Journal of Dental Rehabilitation and Applied Science (구강회복응용과학지)

Korean Academy of Stomatognathic Function and Occlusion (대한턱관절교합학회)
권호 표지
DOI QR코드

DOI QR Code

Gothic arch tracing to record centric relation for dentures

Gothic arch tracing을 이용한 의치의 중심위 기록

  • Shin, Soo-Yeon (Department of Prosthodontics, College of Dentistry, Dankook University)
  • 신수연 (단국대학교 치과대학 치과보철학교실)
  • Received : 2014.07.16
  • Accepted : 2014.08.12
  • Published : 2014.09.30
Download PDF
⟨ Previous Next ⟩

Abstract

In order to create denture occlusion that is functional, comfortable and balanced, it is necessary to both determine a vertical dimension of occlusion that is in harmony with the patient's musculature and to record a relatively repeatable jaw relation position. This require clinical skill to establish an accurate, verifiable and reproducible vertical dimension of occlusion (VDO) and centric relation (CR). Correct vertical relation depends upon a consideration of several factors, including muscle tone, inter-dental arch space and parallelism of the ridges. Centric relation is considered to be a repeatable position from which all opening and lateral mandibular movements begin and recording this position is a critical step in the fabrication of dentures. Any errors made while taking maxillo-mandibular jaw relation records will result in denture that are uncomfortable. The purpose of this paper is to review a very simple and efficient technique for accomplishing these two important steps in denture fabrication.

무치악 환자에서 기능적으로 우수하고 심미적으로 만족스러운 의치 제작을 위해서는 상, 하악 교합관계, 즉 교합수직 고경과 중심위를 정확하게 결정해야 한다. 수직관계를 결정할 때에는 근육, 상, 하악 치열궁간 거리와 상, 하악 치조제의 평행도 등 여러 요소들이 고려되어야 한다. 또한, 중심위는 모든 하악 운동이 시작되는 재현 가능한 위치로서 기록하는 과정 역시 의치 제작에 매우 중요하다. 만일 이러한 악간관계 채득시 오차가 생기면 결과적으로 제작한 의치가 불편하게 된다. Gothic arch tracer와 같은 트레이싱을 이용하는 방법은 술자가 쉽게 교합수직고경과 중심위를 찾아내고 기록할 수 있는 좋은 방법으로 안정적인 교합수직고경에서 하악의 운동위를 얻기에 유리하다.

