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Updated: May 4, 2026

A Postoperative Evaluation Guideline for Computer-Assisted Reconstruction of the Mandible
Published on: January 28, 2020
[Determining and recording maxillomandibular relationships for the fabrication of single-unit and multi-unit fixed
E J Wiersema1, C M Kreulen, C de Baat
1Vakgroep Orale Functieleer van het Universitair Medisch Centrum St Radboud, Nijmegen. ej.wiersema@dent.umcn.nl
Abstract:
In a correctly functioning occlusal system, the design of the occlusal parts of single-unit and multi-unit fixed dental prostheses is generally determined by the maximum intercuspation. Determining and recording the maxillomandibular relationships is only required in case the adjacent teeth do not offer adequate support or reference to put the maxillary and mandibular cast in maximum intercuspation or in case the existing occlusion needs a well-structured alteration. The maxillomandibular relationships can be determined and registered analogously and digitally and on that basis the maxillary and mandibular casts can be mounted in a (virtual) occludator or articulator. In the absence of a distinct occlusal plane, one may consider first carrying out a facebow recording and transfer. Usually, the accuracy of determining and recording the maxillomandibular relationships does not increase when using more complicated methods.

