Twenty edentulous subjects were seleeted and each one received two pairs of complete dentures. Dentures were made from duplicated casts and eaeh one followed dift'erent techniques. One teehnique used face-how. Teeth were set using individualized wax rims as guides. In another tehnique an articulator was used, whieh avoids face-how. Balanced occlusion was provided even without
Comparison of The Occlusal Vertical Dimension After Processing Complete Dentures Made With Lingualized Balanced Occlusion and Conventional Balanced Occlusion
En-Masse Retraction Dependent On A Temporary Skeletal Anchorage Device Without Posterior Bonding or Banding in An Adult With Severe Bidentoalveolar Protrusion: Seven Years Posttreatment
Twenty edentulous subjects were seleeted and each one received two pairs of complete dentures. Dentures were made from duplicated casts and eaeh one followed dift'erent techniques. One teehnique used face-how. Teeth were set using individualized wax rims as guides. In another tehnique an articulator was used, whieh avoids face-how. Balanced occlusion was provided even without
Twenty edentulous subjects were seleeted and each one received two pairs of complete dentures. Dentures were made from duplicated casts and eaeh one followed dift'erent techniques. One teehnique used face-how. Teeth were set using individualized wax rims as guides. In another tehnique an articulator was used, whieh avoids face-how. Balanced occlusion was provided even without
Twenty edentulous subjects were seleeted and each one received two pairs of complete dentures. Dentures were made from duplicated casts and eaeh one followed dift'erent techniques. One teehnique used face-how. Teeth were set using individualized wax rims as guides. In another tehnique an articulator was used, whieh avoids face-how. Balanced occlusion was provided even without
Comparative Evaluation of Two Techniques in Achieving
Balanced Occlusion in Complete Dentures Lt Col M Kumar', Col DSJ D'Souza+ Abstract Background: This study was undertaken to evaluate new teehnique, whieh claims to reduce treatment time while retaining the quality of treatment. The aim of this study was to compare complete dentures made by two techniques: with the use of face bow and without the use of face how. Methods: Twenty edentulous subjects were seleeted and each one received two pairs of complete dentures. Dentures were made from duplicated casts and eaeh one followed dift'erent techniques. One teehnique used face-how. Teeth were set using individualized wax rims as guides. In other teebnique an articulator was used, whieh avoids face-how and teeth were set by the cast-analysis method. The number of occlusal contacts in centric relation and excursive movements were registered, in addition to this the opinion of patients regarding denture bearing during oral fanctions were taken. Result: Both groups had dentures with balanced occlusion, but the teehnique that avoids face-how presented better results in regard to time taken, esthetics, comfort and stability. Balanced occlusion was provided even without face-how and could be an alternative to obtain adequate complete dentures with a better progu08is. Conclusion: For achieving better quality of denture in the form of esthetics, phonetics and fanction in short duration of time; a new teehnique was used to establish balanced occlusion in complete denture prostheses. MJAFI 2010; 66 : 362-366 Key Words: Complete dentures; Articolators; Occlusion Introduction O cclusion is a factor that is common to all branches of dentistry. It is a term generally accepted to describe the contact relationship of the upper and lower teeth [1]. Occlusion is defined as the static relationship between incising and masticating surfaces of the maxillary and mandibular teeth. There are numerous concepts, techniques, and philosophies concerning complete denture occlusion. There has been a perplexing lack of concern regarding concepts, principles, theories and methods of evaluating and understanding the masticatory system. There are many kinds of occlusion which are significant in complete prosthodontics. Balanced occlusion refers to the occlusion with simultaneous contacts of the occlusal