OCCUSAL RELATIONSHIPS IN REMOVABLE

PARTIAL DENTURE

Prepared by:
Reyes S.M.

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 INDEX
1 Desirable occlusal contact relationship for removable partial denture
2 Method for establishing occlusal relationship
a) Direct apposition of cast.
b) Interocclusal records with posterior teeth remaining on record base.
c) Jaw relations records made entirely on occlusion rims.
d) Occlusal relations using occlusion rims on record base.
e) Establishing occlusion by the recording of occlusal path way.
3 Materials for artificial posterior teeth
- Arranging teeth to an occluding template
4 Establishing jaw relations for a mandibular removable partial denture
opposing a maxillary complete denture.

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INTRODUCTION

• The fourth phase in the treatment of patient with removable partial

dentures is the establishment of a functional and harmonious
occlusion
• Occlusal harmony between a removable partial denture and the
remaining natural teeth is a mojar factor in the preservation of the
health of their surrounding structure.
• In removable partial dentures because of the attachment of the
removable partial denture to the abutment teeth occlusal stress
can be transmitted directly to the abutment teeth and other
supporting structures.
• These leads to sustained stress that may be more damaging than
those transient stress found in complete dentures

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Failure to provide and maintain adequate occlusion on the
removable partial denture is primarily result of:

-Lack of support for the denture base

-The fallacying of establishing occlusion to

a single static jaw relation record.

- An unacceptable occlusal plane.

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 Remaining natural teeth
 Influences the establisment of occlusion of a
partial denture in such a way that the
occlusal forms of the teeth on a denture
conform to the already established occlusal
pattern

 The pattern present at the time the partial

denture is made dictates the occlusion of the
RPD
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 DESIRABLE OCCLUSAL CONTACT
RELATIONSHIP FOR REMOVABLE PARTIAL
DENTURES

• The following occlusal arrangements are recommended to develop a

harmonious occlusal relationship of removable partial dentures and to
enhance stability of the removable partial dentures

1. Simultaneously bilateral contacts of opposing posterior teeth must occur in

centric occlusion

2. Occlusion for tooth supporetd removable partial denture may be arranged

similar to the occlusion in seen in a harmonious natural dentition
- Stability of such removable partial dentures results from the effect of the
direct retainers at the both ends of the dentures base

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3.Bilateral balanced occlusion in eccentric
position should be formulated when a
maxillary complete denture oppose the
removable partial denture. This is a
complete primarily to promote the stability
of the complete denture.

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4. Working side contact should be obtained for the mandibular distal extension
denture. This contacts should occur simultaneously with working side
contacts of the natural teeth to distribute the stress over the greatest possible
area

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5. Simultaneously working and balancing
contact should be formulated for the
maxillary bilateral distal extension
removable partial denture whenever
possibe.

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6. Only working contacts need to be formulated for either maxillary or
mandibular unilateral distal extension removable partial dentures.

7. In the Kennedy Class IV removable partial denture configuration contact of

opposing anterior teeth in the planned intercuspal position is desired to
prevent a continous eruption of the opposing natural incisors unless they
are otherwise prevented from extrusion by means of a lingual plate, auxillary
bar, by splinting.

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8. Balanced contact of opposing posterior teeth in a straight forward protusive
relationship and functional excursive position is desired only when an opposing
complete denture or bilateral distal extension maxillary removable partial
denture is placed.

9. Artificial posterior teeth should not be arranged further distally than the
beginning of a sharp upward incline of the mandibular residual ridge or over the
retromolar pad.

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METHODS FOR ESTABLISHING OCCLUSSAL
RELATIONSHIP

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A) Direct apposition of cast

 The first method is used when there are sufficient opposing teeth
that remain in contact to make the existing jaw relationship
obvious or when only a few teeth are to be replaced on short
denture bases and there is no evidence of occlusal abnormalities

METHODS:

 Apposing cast may be occlude by hand

 The occluded cast should be held in apposition with rigid
supports attached with sticky wax to the base so the cast until
they are securely mounted in the articultor.
 Occlusal analysis and the correction of any existing occlusal
disharmony should preceded the acceptance of such jaw relation
record.
 Such a jaw relation record between the remaining natural teeth.
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b. Interocclusal records with posterior teeth remaining

INDICATION:- When sufficient natural teeth remain to support the

removable partial denture but the relation of opposing natural teeth dose
not permit the occluding of cast by hand.
• A uniformily softened, metal reinforced wafer of base plate or setup wax is
place between the teeth and the patient is guided to close in centric
relation.
• Corret closure should have been rehearsed before placement of the wax so
that the patient will not hesitate or deviate into closing.
• Wax is then removed and immediately chilled thoroughly in room
temperature water.

