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1. Centric Relation and Cross Mounting
4. When to Make a Centric Relation Record? restoring all posterior teeth in one or both arches
restoring all teeth in one arch
complete denture
occlusal equilibration
5. When to Make a Centric Relation Record? restoring all posterior teeth in one or both arches
restoring all teeth in one arch
complete denture
occlusal equilibration
6. When to Make a Centric Relation Record? restoring all posterior teeth in one or both arches
restoring all teeth in one arch
complete denture
occlusal equilibration
7. When to Make a Centric Relation Record? restoring all posterior teeth in one or both arches
restoring all teeth in one arch
complete denture
occlusal equilibration
9. When to Make a Centric Relation Record? restoring all posterior teeth in one or both arches
restoring all teeth in one arch
complete denture
occlusal equilibration
10. Centric Relation Recording Techniques Two Techniques:
bimanual manipulation
chin guidance
11. Leaf Gauge Record orofacial muscle exam
examine and note the amount of horizontal and vertical overlap of teeth
12. Leaf Gauge Record
13. Leaf Gauge 0.1mm thick polyester material
numbered 1-55
polyester material is flexible
can be sterilized
14. Leaf Gauge RecordBasic Principles place ten leaves between central incisors
instruct the patient to close “half hard” on back teeth
wait 20-30 seconds
ask the patient if they feel contact of their back teeth
15. Leaf Gauge RecordBasic Principles continue adding leaves (one at a time) until no posterior tooth contact can be felt
(Record the number of leaves when the patient has no posterior contact)
remove leaves one at a time to determine the first contact
16. Leaf Gauge RecordBasic Principles •Record the number of leaves when the patient feels tooth contact
•Record the location of the initial tooth contact. (teeth number’s and location on the teeth)
19. Leaf Gauge Advantages:
eliminates operator error
(do not need to manipulate the patient into CR because of the flexible polyester material the leaves are made from)
does not require fabrication of acrylic resin jig
easy to use
20. Cross Mounting Procedure •trim bite registration with scalpel until record fully seats on cast