surfaces of the teeth on both sides of the arch, regardless of the mandibular position. "A phrase was coined in the mid '60s to explain the movements of dentures that occurred irrespective of the occlusal scheme used, which stated "enter bolus, exit balance" [2]. In an artificial dentition, with denture bases ouly really being controlled by muscle activities (albeit to varying degrees), it becomes imperative that balancing contacts occur as soon as possible into, around, and out of centric occlusion, so as to minimize any movement of the denture bases. Centric occlusion is the most frequently used position during mastication but also during swallowing, an action that occurs about 1500 times in 24 hours, and so any slide into centric occlusion, the position adopted during swallowing, should be balanced to minimize denture movement and undue forces being exerted on the base. Other actions also take place that can jeopardize even the most ideal arrangement of artificial teeth and denture bases. The occlusal scheme for complete dentures should be one in which there are as many contacts around the arch as possible at all excursive movements away from, and back into, centric occlusion. One of the most important requirements for successful complete dentures is a balanced articulation. An adequate occlusal scheme allows better distribution of masticatory forces, improves denture efficiency and stability. In order to achieve this, it is necessary to reproduce centric relation and use an adequate articulator [3]. Articulators reproduce patient characteristics with more accuracy [4,5]. However, fully adjustable articulators are not practical, since they present high cost, demand knowledge on equipment and 'Reader, Depar1ment of Dental Surgery, Anned Forces Medical College, Pune-40. +Commanding Officer, 200 MDC, C/o 56 APO. Received: 08.09.09; Accepted : 02.07.10 E-mail: manjitkiran@yahoo.com Comparati ve Eval uati on of Two Techni ques in Achi evi ng Bal anced Occl usi on in Compl ete Dentures 363 l ong chai r si de ti me. On the other hand, nonadj ustabl e arti cul ators are easy to handl e, but f ai l to obtai n a bal anced occl usi on and denti st spends much ti me on occl usal adj ust ment s [ 6,7] . Consi der i ng t he af orementi oned statements, semi adj ustabl e arti cul ators seem to present the most adequate ef f ecti venessl handi ng rel ati on f or compl ete dentures. These arti cul ators are easy to handl e and al l ow a full bal anced occl usi on duri ng mandi bul ar excur si ons, compr i si ng i ndi vi dual characteri sti cs of each pati ent. Face-bow i s wi del y used to transf er the pati ent's occl usal pl ane i ncl i nati on to the semi adj ust abl e arti cul ators. I n t he same manner, i ndi vi dual compensati ng curves, f ol l owi ng pati ent path angl es f or mandi bul ar movements are estabi l i shed. However, usi ng face bow and estabi l i shi ng compensatory curves coul d be troubl esome i n cases of el derl y and ill pati ents. Al though the use of a f ace bow presents many theoreti cal advantages, they not necessari l y produce better cl i ni cal resul ts. The i nf ormati on gi ven i n thi s paper mi ght save ti me, and thereby al l ow prosthodonti sts and general dental of f i cers i n armed f orces to rehabi l i tate and restore a l arge number of pati ents. It woul d al so hel p i n a bet t er understandi ng of t he dynami cs of compl ete denture prostheses and thus i mprove treatment and trai ni ng i n thi s i nsti toti on. Mat er i al and Met hods In thi s study t wo di f f erent techni ques of compl ete dentures const ruct i on wer e compared. The f i rst used f ace-bow and a semi -adj ustabl e arti cul ator, Hanan H2 (Hanau Eng. CO. Buf f al o USA ).The second used a semi -adj ustabl e arti cul ator (Stratos 100, I vocl ar, L i echtei nstei n), whi ch avoi ds t he use of f ace- bow, usi ng an average mouot i ng based upon pat i ent ' s cast s anal ysi s. Theref ore, t here i s a const ant endeavor to expl ore newer techni ques t hat woul d si mpl i f y procedures and save time. Compl et el y edentul ous subj ects wi t h wel l f ormed ri dges wi t h cl ass I j aw rel at i on wer e sel ected f or thi s study. Twenty