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Occlusal schemes for complete dentures: a systematic review.
1University of Western Australia, Crawley, Australia. jaafar_abduo@hotmail.com
The International Journal of Prosthodontics
|January 24, 2013
Summary
For complete dentures, anatomical teeth with balanced occlusion schemes are preferred over flat teeth with monoplane occlusion for better patient acceptance. Anterior tooth-guided occlusion is also a viable option.
Area of Science:
- Dental Prosthetics
- Biomaterials Science
Background:
- Complete dentures are essential for restoring function and aesthetics in edentulous patients.
- Occlusal schemes significantly influence denture stability, patient comfort, and chewing efficiency.
Purpose of the Study:
- To qualitatively review existing literature on various occlusal schemes for complete dentures.
- To compare the effectiveness and patient acceptance of different occlusal arrangements.
Main Methods:
- A comprehensive literature search was conducted using PubMed (MEDLINE) and manual searches of relevant journals.
- Keywords included "complete denture," "occlusion," "balanced," "lingualized," "anatomic," "flat," "monoplane," and "canine."
- The review focused on English peer-reviewed articles published up to January 2012.
Main Results:
- Twelve articles met the inclusion criteria, evaluating posterior tooth morphology, arrangement, and lateral occlusal guidance.
- Anatomical and flat posterior tooth morphologies were compared.
- Occlusal arrangements included conventional bilaterally balanced occlusion (CBBO), lingualized bilaterally balanced occlusion (LBBO), and monoplane occlusion (MO).
- Lateral occlusal guidance involved balanced occlusion or anterior tooth-guided occlusion (ATGO).
Conclusions:
- Anatomical teeth arranged in CBBO or LBBO are generally preferred over flat teeth in MO for complete dentures.
- Patient acceptance is a key factor favoring anatomical and balanced occlusal schemes.
- Anterior tooth-guided occlusion (ATGO) presents a potentially beneficial alternative for complete denture patients.
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