GOOD MORNING

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SELECTIVE GRINDING
AND REMOUNTING
IN COMPLETE DENTURES

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DIFFICULTIES ENCOUNTERED IN
COMPLETE DENTURE
FABRICATION ?

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 Introduction
Definitions:
 Occlusion is defined as the static relationship
between the incising or masticating surfaces
of the maxillary or mandibular teeth or tooth
analogues.

 Occlusal harmony is a condition in centric

and eccentric jaw relation in which there are
no interceptive or deflective contacts of
occluding surfaces.
GPT 8
OCCLUSAL EQUILIBRATION is the modification
of the occlusal form of the teeth with the
intent of equalizing occlusal stress,
producing simultaneous occlusal contacts or
harmonizing cuspal relations.
- GPT 8

SELECTIVE GRINDING/ OCCLUSAL RESHAPING

is the intentional alteration of the occlusal
surfaces of teeth to change their form
 Causes of occlusal error
Dimensional changes of acrylic resin

Method of polymerization

Displacement of single tooth during

packing

Denture bearing mucosa changes

during the entire denture wearing
period
CAUSES OF OCCLUSAL ERROR IN CD
 Improper recording of CR.

 A slight error when sealing the casts and blocks together or

when mounting them on the articulator.

 Warpage of the base-plates

 Pressure on the blocks being heavier on one side than the other
when the records were taken

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 Due to presence of wax on occlusal surfaces of
molars in try in stage.
 Due to irregularities in arrangement of teeth
 Due to tooth movement during flasking and
curing.
 Due to incomplete flask closure.
 Due to lateral deviation of mandibular jaw by the
patient while verifying occlusion at CR.

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METHODS TO CHECK OCCLUSAL ERRORS

1) EXTA ORAL Evaluation in articulator:

 There should be complete intercuspation of
the denture teeth in centric relation.

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(2) INTRA ORAL OBSERVATION OF
INTERCUSPATION

 The patient is guided into centric relation by a thumb placed

on the antero inferior portion of the chin and the index
fingers bilaterally on the buccal flanges of the lower trial
denture.

 The patient pulls his lower jaw back as far as it will go and
closes just until the back teeth make a “feather touch”. Then
the patient closes tightly. Any error in Centric Relation will be
apparent when the teeth slide over each other (TOUCH AND
SLIDE), especially if anatomical teeth are used. A second
closure made with the same instructions and a stop at first
tooth contact will permit visual observation of any error.

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AIDS TO CHECK OCCLUSAL ERRORS

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 Occlusal Discrepencies may be
corrected by either:
 Intra oral adjustment techniques

Articulating paper Occlusal indicator wax

Central bearing devices

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Limitation of chair side techniques
 In these methods, because dentures are
supported on compressible tissue and on
occlusion will move slightly in relation to
supporting alveolar bone.

 In the presence of deflecting contacts the

degree of accuracy for occlusal corrections,
that can be achieved in the mouth is
therefore limited.

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Lab remounting method
 Remounting done with out taking any
interocclusal records.

 Remounting is done using the same

articulator used for teeth arrangement.

 The dentures should not be separated from

the casts after processing.

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Laboratory remounting and selective
grinding
Laboratory remounting and selective grinding
Laboratory remounting and selective
grinding
Cast remounted on their plaster mounts in
articulator using index grooves on the base as
guides

Articulating paper placed

Identify premature contacts (dark spot with light

center)

Grind with small conical bur.

B. Clinical remounting procedures
 Done using inter-occlusal records in centric and eccentric
relations.

 A number of inter occlusal materials can be used, including

zinc oxide/eugenol pastes, silicone rubbers and softened
modelling wax, alu wax

 In general zinc oxide pastes and silicone rubber impression

materials are too fluid to prevent cuspal contact between the
two dentures unless extreme care is taken.

 Wax works well if softened to the correct consistency, but

although it tends to distort if used carelessly

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 Clinical remount
Dentures placed

Pt guided in CR and stopped just before

teeth making contact

Bite registration material injected

Cast poured

Maxillary denture remounted with face bow

Lower denture remounted using registration

paste
 REMOUNT PROCEDURE
Making inter occlusal record using centric relation.
Making inter occlusal record using centric relation.
Making of interocclusal record in
eccentric relations
 A strip of softened wax of double thickness is
placed on the occlusal surface of the upper
denture, the denture placed in the mouth and the
mandible moved to the right lateral position and
closed almost to tooth contact.

