• Title/Summary/Keyword: Gothic arch tracing

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A Comparative study of Simple Tracing with Gothic Arch Tracing (Gothic arch tracing technique에 비교된 Simple tracing에 관한 연구)

  • Bae, Bong-Jin
    • Journal of Technologic Dentistry
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    • v.2 no.1
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    • pp.25-27
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    • 1980
  • In the process of arranging artificial teeth the simple atracing technique was shown to be more precise and convenient for general use in dental clinic than gothic arch tracing. The simple tracing technique had some advantages over other ones in that they were very useful to check protrusive, lateral and central occlusion of mandible movement, and it was very easy to transfer the oral condition and mandible movements precisely onto the articulator. Also the technique was more effective than when using wax bite in that the functional movement range has shifted to 0.2 - 0.4mm form central occlusion.

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Full mouth rehabilitation of a patient with difficulties in guiding centric relation: A case report (중심위로의 유도가 어려운 환자의 수복 증례)

  • Jun, Daejeon;Vang, Mongsook;Yang, Hongso;Park, Sangwon;Lim, Hyunpil;Yun, Kwidug
    • The Journal of Korean Academy of Prosthodontics
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    • v.53 no.4
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    • pp.366-376
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    • 2015
  • The Gothic arch tracing method using a Gothic arch tracer which is one of the centric relation recording methods can reproduce mandibular movement more accurately by describing the path of mandibular curvilinear motion. This case reports that we have satisfactory results by recording reproducible centric relation using a gothic arch tracing method in a patient who has difficulty to induce centric relation by operator due to parafunctional movement.

HORIZONTAL PLANE JAW MOVEMENTS IN EDENTULOUS PATIENTS BY USE OF EXTRAORAL TRACING DEVICE (구외 묘기장치를 이용한 무치악 환자의 수평면상 하악운동에 관한 연구)

  • Eun Seong-Sik;Chung Chae-Heon
    • The Journal of Korean Academy of Prosthodontics
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    • v.32 no.3
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    • pp.396-410
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    • 1994
  • Ten subjects who were going to wear conventional complete dentures were selected for this study. Theree subjects were women and seven were men. The average age was 63.1 years(range : 44 to 76 years). With the Height tracer (extraoral tracing device) in place the subject was instructed to go through the entire range of mandibular movements. The extreme lateral pathway of the incisor point, the so-called Gothic arch, was thereby inscribed by the stylus on the tracing plate. The mandibular movements in this study were peformed voluntarily by the subject(self guided technique) and guided by the dentist(chin-point technique and bimanual technique). The Gothic arch tracings were analysed and the Gothic arch angles and eccentric movement distances were measured. The results were as follows : 1. The apex position of the Gothic arch tracings of mandibular movements in edentulous patients varied both anterioposteriorly and mediolaterally. 2. The Gothic arch tracing had some lateral deviation during protrusion. 3. The average Gothic arch tracing angle was $136.7{\pm}12.0^{\circ}$ by subjects self guided technique, $135.7{\pm}5.9^{\circ}$ by chin-point technique, $136.6{\pm}6.5^{\circ}$ by bimanual technique. But there were no statistical differences in the reliability among the three techniques. 4. The average mandibular eccentric movements were irregular and the mandibular eccentric movement distances varied with a wide range.

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Rehabilitation of a patient with atrophic ridges using gothic arch tracing and nonpressure impression: a case report (심하게 흡수된 치조제를 가진 환자에서 고딕 아치 기록과 무압 인상을 이용한 총의치 수복: 증례보고)

  • Lee, Shin-Yeop;Yu, Jung-Hyun
    • Journal of Dental Rehabilitation and Applied Science
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    • v.34 no.3
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    • pp.232-238
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    • 2018
  • Flabby ridges adversely affect the stability of complete dentures. For the management it is suggested that soft tissues reconditioned before making definitive dentures, and modified impression techniques used for the flabby ridges. Also, correct record of centric relation is important in complete dentures. This case of 67-year-old edentulous female patient had atrophied ridges on the mandible and the flabby ridge on the maxilla. Treatment dentures were fabricated using gothic arch tracing method and tissue conditioner. Definitive dentures were made using window opening impression technique, the gothic arch tracing method, and lingualized occlusion. The patient was satisfied with the function and esthetic quality of the new prostheses.

Complete denture rehabilitation of edentulous patient with severe alveolar bone resorption and condyle fracture using gothic arch tracing and closed mouth impression technique: A case report (하악 과두 골절과 심한 잔존치조제 흡수를 보이는 완전 무치악 환자에서 폐구 인상법과 고딕아치 묘기법을 이용한 총의치 수복 증례)

  • Choi, In-Ho;Kim, Seong-A;Kim, Na-Hong;Lee, Yong-Sang
    • The Journal of Korean Academy of Prosthodontics
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    • v.58 no.2
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    • pp.145-152
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    • 2020
  • It is essential to record maxillomandibular relationship accurately for the harmony of esthetic and function in complete denture. Gothic arch tracing visually demonstrates the movement of the mandible, and is useful to establish accurate and reproducible centric relation. Proper retention and stability of complete denture in patients with severe alveolar bone resorption is difficult to attain. In such case, the closed mouth impression technique might be recommended. The denture border and impression are determined by patient's physiologic movement in the closed mouth impression technique. And, denture peripheral border is entirely closed with oral mucous membrane. This report presents satisfactory complete denture restoration using closed mouth impression technique and gothic arch tracing in patients with mandibular condyle fracture and severe absorption of mandibular alveolar ridge.

