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Full Mouth Rehabilitation

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Full Mouth Rehabilitation, Temporomandibular Joint, Full Mouth Rehabilitation Treatment in Delhi

Author Dr Sharda Arora, CEO, Zental is an eminent TMJ Dentist and aesthetics.

ZENTAL dental clinic in Delhi

Dr.Riddhi Gulati,
Senior Dental Consultant
Zental-Gentle Dental Care.

Full Mouth Rehabilitation Treatment in Delhi

The goal of dentistry is to increase the life span of the functioning dentition, just as the goal of medicine is to increase the life span of the functioning individual. In striving to achieve its goal, dentistry uses its knowledge, skills and all the resources at its command in both maintenance, work and rehabilitation. One basic objective of full mouth rehabilitation (FMR) is equalization of the forces directed against the supporting structures.

Full mouth rehabilitation is re-establishing a state of functional efficiency in which the teeth and their soft tissues (periodontal structures), the muscles of chewing (mastication) and the jaw joint (temporomandibular joint) all function together in synchronous harmony. The object of complete mouth rehabilitation must be the remaking (reconstruction, restoration) and maintenance of the health of the entire oral mechanism.

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mouth rehabilitation, Full Mouth Rehabilitation, Temporomandibular Joint, Full Mouth Rehabilitation Treatment in Delhi

Indications for reconstructing the occlusion:

Such as repeated fracture of teeth or restorations, bruxism, lack of interocclusal space for restoration, trauma from occlusion, unacceptable function, unacceptable esthetics etc. Excessive occlusal wear can result in pulpal injury, occlusal disharmony, impaired function, and aesthetic deformity. Loss of frontal plane (anterior guidance) can result from severe wear of anterior teeth, which protects the posterior teeth during excessive outward or lateral (excursive) movement. The collapse of posterior teeth also results in the loss of normal occlusal plane and the reduction of the facial height (vertical dimension).

In spite of how good the upper front teeth may look their chance of staying healthy and keeping the back teeth healthy depends on their lingual contours, specifically the contact of the lower anterior teeth against the upper anterior teeth in centric, straight protrusive (frontal movement) and lateral excursions. This dynamic relationship of the lower anterior teeth against the upper anterior teeth through all ranges of function is called the anterior guidance (frontal plane). As such, it literally sets the limits of movement of the front end of the mandible.

The structure of this template

Full Mouth Rehabilitation, Temporomandibular Joint, Full Mouth Rehabilitation Treatment in DelhiThe path that the condyles (ball shaped head of lower jaw) travel dictates the outer limits to which the mandible (lower jaw) can move. These outer limitations are referred to as the envelope of motion (path of movement). The path that the front end of the mandible follows is dictated by functional movements of muscle as it relates the lower frontal teeth to the upper frontal teeth in the chewing cycle. The outer limits of these functional movements are referred to as the envelope of function (a closed working path).

Condylar pathways (posterior working path) do not dictate the correct smile line. The precise incisal edge position (tip of front teeth) varies greatly as the length of the lip and the degree of flaccidity or tightness of the lip varies. People with tight lips usually have anterior teeth that are positioned more vertically than those with flaccid lips and even if the condylar guidance (posterior working path) were the same in both types of patients, the anterior guidance (frontal guiding plane) would be different. It would almost always be steeper in the tight lipped individual.

The occlusal curvature of the lower posterior teeth are set first in a more uniform manner (curve of spee), then functionally the occlusal plane of upper posterior teeth are set in harmony to the lower teeth, then correction of the incisal guidance (frontal working guide table) is done.