SlideShare ist ein Scribd-Unternehmen logo
1 von 113
OCCLUSOGRAMS
www.indiandentalacademy.
com
Orthodontist works primarily in the
occlusal plane of space. Advent of radiographic
cephalometrics have planned the treatment
modality in two dimension space,
INTRODUCTION
www.indiandentalacademy.
com
Currently, the lateral cephalometric head films is
used in many respects to the exclusion of record
that define the third dimension.
www.indiandentalacademy.
com
Burstone (1961) introduced a new
procedure called occlusogram (positive print 1:1
photographs) and with the help of lateral
cephalometric head films it is now possible to
make treatment plan in all 3 dimension.
“An occlusogram is a 1:1 reproduction of the
occlusal surfaces of plaster models on a sheet of
acetate tracing paper.”
www.indiandentalacademy.
com
Photographic technique - Introduced by
Burstone; 1961, producing positive - print 1:1
photography of dental casts and tracing was
done with the help of photograph.
Photocopier technique - Introduced by
Yen. Photocopy of models are taken and then
they are traced and digitized.
TYPES OF OCCLUSOGRAMS
www.indiandentalacademy.
com
Manual eye viewer technique – Introduced by
White, describes a device called an occlusal tracer,
which makes a tracing of the teeth directly from the
model. (JCO, Feb 1982)
Computerized occlusogram - Introduced by
Burstone, 1:1 photograph is taken and scanned on
to which the points are digitized. (JCO, August 1979)
Cont…
www.indiandentalacademy.
com
• Individualized Arch Forms: The occlusal
shape of each tooth can then be traced in an
ideal position on this basic arch, and a
customized ideal lower arch form can be
constructed and used throughout treatment.
USES OF
OCCLUSOGRAMS
White: JCO, Feb
1982
www.indiandentalacademy.
com
 Arch Length Discrepancy Measurement: The
occlusogram also permits the clinician to make
highly accurate and reliable arch length discrepancy
measurements by superimposing the idealized lower
arch form on the original.
Cont….
www.indiandentalacademy.
com
 Occlusal Simulations: Marcotte and Burstone
suggested setting the maxillary teeth around an
idealized lower arch form so that it would be
possible to do an occlusal simulation, or what is
known as a "set-up": without the time and
inaccuracies inherent in a plaster model technique.
Occlusal simulations permit the orthodontist to
quickly see if the maxillary teeth even have the
possibility of occluding with the lower correctly.
Cont…
www.indiandentalacademy.
com
 Evaluation of Various Treatment Plans: The
orthodontist can try any alternative he can think of
without risk or harm to the patient. Once a decision
is made regarding the diagnosis and treatment plan,
the orthodontist can implement this plan with a high
level of confidence.
Cont…
www.indiandentalacademy.
com
 To compare malocclusions with occlusogram
norms.
 To formulate accurate tooth-size discrepancies.
Many clinicians prefer using diagnostic model
setups of standard Bolton measurements, but
setups are time consuming and difficult to
master. Occlusogram set up gives accurate tooth
size discrepancy.
Occlusograms Revisited
JCO, July 1992
www.indiandentalacademy.
com
 To construct ideal and individualized arch forms.
Nature arranges teeth in arcs through various
forces. An ideal arch selected at the beginning can
provide a template for arch wire construction
throughout treatment. These arch wire patterns
bring a coherence and consistency to arch wire
construction that is difficult to achieve by any
other means.
Cont…
www.indiandentalacademy.
com
 To create occlusal simulations.
 To evaluate various treatment plans.
 To make accurate measurements of arch
length discrepancy (ALD).
Cont…
www.indiandentalacademy.
com
OCCLUSOGRAM NORMS
(WHITE JCO-1982)
Although occlusograms have been used by a
few orthodontists for several years, there have been
no published norms or guidelines.
Marcotte published an excellent paper
regarding the clinical significance of occlusograms
in 1976.
In 1978, White illustrated how occlusograms
could be used for arch form determination and arch
length discrepancy measurements.
www.indiandentalacademy.
com
Occlusograms of twenty-four untreated
normal adult Class I occlusions were made at the
University of Connecticut using Dr. Burstone's
photographic technique. The measurements on
this sample of occlusograms leads to some
suggested guidelines for those who want to use
occlusograms.
www.indiandentalacademy.
com
 Each upper tooth touches two lower teeth below it,
with the exception of the last upper molar, which
has only the last lower molar to bite against.
 The biting edge of the upper anterior teeth lies in
front of the biting edge of the lower anterior teeth
by an average of .7mm (anterior overjet).
 The upper posterior teeth extend beyond the lower
posterior teeth by an average of 2.3mm on each
side (posterior overjet).
www.indiandentalacademy.
com
Typical ideal normal Class I occlusogram.
www.indiandentalacademy.
com
 The upper bicuspids are wider than the lower
bicuspids by an average of 1.9mm on each side
(bicuspid lateral overjet).
 The upper molars are wider than the lower molars by
an average of 1.4mm on each side (lateral molar
overjet).
www.indiandentalacademy.
com
 A key to firm static occlusion is the width and
position of the maxillary lateral incisors. If these teeth
are positioned correctly, they will extend at least to
the middle of the mandibular cuspid. This will insure
that the maxillary cuspid will be in proper occlusal
position, contacting the lower first bicuspid. If the
maxillary incisors are not wide enough to permit the
lateral incisors to engage the mandibular cuspids
properly, it will be impossible to achieve a firm Class
I occlusion without spacing between the upper
anterior teeth.
www.indiandentalacademy.
com
TYPES OF ARCH FORMS
JCO-Nov 1978: White
There are four currently popular formulae for arch
shape determination:
• Bonwill-Hawley formula,
• Brader arch forms,
• The Catenary arch design, and
• Rocky Mountain Data Systems computer-derived
formula.
www.indiandentalacademy.
com
Bonwill-Hawley Arch Design:
• Based upon the combined mesiodistal widths of
the incisors and cuspids.
• Arc of the anterior teeth relates an equilateral
triangle.
• Largely been discredited, but it is still widely
used.
• The shape of an ideal arch wire from an
orthodontic supply company will most likely be
of the Bonwill-Hawley design.
www.indiandentalacademy.
com
Bonwill-Hawley Arch Design:Bonwill-Hawley Arch Design:
www.indiandentalacademy.
com
Brader Arch Design:
• Known as trifocal ellipses.
• Based on arch width at the second molars as
measured at the facial, gingival surface.
• Brader arch adapts to the facial surfaces of the
teeth and all of the forms are alike in shape.
They differ in size as dictated by the widths at
the second molars.
www.indiandentalacademy.
com
Brader Arch Design
www.indiandentalacademy.
com
 The maxillary arch form is always one size larger
than the mandibular and coordination of working
archwires throughout treatment is greatly
simplified.
 The main clinical criticism of the Brader arches is
that when those forms are followed, there is often
severe narrowing in the cuspid areas .
Cont…
www.indiandentalacademy.
com
Typical narrowing of cuspids treated with Brader arch forms.
www.indiandentalacademy.
com
Catenary Arch Design:
• Determined by intermolar widths, but measured
from central fossa to central fossa.
• Curve which results when a fine chain is
suspended at its two ends.
• Described as a central core or central perimeter
around which the teeth arrange themselves.
• Catenary's popularity is the work of MacConaill
and Scher.
www.indiandentalacademy.
com
Catenary Arch Design:
www.indiandentalacademy.
com
Cont…
• MacConaill and Scher acknowledge some deviations
from this "pure form", but suggest that these are due
to pathological forces that occur during eruption of
the teeth and subsequent alveolar development.
• Burdie and LillieH found that a basic bony arch is
established as early as 9.5 weeks in utero and they
suggested that this basic arch was of a catenary
design. However, their own evidence shows many
arches which were arranged outside of the catenary
form and certainly this is before any pathological
force has disturbed the catenary "pure form ".
www.indiandentalacademy.
com
• RMDS is based upon measurements taken from
intermolar width, intercuspid width, and arch
depth as measured from the facial surface of the
incisor to the distal surface of the terminal molar.
• This allows the computer to be programmed with
Cartesian x and y coordinates that are necessary
for a two-dimensional, computer-derived formula.
Facial type is also considered in this arch
computation.
Computer-derived archDesign
www.indiandentalacademy.
com
Computer-derived archDesign
www.indiandentalacademy.
com
All of these techniques have one common area
of agreement, the anterior part of the dental arch is
part of a curve. This curve has been described as
1. an ellipse,
2. a parabola,
3. part of a trifocal ellipse,
4. and a catenary.
www.indiandentalacademy.
com
A study was undertaken to see how a collection of
ideal, untreated arches conformed to the predetermined
arch forms of the most popular formulae, and to come
to conclusions, if possible, about how reasonable, ideal
arch forms can be derived for individual patients.
www.indiandentalacademy.
com
Dental casts of twenty-four orthodontically
untreated, superior, adult occlusions were collected.
Tracings of the teeth were made on acetate paper and
overlays were constructed and superimposed.
RMDS recognized the possibility of arch
asymmetry and changed its computer analysis method to
use a different mathematical curve for each side of the
asymmetric patient.
www.indiandentalacademy.
com
Clinical Technique Determining
Physiologic Archforms – Oakes method
(JCO,Feb1991)
Mandibular model with all permanent teeth
present provides the best basis for construction of a
correct or "physiologic" arch form.
This technique takes less than three minutes. For
the best symmetry, trace first from the midline to the
left, then flip the acetate over and trace from the
midline to the left on the opposite side.
www.indiandentalacademy.
com
1. Attach cake-decorating beads, representing the
ideal bracket positions, to the mandibular model
with toothpaste.
www.indiandentalacademy.
com
2. Place a clear piece of glass or plastic over the model,
or place the model in an occlusogram jig and overlay
the jig with acetate.
www.indiandentalacademy.
com
3. Viewing the model from directly overhead, transfer
the bead positions to the acetate, glass, or plastic with
a permanent marker.
www.indiandentalacademy.
com
4. Remove the acetate, glass, or plastic from the model,
and connect the dots as symmetrically as possible.
Some smoothing is often needed to obtain symmetry
in cases with anterior crowding.
www.indiandentalacademy.
com
Place the lower arch wire directly over the traced arch
form. Bend the upper arch wire to lie outside the
traced arch form.
Physiologic archforms are difficult to construct in
cases where there is severe intercanine constriction. If
the original intercanine width is maintained, the arch
form will be "squeezed" in the cuspid region.
Although the principle is sound, such an arch form
would be unacceptable. In these cases, expansion is
necessary and extended retainer wear must be
encouraged.
www.indiandentalacademy.
com
 Although preformed arches have been made using
various geometric or computer-generated data, the fit
to an individual mandibular model is highly variable.
 The simple technique described above produces
individualized physiologic archforms that reduce the
potential for relapse of orthodontic expansion.
www.indiandentalacademy.
com
• Photographic Technique:
 The dental impressions are made, casts
poured.
 Wax jaw registration be made in centric
relation.
 This wax centric relation registration is then
placed between the dental casts while the
posterior borders of the casts are trimmed and
made flush with each other.
TYPES OF OCCLUSOGRAMS
www.indiandentalacademy.
com
Study model set-up, Black-and-white camera on horizontal photo copy stand,
with lights.
www.indiandentalacademy.
com
 A registration groove is placed in the backs of
both casts simultaneously by means of a custom-
made dental cast scriber.
 The casts have thus been trimmed with their
backs mutually perpendicular to the occlusal
plane and to the palatal midline and have also
been scribed to permit the positive-print,
occlusograms to be oriented laterally.
 The casts are then finished and polished in the
usual manner.
www.indiandentalacademy.
com
Central groove cut into
the backs of models.
Triangular file used to cut central
orientation groove.
www.indiandentalacademy.
com
 Occlusogram camera assembly consists of a 4 by
5 inch box camera, a dental cast stage, two 375-
watt floodlights, and a hinged Plexiglas plate.
 The camera is mounted on a sliding track, so that
the distance from the edge of the stage can be
adjusted and fixed to produce a 1:1 magnification.
For this particular installation a 210 mm lens is
found to be satisfactory.
 The dental cast stage has an adjustable guide onto
which fit the registration grooves on the backs of
the dental casts.
www.indiandentalacademy.
com
Occlusogram set up. This set up can produce archival-quality occlusograms
on positive print film.
www.indiandentalacademy.
com
Lower dental cast on the registration track of the occlusostat. The registration
lines can be seen on the leading face of the occlusostat. The occlusal surfaces of the
cast have also been made flush with the leading edge of the occlusostat.
www.indiandentalacademy.
com
Registration dots which are located in the leading
edge of the stage will also be recorded on the
occlusogram.
With a fine-grain positive film placed into film
cassette and with both flood lights focused on the
dental casts, a typical the exposure is made.
Processed according to manufacturer's directions,
maxillary and mandibular occlusograms are
produced at 1:1 magnification.
www.indiandentalacademy.
com
 Using the registration dots on the leading edge of the
stage as reference points, both occlusograms are
registered on these dots and permanently fixed at the
bottom edge with a noncracking type of tape (for
example, Mylar tape).
 Since the positive print film is transparent, the
existing occlusal relationships in centric relation can
be seen when the occlusograms are folded over. For
most treatment procedures, however, an occlusogram
tracing is required.
www.indiandentalacademy.
com
 For this occlusogram tracing, acetate paper is
placed over the occlusograms and the maxillary
and mandibular teeth are outlined, showing the
gingival tooth contours, incisal edges, buccal cusp
ridges, central grooves, and cusp tips.
 Also traced are the palatal rugae, the midpalatal
raphe, the fovea palatinus, and the registration
dots.
www.indiandentalacademy.
com
Occlusogram tracing
Upper and lower occlusogram tracings. Both are shown with the
registration dots on the backs and the registration lines (R). A mid saggital
reference line is also drawn on the upper occlusogram tracing
www.indiandentalacademy.
com
Both the occlusogram tracing are assembled on the registration dots.
www.indiandentalacademy.
com
Photocopier technique
• Yen makes a photocopy of the model and then traces
or digitizes the photocopy.
• Yen's method is easier than the other two, but the
photocopying can introduce varying degrees of
distortion because the models are three-dimensional.
• This distortion can be limited to about 1 -2 percent
enlargement if the models are placed on the surface of
the machine so that the least amount of shadow is
projected to the copy.
www.indiandentalacademy.
com
Photo copier method
www.indiandentalacademy.
com
Photocopy of upper and lower models, with right, left, and midline
reference marks.
www.indiandentalacademy.
com
The following is a simple clinical method of
using occlusograms to evaluate space
requirements, while taking into account lateral
and frontal treatment planning objectives. Like
Yen's technique, it uses a photocopier, but the
effect of a small amount of photocopier
distortion is minimized by the measurement
procedures.
Occlusograms in Orthodontic
