TYPES OF JAW RELATIONS = this is order of recording 1- 3
- Orientation
- Vertical
- Horizontal
- Eccentric = lateral and protrusive
- Centric = recorded last as rims are sealed
- How to record VDR? 2M*
- Measuring after swallowing and relaxing = tapes on nose and chin
- Tactile sense = ask pt to open his mouth at maxium and close the mouth slowly to a rest position = hence, all the muscles will be active
- Anatomical Landmarks
- Distance between pupil of eye and rima oris
- Anterior nasal spine and lower border of mandible
- If A = B
- Speech =
- Words ending with M = eg Ram
- Given by Schlossler
- When you pronuch M = lips close
- VDR is more = pt has to keep more effort to bring lips together to say M
- Facial expressions
- Patient position for recording at VDR
- Head straight
- Upright position
- Reid base line is parallel to the floor while recording vertical jaw relation
- Draw
- How to record VDO? 2M*
- Measured when pt is in centric relation
- Mechanical methods
- Checking ridge relation
- Distance between incisive papilla to mandibular incisior = 8 mm
- Distance between incisive papilla to maxillary incisior = 6 mm + 2mm overbite
- Prextration records = BEST METHOD = Its a model of original VD
- Existing denture
- Checking ridge relation
- Physiological method 3m
- Given by NISWONGER and THOMSON = 1934
- Ask the pt to relax after placing rims in the pt mouth = This is static method
- In this method, two markings are made, one on the upper lip below the nasal septum, and the other on the chin.
- The patient is told to swallow and relax.
- The distance between the marks is measured.
- The occlusal rims are adjusted, until the distance between the marks is 2–4 mm less during occlusion.
- Disadvantage: The marks move with the skin.
- Phonetics
- Ask the pt to prounch S or FVS eg 55
- Given by silverman
- This is called closest speaking space = 2mm
- This is recorded in DYNAMIC position when pt is speaking
- FVS sounds = speaking anterior tooth realtion = given by pound and murrell – without recording VD and set up your anterior teeth based on prouncing FVS