I agree with somi. But dont think its possible to comment on the excursions from a picture. The 13/23 necks should be more prominant. The necks of the k9's form the corners of the mouth and must be prominant. Personally i dont care about the randomly scattered and not inline teeth. I hate un natural looking teeth. In my oppinion if balance is achieved and the teeth is set in the neutral zone i dont care in what direction the tooth axis is. Beauty is in nature. No natural teeth is straight. I just hate dentures. Cause everyone thinks they should be so symetrical. Dont wanna comment on the waxup. However the flanges is to thick It would appear that the maxillary anteriors is a little depressed in relation to the ridge. To little lip support maybe. But cant tell from the pictures the true ridge relation to the teeth
In my opinion, the 4/5 and 4/6 can be moved pushed up into occlusion to close the small gaps present there,and the 1/6, 1/7, 2/6 and 2/7 can be curved more to form more of a curve of spee. I'm not to happy with the angle of the maxillary centrals I feel they could be straighter. There is a gap between the 4/3 and the maxillary teeth, it should be angled more to close the gap and necessary grinding of the 4/3 and 1/3 to achieve the desired excursion. I agree with somi and juan
maybe the anterior teeth could be pushed out more forward, think it leans ore towards the lingual, When this is done the arch will be opened bigger automatically and that will create more space for the posterior teeth to occlude better especially all the premolars. And I think 1.3 can be raised more upwards into the wax, it hangs to far down I think, like somi said. I agree with somi, juan and kyle as well
still don't understand how Somi and Kyle can comment on the excursions from a picture. That teeth can be randomly scattered like the stars and still have proper excursion and full balance.
on the 1st pic: the molars on the maxilla need to be droped into occlusion and remove the gaps there, reason why there wont proper excursion\balanced occlusion becuase of the gaps present...on the 2nd pic: i think the 2nd premolar of the maxilla needs to be brought out coz it seems like its curved in lingually...
In my opinion with regard to the ideal arrangement of the arrangement of the teeth, there are a few glitches in this case.The teeth are not completely occluding, there are areas in the occlusion where the teeth do occlude, however id suggest that the upper be placed back onto the occlusal table to ensure that the teeth occlude accordingly. once this is done it is important to check for the curve of spee as well as the curve of monson.
The occlusion can then be altered by occluding the lower teeth with the upper teeth. it is important to ensure that the canines are angled according to the long axis of the tooth, it has a great affect on the occlusion as well as the aesthetics of the set-up. with regards to the placement of the teeth, i would ensure that the necks of the teeth are correctly and not to far outward.
we all know that the occlusion is important, however i feel the aesthetics are just as important, the wax up can be improved by melting the wax properly and removing the bubbles within the wax (the white look in the wax). the fit is dodgy as the flanges are thick and don't look as if it seats snuggly into the sulcus. food traps could be an oncoming problem once the set-up has been processed and used by the patient.
i agree with rachel that the setups needs to be redone. One can cheat buy heating the bases and move both mandibular and maxilary teeth arrangement forward by allot... (5mm). tild the lower anterior teeth forward and pull the necks of maxillary anteriors. Tilt and twist the posteriors to improve occlusion. and redo the wax up, less bulky and less air intrapments.
I agree with our denture-lover (Juan). The wax-up is poor. If the aim was to create a Hollywood smile with textbook rules... the necks of the mandibular incisors are not in line. the neck of the 31 is a lot more prominent than that of the 32. the 24 and 25 does not follow the facial curve set by the 23. the 24 and 25 also occlude with their opposing teeth in a distal manner and not in the embrasures, and it appears that they have an edge to edge occlusion even though there is plenty of space to create a cusp to fossa occlusion. and an undesirable space between the 16 and 46 and 17 and 47, it appears that there is no contact between the opposing teeth.
First pic - teeth 4.5, 4.6 and 4.7 should be moved anteriorly and then lifted into proper occlusion. The mesial aspect of tooth 2.6 should be dropped to create an even curve of Spee. Second pic - re-do postrerior set-up in order to copy the corrected curve of Spee on the patient's right
3.4 is not occluding properly with opposing teeth.
ReplyDelete3.5 also not occluding properly and the neck of the tooth is too far out.
The long axis of 3.4 and 3.5 should slight towards to distal and not mesial.