Keywords

References

  1. The Academy of Prosthodontics. The glossary of prosthodontic terms, 8th Edition (GPT-8). J Prosthet Dent 2005;94:10-92. https://doi.org/10.1016/j.prosdent.2005.03.013
  2. McGee GF. Use of facial measurements in determining vertical dimension. J Am Dent Assoc 1947;35:342-50. https://doi.org/10.14219/jada.archive.1947.0361
  3. Silverman MM. Determination of vertical dimension by phonetics. J Prosthet Dent 1956;6:465-71. https://doi.org/10.1016/0022-3913(56)90091-9
  4. Ismail YH, George WA. The consistency of the swallowing technique in determining occlusal vertical relation in edentulous patients. J Prosthet Dent 1968;19:230-6. https://doi.org/10.1016/0022-3913(68)90083-8
  5. Boos RH. Intermaxillary relation established by biting power. J Am Dent Assoc 1940;27:1192-9. https://doi.org/10.14219/jada.archive.1940.0251
  6. Lytle RB. Vertical relation of occlusion by the patient's neuromuscular perception. J Prosthet Dent 1964;14:12-21. https://doi.org/10.1016/0022-3913(64)90113-1
  7. Keshvad A, Winstanley RB. Comparison of the replicability of routinely used centric relation registration techniques. J Prosthodont 2003;12:90-101. https://doi.org/10.1016/S1059-941X(03)00036-6
  8. Long JH Jr. Location of the terminal hinge axis by intraoral means. J Prosthet Dent 1970;23:11-24. https://doi.org/10.1016/0022-3913(70)90159-9
  9. Dawson PE. Evaluation, diagnosis and treatment of occlusal problems. 2nd ed. St. Louis; Mosby;1989. p. 41-7.
  10. McCollum BB. Function factors that make the mouth and teeth a vital organ. J Am Dent Assoc 1927;14:1261-71.
  11. Ramfjord SP, Ash MM. Occlusion. 1st ed. Philadelphia; Saunders; 1966. p. 186-91.
  12. Ash MM, Ramfjord SP. Occlusion. 4th ed. Philadelphia; Saunders; 1995. p. 69-72.
  13. Fujii H, Mitani H. Reflex response of the masseter and temporal muscles in man. J Dent Res 1973;52:1046-50. https://doi.org/10.1177/00220345730520050801
  14. Goldstein DF, Kraus SL, Williams WB, Glasheen-Wary M. Influence of cervical posture on mandibular movement. J Prosthet Dent 1984;52:421-6. https://doi.org/10.1016/0022-3913(84)90460-8
  15. Rahman M, Kohno S, Sawada K, Arai Y. Head position affect the antero-posterior location of tapping points. J Jpn Soc Stomatognath Funct 2001;8:1-6. https://doi.org/10.7144/sgf.8.1
  16. Widmalm SE, Hedegard B. Kinematics of the tooth tapping movement. J Oral Rehabil 1977;4:237-46. https://doi.org/10.1111/j.1365-2842.1977.tb00988.x
  17. Naeije M, Honee GL. The reproducibility of movement parameters of the empty open-close-clench cycle in man and their dependency on the frequency of movements. J Oral Rehabil 1979;6:405-15. https://doi.org/10.1111/j.1365-2842.1979.tb00422.x
  18. Ikeda K, Kohno S, Tsuchida Y, Matsuyama T, Ohtake H. Method to determine an ideal maxillomandibular relationship from tapping movements using as reference the most stable position of condyle. J Jpn Prosthodont Soc 1996;40:964-71. https://doi.org/10.2186/jjps.40.964
  19. Gysi A. The problem of articulation. Dent Cosmos 1910;52:1-19.
  20. Gerber A, Steinhardt G. Dental occlusion and the temporomandibular joint. 1st ed. Chicago; Quintessence;1990. p. 92-94.
  21. Balkwill FH. The best form and arrangement of artificial teeth for mastication. Br J Dent Sci 1866;9:278-85.
  22. Phillips GP. Fundamentals in the reproduction of mandibular movemtns in edentulous mouths. J Am Dent Assoc 1927;14:409-15.
  23. Hardy IR. Technique for use of non-anatomic acrylic posterior teeth. Dent Digest 1942;48:562-6.
  24. el-Gheriani AS, Winstanley RB. The value of the Gothic arch tracing in the positioning of denture teeth. J Oral Rehabil 1988;15:367-71. https://doi.org/10.1111/j.1365-2842.1988.tb00170.x
  25. Kapur KK, Yurkstas AA. An evaluation of centric relation records obtained by various technique. J Prosthet Dent 1957;7:770-86. https://doi.org/10.1016/0022-3913(57)90095-1
