Assuntos
Planejamento de Dentadura , Prótese Total , Adaptação Fisiológica/fisiologia , Técnica de Moldagem Odontológica , Oclusão Dentária Balanceada , Bases de Dentadura , Honorários Odontológicos , Humanos , Consentimento Livre e Esclarecido , Registro da Relação Maxilomandibular/métodos , Lábio/anatomia & histologia , Modelos Dentários , Avaliação das Necessidades , Nariz/anatomia & histologia , Ajuste Oclusal , Planejamento de Assistência ao Paciente , Satisfação do Paciente , Dente Artificial , Dimensão VerticalRESUMO
The dental literature presents various definitions and techniques to describe and register centric relation (CR) or centric occlusion (CO). Briefly reviewing the literature in relation to CR, this article proposes the use of the term retruded contact position (RCP), clinically defined as retruded, unstrained, repeatable position and where the mandibular movements start when a Gothic arch tracing is used. With this clinical definition, a technique can be easily selected that meets all the requirements of such position. The article discusses the use of a jaw recorder that is an intraorally graphic recording device that results in a tracing of mandibular movements in one plane, with the apex of the tracing indicating the retruded, unstrained, and repeatable relationship. The intersection of the arcs produced by the right and left working movement form the apex of the Gothic arch tracing. Several clinical situations using the jaw recorder are described. Clinicians can now quickly and accurately record RCP, balance complete, partial, or implant dentures, and orthopedically reposition the mandible. The technique achieves highly reliable and reproducible results.
