Professional Documents
Culture Documents
Christensen 1960
Christensen 1960
09 C ok’
When the two buccal cusp tips and the highest-situated lingual cusp tip are
connected with straight lines, these lines circumscribe a small plane which is called
the “cusp plane.” Two aligned bicuspids are regarded as one single tooth. The plane
The cusp plane is assumed to be situated in, or parallel with, the plane of occlusion,
may have a transverse and a sagittal slope in relation to the plane of occlusion. In
this investigation, however, only projections in the sagittal plane are discussed.
The connecting line between the buccal cusps indicates the sagittal slope, and the
alignment of these lines forms the compensating curve, The inclination of the cusp
plane to the plane of occlusion is called the “cusp plane angle.”
Fig. I.-The compensating curve is outlined as two straight lines (PPI and MM& The cusp
plane angle is w. ,3 is the inclination of the condylar guidance.
;oll$; ‘4” THE COMPENSATING CURVE FOR COMPLETE DENTURES 639
u
where C is the cusp angulation, 2 is the cusp angulation according to Table I, and
w is the cusp plane angle. This formula is called the “formula for the compensating
curve.”
The cusp plane angle for the third molar is equal to 0s (Fig. 2). The angula-
tion of the protrusive facets based on Table I must be reduced by an angle equal
to us. The angulation of the cusp plane of the third molar to the condylar guidance
Fig. Z.-The sagittal slope of the third molar in the compensating curve. The cusp plane
angle is WB. The angle of the cusp plane proportionated to the condylar path is: fia z ,Y - ~8,
where fl is the inclination of the condylar guidance.
is: ps = p - us. The corresponding relationship for the second molar in-
volves O, and p7 (Fig. 3)) and for the first molar, ws and ps (Fig. 4).
Exan@le.-A patient has a condylar guidance inclination equal to 40 degrees
on both sides. Ten-degree posterior teeth have to be used for the construction of
complete dentures. How is the compensating curve of occlusion to be formed ?
According to the cusp incline table and the formula for the compensating
curve, it is possible to calculate the cusp plane angle to obtain a smooth contact
for all of the protrusive facets. In accordance with the cusp incline table, the cusp
angulation for the mandibular second molar is 16 degrees; however, the cusp
640 CHRISTENSEN J. Pros. Den.
July-August, 1960
Fig. 3.-The sagittal slope of the second molar in the compensating curve. The cusp
plane angle is 07. The angle of the cusp plane proportionated to the conciylar path is: fir = /I - W,
where ,Y is the inclination of the condylar guidance.
Fig. 4.-The sagittal slope of the Arst molar in the compensating curve. The CUSP Plane
angle is ,3a. The angle of the cusp plane proportionated to the condylar path is: LJa = B - WB,
where B is the inclination of the condylar guidance.
inclination of the posterior teeth is 10 degrees. The cusp plane angle of the second
molar in the curve may be calculated by the formula for the compensating curve:
c= z--o
w=z- C
co== 16°-10"
w= 6'
In this example, the cusp plane angle (0) for the second molar is equal to
6 degrees, which is the difference between the cusp angulation, according to Table
I, and the actual cusp angulation of the molar which is used. In the same way,
the cusp plane angles (0) for the first and the third molars are calculated to be
2 and 10 degrees, respectively.
Volume 10
Number 4 THE COMPENSATING CURVE FOR COMPLETE DENTURES 641
Fig. &-The sagittal slope of two aligned bicuspids to the compensating curve. The cusp
plane angle is WC. The pitch of the cusp plane proportionated to the condylar path is: 6s = fl + WS,
where ,4 is the inclination of the condylar guidance.
BICUSPID ARRANGEMENT
The cusp plane angulation of the bicuspids is equal to o5 (Fig. 5). The angul.a-
tion of the bicuspid plane to the condylar guidance is: /?s = /3 + Q, which is
greater than the inclination of the condylar guidance (p). Therefore, the cusp
angulation may be steeper to attain antagonistic contact for protrusive movement.
Consequently, the curve of occlusion decreases the cusp angulation for the waolc~rs
and increases the cusp angulation of the bicuspids.
In practice, we do not use high cusps for the bicuspids. In the region of
these teeth, therefore, the antagonists lose their contact during protrusive gliding
movements. This is also true on the balancing side during lateral movements. The
advantages of this arrangement are the possibility of chewing hard food in the
bicuspid region and the coincidentally obtained antagonistic contact in the front
and in the molar region.
Prosthodontists have problems concerning the increase in the age of the pa-
tients who need prosthetic treatment. The most marked problem is the senile
residual ridge in connection with horizontal stress during mastication.
With cuspless posterior teeth, it is possible to attain a minimum of horizontal
stresses during gliding movements. The cusp plane angulation of cuspless teeth in
the alignment of the curve of occlusion can be calculated. In accordance with rhe
function of the compensating curve, the cusp angulation (8) of the molars, as
calculated in Table I, is reduced with an angle equal to the size of the cusp
plane angle (0).
642 CHRISTENSEN J. Pros. Den.
July-August, 1960
The cusp angulation (C) with cuspless teeth equals zero degrees. According
to the formula for the compensating curve, the following relationship is obtained:
c= z-w
0”=2--w
8=&l
When setting cuspless posterior teeth, therefore, the cusp plane angle must be
equal to the cusp angulation according to the cusp incline table. Providing that the
inclination of the condylar guidance is known and measured in relation to the plane
of occlusion (occlusion rims), cuspless teeth can be arranged in approximately bal-
anced occlusion on a hinge articulator by means of Table I and a protractor.
On an average articulator, the inclination of the condylar guidance is usually
30 degrees. According to the cusp incline table, the slopes of the first and
the second molars are, respectively, 9 and 12 degrees. Therefore, setting teeth for
complete dentures may be completed on a hinge articulator with the same re-
sults as on an average articulator. Standard inclination of condylar guidance gives
a standard curve. The effect of Bonwill’s triangle6 and Balkwill’s angle’ on the
inclination of the cusp plane of cuspless teeth is of less importance for the bal-
anced occlusion.
REFERENCES