such subj ect s wer e r est or ed wi t h t wo set s of compl et e dent ur es, f abr i cat ed by each of t he t wo t echni ques uoderval uati on. A f t er i ni ti al exanti nati on and t he i mpressi on procedures t he f uncti onal cast s so obt ai ned wer e dupl i cat ed wi t h si l i cone. Cast s obt ai ned wer e separat ed i nt o t wo groups whi ch were mouoted on t wo di f f erent types of semi adj ustabl e arti cul ators. Casts i n t echni que I wer e mount ed usi ng a f ace bow i n a Hanau H2 arti cul ator (Hanau Eng. CO. Buf f al o,USA). Cast s i n t echni que I I wer e mouot ed wi t hout f ace bow r ecor d i n a Stratos 100 arti cul ator, (I voci ar,Li echtenstei n). Fol l owi ng arti cul ati on, t eet h set t i ng was carri ed out usi ng t he same types of teeth set (I vostar-Gnathostar,I voci or,L ei chtenstei n). Ther e af t er al l t he dentures wer e pr ocessed i n convent i onal manner. Techni que I The upper cast was mouot ed by f ace bow techni que, (Fi g. I ) . L ower cast s wer e t hen al i gned and f i xed t o t he arti cul ator MIMI, Vol. 66, No.4, 2010 i n cent ri c rel at i on posi ti on. Hori zont al and l at eral condyl ar gui dance was i ndi vi sual i sed by f ol l owi ng t he i ndi vi dual centri c and prot rusi ve rel at i on records. The t eet h setti ng was carri ed out and occl usi on was correct ed by means of f i ne gri tty stones t o obt ai n a bal anced arti cul ati on i n prot rusi ve and l ateral mandi bul ar excursi ons (Fi g. 2). Techni que I I Her e t he cast s wer e mouot ed on t he arti cul ators based on average val ues. Thi s t echni que was speci f i c t o thi s t ype of arti cul ator and was devel oped t o avoi d t he use of f ace bow. The l ower cast was f i xed to the l ower part of t he arcon type of arti cul ator by means of a hori zontal gui de appl i ance (Fi g. 3), speci f i c to thi s i nst rument , whi ch det emt i ne t he arbi t rary occl usal pl ane uti l i zi ng t he pat i ent ' s retro mol ar pad and l abi al f renum, f or ref erence, as i t appeared on t he cast. Once t he l ower cast was f i xed to t he arti cul ator wi t h t he pl aster, t he ri ms i n cent ri c rel at i on wer e pl aced over t he l ower cast. Thi s al l owed t he posi t i oni ng of t he upper cast whi ch was f i xed wi t h pl aster. Teeth setti ng i n thi s t echni que was carri ed out as per the method of Bi o f uncti onal Prostheti c System (I vocl or, L i echtenstei n) wi t h t he hel p of a t wo di mensi onal t empl at e (Fi g. 4). The t echni que descri bed by t he manuf act urer uses cast anal ysi s, as wel l as t he rel at i on bet ween dent al arches and anat omi c cri teri a, l i ke pal ate, ret ro mol ar pad, r ugae on pal at e and maxi l l ar y tuberosi ti es . These procedures wer e per f or med obser vi ng adequat e overbi t e, and t o obt ai ned bal anced occl usi on (Fi g. 5). The same operat or carri ed out al l procedures. The t i me t aken i n car r yi ng out var i ous pr ocedur es t hat wer e not common t o t he t wo techni ques was noted. A f t er f abri cati on, each pai r of dentures was tri ed i n pat i ent ' s mouth. Occl usal contacts of each pai r wer e regi st ered wi t h arti cul ati ng paper, i ndi vi dual l y and a r ecor d was kept. The pat i ent was suppl i ed wi t h one pai r of dent ures f or 10 days bef or e hel she was recal l ed to answer a questi ouoai re. Ther e af ter t he ot her pai r was i nser t ed and pat i ent was asked t o answer t he quest i ouoai re af ter anot her 10 days. The resul ts concerni ng t he number of cont act s achi eved by each t echui que and questi ouoai re were stati sti cal l y anal yzed by Test of Proporti on anal ysi s and Wi l coxon Test. Resul t s In t echni que II, f ace bow recordi ng, mount i ng on t he art i cul at or i n t hat part i cul ar posi ti on, got hi c ar ch traci ng, r ecor di ng of cent r i c and pr ot r usi ve check r ecor ds and pr ogr ammi ng of Hanau H2 art i cul at or wer e avoi ded. Hence t i me t aken i n f abri cati on of compl et e dent ure wi t h bal anced occl usi on i n t echni que I I was ver y l ess as compar e t o t echni que I . A t denture del i very appoi ntment, oul y one pai r of dent ure was gi ven t o t