Selective Grinding and Denture Maintenance Protocols
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Selective Grinding in Prosthodontics
Aim: The primary goal is to obtain Balanced Bilateral Occlusion (BBO) without causing changes to the Centric Relation (CR) or Vertical Dimension (VD).
Objectives of Occlusal Adjustment
- Achieve stability and maximum distribution of forces.
- Maintain the Vertical Dimension (VD).
- Ensure occlusal harmony and sharp cusps.
- Reduce lateral forces.
Rules for Correcting Premature Contacts
- Tooth movement causing a high cusp: For premature contact, lower the opposing fossa.
- Upper molars positioned buccally: Grind the upper buccal and palatal cusps, as well as the lower lingual and buccal cusps.
- Upper molars positioned lingually: Grind the buccal surface of the lower lingual cusp and the palatal surface of the upper buccal cusp.