Treatment Planning
FABER; JCO Jul 1992
www.indiandentalacademy.
com
Technique:
 Make a set of orthodontic study models with a
centric relation wax bite registration.
 Trim the backs of the models with the bite
registration in place, so that when they are placed
on their backs they are in centric relation.
www.indiandentalacademy.
com
 Make three marks on each
model with the backs in centric
relation and the teeth in
occlusion- on the right and left
sides in the buccal segments
(usually the molars) and at the
midline.
 Then, extend the marks over the
occlusal surfaces so they will
appear on the photocopy.
Triangular file used to cut
central orientation groove.
www.indiandentalacademy.
com
 Make a photocopy of the models.
Photocopy of upper and lower models, with right, left, and midline
reference marks.
www.indiandentalacademy.
com
 Trace both arches along with the
reference marks. Mark the right
and left sides.
 With the frontal cephalogram
and the clinical examination,
establish the post-treatment
midline for the mandibular arch
and mark it with an arrow on the
lower occlusal tracing.
www.indiandentalacademy.
com
A. Pretreatment lateral tracing showing AB to occlusal plane. B. Pretreatment
anteroposterior tracing with apical base midlines marked.
www.indiandentalacademy.
com
 Use an arch symmetry
chart to establish
symmetry of the lower
arch from right to left.
Mark the midline and
a perpendicular
reference line. Lower occlusal tracing placed over arch
symmetry chart to establish midline and
perpendicular reference crosshairs.
www.indiandentalacademy.
com
 Place the upper tracing
over the lower, aligning
the reference marks
marked on the occlusal
surfaces. Transfer the
crosshair reference lines
from the lower
occlusogram to the
upper.
www.indiandentalacademy.
com
Determine the desired post-treatment position of the
lower incisor on the lateral cephalometric tracing.
Measure the amount of facial or lingual movement,
and mark this amount along the vertical reference line
on the lower occlusogram.
Mark the desired post-treatment cuspid width on the
lower occlusogram.
www.indiandentalacademy.
com
Treatment objectives for incicors and
molars.
Pretreatment lateral cephalogram
www.indiandentalacademy.
com
 When the anteroposterior position of the denture
bases is influenced by growth, facial growth
rotations, changes in the cant of the occlusal
plane, and/or surgery, these positions should be
anticipated for the period of treatment and
incorporated into the occlusogram tracings.
www.indiandentalacademy.
com
Treatment objectives for
orthodontic phase (blue)
and surgical advancement
of mandible (red).
 The amount of movement is calculated by
measuring the projected AB to occlusal plane
before and after changes.
www.indiandentalacademy.
com
Completed occlusograms showing
archforms in red and space
requirements in blue. Dashed line
indicates projected change in AB to
occlusal plane after surgery.
 This can be marked on the occlusogram, and
the lower tracing can then be slid forward to the
new line to evaluate the arch width required for
good posterior occlusion after changes.
www.indiandentalacademy.
com
 Determine the desired molar movement from the
axial inclinations on the frontal cephalogram, from
the study models, or from clinical examination of
the buccal and gingival tooth contacts.
 Mark the desired molar width on the lower
occlusogram.
 Using a French curve (or a template if desired),
draw the treatment-planning archform by
connecting the incisor, cuspid, and molar reference
points.
www.indiandentalacademy.
com
 Place the upper occlusal tracing over the lower by
aligning the reference crosshairs, and draw the
planned upper archform, allowing for buccal and
incisal overjet.
 Measure the mesiodistal tooth widths directly
from the models with bow calipers, then mark off
these widths on the occlusogram archforms.
 Work distally from the midline, and be sure to
measure the widths on both sides of the arch; there
are often significant tooth-size differentials from
right to left.
www.indiandentalacademy.
com
Direct measurement of models using bow calipers.
www.indiandentalacademy.
com
Planned archforms drawn in red, and mesiodistal tooth widths marked off in
blue.
Blue posterior lines perpendicular to archforms show space required to meet
treatment objectives.
www.indiandentalacademy.
com
This technique demonstrates the versatility and
simplicity of occlusograms when used for space
analysis and coordination with treatment planning
in the other planes of space.
www.indiandentalacademy.
com
Reliability of Measurements
from Photocopies of Study Models:-
MICHEL JCO,1992 Oct
 Ten sets of study models (20 occlusal surfaces) were
photocopied on a Canon PC-25 photocopier.
 Each model and its photocopy were then measured by
the same operator, using an electronic digital caliper.
The following measurements were recorded:
1. Total arch length (the sum of all maxillary and
mandibular individual tooth widths)
2. Intercuspid width
3. Intermolar width
www.indiandentalacademy.
com
Results:
There was little difference between the actual
models and the photocopies in measurements of
arch width. However, there was a substantial
difference in the measurements of total arch
length.
www.indiandentalacademy.
com
Photocopies of models appear to be valid for:
 Comparing pre- and post-treatment archforms
 Checking original tooth rotations or the initial
arch form during treatment.
 Producing occlusograms for demonstration
purposes
Photocopies may be less precise for:
 Measuring arch length
 Producing occlusograms for space analysis
www.indiandentalacademy.
com
The most primitive technique for making
accurate 1:1 occlusal reproductions is to trace
the occlusal surfaces of the teeth onto a clear
1/8" plastic sheet that is secured against the
dental cast.
Since the eye of the viewer is the camera,
the viewer's head must not be moved while
tracing both sides of the model. With a
minimum of practice, highly accurate tracings
can be made with inexpensive materials .
Manual eye viewer –occlusogram
www.indiandentalacademy.
com
Manual method: Occlusal map maker.
www.indiandentalacademy.
com
Computer-Aided Space Analysis
YEN- JCO, Apr 1991
 Make a photocopy of the upper and lower study
models.
 Digitize the key landmarks from the photocopy. (If
necessary, allow for any enlargement introduced by
the photocopier.)
 Run the program and print out the data.
www.indiandentalacademy.
com
Printout of space analysis and computer-generated arch form.
Horizontal lines in arch form indicate arch widths.
www.indiandentalacademy.
com
 Computerized arch form is made by simply
connecting the most mesial and distal points of each
tooth from second molar to second molar.
 Each arch is divided into three segments- anterior
(B + C) and posterior (A and D).
 The "required space" for each segment is the sum of
the tooth sizes in that segment; the "available space"
is the total width of the segment.
www.indiandentalacademy.
com
Each arch is divided into anterior
(B + C) and posterior (A + D)
segments for space analysis.
Computer produces arch form by
connecting most mesial and distal
points of teeth.
www.indiandentalacademy.
com
Computerized occlusogram
(Burstone -Jco-1979)
Digitizing the points of the 1:1 occlusal
photograph of the model give the both measurements
and a diagram of the tooth positions . The computer
does a setup.
Points are digitized at the mesial and distal
contacts and the tips of the buccal cusps of the lower,
and the functional cusps on the upper will be the tips
of the lingual cusps. The computer draws the teeth.
www.indiandentalacademy.
com
Digitizing points on a 1:1 occlusal photograph. Occlusogram.
Computer-drawn original and final arch forms. Arch length
inadequacies and movement required of each tooth are
calculated and shown.
www.indiandentalacademy.
com
The computer calculates the variations from the
mean in tooth size. The reason for seeing this on the
screen at this time is to find out if there are major
tooth size differences and make a decision on
extraction, or to point out a mistake in digitizing.
www.indiandentalacademy.
com
Now, the first question the computer asks is if the
right molar should be moved so that we can determine
the geometric midline. There are other determinants of
the midline, including what looks good for the face
and also if there is any skeletal discrepancy anteriorly.
The geometric midline is a point right in the
center of the arch if we like the relative positions of
the posterior teeth on the right and left sides.
www.indiandentalacademy.
com
So, the computer asks whether the buccal
segments to be moved back in respect to the other,
just to equalize their axial inclination or their
position. It will then calculate where the center of the
arch is — the geometric midline.
www.indiandentalacademy.
com
Now the computer will first of all draw the
original malocclusion on which you see certain
control points which the orthodontist decides.
Orthodontist decides what the width should be. He
digitizes where he wants the lower incisor to be. This
is all individualized. All the computer does is make
it easy to handle.
www.indiandentalacademy.
com
Final upper occlusal plot.
Now, we have the
new arch form
constructed. Both the
original and final arches
are shown on the screen.
www.indiandentalacademy.
com
The anterior part of the arch is a segment of
a parabola, so it fits a parabola between the points
that clinician select. There are enough control
points, so that each arch form is individualized for
the patient.
The clinician decides where to position the
midline, the computer stores that decision and it
then calculates the arch length inadequacy. Also,
the computer graphically shows where each tooth
will be in the individualized arch.
www.indiandentalacademy.
com
Control points are placed one in the midline
point, how far backward or forward you want the
incisor. Clinician also selects the width points where
he thinks the tips of the cuspids should be, and the
mesiobuccal cusp of the first and second molars.
The clinician must make those decisions. No
computer can make them. However, lateral treatment
planning program helps with the decision of where
the lower incisor goes.
www.indiandentalacademy.
com
Now, the computer asks if he want to see a
hard copy. Normally hard copies are made as a
permanent record at the end. The printout is
three times life size, so he can see what the
relationships are in detail. The longer lines
represent the mesials of the first molars .
www.indiandentalacademy.
com
Computerized setup. Lower teeth (red) and upper teeth (green).
www.indiandentalacademy.
com
Orthodontist can choose to extract and see the
"treated case" on the screen. If he doesn't like the
results, he can go back and go through another
treatment plot.
He can try one with different extractions or
nonextraction options.
A number of different treatment plans can be
tried to arrive at the best possible one.
www.indiandentalacademy.
com
Manual and computer-aided space
analysis: A comparative study.
Schirmer, AJO;1997 Dec
The computer-aided measuring system is
reliable, but accurate mesiodistal measurements
cannot be made from photocopies of dental models.
Manual measurements that use a calibrated gauge
produce the most accurate, reliable, and reproducible
results.
www.indiandentalacademy.
com
Video Printing in Orthodontic
Photography.
BURKE: JCO; Feb 1987
The Mitsubishi P5OU Video Printer measures about
4"×8"×14“.
Video printer used to image study models, with sample print..
www.indiandentalacademy.
com
 The printer can “ grab” a still picture of
anything that appears on the TV monitor when
the “ print” button is pushed. This triggering can
be done at the printer or by a remote-control
extension cord switch.
 Video cameras or color camcorder, which has
self-contained playback capability, can be
connected directly to the video printer for
making extraoral pictures.
www.indiandentalacademy.
com
Close-up lenses are more adaptable. These
optical glass “ magnifiers” come in various diopter
strengths and attach to the lens. Close-up lenses
permit any type of magnification— for example, a
1:1 ratio for occlusograms.
Diopter lenses attach to camera lens for close-up focusing.www.indiandentalacademy.
com
 Creating a video print is essentially the same as
conventional photography, with the added
advantage of immediate results for appraisal and
adjustment.
 Facial images can be improved by using adjustable
photo reflector light stands with standard household
bulbs.
 When you set up your system, trial and error will
determine the correct camera distance,
magnification, and lighting.
www.indiandentalacademy.
com
THE “3-D OCCLUSOGRAM”
SOFTWARE
AJO, Sep 1999: Foirelli
• The 3-D Occlusogram (3-DO) procedure includes
4stages, which are performed by different
components of the software:
• Image scanning and setting
• Occlusal view processing
• Lateral cephalometric processing
• Occlusogram construction
www.indiandentalacademy.
com
• The treatment goal can be produced either manually,
by means of 3-dimensional scanning equipment, or
by means of the software demonstrated above
coupled with a common flatbed scanner.
• The latter has the advantage that, after a rather short
training period, it is more rapid and more precise than
the manual method without requiring any special and
expensive equipment that the orthodontist does not
generally already possess.
www.indiandentalacademy.
com
www.indiandentalacademy.
com
Holograms as substitutes for
study casts. Harradine et al: AJO 1990
Aug
A hologram not only provides two-dimensional
information about an object, as found in photographs,
but also depth information. This transforms the image
of the object into three dimensions.
www.indiandentalacademy.
com
Plaster casts are mainstay of clinical
orthodontic records since many years but has
disadvantages:
 Fragile & prone for fracture
 Bulky & expensive to store and transport.
Need keep for long periods.
www.indiandentalacademy.
com
Advantages of holograms
Schwaninger et al (1977) proposed potential
advantages of holograms as a substitute for study
casts.
Holograms are resistant to damage.
 Better suited to transport by post.
 Can be stored with patient’s clinical records.
 Accurate measurements such as intercanine
width can be measured.
www.indiandentalacademy.
com
Chair sideviewer
Holographic camera
Hologram
www.indiandentalacademy.
com
Disadvantages
 Significant consideration is the consequence of
incorrect occlusion of the models when the
holograms are being made.
 Once made, a hologram cannot be adjusted as a set
of study casts.
 Clinically useful holograms are therefore more
demanding in terms of clinical and laboratory
techniques than are study casts.
www.indiandentalacademy.
com
In a study by Harradine et al ( 1990 Aug AJO)
with four clinicians and 56 patients, three of the
clinicians found the holograms to be acceptable
alternatives to study casts in routine clinical
orthodontic practice.
Current holographic cameras enable those who
are not experts to produce holograms very simply, but
careful clinical and laboratory techniques are required
to ensure that these holograms correctly record the
occlusion.
www.indiandentalacademy.
com
The Holodent system, a new technique for
measurement and storage of dental casts.
Martensson et al: AJO 1992 Aug
The system has a precision that is equal to
that of previously reported methods and may be
well-suited for studies of dental positional changes
in longitudinal materials of study models.
Holograms of dental casts may solve storage
problems by replacing space consuming plaster
models.
www.indiandentalacademy.
com
Conclusion
Occlusograms offer us an accurate way to
measure, compare, and evaluate malocclusions, to
plan and forecast treatment, and to visualize
occlusal objectives. They do take time, but it can
be easily learn how to do them. The use of
photocopies removes the need for expensive and
arcane equipment.
www.indiandentalacademy.
com
Hoping that orthodontists will take one more
look at this valuable technique. The rewards to both
patient and doctor clearly make occlusograms a
worthwhile adjunct to our diagnostic
armamentarium.
www.indiandentalacademy.
com
ThankThank youyou
www.indiandentalacademy.
com