he pati ent. Occi usal contacts wer e regi st ered wi t h art i cul at i ng paper. They wer e count ed at t he upper dent ure, conf i r med at t he l ower dent ur e and si gned. To mi ni mi ze errors, contacts were done twi ce i n each person, in a t ot al of 20 sampl es. Pati ents wer e i nst ruct ed t o ret urn af ter 10 days and t hen answered t he Group A par t of an appropri ate questi onnai re (Annexure I ) . The second pai r of dentures were K umar and D'Souza Fig. 1 : Cast mounted in the Hanau arti cul ator wi th face-bow (Group A). Fi g. 2 : Teeth mounti ng Pig. 3 : Hori zontal gui de of the Stratos 100 articulator concl uded i n the Hanau pol i ti onod over the l ower cut . articu1ator. Fi g. 4 : Hori zontal gui de I I Pi g. 5 : Teeth mounti ng at Straws repo&itioDCd to I he upper part 100 arti adator of St r at oi l OO aDd posi ti on the po!itmiOl" Iowet- teeth then del i vered aDd procedures were repeated. Af ter weari ng peri od. pati ents were asked to choose ODe of those pai rs, whi ch wer e al l o si gned. Resul t s concer ni ng about questi onnai re and number of contacts of groups A and B were stati sti cal l y anal yzed by t he Test of Proporti on analysis and Wi l coxon Test wi t h a significance l evel of 6%. To access differences between t he groups about these cri teri a, WLicoxon Test was used t o ver i f y occl usal cont act s and Test of Proporti on Analysis was made f or questi onnai re answers. Occl usal cont act s pr esent ed a st at i st i cal l y si gni f i cant difference betwccn the average of Groups A and B f or centri c rel ati on (p::O.OOS) and left.lateral movement (p::O.OI 0), in whi cl t group B presented the greater number of contacts. A t ri ght l ateral movement there was a tendency of group B to present hi gher number of contactl (p=O.065), due to the proxi mi ty of p- val ue est abUshed of 6%. Ther e was no st at i st i cal l y si gni f i cant di f f erence bet wr en groups of dentures (p=O.331) f or protrusi ve movements (Thbl e 1). L ateral movements were subdi vi ded i nt o wor ki ng and non- wor ki ng si des or t he bal anci ng si de, wher en pr ot r usi ve movement s wer e separated i n ant eri or and post er i or contac:u. Concerni ng worki ng si de at l ateral movements, dentures in group A presented worse resul ts than dentures in group B. at ri ght Iak:raJ. movcmco1S (p=(UXl7), but at left l ateral there was no stati sti cal l y si gni f i camdi f f erence (p:::::O.I02) as shown in Tabl e 2. Adi f f " erentsi tuati on was f ound in the non-worki ng si de or t he bal anci ng si de. in whi ch Group A obtai ned worse resul ts at l ef t lateral movement (p:::::O.023), No stati sti cal l y si gni f i cant di f f er ences wer e obser ved f or r i ght l at er al A na.sun 1 Queat l o_al n about compl et e dent ur e bear i ag Name of t he Pati ent: ........................................... Date: ............... . ETaJ.uattoD of Group A dentl l l 'U .... de byl l l i DI tecbni que I L Comf ort duri n, weari ng peri od: [ ] Bm [ ] Sari l f actory [ ] Very Good 2. Stabi l i ty: [] Om [ J Sadl f l Ct ol ) ' 3. BeariD., du.ria. 'PCIll:i.llI : [] B.s [] Sadl f act or y 4. Be.i n, durlA, cbewi n,: [] B.s [] Sari l f actory D Very Good Enl Uoa of dCDt ar a IIlIM1c by Ui al tec.l l ai que D nat e : ............... . 1. Comf ort duri n. weMiDJ peri od: [ ] Bad [ ] Sal l i f act ory D Very Good 2. Stabi l i ty: [ ] Bm [ ] Sari l f act ory D Very Good 3. Be.rinJ; dlJrlq: Jped.l .nl : [ J Bm [ J Sari Jf actory [ J Very Good 4. BeariDJ Wti nl chom,: [ ] Bad [ ] Sal l Jf actory D Very Good Pref erence: Deotwc A Denture B Pati etl l l paI Ul e: ................. .................................... . movement (p=().233) m ..wi no to group B (Table 3). Reganling protrusi ve movement (Tabl e 4), t here was no stati sti cal l y si gni f i cant di f f er ence bet ween dent ur e gr oups bot h f or ant er i or (p:::tO.72S) and pOl t er i or cont act s (p:::tO.373) . Cool i deri ng all movement! anal yzed, dentures from group B, on average. obtai ned greater number of occl usal contacts than dentures from group A. Accordi ng to questi onnai re, it was observed. that dent ur e B had bet t er accept ance by pati ents. due