Systematic assessment of the various controversies, difficulties, and current trends in the reestablishment of lost occlusal planes in edentulous patients

Sahoo, Sukant; Singh, D. P.; Raghav, Deepti; Singh, Gagandeep; Sarin, Annu; Kumar, Prince

doi:10.4103/2141-9248.133450

Cited by 13 publications

(10 citation statements)

References 29 publications

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“…However, all the studied occlusal planes did not show parallelism with basal line of Camper plane. Our results are in accord to recent studies that used different methodologies [22][23][24] and our work reinforce the necessity of demystify some solidified concepts in dental field that has no realistic scientific support.…”

Section: Discussionsupporting

confidence: 91%

Occlusal plane parallel to camper plane: reality or fallacy? A tomographic study on human Sambaqui skeletal remains

Valério¹,

Xavier²,

Terçaroli³

et al. 2022

Jaw funct. orthop., craniofac. growth

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Introduction: Since long time ago, dentists had used parallelism with Camper plane as a reference to establish a correct occlusal plane. However, in the literature, there are several different landmarks used to trace the occlusal plane and there are also many researchers questioning this parallelism. To evaluate it, we used ancient skulls from Human Sambaqui skeletal remains. The authors choose an ancient population because they were submitted to same environmental conditions, avoiding bias in craniofacial growth epigenetic stimuli. Methodology: For this work we analyzed tomographies of 27 well preserved adult skulls. The program used was Vista Dent Pro 2.1. Camper plane was determined according to the original points described by Peter Camper. We used the four occlusal planes more cited in the literature. Results: None of the occlusal planes evaluated on this study, showed parallelism with Camper plane. The occlusal plane determined by posterior teeth was the one that showed less divergence but still with a high SD and mediana. Conclusion: In Sambaqui ancient population, Camper plane was not a reliable reference to trace occlusal plane. It is necessary further investigations to find a better reference for prosthetic, orthodontic, functional orthopedics or orthognathic surgery purpose.

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Section: Discussionsupporting

confidence: 91%

Occlusal plane parallel to camper plane: reality or fallacy? A tomographic study on human Sambaqui skeletal remains

Valério¹,

Xavier²,

Terçaroli³

et al. 2022

Jaw funct. orthop., craniofac. growth

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“…The natural position of an occlusal plane is crucial for esthetics, phonetics and lost vertical dimension that can be established by the teeth incisal edges and occlusal surfaces [ 34 , 35 , 36 , 37 ]. For edentulous patients, placing denture teeth in the natural position enables oral muscles and other surrounding structures to function normally [ 38 , 39 ].…”

Section: Discussionmentioning

confidence: 99%

“…The most common clinical method for orienting the occlusal plane positions is parallel to the Camper’s plane, which is extended from Ala’s inferior border to the Tragus’s superior border [ 30 , 31 , 32 , 33 , 34 , 35 , 36 ]. Camper’s plane and Frankfort’s horizontal (FH) plane have been clinically used to establish the occlusal plane for denture fabrication [ 31 ].…”

Section: Introductionmentioning

confidence: 99%

“…Unfortunately, this method often creates confusion in selecting a point for marking the Ala-Tragus line. Numerous authors and researchers have proved that all three parts of the Tragus, namely the superior, middle and inferior, can guide occlusal plane orientation in edentulous patients [ 32 , 33 , 34 , 35 , 36 ]. This study aimed to determine whether age or gender affects the level of the Ala-Tragus plane to establish the most appropriate reference point on the Tragus to be used when making the occlusal plane for edentulous patients.…”

Section: Introductionmentioning

confidence: 99%

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A Cephalometric Analysis Assessing the Validity of Camper’s Plane to Establishing the Occlusal Plane in Edentulous Patients

et al. 2023

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Complete denture fabrication requires multiple clinical and laboratory steps. One of the most critical clinical steps is establishing an anatomical occlusal plane based on hard and soft tissue references. The aim of this study was to determine whether age or gender affects the level of the Ala-Tragus plane to establish which reference point on the Tragus should be used when fabricating the occlusal plane in edentulous patients. Clinical photographs and lateral cephalometric radiographs with complete dentitions were taken from 58 volunteers at the DMD clinic at the University of Kentucky. Each photograph was superimposed over its corresponding cephalometric image. An analysis was conducted to establish the angle of the occlusal plane relative to the Ala-Tragus landmarks; this data was then grouped according to age and gender. The analysis shows that age and gender did not significantly affect where the Camper’s plane should be approximated for complete denture treatment. However, it was found that the most parallel line to the occlusal plane was Ala’s inferior border to the ‘Tragus’s inferior border. It should be noted that the volunteers’ skeletal classification was significantly related to a Cl III malocclusion tendency. Still, with this new information, functionality and esthetics can be more adequately addressed for patients undergoing complete denture treatment. Given our results, we suggest redefining the ‘Camper’s plane with a line extending from ‘Ala’s inferior border to the ‘Tragus’s inferior border instead of the superior border. Further consideration should be taken if the patient is a skeletal CL III malocclusion.

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“…To achieve this goal, one of the key factors in determining the prognosis of totally edentulous patients is the establishment of an occlusion compatible with the movements produced by the stomatognathic system [2]. There is also the need to respect the patient's craniofacial structures and neuromuscular mechanism [3].…”

Section: Introductionmentioning

confidence: 99%

Aesthetic Preference in the Transverse Orientation of the Occlusal Plane in Rehabilitation: Perspective of Laypeople and Dentists

Carvalho

Costa

Martins

et al. 2021

IJERPH

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The present study had a convenience sample with 236 laypeople and 242 dentists who completed an online questionnaire to choose the most attractive image among six pairs for comparison. Control image: symmetric (parallelism between occlusal plane (OP), commissural line (CL), and interpupillary line (IL)). Change of Control, obtaining three images with a 3-degree inclination of the labial commissures. Image A: OP parallel to IL; Image B: OP parallel to CL; Image C: OP at 1.5 degree mean angulation between IL and CL. Non-parametric comparison (IBM© SPSS Statistics vs. 27.0, p < 0.05). The “Dentists” group’s decreasing order of preference (attractiveness) of the images is: Control > A > C > B (p < 0.05). In the “Lay” group, it is: Control > A > (C not ≠ B). Dentists significantly prefer more the Control and Image A than laypeople (p < 0.001). Sex (single exception in laypeople), age, and dentist’s area of activity did not interfere in the perception of attractiveness. Dentists and laypeople preferred the Control when compared to images with CL canted. In the existence of CL inclination, the preference of the groups was the IL as a reference for OP orientation, with the mean angulation or coincident with the CL being considered less aesthetic.

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Systematic assessment of the various controversies, difficulties, and current trends in the reestablishment of lost occlusal planes in edentulous patients

Cited by 13 publications

References 29 publications

Occlusal plane parallel to camper plane: reality or fallacy? A tomographic study on human Sambaqui skeletal remains

Occlusal plane parallel to camper plane: reality or fallacy? A tomographic study on human Sambaqui skeletal remains

A Cephalometric Analysis Assessing the Validity of Camper’s Plane to Establishing the Occlusal Plane in Edentulous Patients

Aesthetic Preference in the Transverse Orientation of the Occlusal Plane in Rehabilitation: Perspective of Laypeople and Dentists

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