Maxillary canines both should raise up a little.
there is no proper excursion on this set up.
:)
I agree with somi. But dont think its possible to comment on the excursions from a picture. The 13/23 necks should be more prominant. The necks of the k9's form the corners of the mouth and must be prominant.
ReplyDeletePersonally i dont care about the randomly scattered and not inline teeth. I hate un natural looking teeth. In my oppinion if balance is achieved and the teeth is set in the neutral zone i dont care in what direction the tooth axis is. Beauty is in nature. No natural teeth is straight. I just hate dentures. Cause everyone thinks they should be so symetrical.
Dont wanna comment on the waxup. However the flanges is to thick
It would appear that the maxillary anteriors is a little depressed in relation to the ridge. To little lip support maybe. But cant tell from the pictures the true ridge relation to the teeth
In my opinion, the 4/5 and 4/6 can be moved pushed up into occlusion to close the small gaps present there,and the 1/6, 1/7, 2/6 and 2/7 can be curved more to form more of a curve of spee. I'm not to happy with the angle of the maxillary centrals I feel they could be straighter. There is a gap between the 4/3 and the maxillary teeth, it should be angled more to close the gap and necessary grinding of the 4/3 and 1/3 to achieve the desired excursion. I agree with somi and juan
ReplyDeletemaybe the anterior teeth could be pushed out more forward, think it leans ore towards the lingual, When this is done the arch will be opened bigger automatically and that will create more space for the posterior teeth to occlude better especially all the premolars. And I think 1.3 can be raised more upwards into the wax, it hangs to far down I think, like somi said. I agree with somi, juan and kyle as well
ReplyDeletestill don't understand how Somi and Kyle can comment on the excursions from a picture. That teeth can be randomly scattered like the stars and still have proper excursion and full balance.
ReplyDeleteon the 1st pic: the molars on the maxilla need to be droped into occlusion and remove the gaps there, reason why there wont proper excursion\balanced occlusion becuase of the gaps present...on the 2nd pic: i think the 2nd premolar of the maxilla needs to be brought out coz it seems like its curved in lingually...
ReplyDeleteIn my opinion with regard to the ideal arrangement of the arrangement of the teeth, there are a few glitches in this case.The teeth are not completely occluding, there are areas in the occlusion where the teeth do occlude, however id suggest that the upper be placed back onto the occlusal table to ensure that the teeth occlude accordingly. once this is done it is important to check for the curve of spee as well as the curve of monson.
ReplyDeleteThe occlusion can then be altered by occluding the lower teeth with the upper teeth. it is important to ensure that the canines are angled according to the long axis of the tooth, it has a great affect on the occlusion as well as the aesthetics of the set-up. with regards to the placement of the teeth, i would ensure that the necks of the teeth are correctly and not to far outward.
we all know that the occlusion is important, however i feel the aesthetics are just as important, the wax up can be improved by melting the wax properly and removing the bubbles within the wax (the white look in the wax). the fit is dodgy as the flanges are thick and don't look as if it seats snuggly into the sulcus. food traps could be an oncoming problem once the set-up has been processed and used by the patient.
i agree with rachel that the setups needs to be redone. One can cheat buy heating the bases and move both mandibular and maxilary teeth arrangement forward by allot... (5mm). tild the lower anterior teeth forward and pull the necks of maxillary anteriors. Tilt and twist the posteriors to improve occlusion. and redo the wax up, less bulky and less air intrapments.
ReplyDeleteI agree with our denture-lover (Juan). The wax-up is poor. If the aim was to create a Hollywood smile with textbook rules... the necks of the mandibular incisors are not in line. the neck of the 31 is a lot more prominent than that of the 32. the 24 and 25 does not follow the facial curve set by the 23. the 24 and 25 also occlude with their opposing teeth in a distal manner and not in the embrasures, and it appears that they have an edge to edge occlusion even though there is plenty of space to create a cusp to fossa occlusion. and an undesirable space between the 16 and 46 and 17 and 47, it appears that there is no contact between the opposing teeth.
ReplyDeleteFirst pic - teeth 4.5, 4.6 and 4.7 should be moved anteriorly and then lifted into proper occlusion. The mesial aspect of tooth 2.6 should be dropped to create an even curve of Spee. Second pic - re-do postrerior set-up in order to copy the corrected curve of Spee on the patient's right
ReplyDelete