What is the correct sequence of procedures for addressing occlusal discrepancies on dentures?

What is the correct sequence of procedures for addressing occlusal discrepancies on dentures?

• A. Centric occlusion > working > balancing > protrusive
• B. Working > centric occlusion > protrusive > balancing
• C. Balancing > centric occlusion > working > protrusive
• D. Protrusive > balancing > working > centric occlusion

Answer: (A)

The sequence of procedures for addressing occlusal discrepancies on dentures starts with establishing centric occlusion, which is the maximum intercuspation position where the cusps interdigitate fully. This is crucial as it provides a reference point for further adjustments. Following that, the working side is assessed. This involves checking how the denture teeth function during lateral movements when the patient closes into a functional posture, ensuring contacts are maintained on the working side without excessive interferences or tipping of the denture. Next, balancing occlusion is addressed. This aspect ensures that there are equal and adequate contacts during the opposing cusps’ movement, preventing tilting or lateral forces that could move the denture away from the basal seat. Lastly, protrusive movements are evaluated, which involve checking how the dentures behave when the jaw moves forward. This is essential to ensure that the anterior guidance is properly aligned and prevents excessive wear and discomfort during functional activities like chewing and speaking. The correct answer logically follows this sequence, focusing on establishing a stable baseline with centric occlusion before evaluating dynamic movements, ensuring balanced occlusion throughout various jaw excursions, and finally confirming the stability during protrusion.

The sequence of procedures for addressing occlusal discrepancies on dentures starts with establishing centric occlusion, which is the maximum intercuspation position where the cusps interdigitate fully. This is crucial as it provides a reference point for further adjustments.

Following that, the working side is assessed. This involves checking how the denture teeth function during lateral movements when the patient closes into a functional posture, ensuring contacts are maintained on the working side without excessive interferences or tipping of the denture.

Next, balancing occlusion is addressed. This aspect ensures that there are equal and adequate contacts during the opposing cusps’ movement, preventing tilting or lateral forces that could move the denture away from the basal seat.

Lastly, protrusive movements are evaluated, which involve checking how the dentures behave when the jaw moves forward. This is essential to ensure that the anterior guidance is properly aligned and prevents excessive wear and discomfort during functional activities like chewing and speaking.

The correct answer logically follows this sequence, focusing on establishing a stable baseline with centric occlusion before evaluating dynamic movements, ensuring balanced occlusion throughout various jaw excursions, and finally confirming the stability during protrusion.