Proper occlusal plane is an essential consideration when multiple long span posterior restorations are designed. The determination of the occlusal plane can have a profound effect on the short and long term success of a restorative case. Purpose of Study. (1) To determine the appropriate occlusal curve for individual patients. (2) To compare the deviation of the clinical occlusal curve with the ideal ones. Materials and Methods. A total of 20 subjects were examined and study models were made of their maxillary and mandibular dentition. Inter-occlusal records were made and the casts were articulated in semiadjustable articulator. An ideal occlusal plane was created. The distance of the farthest cusp tip from the Broadrick curve was measured along the long axis of the tooth for each individual. Paired t-tests were used to compare the findings between subjects and controls. Results. A statistically significant difference P < 0.05 was found in the deviation from the Broadrick curve between patients who have lost posterior teeth and the control group who had a full dentition with no missing teeth. Conclusion. Proper utilization of the broadrick flag on a semi-adjustable articulator will allow for a correct determination of the occlusal plane.
Aesthetic reconstruction of original contours is one of the important goals of prosthodontic treatment. Restoration of missing teeth, masticatory function, speech and providing support to the lips and cheeks is prime goal of removable prosthetics. The cheeks lose their support in aged and edentulous individuals. Cheek lifting appliance or cheek plumper is a prosthesis that support and lift the cheeks for aesthetics. This article describes a clinical case where a cheek plumper is being innovatively made detachable by the use of hooks made from orthodontic wire attached to complete denture prosthesis.
All-ceramic restorations have been used for long as restorative material in dentistry. However, the recent advances in both the material and technology of all-ceramic have made them a more viable treatment option. Several practitioners hesitate in giving this option to patient for fear of failure. This article describes all the failures of all-ceramic material and how to prevent them. In particular, the article highlights various errors that clinicians make while preparing tooth to receive all-ceramic restorations and how to rectify them.
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