Weitere ähnliche Inhalte

Was ist angesagt?

Cranial base angle in relation to malocclusion
Cranial base angle in relation to malocclusionCranial base angle in relation to malocclusion
Cranial base angle in relation to malocclusionNawaz Khan Panezai
 
Psycological management of orthodontic patients /certified fixed orthodontic...
Psycological management of orthodontic patients  /certified fixed orthodontic...Psycological management of orthodontic patients  /certified fixed orthodontic...
Psycological management of orthodontic patients /certified fixed orthodontic...Indian dental academy
 
SURGICAL TREATMENT OBJECTIVES
SURGICAL TREATMENT OBJECTIVESSURGICAL TREATMENT OBJECTIVES
SURGICAL TREATMENT OBJECTIVESShehnaz Jahangir
 
Roth philosophy /certified fixed orthodontic courses by Indian dental academy
Roth philosophy /certified fixed orthodontic courses by Indian dental academy Roth philosophy /certified fixed orthodontic courses by Indian dental academy
Roth philosophy /certified fixed orthodontic courses by Indian dental academy Indian dental academy
 
Friction less mechanics in orthodontics /certified fixed orthodontic course...
Friction less mechanics in orthodontics   /certified fixed orthodontic course...Friction less mechanics in orthodontics   /certified fixed orthodontic course...
Friction less mechanics in orthodontics /certified fixed orthodontic course...Indian dental academy
 
Tongue and its importance in orthodontic treatment /certified fixed orthodont...
Tongue and its importance in orthodontic treatment /certified fixed orthodont...Tongue and its importance in orthodontic treatment /certified fixed orthodont...
Tongue and its importance in orthodontic treatment /certified fixed orthodont...Indian dental academy
 
Biomechanics of loop mechanics in enmasse space closure
Biomechanics of loop mechanics in enmasse space closureBiomechanics of loop mechanics in enmasse space closure
Biomechanics of loop mechanics in enmasse space closureIndian dental academy
 
Cephalometric superimposition methods
Cephalometric superimposition methodsCephalometric superimposition methods
Cephalometric superimposition methodsIndian dental academy
 
Schwarz analysis and wits appraisal(final)
Schwarz analysis and wits appraisal(final)Schwarz analysis and wits appraisal(final)
Schwarz analysis and wits appraisal(final)Indian dental academy
 
FUNCTIONAL ANALYSIS AND CEPHALOMETRIC ANALYSIS CRITERIA FOR FUNCTIONAL JAW O...
FUNCTIONAL ANALYSIS AND CEPHALOMETRIC ANALYSIS  CRITERIA FOR FUNCTIONAL JAW O...FUNCTIONAL ANALYSIS AND CEPHALOMETRIC ANALYSIS  CRITERIA FOR FUNCTIONAL JAW O...
FUNCTIONAL ANALYSIS AND CEPHALOMETRIC ANALYSIS CRITERIA FOR FUNCTIONAL JAW O...Indian dental academy
 
Rakosi’s analysis / dental implant courses
Rakosi’s analysis / dental implant coursesRakosi’s analysis / dental implant courses
Rakosi’s analysis / dental implant coursesIndian dental academy
 
Part one the royal london space planning
Part one the royal london space planningPart one the royal london space planning
Part one the royal london space planningMohanad Elsherif
 
Loops in orthodontics /certified fixed orthodontic courses by Indian dental ...
Loops in orthodontics  /certified fixed orthodontic courses by Indian dental ...Loops in orthodontics  /certified fixed orthodontic courses by Indian dental ...
Loops in orthodontics /certified fixed orthodontic courses by Indian dental ...Indian dental academy
 

Was ist angesagt? (20)

Cranial base angle in relation to malocclusion
Cranial base angle in relation to malocclusionCranial base angle in relation to malocclusion
Cranial base angle in relation to malocclusion
 
Psycological management of orthodontic patients /certified fixed orthodontic...
Psycological management of orthodontic patients  /certified fixed orthodontic...Psycological management of orthodontic patients  /certified fixed orthodontic...
Psycological management of orthodontic patients /certified fixed orthodontic...
 
Bjorks analysis
Bjorks analysisBjorks analysis
Bjorks analysis
 
SURGICAL TREATMENT OBJECTIVES
SURGICAL TREATMENT OBJECTIVESSURGICAL TREATMENT OBJECTIVES
SURGICAL TREATMENT OBJECTIVES
 
Roth philosophy /certified fixed orthodontic courses by Indian dental academy
Roth philosophy /certified fixed orthodontic courses by Indian dental academy Roth philosophy /certified fixed orthodontic courses by Indian dental academy
Roth philosophy /certified fixed orthodontic courses by Indian dental academy
 
Friction less mechanics in orthodontics /certified fixed orthodontic course...
Friction less mechanics in orthodontics   /certified fixed orthodontic course...Friction less mechanics in orthodontics   /certified fixed orthodontic course...
Friction less mechanics in orthodontics /certified fixed orthodontic course...
 
Intrusion arches
Intrusion archesIntrusion arches
Intrusion arches
 
Tongue and its importance in orthodontic treatment /certified fixed orthodont...
Tongue and its importance in orthodontic treatment /certified fixed orthodont...Tongue and its importance in orthodontic treatment /certified fixed orthodont...
Tongue and its importance in orthodontic treatment /certified fixed orthodont...
 
Rakosi’s analysis
Rakosi’s analysisRakosi’s analysis
Rakosi’s analysis
 
Opus loop
Opus loopOpus loop
Opus loop
 
Biomechanics of loop mechanics in enmasse space closure
Biomechanics of loop mechanics in enmasse space closureBiomechanics of loop mechanics in enmasse space closure
Biomechanics of loop mechanics in enmasse space closure
 
Cephalometric superimposition methods
Cephalometric superimposition methodsCephalometric superimposition methods
Cephalometric superimposition methods
 
18 - versus & 22 - slot
18 - versus & 22 - slot18 - versus & 22 - slot
18 - versus & 22 - slot
 
Schwarz analysis and wits appraisal(final)
Schwarz analysis and wits appraisal(final)Schwarz analysis and wits appraisal(final)
Schwarz analysis and wits appraisal(final)
 
FUNCTIONAL ANALYSIS AND CEPHALOMETRIC ANALYSIS CRITERIA FOR FUNCTIONAL JAW O...
FUNCTIONAL ANALYSIS AND CEPHALOMETRIC ANALYSIS  CRITERIA FOR FUNCTIONAL JAW O...FUNCTIONAL ANALYSIS AND CEPHALOMETRIC ANALYSIS  CRITERIA FOR FUNCTIONAL JAW O...
FUNCTIONAL ANALYSIS AND CEPHALOMETRIC ANALYSIS CRITERIA FOR FUNCTIONAL JAW O...
 
Rakosi’s analysis / dental implant courses
Rakosi’s analysis / dental implant coursesRakosi’s analysis / dental implant courses
Rakosi’s analysis / dental implant courses
 
Part one the royal london space planning
Part one the royal london space planningPart one the royal london space planning
Part one the royal london space planning
 
Loops in orthodontics /certified fixed orthodontic courses by Indian dental ...
Loops in orthodontics  /certified fixed orthodontic courses by Indian dental ...Loops in orthodontics  /certified fixed orthodontic courses by Indian dental ...
Loops in orthodontics /certified fixed orthodontic courses by Indian dental ...
 
