Reconstruction of the curve of Spee

Ré, Jean-Philippe; Pérez, C. Casado; Giraudeau, Anne; Ager, P.; Zoghby, A. E.; Orthlieb, Jean-Daniel

doi:10.1007/s00715-008-0055-8

Cited by 4 publications

(7 citation statements)

References 8 publications

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“…The occlusal schemes recommended for the occlusal rehabilitation clearly emphasize the following points: presence of a mutually protected occlusion with simultaneous bilateral contact of the posterior teeth protecting the anterior teeth 13,22,23 and maintenance of stability in the posterior occlusion, 23 reestablishment of the anatomic curves 24 and oriented anterior guidance, 5 decreased cuspal interference on the nonworking side 9 associated with a shallow anterior guidance to minimize the antagonist forces during the disengagement of the posterior teeth, centralized forces on the long axis of the implants, 25 and minimized lateral forces. 25 However, histological findings in monkeys 26 showed no bone abnormalities when implantsupported prostheses were overloaded.…”

Section: Discussionmentioning

confidence: 99%

Occlusal Concepts Application in Resolving Implant Prosthetic Failure: Case Report

Jamcoski¹,

Faot

Sartori³

et al. 2014

Journal of Oral Implantology

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The prosthetic management of a poor implant treatment is presented in this case report. The recommended occlusion concepts for implant-supported prostheses were applied for the resolution of the case. The rehabilitation of the posterior segments provided a mutually protected occlusion with adequate distribution of the axial and lateral bite forces with stable posterior occlusion. The clinical exam indicated the need for modification in the vertical dimension of occlusion. Sufficient interocclusal rest space was present to test the alteration in the vertical dimension. The aim was to achieve an occlusion scheme that followed four specific criteria: (1) centric contacts and centric relation of the jaw-to-jaw position; (2) anterior guidance only; (3) shallow anterior angle of tooth contact; and (4) vertical dimension of occlusion with acceptable tooth form and guidance. The success of an oral rehabilitation relies in following the aforementioned criteria, appropriate interaction between the dental laboratory technician and the clinician, careful elaboration of the provisional rehabilitation with all the desired details to be reproduced in the final prosthetic restoration and sufficient follow-up time of the provisional prostheses before placing the final restoration.

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Section: Discussionmentioning

confidence: 99%

Occlusal Concepts Application in Resolving Implant Prosthetic Failure: Case Report

Jamcoski¹,

Faot

Sartori³

et al. 2014

Journal of Oral Implantology

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“…The guide can be considered functional and should be kept if it has the main predetermined characteristics. Otherwise, it must be recreated [4].…”

Section: Figure 1 Propulsion Movementmentioning

confidence: 99%

Restoration of the anterior guide with the fixed prosthesis

Hajjaji¹,

Karray²,

Hajjemi³

et al. 2021

World J. Bio. Pharm. Health Sci.

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The anterior guide is a functional entity, which is part of the set of guidance provided by the dento-dental joints to the mandibular kinematics, essential for the establishment of harmonious occlusal relations. The anterior guide is a key to understanding and reconstructing the occlusion, playing both a role of protecting the posterior teeth and guiding the functional movements of the mandible. Currently, it also represents an “exteroceptive feeler” creating a cone of access to the occlusion in intercuspation. The restoration of functional and protective anterior guidance is therefore essential for the balance of the masticatory system. This rehabilitation can only be achieved by examining and accurately diagnosing the occlusion relationships maintained by the anterior teeth, associated with a reasoned therapeutic approach validated by a test phase. After a brief description of the anterior function and its role, this article aims to detail, through a clinical case, the procedure to follow for the restoration of a functional anterior guide.

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“…At the sagittal view, the Spee curve touches the area from the anterior surface of the mandibular condyles to the occlusal surface of the mandibular teeth [25]. Thus, the normal inclination is important because it provides greater free movements during the mandibular functional excursions [13,14,26], increases the masticatory effectiveness [1,17,20,21,26], and accounts to compensate the condylar paths. Thus, the correct intercuspation is assured, avoiding premature contacts and the disclusion of the posterior teeth during the protrusion is enabled [1,8,9,10,20].…”

Section: Introductionmentioning

confidence: 99%

“…Depending on the severity of the tooth weariness affects the periodontium, masticatory muscles, and TMJ [22]. Consequently, such alterations directly influence on the Spee curve [14], altering not only the inclination, but also developing occlusal interferences, no disclusion of the posterior teeth during protrusion, and increasing the pressure on the mandibular condyle [8,9,10,20,21].…”

Section: Introductionmentioning

confidence: 99%

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Measurement of Spee curve in individuals with temporomandibular disorders: a cross-sectional study

Dias¹,

Bonato²,

Coelho³

et al. 2016

RSBO

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Several factors are cited as capable to influence the development of Temporomandibular Disorders (TMD), among them, the psychological, systemic, genetic, and occlusal factors. The curve of Spee is the factor directly related to the TMJ. However, the combination of variations in amplitude, and the presence of signs and symptoms of TMD have not been investigated. Objective: The aim of this study was to measure the curve of Spee in patients with TMD, through the use of study models, comparing these values with the different clinical and symptomatic presentations of such individuals. We evaluated 198 models of patients treated at the care service for patients with TMD at UFJF. The maximum depth of the curve was determined by the sum of the distances between the lowest part of the buccal cusp of the posterior teeth of each hemiarch to a reference plane, using a caliper to measure. The following factors were considered: gender, presence of myalgia (temporal, masseter, medial pterygoid, lateral and sternocleidomastoid muscles) and TMJ arthralgia, and the presence of occlusal interferences and parafunctional habit of bruxism. For statistical analysis, we used T-test and ANOVA test with a significance level of 5%. Conclusion: There was a statistically significant association between the presence of occlusal interferences and changes in the curve (p = 0.01). There was no association between the following factors: the presence of myalgia and/or arthralgia, gender, achievement of bruxism, and the type of TMD presented with changes in the Spee curve.

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Reconstruction of the curve of Spee

Cited by 4 publications

References 8 publications

Occlusal Concepts Application in Resolving Implant Prosthetic Failure: Case Report

Occlusal Concepts Application in Resolving Implant Prosthetic Failure: Case Report

Restoration of the anterior guide with the fixed prosthesis

Measurement of Spee curve in individuals with temporomandibular disorders: a cross-sectional study

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