Anterior Guidance
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To Understand Anterior Guidance It is First Necessary to understand Posterior Guidance
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Posterior Guidance
Guidance of the Mandible as dictated by the Anatomy of the Temporomandibular Joint
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Posterior Guidance
Anterior Guidance
Guidance of the Mandible as dictated by the Contacts of the Teeth
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Anterior Guidance
Guidance can be on Any Teeth
Anterior Guidance
Refers to Guidance by Teeth as distinct from Guidance due to the Temporomandibular Joint
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Anterior Guidance
is not Necessarily on Anterior Teeth
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Anterior Guidance depends on
The Positioning of Teeth within the Arch Irregularities of Teeth The Arch Relationships
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Anterior Guidance is affected by
The Patients Arch Relationship The Degree of Overbite The Degree of Overjet
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Protrusive Movements
Protrusive Movements
as determined by Arch Relationships
Class 1 Jaw Relationship
When the Lower First Molars are Slightly Distal to the Upper First Molars
Guidance is on Front Teeth
Guidance is on Front Teeth
Guidance is on Front Teeth
Guidance is on Front Teeth
Class 11 Division 1
When the Lower First Molars are More Distal to the Upper First Molar Teeth
The Overjet
The Greater the Overjet
The Flatter the Anterior Guidance and the Lesser the Degree of Separation of the Back Teeth
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Guidance is on Posterior Teeth to start with
Guidance is on Posterior Teeth to start with
Guidance may possibly end up on the Front Teeth
Guidance may possibly end up on the Front Teeth
Class 11 Division 2
When the Lower First Molars are More Distal to the Upper First Molar Teeth
and the Upper Incisors are inclined Backwards
The Overbite
The Greater the Overbite
The Steeper the Anterior Guidance and the Greater the Degree of Separation of the Back Teeth
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Guidance is Immediately on the Front Teeth
Guidance is Immediately on the Front Teeth
Guidance is Immediately on the Front Teeth
Class 111 Jaw Classification
When the Lower First Molars are Mesial to the Upper First Molar Teeth
Guidance can Never be on the Front Teeth
Guidance is always on Posterior Teeth
Guidance is always on Posterior Teeth
Guidance is always on Posterior Teeth
Anterior Guidance
Centric Occlusion
This is the Right Side of the Mouth
Moving to the Right
Moving to the Right
This is a Functional Movement
If Red Articulating Silk is placed between the Teeth
and the Patient Moves in Right Lateral Movement
The Anterior Guidance can be studied
This is Canine Guidance
Studying another Patient
Canine/First Premolar Guidance
Studying another Patient
Canine/First and Second Premolar
Studying another Patient
Canine/First and Second Premolar and First Molar Guidance
otherwise known as Group Function
Group Function
Separation of the Group of Teeth by Several Teeth preferably further forward
Uses of Group Function
When it is already present and there are no adverse effects present When Distribution of Excursive Stresses is advisable
Such as
Presence of Bone Loss around Teeth Extensively Restored Teeth Loss of Bony Support around Canine Tooth
Presence of Canine Wear Presence of Anterior Porcelain Crowns
First and Second Premolar Guidance
If the Canine is Outstanding this Guidance may be Necessary
Satisfactory if both Teeth are involved in the Guidance
Second Premolar, First and Second Molar Guidance
Satisfactory if Teeth further forwards are Loose
May occur in Class 11 Division 1 and Classs III Jaw Relationships
If the Canine is Loose
The Posterior Contact may be useful
If the Canine has Good Bone Support this Contact is an Interference
In Most Situations this would be considered an Interference
In Most Situations this would be considered an Interference
Reducing This Contact allows Guidance on Teeth further forward
Class 11 Division 1 Arch Relationship
Class 11 Division 2 Arch Relationship
Class 111 Arch Relationship
Anterior Guidance
Incisal Edge Contacts
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Protrusive Edge to Edge Contacts
Two Upper Centrals in Contact with Four Lower Incisors
Lateral Edge to Edge Contacts
Lateral Protrusive Contacts
Between Protrusive and Lateral
The Cross-over Position
After the Canines have crossed over each other in a Lateral Movement
Canine Guidance
Canine/First Premolar Guidance
Canine/First and Second Premolar Guidance
Canine/First/Second Premolar and First Molar Guidance
Otherwise known as Group Function
First and Second Premolar Guidance
Protrusive Movements
Guidance on only One Central Incisor
Reduce Contact to bring more Teeth into contact
Overupted Lower Incisor
Reduce the Tip
This may bring More Teeth into contact
Reducing these Contacts
may bring More Teeth into contact
The End