Pitchfork Analysis
Pitchfork AnalysisPitchfork Analysis
Pitchfork Analysis
 
Tip edge technique final
Tip edge technique finalTip edge technique final
Tip edge technique final
 

Andere mochten auch

Diagnostic aids in orthodontics /certified fixed orthodontic courses by India...
Diagnostic aids in orthodontics /certified fixed orthodontic courses by India...Diagnostic aids in orthodontics /certified fixed orthodontic courses by India...
Diagnostic aids in orthodontics /certified fixed orthodontic courses by India...Indian dental academy
 
Med surg endocrine & integumentary system
Med surg  endocrine & integumentary systemMed surg  endocrine & integumentary system
Med surg endocrine & integumentary systemSanil Varghese
 
Maloccln & endocrine /certified fixed orthodontic courses by Indian dental ac...
Maloccln & endocrine /certified fixed orthodontic courses by Indian dental ac...Maloccln & endocrine /certified fixed orthodontic courses by Indian dental ac...
Maloccln & endocrine /certified fixed orthodontic courses by Indian dental ac...Indian dental academy
 
15. BMR & energy requirement
15. BMR & energy requirement15. BMR & energy requirement
15. BMR & energy requirementsakina hasan
 
Basal metabolic rate
Basal metabolic rateBasal metabolic rate
Basal metabolic rateNiaz Ahammed
 
Ortho copy
Ortho   copyOrtho   copy
Ortho copyORROZOJ
 
Effect of various nutritional deficiences on growth and development /certifie...
Effect of various nutritional deficiences on growth and development /certifie...Effect of various nutritional deficiences on growth and development /certifie...
Effect of various nutritional deficiences on growth and development /certifie...Indian dental academy
 
Modelo de reabilitação oronasal em crianças com síndrome de apnéia obstrutiva...
Modelo de reabilitação oronasal em crianças com síndrome de apnéia obstrutiva...Modelo de reabilitação oronasal em crianças com síndrome de apnéia obstrutiva...
Modelo de reabilitação oronasal em crianças com síndrome de apnéia obstrutiva...lya Botler
 
Modalities mythbusters review
Modalities mythbusters reviewModalities mythbusters review
Modalities mythbusters reviewcaseychristyatc
 
Electromyographic Biofeedback
Electromyographic BiofeedbackElectromyographic Biofeedback
Electromyographic Biofeedbackcaseychristyatc
 
Arch forms /certified fixed orthodontic courses by Indian dental academy
Arch forms /certified fixed orthodontic courses by Indian dental academy Arch forms /certified fixed orthodontic courses by Indian dental academy
Arch forms /certified fixed orthodontic courses by Indian dental academy Indian dental academy
 
Diagnosis & treatment planning
Diagnosis & treatment planningDiagnosis & treatment planning
Diagnosis & treatment planningMasuma Ryzvee
 

Andere mochten auch (20)

Holography in orthodontics
Holography in orthodonticsHolography in orthodontics
Holography in orthodontics
 
Diagnostic aids in orthodontics /certified fixed orthodontic courses by India...
Diagnostic aids in orthodontics /certified fixed orthodontic courses by India...Diagnostic aids in orthodontics /certified fixed orthodontic courses by India...
Diagnostic aids in orthodontics /certified fixed orthodontic courses by India...
 
Med surg endocrine & integumentary system
Med surg  endocrine & integumentary systemMed surg  endocrine & integumentary system
Med surg endocrine & integumentary system
 
Maloccln & endocrine /certified fixed orthodontic courses by Indian dental ac...
Maloccln & endocrine /certified fixed orthodontic courses by Indian dental ac...Maloccln & endocrine /certified fixed orthodontic courses by Indian dental ac...
Maloccln & endocrine /certified fixed orthodontic courses by Indian dental ac...
 
Diagnostic set up
Diagnostic set upDiagnostic set up
Diagnostic set up
 
15. BMR & energy requirement
15. BMR & energy requirement15. BMR & energy requirement
15. BMR & energy requirement
 
Basal metabolic rate
Basal metabolic rateBasal metabolic rate
Basal metabolic rate
 
Model analysis
Model analysis   Model analysis
Model analysis
 
Burstone&friends rid
Burstone&friends ridBurstone&friends rid
Burstone&friends rid
 
Ortho copy
Ortho   copyOrtho   copy
Ortho copy
 
Effect of various nutritional deficiences on growth and development /certifie...
Effect of various nutritional deficiences on growth and development /certifie...Effect of various nutritional deficiences on growth and development /certifie...
Effect of various nutritional deficiences on growth and development /certifie...
 
Modelo de reabilitação oronasal em crianças com síndrome de apnéia obstrutiva...
Modelo de reabilitação oronasal em crianças com síndrome de apnéia obstrutiva...Modelo de reabilitação oronasal em crianças com síndrome de apnéia obstrutiva...
Modelo de reabilitação oronasal em crianças com síndrome de apnéia obstrutiva...
 
Modalities mythbusters review
Modalities mythbusters reviewModalities mythbusters review
Modalities mythbusters review
 
Digital Imaging
Digital ImagingDigital Imaging
Digital Imaging
 
Electromyographic Biofeedback
Electromyographic BiofeedbackElectromyographic Biofeedback
Electromyographic Biofeedback
 
Hologram
HologramHologram
Hologram
 
Arch forms /certified fixed orthodontic courses by Indian dental academy
Arch forms /certified fixed orthodontic courses by Indian dental academy Arch forms /certified fixed orthodontic courses by Indian dental academy
Arch forms /certified fixed orthodontic courses by Indian dental academy
 
Hand wrist radiographs
Hand wrist radiographsHand wrist radiographs
Hand wrist radiographs
 
Diagnosis & treatment planning
Diagnosis & treatment planningDiagnosis & treatment planning
Diagnosis & treatment planning
 
Base Metabolic Rate
Base Metabolic RateBase Metabolic Rate
Base Metabolic Rate
 

Ähnlich wie Occlusograms

Mixed dentition analysis2 /certified fixed orthodontic courses by Indian dent...
Mixed dentition analysis2 /certified fixed orthodontic courses by Indian dent...Mixed dentition analysis2 /certified fixed orthodontic courses by Indian dent...
Mixed dentition analysis2 /certified fixed orthodontic courses by Indian dent...Indian dental academy
 
Mixed dentition analysis. /certified fixed orthodontic courses by Indian dent...
Mixed dentition analysis. /certified fixed orthodontic courses by Indian dent...Mixed dentition analysis. /certified fixed orthodontic courses by Indian dent...
Mixed dentition analysis. /certified fixed orthodontic courses by Indian dent...Indian dental academy
 
Radiographic cephalometry /certified fixed orthodontic courses by Indian dent...
Radiographic cephalometry /certified fixed orthodontic courses by Indian dent...Radiographic cephalometry /certified fixed orthodontic courses by Indian dent...
Radiographic cephalometry /certified fixed orthodontic courses by Indian dent...Indian dental academy
 
Concepts of orthodontic bracket positioning techniques / fixed orthodontics c...
Concepts of orthodontic bracket positioning techniques / fixed orthodontics c...Concepts of orthodontic bracket positioning techniques / fixed orthodontics c...
Concepts of orthodontic bracket positioning techniques / fixed orthodontics c...Indian dental academy
 
Concepts of bracket positioning techniques
Concepts of bracket positioning techniquesConcepts of bracket positioning techniques
Concepts of bracket positioning techniquesIndian dental academy
 
Lingual orthodontics /certified fixed orthodontic courses by Indian dental ac...
Lingual orthodontics /certified fixed orthodontic courses by Indian dental ac...Lingual orthodontics /certified fixed orthodontic courses by Indian dental ac...
Lingual orthodontics /certified fixed orthodontic courses by Indian dental ac...Indian dental academy
 
Ceph and model mock surgery for orthodontic surgery planning
Ceph and model mock surgery for orthodontic surgery planningCeph and model mock surgery for orthodontic surgery planning
Ceph and model mock surgery for orthodontic surgery planningIndian dental academy
 
Space analysis /certified fixed orthodontic courses by Indian dental academy
Space analysis /certified fixed orthodontic courses by Indian dental academy Space analysis /certified fixed orthodontic courses by Indian dental academy
Space analysis /certified fixed orthodontic courses by Indian dental academy Indian dental academy
 
Diagnostic imaging in implants /certified fixed orthodontic courses by Indian...
Diagnostic imaging in implants /certified fixed orthodontic courses by Indian...Diagnostic imaging in implants /certified fixed orthodontic courses by Indian...
Diagnostic imaging in implants /certified fixed orthodontic courses by Indian...Indian dental academy
 
Dental arch forms /certified fixed orthodontic courses by Indian dental academy
Dental arch forms /certified fixed orthodontic courses by Indian dental academy Dental arch forms /certified fixed orthodontic courses by Indian dental academy
Dental arch forms /certified fixed orthodontic courses by Indian dental academy Indian dental academy
 
Space analysis /certified fixed orthodontic courses by Indian dental academy
Space analysis /certified fixed orthodontic courses by Indian dental academy Space analysis /certified fixed orthodontic courses by Indian dental academy
Space analysis /certified fixed orthodontic courses by Indian dental academy Indian dental academy
 
Varisimplex2 /certified fixed orthodontic courses by Indian dental academy
Varisimplex2  /certified fixed orthodontic courses by Indian dental academy Varisimplex2  /certified fixed orthodontic courses by Indian dental academy
Varisimplex2 /certified fixed orthodontic courses by Indian dental academy Indian dental academy
 
Asymmetric maxillary expansion (AMEX) appliance for treatment of true unilat...
 Asymmetric maxillary expansion (AMEX) appliance for treatment of true unilat... Asymmetric maxillary expansion (AMEX) appliance for treatment of true unilat...
Asymmetric maxillary expansion (AMEX) appliance for treatment of true unilat...Indian dental academy
 
Diagnosis and treatment planning in implants 2. /certified fixed orthodontic ...
Diagnosis and treatment planning in implants 2. /certified fixed orthodontic ...Diagnosis and treatment planning in implants 2. /certified fixed orthodontic ...
Diagnosis and treatment planning in implants 2. /certified fixed orthodontic ...Indian dental academy
 

Ähnlich wie Occlusograms (20)

Mixed dentition analysis2 /certified fixed orthodontic courses by Indian dent...
Mixed dentition analysis2 /certified fixed orthodontic courses by Indian dent...Mixed dentition analysis2 /certified fixed orthodontic courses by Indian dent...
Mixed dentition analysis2 /certified fixed orthodontic courses by Indian dent...
 
Mixed dentition analysis. /certified fixed orthodontic courses by Indian dent...
Mixed dentition analysis. /certified fixed orthodontic courses by Indian dent...Mixed dentition analysis. /certified fixed orthodontic courses by Indian dent...
Mixed dentition analysis. /certified fixed orthodontic courses by Indian dent...
 
Radiographic cephalometry /certified fixed orthodontic courses by Indian dent...
Radiographic cephalometry /certified fixed orthodontic courses by Indian dent...Radiographic cephalometry /certified fixed orthodontic courses by Indian dent...
Radiographic cephalometry /certified fixed orthodontic courses by Indian dent...
 
Concepts of orthodontic bracket positioning techniques / fixed orthodontics c...
Concepts of orthodontic bracket positioning techniques / fixed orthodontics c...Concepts of orthodontic bracket positioning techniques / fixed orthodontics c...
Concepts of orthodontic bracket positioning techniques / fixed orthodontics c...
 
Concepts of bracket positioning techniques
Concepts of bracket positioning techniquesConcepts of bracket positioning techniques
Concepts of bracket positioning techniques
 
Lingual orthodontics /certified fixed orthodontic courses by Indian dental ac...
Lingual orthodontics /certified fixed orthodontic courses by Indian dental ac...Lingual orthodontics /certified fixed orthodontic courses by Indian dental ac...
Lingual orthodontics /certified fixed orthodontic courses by Indian dental ac...
 
Ceph and model mock surgery for orthodontic surgery planning
Ceph and model mock surgery for orthodontic surgery planningCeph and model mock surgery for orthodontic surgery planning
Ceph and model mock surgery for orthodontic surgery planning
 
retiner hawleys
 retiner hawleys retiner hawleys
retiner hawleys
 
Final study model
Final study modelFinal study model
Final study model
 
Space analysis /certified fixed orthodontic courses by Indian dental academy
Space analysis /certified fixed orthodontic courses by Indian dental academy Space analysis /certified fixed orthodontic courses by Indian dental academy
Space analysis /certified fixed orthodontic courses by Indian dental academy
 
Cephalometriy
CephalometriyCephalometriy
Cephalometriy
 
Model analysis final
Model analysis final  Model analysis final
Model analysis final
 
Dental Imaging
Dental ImagingDental Imaging
Dental Imaging
 
Diagnostic imaging in implants /certified fixed orthodontic courses by Indian...
Diagnostic imaging in implants /certified fixed orthodontic courses by Indian...Diagnostic imaging in implants /certified fixed orthodontic courses by Indian...
Diagnostic imaging in implants /certified fixed orthodontic courses by Indian...
 