 A second wax wafer records the left lateral

position.

 If the patient experiences difficulty in making

lateral movements then a protrusive record should
be taken with the mandible protruded
approximately 6 mm.

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Lateral records

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 These records are used to set the sagittal condylar paths of
the articulator.

 The lateral guidance or Bennett angles on the condylar pillars

are set by the formula
L = (H/8) + 12,
where H is the angle of the condylar path as related to the
horizontal plane as viewed in the sagittal plane.

 Setting the lateral guidance angle allows the Bennett or side

shift to take place during lateral movements of most
adjustable articulators

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• Functional & non- functional cusps (bull’s law)

• Working side & non-working side

• Centric & eccentric

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 OCCLUSAL ERRORS AND SELECTIVE
GRINDING
SELECTIVE GRINDING:
The final correction of possible occlusal disharmony on dentures
is carried out with the procedure of selective grinding

OCCLUSAL ERRORS :
• Centric occlusion
• Protrusive movements
• Working and non-working side
 ERRORS IN CENTRIC OCCLUSION

A B C
Buccal Lingual

1 2
3

1. The fossae are deepened by grinding

2. Buccal inclines of the maxillary teeth & lingual
inclines of mandibular teeth are ground
3. The maxillary palatal cusp and mandibular buccal
cusp is ground by widening the central fossa
 ERRORS ON THE PROTRUSIVE SIDE
• Errors can be in two planes
Frontal plane
Sagittal plane

FRONTAL PLANE

1. Cusps are reduced

2. Buccal cusps should be
ground from the central
fossa to the cusp tip to
reduce the cusp
3. Mandibular buccal
1 2 inclines of lingual cusps
3 are reduced
 ERRORS ON THE NON-WORKING SIDE

• Each interfering cusp is preserved as much as

possible

• Each balancing contacts should be removed

CORRECTION OF OCCLUSAL CONTACTS IN THE
ARTICULATOR
CORRECTION OF OCCLUSAL CONTACTS IN THE
ARTICULATOR
 CONCLUSION

• Remounting of finished complete dentures is an integral

part of prosthetic treatment.

• The first remounting should be performed after

polymerization of the denture bases, the second after 1 to
3 days, and the third after 1 week of wearing.

• Occlusal errors can be corrected by selective grinding of

denture teeth.
Thank you
CORRECTING OCCLUSAL ERRORS IN DENTURES
WITH NON ANATOMIC TEETH.
 Identify deflective contacts with articulating
paper.

 During eccentric position grinding should not

be done on the disto buccal portion of
mandibular second molar.

 Balancing side correction is done on the

lingual portion of occlusal of maxillary
second molar.

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COMPLETE DENTURE OPPOSED BY A PARTIAL
DENTURE AND NATURALTEETH
 These cases can be approached in a similar way by check
records.

 The variations to be borne in mind are the necessity of

obtaining an impression of the partial denture in situ and the
limited grinding of any natural teeth

 When pouring the impression the denture must be retained in

it and care is taken that the denture does not shift. Certain
parts of the partial denture, such as clasps or connectors,
may require blocking out with soft wax before pouring in
dental stone otherwise the denture may be locked into the
cast

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 After the wax has been chilled, the dentures are placed on
their casts, and the locked articulator is closed in CR; the
opposing teeth should fit into the indentations in every way
(anteriorly, posteriorly, laterally, and vertically).

 When the original CR interocclusal record and the check are

both correct, these teeth will fit into the indentations
surprisingly well.

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 If the opposing teeth do not fit exactly into the indentations
in the new record, it means that the original mounting was
incorrect or that the patient did not bite cleanly into the
interocclusal wax.

 To evaluate this, the dentist must return the dentures and

wax record to the mouth and reevaluate their accuracy, as
previously described. If the record still appears to be correct
in the patient's mouth, then the original CR registration,
mounting, or both were incorrect.

 In these cases, the mandibular cast must be separated from

the mounting ring and the cast remounted by means of the
last interocclusal wax record. The new mounting is again
checked to prove or disprove its correctness.

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 The locknuts for the
condylar guidance slot
adjustments are loosened.
While pressure is exerted
on the upper articulator
member with one hand and
the condylar guidance slot
is worked back and forth
with the other hand, a
condylar path inclination is
found that permits the
teeth to stay in contact with
the wax through out.

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