to the anawcn " Bad" (p=O.l 7) and " V ery Good" (p=O.057) t here was a stati sti cal l y si gni f i cant di f f erence between groups A and B (Tabl e 5). Af ter the anal ysi s, i t coul d be observed t hat group A wu. composed by dentures made wi th f aco-bow usi ng techni que 1 and group B, made wi thout fac&-bow usi ng techni que l l . Di scussi on I t was observed. t hat dentures i n Group B. made wi thout use of presented hi gher number of JUAn, \bL 66. No.4, 2010 Comparati ve Eval uati on of Two Techni ques in Achi evi ng Bal anced Occl usi on in Compl ete Dentures 365 Tabl e 1 Number of occl usal cont act s in gr oups A and B ontacts Centric r elation Left lateral movement Right lateral movement Pr otr usive movement Group A Group B Group A Group B Group A Group B Group A Group B Aver age 11.90 19.10 12.40 Variance 6.77 10.10 25.38 n 20 20 20 p- val ue 0.005 0.010 n=sample size Tabl e 2 Number of occlusal contacts at wor king side in gr oups A and B Working side Left lateral movement Right lateral movement Group A Group B Group A Group B Average 6.50 7.70 6.40 8.40 Variance 6.06 8.90 6.71 7.82 n 20 20 20 20 p-value 0.102 0.007 n=sample size Tabl e 3 Number of occlusal contacts at balancing side in gr oups A and B Balancing side L eft later al movement Right later al movement Group A Group B Group A Group B Aver age 5.90 7.60 6.20 7.10 V ar iance 6.99 6.93 3.96 3.88 n 20 20 20 20 p- val ue 0.023 0.233 n=sample si ze occl usal contacts i n centri c rel ati on than Group A f or al l mandi bul ar posi ti ons. It mi ght be due to techni que, whi ch shows an i nherent di f f i cul ty: the resi n bases have not enough retenti on at the t i me of obtai ni ng i ndi vi dual compensat i ng curves [ 8,9] . Theref ore; t he occl usal pl anes coul d be i nadequatel y rel ated t o al veol ar ri dges. In Group B denture were made usi ng the teeth mounti ng gui de of Stratos 100 arti cul ator, whi ch al l ows t o obtai n an arbi trary occl usal pl ane at t he t i me of teeth setti ng. Thi s procedure avoi ds t he er r or due t o techni que used i n Group I as descri bed above. Bot h groups presented si mi l ar resul ts i n excursi ve j aw movements, establ i shi ng a bal anced arti cul ati on. Sl i ghtl y better resul ts coul d be seen f or Gr oup B, pr obabl y r ef er r ed t o t he same i naccuracy rel ated to the use of standard gui des f or teeth setti ng. Group B presented better estheti c than Group A. It coul d be due t o the techni que used i n setti ng of teeth. Group A t eet h setti ng depends on dent i st and techni ci an's abi l i ty t o achi eve al l estheti c requi rements duri ng wax ri ms i ndi vi dual i zati on. Group B teeth setti ng respect s cast anal ysi s, whi ch reproduces i ndi vi dual characteri sti cs, despi te dental staf f 's abi l i ty to reproduce estheti cs. Group B recei ved more f avourabl e answers MIMI, Vol. 66, No.4, 2010 15.30 27.34 20 12.60 15.50 15.70 17.40 18.93 20.06 17.34 24.93 20 20 20 20 0.065 0.331 Tabl e 4 Number of occl usal contacts at pr otr usi ve movements between gr oups A and B r otr usive Anter ior Poster ior ovement Group A Group B Gr oup A Group B Average Variance n p-value n=sample si ze Tabl e 5 4.60 3.82 20 0.725 4.70 4.90 20 Pat i ent s answer s r egar di ng dent ur e 11.10 7.66 20 0.373 12.70 14.23 20 nswer Group A Group B p-value Bad Sat i sf act or y Very good 25% 35% 40% 0% 30% 70% 0.17 0.736 0.057 than GrOUp A f or chewi ng and speaki ng f uncti ons. Thi s resul t conf i rms t hat comf ort, stabi l i ty and l ess stress t o t he supporti ng ti ssues come f rom an adequate bal anced occl usi on [ 10] . Thus, si nce Group B presented greater aestheti cs and comf ort, al l pati ents pref erred dentures f rom thi s group. Consi deri ng the methodol ogy appl i ed and the sampl e anal yzed, one can concl ude t hat bot h groups obtai ned bal anced occl usi on and occl usal cont act s i n al l mandi bul ar excursi ons. However, Group B presented better resul ts than Group A, even wi t hout f ace-bow. St r at osl OO ar t i cul at or pr esent ed an unexpect ed perf ormance and coul d be used as a source to obtai n bal anced occl usi on duri ng compl ete denture f abri cati on. Concl usi on