Varisimplex 2
Varisimplex 2Varisimplex 2
Varisimplex 2
 
Dental arch forms /certified fixed orthodontic courses by Indian dental academy
Dental arch forms /certified fixed orthodontic courses by Indian dental academy Dental arch forms /certified fixed orthodontic courses by Indian dental academy
Dental arch forms /certified fixed orthodontic courses by Indian dental academy
 
Space analysis /certified fixed orthodontic courses by Indian dental academy
Space analysis /certified fixed orthodontic courses by Indian dental academy Space analysis /certified fixed orthodontic courses by Indian dental academy
Space analysis /certified fixed orthodontic courses by Indian dental academy
 
Varisimplex2 /certified fixed orthodontic courses by Indian dental academy
Varisimplex2  /certified fixed orthodontic courses by Indian dental academy Varisimplex2  /certified fixed orthodontic courses by Indian dental academy
Varisimplex2 /certified fixed orthodontic courses by Indian dental academy
 
Asymmetric maxillary expansion (AMEX) appliance for treatment of true unilat...
 Asymmetric maxillary expansion (AMEX) appliance for treatment of true unilat... Asymmetric maxillary expansion (AMEX) appliance for treatment of true unilat...
Asymmetric maxillary expansion (AMEX) appliance for treatment of true unilat...
 
Diagnosis and treatment planning in implants 2. /certified fixed orthodontic ...
Diagnosis and treatment planning in implants 2. /certified fixed orthodontic ...Diagnosis and treatment planning in implants 2. /certified fixed orthodontic ...
Diagnosis and treatment planning in implants 2. /certified fixed orthodontic ...
 

Mehr von Indian dental academy

Indian Dentist - relocate to united kingdom
Indian Dentist - relocate to united kingdomIndian Dentist - relocate to united kingdom
Indian Dentist - relocate to united kingdomIndian dental academy
 
1ST, 2ND AND 3RD ORDER BENDS IN STANDARD EDGEWISE APPLIANCE SYSTEM /Fixed ort...
1ST, 2ND AND 3RD ORDER BENDS IN STANDARD EDGEWISE APPLIANCE SYSTEM /Fixed ort...1ST, 2ND AND 3RD ORDER BENDS IN STANDARD EDGEWISE APPLIANCE SYSTEM /Fixed ort...
1ST, 2ND AND 3RD ORDER BENDS IN STANDARD EDGEWISE APPLIANCE SYSTEM /Fixed ort...Indian dental academy
 
Invisalign -invisible aligners course in india
Invisalign -invisible aligners course in india Invisalign -invisible aligners course in india
Invisalign -invisible aligners course in india Indian dental academy
 
Invisible aligners for your orthodontics pratice
Invisible aligners for your orthodontics praticeInvisible aligners for your orthodontics pratice
Invisible aligners for your orthodontics praticeIndian dental academy
 
Development of muscles of mastication / dental implant courses
Development of muscles of mastication / dental implant coursesDevelopment of muscles of mastication / dental implant courses
Development of muscles of mastication / dental implant coursesIndian dental academy
 
Corticosteriods uses in dentistry/ oral surgery courses  
Corticosteriods uses in dentistry/ oral surgery courses  Corticosteriods uses in dentistry/ oral surgery courses  
Corticosteriods uses in dentistry/ oral surgery courses  Indian dental academy
 
Cytotoxicity of silicone materials used in maxillofacial prosthesis / dental ...
Cytotoxicity of silicone materials used in maxillofacial prosthesis / dental ...Cytotoxicity of silicone materials used in maxillofacial prosthesis / dental ...
Cytotoxicity of silicone materials used in maxillofacial prosthesis / dental ...Indian dental academy
 
Diagnosis and treatment planning in completely endntulous arches/dental courses
Diagnosis and treatment planning in completely endntulous arches/dental coursesDiagnosis and treatment planning in completely endntulous arches/dental courses
Diagnosis and treatment planning in completely endntulous arches/dental coursesIndian dental academy
 
Properties of Denture base materials /rotary endodontic courses
Properties of Denture base materials /rotary endodontic coursesProperties of Denture base materials /rotary endodontic courses
Properties of Denture base materials /rotary endodontic coursesIndian dental academy
 
Use of modified tooth forms in complete denture occlusion / dental implant...
Use of modified  tooth forms  in  complete denture occlusion / dental implant...Use of modified  tooth forms  in  complete denture occlusion / dental implant...
Use of modified tooth forms in complete denture occlusion / dental implant...Indian dental academy
 
Dental luting cements / oral surgery courses  
Dental   luting cements / oral surgery courses  Dental   luting cements / oral surgery courses  
Dental luting cements / oral surgery courses  Indian dental academy
 
Dental casting alloys/ oral surgery courses  
Dental casting alloys/ oral surgery courses  Dental casting alloys/ oral surgery courses  
Dental casting alloys/ oral surgery courses  Indian dental academy
 
Dental casting investment materials/endodontic courses
Dental casting investment materials/endodontic coursesDental casting investment materials/endodontic courses
Dental casting investment materials/endodontic coursesIndian dental academy
 
Dental casting waxes/ oral surgery courses  
Dental casting waxes/ oral surgery courses  Dental casting waxes/ oral surgery courses  
Dental casting waxes/ oral surgery courses  Indian dental academy
 
Dental ceramics/prosthodontic courses
Dental ceramics/prosthodontic coursesDental ceramics/prosthodontic courses
Dental ceramics/prosthodontic coursesIndian dental academy
 
Dental implant/ oral surgery courses  
Dental implant/ oral surgery courses  Dental implant/ oral surgery courses  
Dental implant/ oral surgery courses  Indian dental academy
 
Dental perspective/cosmetic dentistry courses
Dental perspective/cosmetic dentistry coursesDental perspective/cosmetic dentistry courses
Dental perspective/cosmetic dentistry coursesIndian dental academy
 
Dental tissues and their replacements/ oral surgery courses  
Dental tissues and their replacements/ oral surgery courses  Dental tissues and their replacements/ oral surgery courses  
Dental tissues and their replacements/ oral surgery courses  Indian dental academy
 

Mehr von Indian dental academy (20)

Indian Dentist - relocate to united kingdom
Indian Dentist - relocate to united kingdomIndian Dentist - relocate to united kingdom
Indian Dentist - relocate to united kingdom
 
1ST, 2ND AND 3RD ORDER BENDS IN STANDARD EDGEWISE APPLIANCE SYSTEM /Fixed ort...
1ST, 2ND AND 3RD ORDER BENDS IN STANDARD EDGEWISE APPLIANCE SYSTEM /Fixed ort...1ST, 2ND AND 3RD ORDER BENDS IN STANDARD EDGEWISE APPLIANCE SYSTEM /Fixed ort...
1ST, 2ND AND 3RD ORDER BENDS IN STANDARD EDGEWISE APPLIANCE SYSTEM /Fixed ort...
 
Invisalign -invisible aligners course in india
Invisalign -invisible aligners course in india Invisalign -invisible aligners course in india
Invisalign -invisible aligners course in india
 
Invisible aligners for your orthodontics pratice
Invisible aligners for your orthodontics praticeInvisible aligners for your orthodontics pratice
Invisible aligners for your orthodontics pratice
 
online fixed orthodontics course
online fixed orthodontics courseonline fixed orthodontics course
online fixed orthodontics course
 
online orthodontics course
online orthodontics courseonline orthodontics course
online orthodontics course
 
Development of muscles of mastication / dental implant courses
Development of muscles of mastication / dental implant coursesDevelopment of muscles of mastication / dental implant courses
Development of muscles of mastication / dental implant courses
 
Corticosteriods uses in dentistry/ oral surgery courses  
Corticosteriods uses in dentistry/ oral surgery courses  Corticosteriods uses in dentistry/ oral surgery courses  
Corticosteriods uses in dentistry/ oral surgery courses  
 
Cytotoxicity of silicone materials used in maxillofacial prosthesis / dental ...
Cytotoxicity of silicone materials used in maxillofacial prosthesis / dental ...Cytotoxicity of silicone materials used in maxillofacial prosthesis / dental ...
Cytotoxicity of silicone materials used in maxillofacial prosthesis / dental ...
 
Diagnosis and treatment planning in completely endntulous arches/dental courses
Diagnosis and treatment planning in completely endntulous arches/dental coursesDiagnosis and treatment planning in completely endntulous arches/dental courses
Diagnosis and treatment planning in completely endntulous arches/dental courses
 
Properties of Denture base materials /rotary endodontic courses
Properties of Denture base materials /rotary endodontic coursesProperties of Denture base materials /rotary endodontic courses
Properties of Denture base materials /rotary endodontic courses
 
Use of modified tooth forms in complete denture occlusion / dental implant...
Use of modified  tooth forms  in  complete denture occlusion / dental implant...Use of modified  tooth forms  in  complete denture occlusion / dental implant...
Use of modified tooth forms in complete denture occlusion / dental implant...
 
Dental luting cements / oral surgery courses  
Dental   luting cements / oral surgery courses  Dental   luting cements / oral surgery courses  
Dental luting cements / oral surgery courses  
 
Dental casting alloys/ oral surgery courses  
Dental casting alloys/ oral surgery courses  Dental casting alloys/ oral surgery courses  
Dental casting alloys/ oral surgery courses  
 
Dental casting investment materials/endodontic courses
Dental casting investment materials/endodontic coursesDental casting investment materials/endodontic courses
Dental casting investment materials/endodontic courses
 
Dental casting waxes/ oral surgery courses  
Dental casting waxes/ oral surgery courses  Dental casting waxes/ oral surgery courses  
Dental casting waxes/ oral surgery courses  
 
Dental ceramics/prosthodontic courses
Dental ceramics/prosthodontic coursesDental ceramics/prosthodontic courses
Dental ceramics/prosthodontic courses
 
Dental implant/ oral surgery courses  
Dental implant/ oral surgery courses  Dental implant/ oral surgery courses  
Dental implant/ oral surgery courses  
 
Dental perspective/cosmetic dentistry courses
Dental perspective/cosmetic dentistry coursesDental perspective/cosmetic dentistry courses
Dental perspective/cosmetic dentistry courses
 
Dental tissues and their replacements/ oral surgery courses  
Dental tissues and their replacements/ oral surgery courses  Dental tissues and their replacements/ oral surgery courses  
Dental tissues and their replacements/ oral surgery courses  
 

Kürzlich hochgeladen

ANG SEKTOR NG agrikultura.pptx QUARTER 4
ANG SEKTOR NG agrikultura.pptx QUARTER 4ANG SEKTOR NG agrikultura.pptx QUARTER 4
ANG SEKTOR NG agrikultura.pptx QUARTER 4MiaBumagat1
 
Daily Lesson Plan in Mathematics Quarter 4
Daily Lesson Plan in Mathematics Quarter 4Daily Lesson Plan in Mathematics Quarter 4
Daily Lesson Plan in Mathematics Quarter 4JOYLYNSAMANIEGO
 
Transaction Management in Database Management System
Transaction Management in Database Management SystemTransaction Management in Database Management System
Transaction Management in Database Management SystemChristalin Nelson
 
Student Profile Sample - We help schools to connect the data they have, with ...
Student Profile Sample - We help schools to connect the data they have, with ...Student Profile Sample - We help schools to connect the data they have, with ...
Student Profile Sample - We help schools to connect the data they have, with ...Seán Kennedy
 
How to Add Barcode on PDF Report in Odoo 17
How to Add Barcode on PDF Report in Odoo 17How to Add Barcode on PDF Report in Odoo 17
How to Add Barcode on PDF Report in Odoo 17Celine George
 
Q4-PPT-Music9_Lesson-1-Romantic-Opera.pptx
Q4-PPT-Music9_Lesson-1-Romantic-Opera.pptxQ4-PPT-Music9_Lesson-1-Romantic-Opera.pptx
Q4-PPT-Music9_Lesson-1-Romantic-Opera.pptxlancelewisportillo
 
