Anterior Guidance Checklist John R. Droter, D.D.S....

2
Modified by John R. Droter, DDS Flat incisal edge surface, “Tabletop” From Dawson Text Book “Functional Occlusion” Sharp angles Not rounded Bevel to match angle of lingual of upper centrals Lower Incisor Flat surface

Transcript of Anterior Guidance Checklist John R. Droter, D.D.S....

Modified by John R. Droter, DDS

Flat incisal edge surface, “Tabletop”

From Dawson Text Book “Functional Occlusion”

❏ Set Condyles on SAM!❏ Condylar Guidance !Right ________ Left ________!!! ❏ Green Insert!! ❏ White Insert! ❏ Red Insert!❏ Lateral Side Shift !!Right ________ Left ________! ❏ Metal Insert! ❏ Green Insert! ❏ White Insert! ❏ Red Insert!!❏ Make incisal edge matrix!! • Incisal edges of porcelain crowns fit the index same as the temps!!❏ Definitive, even, flat, surface to surface contact of both central incisors ! when end to end in protrusive.!! • Lower centrals incisal edges are level with upper incisal edges in protrusive.!! • If right and left condylar guidance is not the same, !! the lower incisal ec]dges will be slanted in CR!!❏ All anterior teeth have a definitive contact point!❏ Leave the leading edge of lowers sharp and in direct contact with the upper lingual.!! I will create the bevel and freedom in centric.""❏ Even protrusive contact of both central incisors!!❏ Cuspid Rise to a smooth crossover onto anterior teeth ! (no drop off from cuspid to lateral or central incisor)!❏ Match temps!❏ Better than temps

Patient ______________________________ !! Date _________

Anterior Guidance Checklist

Sharp angles!Not rounded

Bevel to match!angle of lingual!of upper centrals

Lower Incisor

Leave!Sharp

Flat surface

Pitch to match temps

Lower Incisor

I will do this!after try in

John R. Droter, D.D.S.!4000 Mitchellville Rd., 330B!Bowie, Maryland, [email protected]

❏ Set Condyles on SAM!❏ Condylar Guidance !Right ________ Left ________!!! ❏ Green Insert!! ❏ White Insert! ❏ Red Insert!❏ Lateral Side Shift !!Right ________ Left ________! ❏ Metal Insert! ❏ Green Insert! ❏ White Insert! ❏ Red Insert!!❏ Make incisal edge matrix!! • Incisal edges of porcelain crowns fit the index same as the temps!!❏ Definitive, even, flat, surface to surface contact of both central incisors ! when end to end in protrusive.!! • Lower centrals incisal edges are level with upper incisal edges in protrusive.!! • If right and left condylar guidance is not the same, !! the lower incisal ec]dges will be slanted in CR!!❏ All anterior teeth have a definitive contact point!❏ Leave the leading edge of lowers sharp and in direct contact with the upper lingual.!! I will create the bevel and freedom in centric.""❏ Even protrusive contact of both central incisors!!❏ Cuspid Rise to a smooth crossover onto anterior teeth ! (no drop off from cuspid to lateral or central incisor)!❏ Match temps!❏ Better than temps

Patient ______________________________ !! Date _________

Anterior Guidance Checklist

Sharp angles!Not rounded

Bevel to match!angle of lingual!of upper centrals

Lower Incisor

Leave!Sharp

Flat surface

Pitch to match temps

Lower Incisor

I will do this!after try in

John R. Droter, D.D.S.!4000 Mitchellville Rd., 330B!Bowie, Maryland, [email protected]

Drawing and Photo by Dr Jim Kessler

1. With the condyles fully seated in the fossa, all the posterior teeth touch simultaneously and even, with the anterior teeth lightly touching.

2. When you squeeze, neither a tooth nor the mandible moves (in a lateral direction).

3. When you move the mandible in any excursion, no back tooth hits before, harder than, or after a front tooth.

LD Pankey’s 3 Rules of Occlusion (Clyde Schuyler)