  26. Myers M, Dziejma R, Goldberg J, Ross R, Sharry J. Relation of Gothic arch apex to dentist-assisted centric relation. J Prosthet Dent 1980;44:78-81. https://doi.org/10.1016/0022-3913(80)90052-9
  27. el-Aramany MA, George WA, Scott RH. Evaluation of the needle point tracing as a method for determining centric relation. J Prosthet Dent 1965;15:1043-54. https://doi.org/10.1016/0022-3913(65)90181-2
  28. Smith HF Jr. A comparison of empirical centric relation records with location of terminal hinge axis and apex of the gothic arch tracing. J Prosthet Dent 1975;33:511-20. https://doi.org/10.1016/S0022-3913(75)80163-6
  29. Zarb GA, Bolender CI, Hickey JC, Carlsson GE. Boucher's prosthodontic treatment for edentulous patients. 10th ed. St. Louis; Mosby; 1990. p. 209-95.
  30. Grasso JE, Sharry J. The duplicability of arrowpoint tracings in dentulous subjects. J Prosthet Dent 1968;20:106-15. https://doi.org/10.1016/0022-3913(68)90133-9
  31. Keshvad A, Winstanley RB. Comparison of the replicability of routinely used centric relation registration techniques. J Prosthodont 2003;12:90-101. https://doi.org/10.1016/S1059-941X(03)00036-6
  32. Piehslinger E, Celar A, Celar R, Jager W, Slavicek R. Reproducibility of the condylar reference position. J Orofac Pain 1993;7:68-75.
  33. Jiang T. Condylar displacement and mandibular bending deformation due to bite force. Kokubyo Gakkai Zasshi 1992;59:142-59. https://doi.org/10.5357/koubyou.59.142
  34. Hickman DM, Cramer R. The effect of different condylar positions on masticatory muscle electromyographic activity in humans. Oral Surg Oral Med Oral Pathol Oral Radiol Endod 1998;85:18-23. https://doi.org/10.1016/S1079-2104(98)90392-4
  35. Linsen SS, Stark H, Samai A. The influence of different registration techniques on condyle displacement and electromyographic activity in stomatognathically healthy subjects: a prospective study. J Prosthet Dent 2012;107:47-54. https://doi.org/10.1016/S0022-3913(12)60017-1
  36. Tripodakis AP, Smulow JB, Mehta NR, Clark RE. Clinical study of location and reproducibility of three mandibular positions in relation to body posture and muscle function. J Prosthet Dent 1995;73:190-8. https://doi.org/10.1016/S0022-3913(05)80161-1
  37. Wood DP, Elliott RW. Reproducibility of the centric relation bite registration technique. Angle Orthod 1994;64:211-20.
  38. Keshvad A, Winstanley RB. An appraisal of the literature on centric relation. Part III. J Oral Rehabil 2001;28:55-63. https://doi.org/10.1046/j.1365-2842.2001.00654.x
  39. Boutault F, Bodin H, Fabie M. Condylar retrusion in the algo-dysfunctional syndrome of the mastication apparatus. Rev Stomatol Chir Maxillofac 1990;91:92-100.
  40. Desai S, Johnson DL, Howes RI, Rohrer MD. Changes in the rabbit temporomandibular joint associated with posterior displacement of the mandible. Int J Prosthodont 1996;9:46-57.
  41. Sato Y, Kohno S, Yoshida K. Tsuchida Y. Coactivation of sternocleidomastoid muscle during various occlusal functions. Proc Jpn Soc Stomatognathic Funct 1993;11:79-86. https://doi.org/10.7144/sgf1982.11.79
  42. Ogawa T, Koyano K, Suetsugu T. The relation between inclination of the occlusal plane and jaw closing path. J Prosthet Dent 1996;76:576-80. https://doi.org/10.1016/S0022-3913(96)90432-1
  43. Rahman MD, Kohno S, Kobayashi H, Sawada K. Influence of the inclination of the plate of an intra-oral tracing device on the condylar position registered by tapping movement. J Oral Rehabil 2004;31:546-53. https://doi.org/10.1111/j.1365-2842.2004.01190.x
  44. Ueno T, Baba K, Fueki K, Ai M, Ohyama T. Influence of protrusive tooth contact on tapping point distribution. J Oral Rehabil 2000;27:1004-11. https://doi.org/10.1046/j.1365-2842.2000.00656.x
  45. Williamson EH, Lundquist DO. Anterior guidance: its effect on electromyographic activity of the temporal and master muscles. J Prosthet Dent 1983;49:816-23. https://doi.org/10.1016/0022-3913(83)90356-6