Oppenheimer Film Discussion for Philosophy and Film
Oppenheimer Film Discussion for Philosophy and FilmOppenheimer Film Discussion for Philosophy and Film
Oppenheimer Film Discussion for Philosophy and FilmStan Meyer
 
Activity 2-unit 2-update 2024. English translation
Activity 2-unit 2-update 2024. English translationActivity 2-unit 2-update 2024. English translation
Activity 2-unit 2-update 2024. English translationRosabel UA
 
Integumentary System SMP B. Pharm Sem I.ppt
Integumentary System SMP B. Pharm Sem I.pptIntegumentary System SMP B. Pharm Sem I.ppt
Integumentary System SMP B. Pharm Sem I.pptshraddhaparab530
 
Presentation Activity 2. Unit 3 transv.pptx
Presentation Activity 2. Unit 3 transv.pptxPresentation Activity 2. Unit 3 transv.pptx
Presentation Activity 2. Unit 3 transv.pptxRosabel UA
 
HỌC TỐT TIẾNG ANH 11 THEO CHƯƠNG TRÌNH GLOBAL SUCCESS ĐÁP ÁN CHI TIẾT - CẢ NĂ...
HỌC TỐT TIẾNG ANH 11 THEO CHƯƠNG TRÌNH GLOBAL SUCCESS ĐÁP ÁN CHI TIẾT - CẢ NĂ...HỌC TỐT TIẾNG ANH 11 THEO CHƯƠNG TRÌNH GLOBAL SUCCESS ĐÁP ÁN CHI TIẾT - CẢ NĂ...
HỌC TỐT TIẾNG ANH 11 THEO CHƯƠNG TRÌNH GLOBAL SUCCESS ĐÁP ÁN CHI TIẾT - CẢ NĂ...Nguyen Thanh Tu Collection
 
Concurrency Control in Database Management system
Concurrency Control in Database Management systemConcurrency Control in Database Management system
Concurrency Control in Database Management systemChristalin Nelson
 
ROLES IN A STAGE PRODUCTION in arts.pptx
ROLES IN A STAGE PRODUCTION in arts.pptxROLES IN A STAGE PRODUCTION in arts.pptx
ROLES IN A STAGE PRODUCTION in arts.pptxVanesaIglesias10
 
Measures of Position DECILES for ungrouped data
Measures of Position DECILES for ungrouped dataMeasures of Position DECILES for ungrouped data
Measures of Position DECILES for ungrouped dataBabyAnnMotar
 
ICS2208 Lecture6 Notes for SL spaces.pdf
ICS2208 Lecture6 Notes for SL spaces.pdfICS2208 Lecture6 Notes for SL spaces.pdf
ICS2208 Lecture6 Notes for SL spaces.pdfVanessa Camilleri
 
Field Attribute Index Feature in Odoo 17
Field Attribute Index Feature in Odoo 17Field Attribute Index Feature in Odoo 17
Field Attribute Index Feature in Odoo 17Celine George
 
Inclusivity Essentials_ Creating Accessible Websites for Nonprofits .pdf
Inclusivity Essentials_ Creating Accessible Websites for Nonprofits .pdfInclusivity Essentials_ Creating Accessible Websites for Nonprofits .pdf
Inclusivity Essentials_ Creating Accessible Websites for Nonprofits .pdfTechSoup
 
Active Learning Strategies (in short ALS).pdf
Active Learning Strategies (in short ALS).pdfActive Learning Strategies (in short ALS).pdf
Active Learning Strategies (in short ALS).pdfPatidar M
 

Kürzlich hochgeladen (20)

ANG SEKTOR NG agrikultura.pptx QUARTER 4
ANG SEKTOR NG agrikultura.pptx QUARTER 4ANG SEKTOR NG agrikultura.pptx QUARTER 4
ANG SEKTOR NG agrikultura.pptx QUARTER 4
 
Daily Lesson Plan in Mathematics Quarter 4
Daily Lesson Plan in Mathematics Quarter 4Daily Lesson Plan in Mathematics Quarter 4
Daily Lesson Plan in Mathematics Quarter 4
 
Transaction Management in Database Management System
Transaction Management in Database Management SystemTransaction Management in Database Management System
Transaction Management in Database Management System
 
INCLUSIVE EDUCATION PRACTICES FOR TEACHERS AND TRAINERS.pptx
INCLUSIVE EDUCATION PRACTICES FOR TEACHERS AND TRAINERS.pptxINCLUSIVE EDUCATION PRACTICES FOR TEACHERS AND TRAINERS.pptx
INCLUSIVE EDUCATION PRACTICES FOR TEACHERS AND TRAINERS.pptx
 
Student Profile Sample - We help schools to connect the data they have, with ...
Student Profile Sample - We help schools to connect the data they have, with ...Student Profile Sample - We help schools to connect the data they have, with ...
Student Profile Sample - We help schools to connect the data they have, with ...
 
How to Add Barcode on PDF Report in Odoo 17
How to Add Barcode on PDF Report in Odoo 17How to Add Barcode on PDF Report in Odoo 17
How to Add Barcode on PDF Report in Odoo 17
 
Q4-PPT-Music9_Lesson-1-Romantic-Opera.pptx
Q4-PPT-Music9_Lesson-1-Romantic-Opera.pptxQ4-PPT-Music9_Lesson-1-Romantic-Opera.pptx
Q4-PPT-Music9_Lesson-1-Romantic-Opera.pptx
 
Oppenheimer Film Discussion for Philosophy and Film
Oppenheimer Film Discussion for Philosophy and FilmOppenheimer Film Discussion for Philosophy and Film
Oppenheimer Film Discussion for Philosophy and Film
 
Activity 2-unit 2-update 2024. English translation
Activity 2-unit 2-update 2024. English translationActivity 2-unit 2-update 2024. English translation
Activity 2-unit 2-update 2024. English translation
 
Integumentary System SMP B. Pharm Sem I.ppt
Integumentary System SMP B. Pharm Sem I.pptIntegumentary System SMP B. Pharm Sem I.ppt
Integumentary System SMP B. Pharm Sem I.ppt
 
Presentation Activity 2. Unit 3 transv.pptx
Presentation Activity 2. Unit 3 transv.pptxPresentation Activity 2. Unit 3 transv.pptx
Presentation Activity 2. Unit 3 transv.pptx
 
FINALS_OF_LEFT_ON_C'N_EL_DORADO_2024.pptx
FINALS_OF_LEFT_ON_C'N_EL_DORADO_2024.pptxFINALS_OF_LEFT_ON_C'N_EL_DORADO_2024.pptx
FINALS_OF_LEFT_ON_C'N_EL_DORADO_2024.pptx
 
HỌC TỐT TIẾNG ANH 11 THEO CHƯƠNG TRÌNH GLOBAL SUCCESS ĐÁP ÁN CHI TIẾT - CẢ NĂ...
HỌC TỐT TIẾNG ANH 11 THEO CHƯƠNG TRÌNH GLOBAL SUCCESS ĐÁP ÁN CHI TIẾT - CẢ NĂ...HỌC TỐT TIẾNG ANH 11 THEO CHƯƠNG TRÌNH GLOBAL SUCCESS ĐÁP ÁN CHI TIẾT - CẢ NĂ...
HỌC TỐT TIẾNG ANH 11 THEO CHƯƠNG TRÌNH GLOBAL SUCCESS ĐÁP ÁN CHI TIẾT - CẢ NĂ...
 
Concurrency Control in Database Management system
Concurrency Control in Database Management systemConcurrency Control in Database Management system
Concurrency Control in Database Management system
 
ROLES IN A STAGE PRODUCTION in arts.pptx
ROLES IN A STAGE PRODUCTION in arts.pptxROLES IN A STAGE PRODUCTION in arts.pptx
ROLES IN A STAGE PRODUCTION in arts.pptx
 
Measures of Position DECILES for ungrouped data
Measures of Position DECILES for ungrouped dataMeasures of Position DECILES for ungrouped data
Measures of Position DECILES for ungrouped data
 
ICS2208 Lecture6 Notes for SL spaces.pdf
ICS2208 Lecture6 Notes for SL spaces.pdfICS2208 Lecture6 Notes for SL spaces.pdf
ICS2208 Lecture6 Notes for SL spaces.pdf
 
Field Attribute Index Feature in Odoo 17
Field Attribute Index Feature in Odoo 17Field Attribute Index Feature in Odoo 17
Field Attribute Index Feature in Odoo 17
 
Inclusivity Essentials_ Creating Accessible Websites for Nonprofits .pdf
Inclusivity Essentials_ Creating Accessible Websites for Nonprofits .pdfInclusivity Essentials_ Creating Accessible Websites for Nonprofits .pdf
Inclusivity Essentials_ Creating Accessible Websites for Nonprofits .pdf
 
Active Learning Strategies (in short ALS).pdf
Active Learning Strategies (in short ALS).pdfActive Learning Strategies (in short ALS).pdf
Active Learning Strategies (in short ALS).pdf
 

