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SEMINAR ONSEMINAR ON
CONSTRUCTION BITECONSTRUCTION BITE
INDIAN DENTAL ACADEMY
Leader in continuing dental education
www.indiandentalacademy.com
www.indiandentalacademy.com
PURPOSE OFCONSTRUCTION BITE:
A)FABRICATE AN APPLIANCE
INCLUDING THE FOLLOWING
EFFECTS:
www.indiandentalacademy.com
1)TO BRING THE LOWER JAW INTO
TOLERABLE FORWARD POSITION
WITH EVERY OCCLUDING ACTION
OF THE MANDIBLE.
2)BLOCK THE BITE.
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www.indiandentalacademy.com
PROCEDURE OF TAKINGPROCEDURE OF TAKING
CONSTRUCTION BITECONSTRUCTION BITE
IMPRESION PROCEDURE:PROPER
EXTENSION.
SMOOTH AND ROUND BORDERS.
NO IRREGULARITIES,NO AIR
BUBBLES.
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STUDY MODEL ANALYSIS:NO
POROSITIES.
FIRST PERMANENT MOLAR
RELATIONSHIP.
NATURE OF MIDLINE DISCREPANCY.
SYMMETRY OF THE DENTAL
ARCHES.
CURVE OF SPEE.
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CROWDING AND ANY DENTAL
DISCREPENCIES.
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GROOVING OF THE STUDY MODELS.
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FUNCTIONAL
ANALYSIS:REGISTRATION OF THE
POSTURAL REST POSITION.
PATH OF CLOSURE.
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ASSESEMENT OF
PREMATURESITIES,POINT OF INITIAL
CONTACT,OCCLUSAL
INTERFERANCE,AND MANDIBULAR
DISPLACEMENT.
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PROCEDURE OF ASSESMENT OF
POSTURAL REST POSITION
-PHONETIC EXERCISE.
COMMAND METHOD.
NONCOMMAND METHOD.
COMBINED METHOD.
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DIRECT INTRAORAL METHOD.
DIRECT EXTRAORAL METHOD.
INDIRECT EXTRAORAL METHOD.
ASSESEMENT OF FREEWAY SPACE.
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ASSESMENT OF FUNCTIONAL
ABNORMALATIESOF TMJ.
ASSESMENT OF FREEWAY SPACE.
ASSESEMENT OF RESPIRATION.
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PATIENT
EDUCATION:PSYCOLOGICAL
ASSESEMENT.
VIDEO IMAGING.
PATIENT EDUCATION ABOUT
MANDIBULAR MOVEMENT.
www.indiandentalacademy.com
PREPARATION OF WAX
BITE:PREPARATION OF HORSESHOE-
SHAPED WAX BITE.
WAX BITE SHOULD HAVE PROPER
ARCH FORM ,SIZE AND THICKNESS
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DIAMETER-1 C.M(THICKNESS
SHOULD BE SAME AS LITTLE
FINGRE).
IT CAN BE MADE FOR EITHER THE
UPPER OR LOWER ARCH OCCLUSAL
SURFACE.
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EDGES OF THE INCISORS ARE NOT
COVERED BY WAX.
LOWER MIDLINE SHOULD BE
MARKED.
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ANTERIOR SECTION IS POSITIONED
LINGUAL TO THE LOWER
INCISOR(ANGULAR SHAPE)
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ENDS ARE SHORTENED SO THAT
DISTAL HALVES OF THE LAST
MOLAR SHOULD NOT COVERED BY
WAX.
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TRANSFER THE WAX TO THE
PATIENTS MOUTH,FITTING IT ON
YHE LOWER ARCH IN THE SAME
MANNER AS IT WAS FITTED ON THE
PLASTER CAST.
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THE WAX SHOULD NOT BE TOO
SOFT.
CONTROL ON THE EDGE TO EDGE
RELATION AND MIDLINE
REGISTRATION.
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WAX SHOULD BE CUT AWAY FROM
THE LABIAL OF THE CENTRAL
INCISORS.
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REMOVAL OF THE WAX BITEAND
CHEAKED ON THE UPPER AND
LOWER MODEL.
TRIMMING OF WAX MARGINS.
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CHEAKING OF WAX BITE AGAIN IN
PATIENTS MOUTH.
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FOR TAKING OF CONSTRUCTION
BITE CONSIDERATION IN 3
PLANES IS ESSENTIAL:
A)SAGGITAL PLANE
B) VERTICAL PLANE
C)FRONTAL PLANE
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3 FACTORS:EXTENT OF MAXIMUM
FORWARD MOVEMENT OF
MANDIBLE.
B)EXTENT OF THE INDIVIDUALS
OCCLUSAL CLEARANCE IN
POSTURAL RESTING POSITION
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– ESTABLISHMENT OF THE TRUE
MIDLINE OF THE UPPER AND
LOWER JAWS.
www.indiandentalacademy.com
GENERAL RULES FOR THE
CONSTRUCTION BITE:
IN A FORWARD POSITIONING OF THE
MANDIBLE OF 7-8MM THE VERTICAL
OPENING MUST BE SLIGHT TO
MODERATE(2-4MM).
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IF THE FORWARD POSITIONING IS NO
MORE THEN 3-5MM , THE VERTICAL
OPENING SHOULD BE 4-6MM.
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THE ACTIVATOR CAN CORRECT
LOWER MIDLINE SHIFT OR
DEVIATION ONLY IF ACTUAL
LATERAL TRANSLATION OF THE
MANDIBLE ITSELF EXIST.
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FRANKEL APPLIANCEFRANKEL APPLIANCE
CONSTRUCTION BITE:SAGGITAL
DIRECTION:EDGE TO EDGE.
VERTICAL OPENING:LARGE ENOUGH
TO ALLOW THE CROSSOVER WIRE
THROUGH INTEROCCLUSAL SPACE.
STEP BY STEP ACTIVATION.
www.indiandentalacademy.com
STAGED BY STAGED
CONSTRUCTION:INCREASED
CHONDROBLASTIC ACTIVATIES.
MIDLINE DISCREPANCIES:DENTAL
DISCREPANCIES SHOULD NOT BE
CORRECTED.
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TWIN BLOCKTWIN BLOCK
CONSTRUCTION BITE:EDGE TO EDGE
RELATIONSHIP.
2MM OF INTERINCISAL CLEARANCE.
www.indiandentalacademy.com
5 TO6 MM OF SPACE IN THE
PREMOLAR REGION
2MM SPACE DISTAL TO THE MOLAR
REGION
www.indiandentalacademy.com
MAXIMUM ACTIVATION SHOULD
NOT EXCEED 70%OF THE TOTAL
PROTRUSIVE PATHWAY.
CONVANTIONAL INSTRUMENT-
GEORGE BITE GAUGE.
www.indiandentalacademy.com
BITE REGISTRATION FOR
HORIZONTALLY GROWING PATIENT
AND VERTICALLY GROWING
PATIENT.
www.indiandentalacademy.com
www.indiandentalacademy.com
For more details please visit
www.indiandentalacademy.com

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