandentalacademy.com
www.indiandentalacademy.com
www.indiandentalacademy.com
www.indiandentalacademy.com
www.indiandentalacademy.com
www.indiandentalacademy.com
TRANSFER THE WAX TO THE PATIENTS MOUTH,FITTING IT ON YHE LOWER ARCH IN THE SAME MANNER AS IT WAS FITTED ON THE PLASTER CAST.
www.indiandentalacademy.com
THE WAX SHOULD NOT BE TOO SOFT.
CONTROL ON THE EDGE TO EDGE RELATION AND MIDLINE REGISTRATION.
www.indiandentalacademy.com
WAX SHOULD BE CUT AWAY FROM THE LABIAL OF THE CENTRAL INCISORS.
www.indiandentalacademy.com
REMOVAL OF THE WAX BITEAND CHEAKED ON THE UPPER AND LOWER MODEL.
TRIMMING OF WAX MARGINS.
www.indiandentalacademy.com
www.indiandentalacademy.com
www.indiandentalacademy.com
www.indiandentalacademy.com
www.indiandentalacademy.com
CHEAKING OF WAX BITE AGAIN IN PATIENTS MOUTH.
www.indiandentalacademy.com
FOR TAKING OF CONSTRUCTION BITE CONSIDERATION IN 3 PLANES IS ESSENTIAL:
A)SAGGITAL PLANEB) VERTICAL PLANE C)FRONTAL PLANE
www.indiandentalacademy.com
3 FACTORS:EXTENT OF MAXIMUM FORWARD MOVEMENT OF MANDIBLE.
B)EXTENT OF THE INDIVIDUALS OCCLUSAL CLEARANCE IN POSTURAL RESTING POSITION
www.indiandentalacademy.com
– ESTABLISHMENT OF THE TRUE MIDLINE OF THE UPPER AND LOWER JAWS.
www.indiandentalacademy.com
GENERAL RULES FOR THE CONSTRUCTION BITE:
IN A FORWARD POSITIONING OF THE MANDIBLE OF 7-8MM THE VERTICAL OPENING MUST BE SLIGHT TO MODERATE(2-4MM).
www.indiandentalacademy.com
IF THE FORWARD POSITIONING IS NO MORE THEN 3-5MM , THE VERTICAL OPENING SHOULD BE 4-6MM.
www.indiandentalacademy.com
THE ACTIVATOR CAN CORRECT LOWER MIDLINE SHIFT OR DEVIATION ONLY IF ACTUAL LATERAL TRANSLATION OF THE MANDIBLE ITSELF EXIST.
www.indiandentalacademy.com
FRANKEL APPLIANCEFRANKEL APPLIANCECONSTRUCTION BITE:SAGGITAL
DIRECTION:EDGE TO EDGE.
VERTICAL OPENING:LARGE ENOUGH TO ALLOW THE CROSSOVER WIRE THROUGH INTEROCCLUSAL SPACE.
STEP BY STEP ACTIVATION.
www.indiandentalacademy.com
STAGED BY STAGED CONSTRUCTION:INCREASED CHONDROBLASTIC ACTIVATIES.
MIDLINE DISCREPANCIES:DENTAL DISCREPANCIES SHOULD NOT BE CORRECTED.
www.indiandentalacademy.com
www.indiandentalacademy.com
www.indiandentalacademy.com
www.indiandentalacademy.com
www.indiandentalacademy.com
www.indiandentalacademy.com
www.indiandentalacademy.com
TWIN BLOCKTWIN BLOCK
CONSTRUCTION BITE:EDGE TO EDGE RELATIONSHIP.
2MM OF INTERINCISAL CLEARANCE.
www.indiandentalacademy.com
5 TO6 MM OF SPACE IN THE PREMOLAR REGION
2MM SPACE DISTAL TO THE MOLAR REGION
www.indiandentalacademy.com
MAXIMUM ACTIVATION SHOULD NOT EXCEED 70%OF THE TOTAL PROTRUSIVE PATHWAY.
CONVANTIONAL INSTRUMENT-GEORGE BITE GAUGE.
www.indiandentalacademy.com
BITE REGISTRATION FOR HORIZONTALLY GROWING PATIENT AND VERTICALLY GROWING PATIENT.
www.indiandentalacademy.com
www.indiandentalacademy.com
For more details please visit www.indiandentalacademy.com