Occlusograms

  • 2. Orthodontist works primarily in the occlusal plane of space. Advent of radiographic cephalometrics have planned the treatment modality in two dimension space, INTRODUCTION www.indiandentalacademy. com
  • 3. Currently, the lateral cephalometric head films is used in many respects to the exclusion of record that define the third dimension. www.indiandentalacademy. com
  • 4. Burstone (1961) introduced a new procedure called occlusogram (positive print 1:1 photographs) and with the help of lateral cephalometric head films it is now possible to make treatment plan in all 3 dimension. “An occlusogram is a 1:1 reproduction of the occlusal surfaces of plaster models on a sheet of acetate tracing paper.” www.indiandentalacademy. com
  • 5. Photographic technique - Introduced by Burstone; 1961, producing positive - print 1:1 photography of dental casts and tracing was done with the help of photograph. Photocopier technique - Introduced by Yen. Photocopy of models are taken and then they are traced and digitized. TYPES OF OCCLUSOGRAMS www.indiandentalacademy. com
  • 6. Manual eye viewer technique – Introduced by White, describes a device called an occlusal tracer, which makes a tracing of the teeth directly from the model. (JCO, Feb 1982) Computerized occlusogram - Introduced by Burstone, 1:1 photograph is taken and scanned on to which the points are digitized. (JCO, August 1979) Cont… www.indiandentalacademy. com
  • 7. • Individualized Arch Forms: The occlusal shape of each tooth can then be traced in an ideal position on this basic arch, and a customized ideal lower arch form can be constructed and used throughout treatment. USES OF OCCLUSOGRAMS White: JCO, Feb 1982 www.indiandentalacademy. com
  • 8.  Arch Length Discrepancy Measurement: The occlusogram also permits the clinician to make highly accurate and reliable arch length discrepancy measurements by superimposing the idealized lower arch form on the original. Cont…. www.indiandentalacademy. com
  • 9.  Occlusal Simulations: Marcotte and Burstone suggested setting the maxillary teeth around an idealized lower arch form so that it would be possible to do an occlusal simulation, or what is known as a "set-up": without the time and inaccuracies inherent in a plaster model technique. Occlusal simulations permit the orthodontist to quickly see if the maxillary teeth even have the possibility of occluding with the lower correctly. Cont… www.indiandentalacademy. com
  • 10.  Evaluation of Various Treatment Plans: The orthodontist can try any alternative he can think of without risk or harm to the patient. Once a decision is made regarding the diagnosis and treatment plan, the orthodontist can implement this plan with a high level of confidence. Cont… www.indiandentalacademy. com
  • 11.  To compare malocclusions with occlusogram norms.  To formulate accurate tooth-size discrepancies. Many clinicians prefer using diagnostic model setups of standard Bolton measurements, but setups are time consuming and difficult to master. Occlusogram set up gives accurate tooth size discrepancy. Occlusograms Revisited JCO, July 1992 www.indiandentalacademy. com
  • 12.  To construct ideal and individualized arch forms. Nature arranges teeth in arcs through various forces. An ideal arch selected at the beginning can provide a template for arch wire construction throughout treatment. These arch wire patterns bring a coherence and consistency to arch wire construction that is difficult to achieve by any other means. Cont… www.indiandentalacademy. com
  • 13.  To create occlusal simulations.  To evaluate various treatment plans.  To make accurate measurements of arch length discrepancy (ALD). Cont… www.indiandentalacademy. com
  • 14. OCCLUSOGRAM NORMS (WHITE JCO-1982) Although occlusograms have been used by a few orthodontists for several years, there have been no published norms or guidelines. Marcotte published an excellent paper regarding the clinical significance of occlusograms in 1976. In 1978, White illustrated how occlusograms could be used for arch form determination and arch length discrepancy measurements. www.indiandentalacademy. com
  • 15. Occlusograms of twenty-four untreated normal adult Class I occlusions were made at the University of Connecticut using Dr. Burstone's photographic technique. The measurements on this sample of occlusograms leads to some suggested guidelines for those who want to use occlusograms. www.indiandentalacademy. com
  • 16.  Each upper tooth touches two lower teeth below it, with the exception of the last upper molar, which has only the last lower molar to bite against.  The biting edge of the upper anterior teeth lies in front of the biting edge of the lower anterior teeth by an average of .7mm (anterior overjet).  The upper posterior teeth extend beyond the lower posterior teeth by an average of 2.3mm on each side (posterior overjet). www.indiandentalacademy. com
  • 17. Typical ideal normal Class I occlusogram. www.indiandentalacademy. com
  • 18.  The upper bicuspids are wider than the lower bicuspids by an average of 1.9mm on each side (bicuspid lateral overjet).  The upper molars are wider than the lower molars by an average of 1.4mm on each side (lateral molar overjet). www.indiandentalacademy. com
  • 19.  A key to firm static occlusion is the width and position of the maxillary lateral incisors. If these teeth are positioned correctly, they will extend at least to the middle of the mandibular cuspid. This will insure that the maxillary cuspid will be in proper occlusal position, contacting the lower first bicuspid. If the maxillary incisors are not wide enough to permit the lateral incisors to engage the mandibular cuspids properly, it will be impossible to achieve a firm Class I occlusion without spacing between the upper anterior teeth. www.indiandentalacademy. com
  • 20. TYPES OF ARCH FORMS JCO-Nov 1978: White There are four currently popular formulae for arch shape determination: • Bonwill-Hawley formula, • Brader arch forms, • The Catenary arch design, and • Rocky Mountain Data Systems computer-derived formula. www.indiandentalacademy. com
  • 21. Bonwill-Hawley Arch Design: • Based upon the combined mesiodistal widths of the incisors and cuspids. • Arc of the anterior teeth relates an equilateral triangle. • Largely been discredited, but it is still widely used. • The shape of an ideal arch wire from an orthodontic supply company will most likely be of the Bonwill-Hawley design. www.indiandentalacademy. com
  • 22. Bonwill-Hawley Arch Design:Bonwill-Hawley Arch Design: www.indiandentalacademy. com
  • 23. Brader Arch Design: • Known as trifocal ellipses. • Based on arch width at the second molars as measured at the facial, gingival surface. • Brader arch adapts to the facial surfaces of the teeth and all of the forms are alike in shape. They differ in size as dictated by the widths at the second molars. www.indiandentalacademy. com
  • 25.  The maxillary arch form is always one size larger than the mandibular and coordination of working archwires throughout treatment is greatly simplified.  The main clinical criticism of the Brader arches is that when those forms are followed, there is often severe narrowing in the cuspid areas . Cont… www.indiandentalacademy. com
  • 26. Typical narrowing of cuspids treated with Brader arch forms. www.indiandentalacademy. com
  • 27. Catenary Arch Design: • Determined by intermolar widths, but measured from central fossa to central fossa. • Curve which results when a fine chain is suspended at its two ends. • Described as a central core or central perimeter around which the teeth arrange themselves. • Catenary's popularity is the work of MacConaill and Scher. www.indiandentalacademy. com
  • 29. Cont… • MacConaill and Scher acknowledge some deviations from this "pure form", but suggest that these are due to pathological forces that occur during eruption of the teeth and subsequent alveolar development. • Burdie and LillieH found that a basic bony arch is established as early as 9.5 weeks in utero and they suggested that this basic arch was of a catenary design. However, their own evidence shows many arches which were arranged outside of the catenary form and certainly this is before any pathological force has disturbed the catenary "pure form ". www.indiandentalacademy. com
  • 30. • RMDS is based upon measurements taken from intermolar width, intercuspid width, and arch depth as measured from the facial surface of the incisor to the distal surface of the terminal molar. • This allows the computer to be programmed with Cartesian x and y coordinates that are necessary for a two-dimensional, computer-derived formula. Facial type is also considered in this arch computation. Computer-derived archDesign www.indiandentalacademy. com
  • 32. All of these techniques have one common area of agreement, the anterior part of the dental arch is part of a curve. This curve has been described as 1. an ellipse, 2. a parabola, 3. part of a trifocal ellipse, 4. and a catenary. www.indiandentalacademy. com
  • 33. A study was undertaken to see how a collection of ideal, untreated arches conformed to the predetermined arch forms of the most popular formulae, and to come to conclusions, if possible, about how reasonable, ideal arch forms can be derived for individual patients. www.indiandentalacademy. com
  • 34. Dental casts of twenty-four orthodontically untreated, superior, adult occlusions were collected. Tracings of the teeth were made on acetate paper and overlays were constructed and superimposed. RMDS recognized the possibility of arch asymmetry and changed its computer analysis method to use a different mathematical curve for each side of the asymmetric patient. www.indiandentalacademy. com
  • 35. Clinical Technique Determining Physiologic Archforms – Oakes method (JCO,Feb1991) Mandibular model with all permanent teeth present provides the best basis for construction of a correct or "physiologic" arch form. This technique takes less than three minutes. For the best symmetry, trace first from the midline to the left, then flip the acetate over and trace from the midline to the left on the opposite side. www.indiandentalacademy. com
  • 36. 1. Attach cake-decorating beads, representing the ideal bracket positions, to the mandibular model with toothpaste. www.indiandentalacademy. com
  • 37. 2. Place a clear piece of glass or plastic over the model, or place the model in an occlusogram jig and overlay the jig with acetate. www.indiandentalacademy. com
  • 38. 3. Viewing the model from directly overhead, transfer the bead positions to the acetate, glass, or plastic with a permanent marker. www.indiandentalacademy. com
  • 39. 4. Remove the acetate, glass, or plastic from the model, and connect the dots as symmetrically as possible. Some smoothing is often needed to obtain symmetry in cases with anterior crowding. www.indiandentalacademy. com
  • 40. Place the lower arch wire directly over the traced arch form. Bend the upper arch wire to lie outside the traced arch form. Physiologic archforms are difficult to construct in cases where there is severe intercanine constriction. If the original intercanine width is maintained, the arch form will be "squeezed" in the cuspid region. Although the principle is sound, such an arch form would be unacceptable. In these cases, expansion is necessary and extended retainer wear must be encouraged. www.indiandentalacademy. com
  • 41.  Although preformed arches have been made using various geometric or computer-generated data, the fit to an individual mandibular model is highly variable.  The simple technique described above produces individualized physiologic archforms that reduce the potential for relapse of orthodontic expansion. www.indiandentalacademy. com
  • 42. • Photographic Technique:  The dental impressions are made, casts poured.  Wax jaw registration be made in centric relation.  This wax centric relation registration is then placed between the dental casts while the posterior borders of the casts are trimmed and made flush with each other. TYPES OF OCCLUSOGRAMS www.indiandentalacademy. com
  • 43. Study model set-up, Black-and-white camera on horizontal photo copy stand, with lights. www.indiandentalacademy. com
  • 44.  A registration groove is placed in the backs of both casts simultaneously by means of a custom- made dental cast scriber.  The casts have thus been trimmed with their backs mutually perpendicular to the occlusal plane and to the palatal midline and have also been scribed to permit the positive-print, occlusograms to be oriented laterally.  The casts are then finished and polished in the usual manner. www.indiandentalacademy. com
  • 45. Central groove cut into the backs of models. Triangular file used to cut central orientation groove. www.indiandentalacademy. com
  • 46.  Occlusogram camera assembly consists of a 4 by 5 inch box camera, a dental cast stage, two 375- watt floodlights, and a hinged Plexiglas plate.  The camera is mounted on a sliding track, so that the distance from the edge of the stage can be adjusted and fixed to produce a 1:1 magnification. For this particular installation a 210 mm lens is found to be satisfactory.  The dental cast stage has an adjustable guide onto which fit the registration grooves on the backs of the dental casts. www.indiandentalacademy. com
  • 47. Occlusogram set up. This set up can produce archival-quality occlusograms on positive print film. www.indiandentalacademy. com
  • 48. Lower dental cast on the registration track of the occlusostat. The registration lines can be seen on the leading face of the occlusostat. The occlusal surfaces of the cast have also been made flush with the leading edge of the occlusostat. www.indiandentalacademy. com
  • 49. Registration dots which are located in the leading edge of the stage will also be recorded on the occlusogram. With a fine-grain positive film placed into film cassette and with both flood lights focused on the dental casts, a typical the exposure is made. Processed according to manufacturer's directions, maxillary and mandibular occlusograms are produced at 1:1 magnification. www.indiandentalacademy. com
  • 50.  Using the registration dots on the leading edge of the stage as reference points, both occlusograms are registered on these dots and permanently fixed at the bottom edge with a noncracking type of tape (for example, Mylar tape).  Since the positive print film is transparent, the existing occlusal relationships in centric relation can be seen when the occlusograms are folded over. For most treatment procedures, however, an occlusogram tracing is required. www.indiandentalacademy. com
  • 51.  For this occlusogram tracing, acetate paper is placed over the occlusograms and the maxillary and mandibular teeth are outlined, showing the gingival tooth contours, incisal edges, buccal cusp ridges, central grooves, and cusp tips.  Also traced are the palatal rugae, the midpalatal raphe, the fovea palatinus, and the registration dots. www.indiandentalacademy. com
  • 52. Occlusogram tracing Upper and lower occlusogram tracings. Both are shown with the registration dots on the backs and the registration lines (R). A mid saggital reference line is also drawn on the upper occlusogram tracing www.indiandentalacademy. com
  • 53. Both the occlusogram tracing are assembled on the registration dots. www.indiandentalacademy. com
  • 54. Photocopier technique • Yen makes a photocopy of the model and then traces or digitizes the photocopy. • Yen's method is easier than the other two, but the photocopying can introduce varying degrees of distortion because the models are three-dimensional. • This distortion can be limited to about 1 -2 percent enlargement if the models are placed on the surface of the machine so that the least amount of shadow is projected to the copy. www.indiandentalacademy. com
  • 56. Photocopy of upper and lower models, with right, left, and midline reference marks. www.indiandentalacademy. com
  • 57. The following is a simple clinical method of using occlusograms to evaluate space requirements, while taking into account lateral and frontal treatment planning objectives. Like Yen's technique, it uses a photocopier, but the effect of a small amount of photocopier distortion is minimized by the measurement procedures. Occlusograms in Orthodontic Treatment Planning FABER; JCO Jul 1992 www.indiandentalacademy. com
