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Centric Relation and Cross Mounting

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Centric Relation and Cross Mounting

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    1. Centric Relation and Cross Mounting

    4. When to Make a Centric Relation Record? restoring all posterior teeth in one or both arches restoring all teeth in one arch complete denture occlusal equilibration

    5. When to Make a Centric Relation Record? restoring all posterior teeth in one or both arches restoring all teeth in one arch complete denture occlusal equilibration

    6. When to Make a Centric Relation Record? restoring all posterior teeth in one or both arches restoring all teeth in one arch complete denture occlusal equilibration

    7. When to Make a Centric Relation Record? restoring all posterior teeth in one or both arches restoring all teeth in one arch complete denture occlusal equilibration

    9. When to Make a Centric Relation Record? restoring all posterior teeth in one or both arches restoring all teeth in one arch complete denture occlusal equilibration

    10. Centric Relation Recording Techniques Two Techniques: bimanual manipulation chin guidance

    11. Leaf Gauge Record orofacial muscle exam examine and note the amount of horizontal and vertical overlap of teeth

    12. Leaf Gauge Record

    13. Leaf Gauge 0.1mm thick polyester material numbered 1-55 polyester material is flexible can be sterilized

    14. Leaf Gauge Record Basic Principles place ten leaves between central incisors instruct the patient to close “half hard” on back teeth wait 20-30 seconds ask the patient if they feel contact of their back teeth

    15. Leaf Gauge Record Basic Principles continue adding leaves (one at a time) until no posterior tooth contact can be felt (Record the number of leaves when the patient has no posterior contact) remove leaves one at a time to determine the first contact

    16. Leaf Gauge Record Basic Principles •Record the number of leaves when the patient feels tooth contact •Record the location of the initial tooth contact. (teeth number’s and location on the teeth)

    19. Leaf Gauge Advantages: eliminates operator error (do not need to manipulate the patient into CR because of the flexible polyester material the leaves are made from) does not require fabrication of acrylic resin jig easy to use

    20. Cross Mounting Procedure •trim bite registration with scalpel until record fully seats on cast

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