Occlusal schemes for complete dentures: a systematic review. 2013

Jaafar Abduo
University of Western Australia, Crawley, Australia. jaafar_abduo@hotmail.com

OBJECTIVE The aim of this study was to qualitatively review the literature regarding occlusal schemes for complete dentures. METHODS An electronic search was executed using PubMed (MEDLINE) with the aid of Boolean operators to combine the following terms: "complete denture," "occlusion," "balanced," "lingualized," "anatomic," "flat," "monoplane," and "canine." The search was limited to English peer-reviewed articles published up to January 2012. The literature search was supplemented by manual searching of relevant journals and the reference lists of selected articles. RESULTS A total of 565 articles were retrieved; however, only 12 articles met the inclusion criteria. The included studies evaluated the effects of posterior tooth morphology/arrangement and lateral occlusal guidance. In relation to morphology, the posterior teeth were either anatomical or flat. The posterior tooth arrangements showed conventional bilaterally balanced occlusion (CBBO), lingualized bilaterally balanced occlusion (LBBO), or monoplane occlusion (MO). The lateral occlusal guidance involved either balanced occlusion or anterior tooth-guided occlusion (ATGO). CONCLUSIONS Within the limitations of this review, it can be concluded that anatomical teeth arranged in CBBO or LBBO are preferable to flat teeth arranged in MO. This is primarily related to patient acceptance. ATGO can also be considered for complete dentures.

UI MeSH Term Description Entries
D003766 Dental Occlusion The relationship of all the components of the masticatory system in normal function. It has special reference to the position and contact of the maxillary and mandibular teeth for the highest efficiency during the excursive movements of the jaw that are essential for mastication. (From Jablonski, Dictionary of Dentistry, 1992, p556, p472) Canine Guidance,Occlusal Guidance,Occlusal Plane,Occlusion, Dental,Dental Occlusions,Guidance, Canine,Guidance, Occlusal,Occlusal Guidances,Occlusal Planes,Occlusions, Dental,Plane, Occlusal,Planes, Occlusal
D003767 Dental Occlusion, Balanced Dental occlusion in which the occlusal contact of the teeth on the working side of the jaw is accompanied by the harmonious contact of the teeth on the opposite (balancing) side. (From Jablonski, Dictionary of Dentistry, 1992, p556) Balanced Dental Occlusion,Occlusion, Balanced Dental,Balanced Dental Occlusions,Dental Occlusions, Balanced,Occlusions, Balanced Dental
D003779 Denture Design The plan, delineation, and location of actual structural elements of dentures. The design can relate to retainers, stress-breakers, occlusal rests, flanges, framework, lingual or palatal bars, reciprocal arms, etc. Denture Designs,Design, Denture,Designs, Denture
D003824 Denture, Complete A denture replacing all natural teeth and associated structures in both the maxilla and mandible. Complete Denture,Complete Dentures,Dentures, Complete
D006801 Humans Members of the species Homo sapiens. Homo sapiens,Man (Taxonomy),Human,Man, Modern,Modern Man
D013499 Surface Properties Characteristics or attributes of the outer boundaries of objects, including molecules. Properties, Surface,Property, Surface,Surface Property
D014093 Tooth, Artificial A fabricated tooth substituting for a natural tooth in a prosthesis. It is usually made of porcelain or plastic. Artificial Teeth,Artificial Tooth,Teeth, Artificial

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