One of the most i mportant requi rements f or successf ul compl ete dentures i s achi evi ng bal anced occl usi on. In order t o achi eve thi s, i t i s necessary to reproduce centri c rel ati on and use an adequate arti cul ator. Arti cul ators reproduce pat i ent ' s characteri sti cs wi t h more accuracy. However, f ul l y adj ustabl e arti cul ators are not practi cal , si nce they present hi gh cost, demand knowl edge of equi pment and requi re l ong chai r si de ti me. On t he other hand, non adj ustabl e arti cul ators are easy to handl e, but do not hel p i n achi evi ng bal anced occl usi on, resul ti ng i n prol ong chai r si de ti me spent on occl usal adj ustments. Theref ore, semi adj ustabl e arti cul ators seem to present the most adequate ef f ecti ve tool f or compl ete dentures. These arti cul ators have been f ound to be easy to handl e and al l ows i n achi evi ng a f ul l bal anced occl usi on duri ng mandi bul ar excursi ons, accommodati ng i ndi vi dual characteri sti cs of each pati ent. Face bows have been wi del y used to transf er pati ent's occl usal pl ane i ncl i nati on to semi adj ustabl e arti cul ators. However, there i s not enough evi dence to suggest that the use of f ace bow resul t i n i ncreased cl i ni cal qual i ty. I t i s concl uded that both groups obtai ned bal anced occl usi on and occl usal contacts i n al l mandi bul ar excursi ons, however, Group B presented better resul ts than Group A, even wi thout f ace-bow. One of the most compel l i ng chal l enges f aci ng the servi ce prosthodonti st i s the responsi bi l i ty to provi de qual i ty dentores to an ever-i ncreasi ng pati ent cl i ental e wi thi n the avai l abl e constrai ns of t i me and manpower resources. Qui te obvi ousl y, t he i ncreased amount of t i me spent i n treatment woul d resul t i n l esser number of pati ents who coul d be rehabi l i tated. I t i s wi th thi s background that thi s stody was undertaken to eval uate new techni que, whi ch cl ai med to reduce treatment ti me whi l e retai ni ng the qual i ty of treatment. Conf l i cts of i nt er est Thi s st udy has been f i nanced by r esear ch grants f r om t he 0/ 0 DGAFMS, New Del hi . I ntel l ectual Contri buti on of Authors Study Concept : Lt Col M Kumar Kumar and D' Souza Dr afti ng & Manuscr i pt Revi si on: Lt Col M Kumar Stati sti cal Anal ysi s: Col DSJ D'Souza, Lt Col M Kumar Study Super vi si on: Lt Col M Kumar, Col DSJ D'Souza Ref erences 1. Wi nkl er S. Compl et e denture: Essenti al s of compl ete denture prosthodonti cs. 2'" Edi ti on Ameri ca AI TBS Publ i shers 2004. 2. Boucher CO. Swenson's compl ete dentures. (jh Edi ti on. Canada CV Mosby Publ i cati ons.1970. 3 Ash M. Phi l osophy of occl usi on, Past and Present. Dental Cl i ni cs of North Ameri ca 1995; 39: 233-51. 4. Ccl enza FW, Nascdki n JF. Occl usi on: The state of the art. Qui ntensence, Chi cago 1978. S. Boucher CO. Di scussi on on l aws of arti cul ati on. J Prosthet Dent 1963; 13: 45-8. 6. Lang BR. Compl ete denture occl usi on. Dental Cl i ni cs of North Ameri ca 1996; 40: 85-98. 7. Hanau RL. Arti cul ati on dermed, anal ysed and f ormul ated. J Am Dent Assoc 1926; 13: 1694. 8. Zarb Bol ender. Prosthodonti c Rx f or edentul ous pati ents; 12th edi ti on Canada Mosby 2005. 9. Ramf j ord SP. The si gni f i cance of recent research on occl usi on f or the teachi ng and practi ce of denti stry. J Prosthet Dent 1966; 16: 96-103. 10. Sharry JJ. Compl ete Denture Prosthodonti cs; 2' " edi ti on Engl and McGraw-Hi l l Book Company 1962. ERRATUM Case Report : " A Case of I ntravagi nal Forei gn Body" MJAFI Jul y 2010; 66 266-8. For : Sqn L dr N Magon, Cl i ni cal Tutor (Dept of Obstetri c & Gynaecol ogy), AFMC, Pune-40. Read: Sqn L dr N Magon, Resi dent (Dept of Obstetri c & Gynaecol ogy), AFMC, Pune-40. The error i s regretted. MI MI , Vol. 66, No.4, 2010
Comparison of The Occlusal Vertical Dimension After Processing Complete Dentures Made With Lingualized Balanced Occlusion and Conventional Balanced Occlusion
En-Masse Retraction Dependent On A Temporary Skeletal Anchorage Device Without Posterior Bonding or Banding in An Adult With Severe Bidentoalveolar Protrusion: Seven Years Posttreatment