Guidlines for maxillary and mandibular complete denture tooth setup and arrangement of individual tooth with pictographic elaborations.

2. ARRANGEMENT OF ARTIFICIAL
TEETH
Dr. Sajjad Hussain
Demonstrator
Islamic International Dental College
Islamabad

3. ANTERIOR TOOTH SETUP
• MAXILLARY GUIDELINES
ON CAST
– Center of incisive papilla
– Line drawn along midline
of the cast through
incisive papilla
– A perpendicular line
drawn to above line
through center of
incisive papilla till land
area (corresponds to
canine placement)

4. ANTERIOR TOOTH SETUP
• MAXILLARY GUIDELINES
ON WAX RIMS
• Midline on wax rim
• Corners of the mouth
(canine line)
• High lip line

5. ANTERIOR TOOTH SETUP
• MANDIBULAR GUIDELINES
• Line drawn through the
center of anterior ridge
till land area – tells
position of anterior teeth.
• Line drawn through
center of posterior ridge
and middle of retromolar
pads – tells position of
posterior teeth.

6. ANTERIOR TOOTH SETUP
• MAXILLARY CENTRAL INCISOR
• Scoop out wax
• Place the central incisor such that:
– Front : Its long axis is parallel to vertical axis
– Side : It slopes labially about 15°
– Occlusal plane : Its incisal edge contacts with
occlusal plane (lower wax rim).

7. MAXILLARY CENTRAL INCISOR

8. ANTERIOR TOOTH SETUP
• MAXILLARY LATERAL
• Scoop out wax
• Place the tooth such that when viewed from:
– Front: Long axis leans slightly mesial at incisal
edge.
– Side: It slopes labially about 20°.
– Occlusal plane: Incisal edge is parallel but 1-2mm
short of occlusal plane.

9. MAXILLARY LATERAL INCISOR

10. ANTERIOR TOOTH SETUP
• MAXILLARY CANINE
• Scoop out the wax
• Place the canine such that when viewed from:
– Front : long axis parallel to vertical axis
– Side : long axis parallel to vertical axis
– Occlusal plane : cusp tip touches occlusal plane

11. MAXILLARY CANINE

12. ANTERIOR TOOTH SETUP
• MANDIBULAR CENTRAL INCISOR
• Scoop out wax
• Place tooth such that when viewed from:
– Front : long axis slightly inclines towards vertical
axis
– Side : slopes labially
– Occlusal plane : incisal edge is 0.5-1mm above
occlusal plane

13. MANDIBULAR CENTRAL INCISOR

14. ANTERIOR TOOTH SETUP
• MANDIBULAR LATERAL INCISOR
• Scoop out wax
• Place the tooth such that when viewed from:
– Front : long axis inclines towards vertical axis
– Side : slopes labially less than central incisor
– Occlusal plane : incisal edge 0.5-1mm above
occlusal plane.

15. MANDIBULAR LATERAL INCISOR

16. ANTERIOR TOOTH SETUP
• MANDIBULAR CANINE
• Scoop out wax
• Place the tooth such that when viewed from:
– Front : long axis is inclines towards midline
– Side : slopes lingually
– Occlusal plane : cuspal tip is 0.5-1mm above
occlusal plane.

17. MANDIBULAR CANINE

18. COMPLETED MAXILLARY AND
MANDIBULAR ANTERIOR TOOTH SETUP

19. POSTERIOR TOOTH SETUP
• MAXILLARY GUIDELINES
• A line drawn is drawn
on maxillary occlusal
rim from the mid point
of lateral incisor to the
tuberosity.
• This line represents the
palatal cusps of upper
posterior teeth.

20. POSTERIOR TOOTH SETUP
• MANDIBULAR GUIDELINES
• A line is drawn on lower
occlusal rim
corresponding to the
center to the alveolar
ridge that extends from
cuspal tip of canine to the
land area posterior to
retromolar pad.
• This line represents the
central groove of lower
posterior teeth.

21. POSTERIOR TOOTH SETUP
• MAXILLARY FIRST PREMOLAR
• Scoop out wax
• Place the tooth such that when viewed from:
– Front : long axis parallel to vertical axis
– Side : Long axis parallel towards vertical axis
– Occlusal plane : buccal cusp touch occlusal plane
and palatal cusp is 1mm short of occlusal plane.

22. MAXILLARY FIRST PREMOLAR

23. POSTERIOR TOOTH SETUP
• MAXILLARY 2ND PREMOLAR
• Scoop out wax
• Place the tooth such that when viewed from:
– Front : long axis parallel to vertical axis
– Side : long axis parallel to vertical axis
– Occlusal plane : both the buccal and palatal cusps
are in contact with occlusal plane.

24. MAXILLARY 2ND PREMOLAR

25. POSTERIOR TOOTH SETUP
• MAXILLARY FIRST MOLAR
• Scoop out wax
• Place the tooth such that when viewed from:
– Front : long axis slopes buccally
– Side : long axis slopes distally
– Occlusal plane : Only mesio-palatal cusp touches
occlusal plane

26. MAXILLARY FIRST MOLAR

27. POSTERIOR TOOTH SETUP
• MAXILLAY 2ND MOLAR
• Scoop out wax
• Place the tooth such that when viewed from:
– Front : long axis slopes buccally more steeply than
first molar
– Side : long axis slopes distally more steeply than first
molar
– Occlusal plane : none of the cusp touches the occlusal
plane, only mesio-palatal cusp is nearest to occlusal
plane.

28. MAXILLAY 2ND MOLAR

29. POSTERIOR TOOTH SETUP
• MANDIBULAR 1ST PREMOLAR
• Scoop out wax
• Place the tooth such that when viewed from:
– Front : long axis parallel to vertical axis
– Side : long axis parallel towards vertical axis
– Occlusal plane : buccal cusp 2mm above occlusal
plane, lingual cusp below occlusal plane
– Occlusal contact : buccal cusp contacts the mesial
marginal ridge of upper first premolar

30. MANDIBULAR 1ST PREMOLAR

31. POSTERIOR TOOTH SETUP
• MANDIBULAR 2ND PREMOLAR
• Scoop out wax
• place tooth such that when viewed from :
– Front : long axis parallel to vertical axis
– Side : long axis parallel towards vertical axis
– Occlusal plane : both cusps about 2mm above
occlusal plane
– Occlusal contact : buccal cusp contacts with fossa
between two upper premolars

32. MANDIBULAR 2ND PREMOLAR

33. POSTERIOR TOOTH SETUP
• MANDIBULAR 1ST MOLAR
• Scoop out the wax
• Place tooth such that when viewed from :
– Front : long axis lean lingually
– Side : long axis lean mesially
– Occlusal plane : all cusps higher than 2nd PM. Buccal and
distal cusps higher than other two.
– Occlusal contact : mesio buccal cusp occludes in fossa
between upper 2nd PM and 1st Molar.

34. MANDIBULAR 1ST MOLAR

35. POSTERIOR TOOTH SETUP
• MANDIBULAR 2ND MOLAR
• Scoop out wax
• Place tooth such that when viewed from:
– Front : long axis leans more lingually
– Side : long axis leans more mesially
– Occlusal plane : all cusps higher than 1st molar
– Occlusal contact : mesiobuccal cusp occludes in
fossa between two upper molars.

36. MANDIBULAR 2ND MOLAR

37. COMPLETED MAXILLARY AND MANDIBULAR
TOOTH SETUP