  • 58. Technique:  Make a set of orthodontic study models with a centric relation wax bite registration.  Trim the backs of the models with the bite registration in place, so that when they are placed on their backs they are in centric relation. www.indiandentalacademy. com
  • 59.  Make three marks on each model with the backs in centric relation and the teeth in occlusion- on the right and left sides in the buccal segments (usually the molars) and at the midline.  Then, extend the marks over the occlusal surfaces so they will appear on the photocopy. Triangular file used to cut central orientation groove. www.indiandentalacademy. com
  • 60.  Make a photocopy of the models. Photocopy of upper and lower models, with right, left, and midline reference marks. www.indiandentalacademy. com
  • 61.  Trace both arches along with the reference marks. Mark the right and left sides.  With the frontal cephalogram and the clinical examination, establish the post-treatment midline for the mandibular arch and mark it with an arrow on the lower occlusal tracing. www.indiandentalacademy. com
  • 62. A. Pretreatment lateral tracing showing AB to occlusal plane. B. Pretreatment anteroposterior tracing with apical base midlines marked. www.indiandentalacademy. com
  • 63.  Use an arch symmetry chart to establish symmetry of the lower arch from right to left. Mark the midline and a perpendicular reference line. Lower occlusal tracing placed over arch symmetry chart to establish midline and perpendicular reference crosshairs. www.indiandentalacademy. com
  • 64.  Place the upper tracing over the lower, aligning the reference marks marked on the occlusal surfaces. Transfer the crosshair reference lines from the lower occlusogram to the upper. www.indiandentalacademy. com
  • 65. Determine the desired post-treatment position of the lower incisor on the lateral cephalometric tracing. Measure the amount of facial or lingual movement, and mark this amount along the vertical reference line on the lower occlusogram. Mark the desired post-treatment cuspid width on the lower occlusogram. www.indiandentalacademy. com
  • 66. Treatment objectives for incicors and molars. Pretreatment lateral cephalogram www.indiandentalacademy. com
  • 67.  When the anteroposterior position of the denture bases is influenced by growth, facial growth rotations, changes in the cant of the occlusal plane, and/or surgery, these positions should be anticipated for the period of treatment and incorporated into the occlusogram tracings. www.indiandentalacademy. com
  • 68. Treatment objectives for orthodontic phase (blue) and surgical advancement of mandible (red).  The amount of movement is calculated by measuring the projected AB to occlusal plane before and after changes. www.indiandentalacademy. com
  • 69. Completed occlusograms showing archforms in red and space requirements in blue. Dashed line indicates projected change in AB to occlusal plane after surgery.  This can be marked on the occlusogram, and the lower tracing can then be slid forward to the new line to evaluate the arch width required for good posterior occlusion after changes. www.indiandentalacademy. com
  • 70.  Determine the desired molar movement from the axial inclinations on the frontal cephalogram, from the study models, or from clinical examination of the buccal and gingival tooth contacts.  Mark the desired molar width on the lower occlusogram.  Using a French curve (or a template if desired), draw the treatment-planning archform by connecting the incisor, cuspid, and molar reference points. www.indiandentalacademy. com
  • 71.  Place the upper occlusal tracing over the lower by aligning the reference crosshairs, and draw the planned upper archform, allowing for buccal and incisal overjet.  Measure the mesiodistal tooth widths directly from the models with bow calipers, then mark off these widths on the occlusogram archforms.  Work distally from the midline, and be sure to measure the widths on both sides of the arch; there are often significant tooth-size differentials from right to left. www.indiandentalacademy. com
  • 72. Direct measurement of models using bow calipers. www.indiandentalacademy. com
  • 73. Planned archforms drawn in red, and mesiodistal tooth widths marked off in blue. Blue posterior lines perpendicular to archforms show space required to meet treatment objectives. www.indiandentalacademy. com
  • 74. This technique demonstrates the versatility and simplicity of occlusograms when used for space analysis and coordination with treatment planning in the other planes of space. www.indiandentalacademy. com
  • 75. Reliability of Measurements from Photocopies of Study Models:- MICHEL JCO,1992 Oct  Ten sets of study models (20 occlusal surfaces) were photocopied on a Canon PC-25 photocopier.  Each model and its photocopy were then measured by the same operator, using an electronic digital caliper. The following measurements were recorded: 1. Total arch length (the sum of all maxillary and mandibular individual tooth widths) 2. Intercuspid width 3. Intermolar width www.indiandentalacademy. com
  • 76. Results: There was little difference between the actual models and the photocopies in measurements of arch width. However, there was a substantial difference in the measurements of total arch length. www.indiandentalacademy. com
  • 77. Photocopies of models appear to be valid for:  Comparing pre- and post-treatment archforms  Checking original tooth rotations or the initial arch form during treatment.  Producing occlusograms for demonstration purposes Photocopies may be less precise for:  Measuring arch length  Producing occlusograms for space analysis www.indiandentalacademy. com
  • 78. The most primitive technique for making accurate 1:1 occlusal reproductions is to trace the occlusal surfaces of the teeth onto a clear 1/8" plastic sheet that is secured against the dental cast. Since the eye of the viewer is the camera, the viewer's head must not be moved while tracing both sides of the model. With a minimum of practice, highly accurate tracings can be made with inexpensive materials . Manual eye viewer –occlusogram www.indiandentalacademy. com
  • 79. Manual method: Occlusal map maker. www.indiandentalacademy. com
  • 80. Computer-Aided Space Analysis YEN- JCO, Apr 1991  Make a photocopy of the upper and lower study models.  Digitize the key landmarks from the photocopy. (If necessary, allow for any enlargement introduced by the photocopier.)  Run the program and print out the data. www.indiandentalacademy. com
  • 81. Printout of space analysis and computer-generated arch form. Horizontal lines in arch form indicate arch widths. www.indiandentalacademy. com
  • 82.  Computerized arch form is made by simply connecting the most mesial and distal points of each tooth from second molar to second molar.  Each arch is divided into three segments- anterior (B + C) and posterior (A and D).  The "required space" for each segment is the sum of the tooth sizes in that segment; the "available space" is the total width of the segment. www.indiandentalacademy. com
  • 83. Each arch is divided into anterior (B + C) and posterior (A + D) segments for space analysis. Computer produces arch form by connecting most mesial and distal points of teeth. www.indiandentalacademy. com
  • 84. Computerized occlusogram (Burstone -Jco-1979) Digitizing the points of the 1:1 occlusal photograph of the model give the both measurements and a diagram of the tooth positions . The computer does a setup. Points are digitized at the mesial and distal contacts and the tips of the buccal cusps of the lower, and the functional cusps on the upper will be the tips of the lingual cusps. The computer draws the teeth. www.indiandentalacademy. com
  • 85. Digitizing points on a 1:1 occlusal photograph. Occlusogram. Computer-drawn original and final arch forms. Arch length inadequacies and movement required of each tooth are calculated and shown. www.indiandentalacademy. com
  • 86. The computer calculates the variations from the mean in tooth size. The reason for seeing this on the screen at this time is to find out if there are major tooth size differences and make a decision on extraction, or to point out a mistake in digitizing. www.indiandentalacademy. com
  • 87. Now, the first question the computer asks is if the right molar should be moved so that we can determine the geometric midline. There are other determinants of the midline, including what looks good for the face and also if there is any skeletal discrepancy anteriorly. The geometric midline is a point right in the center of the arch if we like the relative positions of the posterior teeth on the right and left sides. www.indiandentalacademy. com
  • 88. So, the computer asks whether the buccal segments to be moved back in respect to the other, just to equalize their axial inclination or their position. It will then calculate where the center of the arch is — the geometric midline. www.indiandentalacademy. com
  • 89. Now the computer will first of all draw the original malocclusion on which you see certain control points which the orthodontist decides. Orthodontist decides what the width should be. He digitizes where he wants the lower incisor to be. This is all individualized. All the computer does is make it easy to handle. www.indiandentalacademy. com
  • 90. Final upper occlusal plot. Now, we have the new arch form constructed. Both the original and final arches are shown on the screen. www.indiandentalacademy. com
  • 91. The anterior part of the arch is a segment of a parabola, so it fits a parabola between the points that clinician select. There are enough control points, so that each arch form is individualized for the patient. The clinician decides where to position the midline, the computer stores that decision and it then calculates the arch length inadequacy. Also, the computer graphically shows where each tooth will be in the individualized arch. www.indiandentalacademy. com
  • 92. Control points are placed one in the midline point, how far backward or forward you want the incisor. Clinician also selects the width points where he thinks the tips of the cuspids should be, and the mesiobuccal cusp of the first and second molars. The clinician must make those decisions. No computer can make them. However, lateral treatment planning program helps with the decision of where the lower incisor goes. www.indiandentalacademy. com
  • 93. Now, the computer asks if he want to see a hard copy. Normally hard copies are made as a permanent record at the end. The printout is three times life size, so he can see what the relationships are in detail. The longer lines represent the mesials of the first molars . www.indiandentalacademy. com
  • 94. Computerized setup. Lower teeth (red) and upper teeth (green). www.indiandentalacademy. com
  • 95. Orthodontist can choose to extract and see the "treated case" on the screen. If he doesn't like the results, he can go back and go through another treatment plot. He can try one with different extractions or nonextraction options. A number of different treatment plans can be tried to arrive at the best possible one. www.indiandentalacademy. com
  • 96. Manual and computer-aided space analysis: A comparative study. Schirmer, AJO;1997 Dec The computer-aided measuring system is reliable, but accurate mesiodistal measurements cannot be made from photocopies of dental models. Manual measurements that use a calibrated gauge produce the most accurate, reliable, and reproducible results. www.indiandentalacademy. com
  • 97. Video Printing in Orthodontic Photography. BURKE: JCO; Feb 1987 The Mitsubishi P5OU Video Printer measures about 4"×8"×14“. Video printer used to image study models, with sample print.. www.indiandentalacademy. com
  • 98.  The printer can “ grab” a still picture of anything that appears on the TV monitor when the “ print” button is pushed. This triggering can be done at the printer or by a remote-control extension cord switch.  Video cameras or color camcorder, which has self-contained playback capability, can be connected directly to the video printer for making extraoral pictures. www.indiandentalacademy. com
  • 99. Close-up lenses are more adaptable. These optical glass “ magnifiers” come in various diopter strengths and attach to the lens. Close-up lenses permit any type of magnification— for example, a 1:1 ratio for occlusograms. Diopter lenses attach to camera lens for close-up focusing.www.indiandentalacademy. com
  • 100.  Creating a video print is essentially the same as conventional photography, with the added advantage of immediate results for appraisal and adjustment.  Facial images can be improved by using adjustable photo reflector light stands with standard household bulbs.  When you set up your system, trial and error will determine the correct camera distance, magnification, and lighting. www.indiandentalacademy. com
  • 101. THE “3-D OCCLUSOGRAM” SOFTWARE AJO, Sep 1999: Foirelli • The 3-D Occlusogram (3-DO) procedure includes 4stages, which are performed by different components of the software: • Image scanning and setting • Occlusal view processing • Lateral cephalometric processing • Occlusogram construction www.indiandentalacademy. com
  • 102. • The treatment goal can be produced either manually, by means of 3-dimensional scanning equipment, or by means of the software demonstrated above coupled with a common flatbed scanner. • The latter has the advantage that, after a rather short training period, it is more rapid and more precise than the manual method without requiring any special and expensive equipment that the orthodontist does not generally already possess. www.indiandentalacademy. com
  • 104. Holograms as substitutes for study casts. Harradine et al: AJO 1990 Aug A hologram not only provides two-dimensional information about an object, as found in photographs, but also depth information. This transforms the image of the object into three dimensions. www.indiandentalacademy. com
  • 105. Plaster casts are mainstay of clinical orthodontic records since many years but has disadvantages:  Fragile & prone for fracture  Bulky & expensive to store and transport. Need keep for long periods. www.indiandentalacademy. com
  • 106. Advantages of holograms Schwaninger et al (1977) proposed potential advantages of holograms as a substitute for study casts. Holograms are resistant to damage.  Better suited to transport by post.  Can be stored with patient’s clinical records.  Accurate measurements such as intercanine width can be measured. www.indiandentalacademy. com
  • 108. Disadvantages  Significant consideration is the consequence of incorrect occlusion of the models when the holograms are being made.  Once made, a hologram cannot be adjusted as a set of study casts.  Clinically useful holograms are therefore more demanding in terms of clinical and laboratory techniques than are study casts. www.indiandentalacademy. com
  • 109. In a study by Harradine et al ( 1990 Aug AJO) with four clinicians and 56 patients, three of the clinicians found the holograms to be acceptable alternatives to study casts in routine clinical orthodontic practice. Current holographic cameras enable those who are not experts to produce holograms very simply, but careful clinical and laboratory techniques are required to ensure that these holograms correctly record the occlusion. www.indiandentalacademy. com
  • 110. The Holodent system, a new technique for measurement and storage of dental casts. Martensson et al: AJO 1992 Aug The system has a precision that is equal to that of previously reported methods and may be well-suited for studies of dental positional changes in longitudinal materials of study models. Holograms of dental casts may solve storage problems by replacing space consuming plaster models. www.indiandentalacademy. com
  • 111. Conclusion Occlusograms offer us an accurate way to measure, compare, and evaluate malocclusions, to plan and forecast treatment, and to visualize occlusal objectives. They do take time, but it can be easily learn how to do them. The use of photocopies removes the need for expensive and arcane equipment. www.indiandentalacademy. com
  • 112. Hoping that orthodontists will take one more look at this valuable technique. The rewards to both patient and doctor clearly make occlusograms a worthwhile adjunct to our diagnostic armamentarium. www.indiandentalacademy. com