Refining Occlusion with Muscle Balance to Enhance Long-term Orthodontic Stability. balanced occlusion and Group B with lingualized occlusion. inclines of 5° for first premolar, 10° for second premolar, and 15° for first and second molars, so that a balanced occlusion could be developed laterally as well as anteroposteriorly by the arrangement of teeth on a curved occlusal plane. 1. position. bilaterally balanced occlusion and 16 (53.3%) patients in lingualized occlusion. In centric occlusion, nonanatomic teeth will exert contact forces toward the ridges [Figure 3a]. Only about 60% had optimal occlusion, and 8% had poor occlusion according to common prosthodontic criteria. In the 1930s the concepts that are now referred to as gnathology were developed and essentially the importance of the bumps on the teeth were appreciated. Plane of occlusion ; Cuspal inclination ; Compensating curve. Hanau wisely combined the original nine factors and reduced them to five: (1) condylar guidance, (2) compensating curve, (3) relative cusp height, (4) incisal guidance, and (5) plane of orien- tation. 5. 4). In other words, this is one of the five major determinants of balanced occlusion expressed in Hanau’s Quint and Thielemann’s formula [2, 3]. While these factors routinely go unmeasured, their contribution to a precise diagnosis can be highly significant, even to the long-term outcome of a particular case.2-5. Condylar guidance Incisal guidance The occlusal plane The compensatory curves Cusp angulation 1. 3. pitch. Bal-anced occlusion comprises realization of tooth contacts at the working side as well as at the balancing side, at the same time. 13 Condylar Guidance Reduced trauma 4. Condylar Guidance ; 2. occult cleft palate: a … occlusion [Å -kloo´zhun] 1. obstruction. We discuss occlusal schemes later in the chapter, but Box 4-1 gives a flavour of their history. Protrusive balanced Occlusion This type of balanced occlusion is present when mandible moves in a forward direction and the occlusal contacts are smooth and simultaneous anteriorly and posteriorly.There should be atleast three points of contact in the occlusal plane.Two located posteriorly and one anteriorly.Absent in natural dentition. Amendment: This paper is an updated version from the original printed ve rsion. See more. Out of these five factors of balanced occlusion the dentist can control only four factors since the condylar path is fixed by the patient. The mean bone loss was 0.5 mm, according to available radiographs, for a mean observation period of 54 months. Learn faster with spaced repetition. There are five factors involved in eccentric occlusal balance in complete denture to achieve simultaneous gliding occlusal contacts from centric occlusion to eccentric occlusal position. 2. proportion. 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