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 It should be replaced a second time to correct the distortion that result
from chilling and than again chilled after removal.
 All excess wax should now be removed with a sharp knife.
 A wax record can be further corrected with a freely flowing occlusal
registration material such as metallic oxide paste used as the final
recording medium.

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(C) OCCLUSAL RELATION USING OCCLUSION RIMS ON
RECORD BASES
INDICATION:-
1. When one or more distal extension areas are present
2. When a tooth supported edentulous space is large
3. When opposing teeth do not meet

• In this instance occlusal rims on accurate jaw relation record base must be used .
METHOD:-
• It is much same as in the second method except that occlusion rims are substituted for
missing teeth .
• It is essential that accurate bases be used to help
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(D) JAW RELATION RECORD MADE ENTIRELY ON
OCCLUSION RIMS
INDICATION:-
1. When an opposing maxillary complete denture is to be made concurrently
with a mandibular removable partial denture.
2. Used in those rare situation in which the few remaining teeth do not occlude
and will not influence eccentric jaw movements.
• Jaw relation records are entirely on occlusal rims
• The occlusion rims must be supported by accurate jaw relation record base
• The choice of method for recording jaw relation is much the same as that or
complete denture
• Either some direct inter occlusal method or stylus tracing may be used

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(5) Establishing Occlusion by the recording of occlusal
pathway:
 The fifth method of establishing occlusion on the removal partial
dentures is the registration of occlusal pathway and the use of
an occluding template rather than cast of opposing arch.

 When a static jaw relation record is used with or without

eccentric supplied teeth are arranged to occlude according to a
specific concepts of the occlusion.

 These movement are made more complicated by the influences of

the remaining natural teeth.

 According to Thompson “Observing the occlusion with the teeth

in static relation and then moving the mandible into various
eccentric positions is not sufficient. A dynamic concept is
necessary to produce an occlusion that is functional harmony
with facial skeleton , the musculature , and the
temporomandibular joint”
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Materials for Artificial Posterior
Teeth
 Improved Acrylic Resin Teeth
 Preferred over porcelain teeth because they are more
readily modified and thought to more nearly
resemble enamel in action againts opposing teeth
 Impregnated with abrasive paricles thereby becoming
abrasive substance themselves
 Acrylic Resin teeth with gold occlusal surf.
 Used in opposition to natural teeth , restored natural
teeth, and gold occlusal surface
 Porcelain Teeth
 Used in opposition to other porcelain teeth

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ESTABLISHIN JAW RELATION FOR A MANDIBULAR REMOVABLE PARIAL
DENTURE OPPOSING A MAXILLARY COMPLETE DENTURE:

Condition: (1) If mandibular removable partial denture occluding with maxillary

complete denture-
- If existing denture is satisfactory and occusal plane is oriented to an
acceptable anatomic, function and esthetics position than
complete denture not need to b replaced and treated as a intact
arch.
- A face bow transfer is made of that arch and cast is articulated on the
articulator.
- than face bow and complete denture is remover and irreversible
hydrocolloid impression of the denture is made.
- A cast is formed from the impression and mount on the articulator.
- Than centric relation recorded and transferred to the articulator.

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(2) When the removable partial denture replaces all posterior teeth and
the anterior teeth are no interfering.
A central bearing point tracer is used may be mounted im the plate on
maxillary denture.
A centric relation are recorded by means of introral stylus tracing against the
stable mandibular base.
When a existing complete denture opposing a arch on which removable partial
denture is fabricated. A cast of complete denture is used during the
fabrication procedure.

(3) If the mandibular removable partial dentures is tooth supported than

mandibular arch resorted first.
In other instance the mandibular arch is restored first and jaw relation are
established if they would be a full complement of opposing teeth. Thus the
maxillary complete denture is occluded with an intact arch.

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CONCLUSION

 The balanced occlusion is the most important factor for the retention of
the prosthesis.
 The occlusion must be evaluate before the prosthesis fabrication start.
 Preprosthetic mouth preparation must be done for better occlusion
reproduction.
 Proper method to be used for the record of correct occusion.
 Imbalanced occlusion is the main cause of retention loss of the
prosthesis.

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