Clinical remounting and occlusal adjustment of conventional complete dentures in a semi-adjustable articulator

Vol. 13 – Number 51 – 2022 CLINICAL DENTISTRY NOTEBOOK Case report Page 92-103 Clinical remounting and occlusal adjustment of conventional complete dentures in a semi-adjustable articulator Ricardo Caputti Izquierdo Indalecio¹ Maria Tereza Martins Perez¹ Marilia Gabriela Silva¹ Sybilla Torres Dias¹ Francisco Pantoja Braga¹ Cristiane Maria Brasil Leal¹ ABSTRACT The polymerization process of total dentures causes dimensional changes, making it necessary to remounting these prostheses in a semi-adjustable articulator (ASA) to perform the occlusal adjustment. The objective of this study is to report a clinical case of oral rehabilitation with conventional full dentures, which was performed by the clinical remounting of the prostheses in ASA to perform the occlusal adjustment. A 72 years old male patient sought dental care at the Polyclinic of the State University of Amazonas. After anamnesis, extra and intraoral clinical examinations were indicated for conventional full dentures. After anatomical and functional impressions, working models were obtained, on which orientation plans were made. From the individualization of the upper orientation plane, registration of the facial arch and determination of intermaxillary relations, the models were assembled in ASA. After selection, assembly and aesthetic and functional testing of artificial teeth, the prostheses were polymerized, finishing and polishing. During the installation of the prostheses, there were few occlusal contacts and an anterior open bite. With the prostheses positioned on the edges, the facial arch was recorded to remounting the upper prosthesis in ASA and interocclusal registration in the central relation position for remounting of the lower prosthesis. The occlusal adjustment was performed by means of selective wear to obtain the correct centric and eccentric occlusal contacts. Clinical remounting of total prostheses in ASA is an efficient procedure for performing occlusal adjustment and obtaining bilateral balanced occlusion. Descriptors: Complete dentures, occlusal adjustment, mouth rehabilitation. ¹ Subject of Total Prosthesis – UEA. DOI: 10.24077/2022;13512376180