Gothic arch tracing to record centric relation for dentures (Gothic arch tracing을 이용한 의치의 중심위 기록)

  • Shin, Soo-Yeon
    • Journal of Dental Rehabilitation and Applied Science
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    • v.30 no.3
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    • pp.238-245
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    • 2014
  • In order to create denture occlusion that is functional, comfortable and balanced, it is necessary to both determine a vertical dimension of occlusion that is in harmony with the patient's musculature and to record a relatively repeatable jaw relation position. This require clinical skill to establish an accurate, verifiable and reproducible vertical dimension of occlusion (VDO) and centric relation (CR). Correct vertical relation depends upon a consideration of several factors, including muscle tone, inter-dental arch space and parallelism of the ridges. Centric relation is considered to be a repeatable position from which all opening and lateral mandibular movements begin and recording this position is a critical step in the fabrication of dentures. Any errors made while taking maxillo-mandibular jaw relation records will result in denture that are uncomfortable. The purpose of this paper is to review a very simple and efficient technique for accomplishing these two important steps in denture fabrication.

Full mouth rehabilitation using removable prosthesis of patient with unstable mandible movements: A case report (불안정한 하악운동을 보이는 환자에서 가철성 의치 수복 증례)

  • Sohn, Dong-Hwan;Yi, Yang-Jin;Jo, Deuk-Won
    • The Journal of Korean Academy of Prosthodontics
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    • v.58 no.1
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    • pp.35-41
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    • 2020
  • Patients with collapsed occlusal support and unilateral chewing show parafunctional mandibular movements, which can be complicated in older patients. Gothic arch tracing and split cast technique are used to confirm the deviation between centric relation and anterior habitual bite in patient who has oral dyskinesia and collapsed occlusion. Temporary denture as occlusal stabilization appliance was provided for stable occlusion and reproducible mandibular movement. Definitive denture was fabricated by lingualized occlusion concept.

Complete denture rehabilitation of a fully edentulous patient with unilateral facial nerve palsy: A case report (편측성 안면 신경마비 환자에서의 총의치 수복 증례)

  • Choi, Eunyoung;Lee, Ji-Hyoun;Choi, Sunyoung
    • The Journal of Korean Academy of Prosthodontics
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    • v.55 no.4
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    • pp.451-457
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    • 2017
  • Bell's palsy is an acute-onset unilateral peripheral facial neuropathy. For patients with sequelae of facial paresis, the successful rehabilitation of fully edentulous arches is challenging. This case report described the treatment procedures and clinical considerations to fabricate complete dentures of a patient who showed unilateral displacement of mandible, unilateral chewing pattern and parafunctional jaw movement due to sequelae of Bell's palsy. Gothic arch tracing was used to record reproducible centric relation and lingualized occlusion was performed to provide freedom to move between centric relation and the patient's habitual functional area in fabricating satisfactory dentures in terms of function and esthetics.

Comparison of the replicability of centric relation registration techniques using Arcus Digma (Arcus Digma를 이용한 하악 중심위 유도방법에 따른 하악위의 재현성에 관한 비교 연구)

  • Lim, Hyun-Pil;Cho, Young-Eun;Park, Sang-Won
    • Journal of Dental Rehabilitation and Applied Science
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    • v.25 no.3
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    • pp.201-210
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    • 2009
  • The purpose of this study was to compare the replicability of centric relation made by means of self guided method, bimanual manipulation, chin-point guidance, leaf gauge method, gothic arch tracing. The EPA test of Arcus $Digma^{(R)}$ was employed for examining the reproducibility of centric relation. 10 adults with normal occlusion were participated in this study. In this limitation of study, the following results were obtained; Condyle position was different depending on different methods of guiding centric relation. Left and right temporomandibular joints showed a little different degree of repeatability. Bimanual manipulation using anterior jig was the most replicable. Chin point guidance provided the second most repeatable method, and Gothic arch tracing showed the third, the leaf gauge was the forth, the self-guided method was the worst.

Full-mouth rehabilitation of a patient with severe tooth wear using a gothic arch tracer and stabilization splint. (비기능적 습관에 의한 전반적인 마모 환자의 고딕아치 기록장치 및 교합안정장치를 통한 완전 구강 회복 증례)

  • Sungwoo Ju
    • Journal of the Korean Academy of Esthetic Dentistry
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    • v.32 no.1
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    • pp.23-32
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    • 2023
  • A patient with para-functional habits can cause widespread teeth wear, along with temporomandibular joint disorders and myofascial pain syndrome in the masticatory muscles. Prolonged teeth wear is associated with a decrease in vertical occlusal dimension, leading to issues such as changes in facial morphology, decreased masticatory efficiency, and temporomandibular joint disorders. To achieve a three-dimensional full-mouth rehabilitation in patients with decreased vertical occlusal dimension, accurate diagnosis, analysis, and proactive treatment planning are essential. Prosthetic treatment accompanied by the restoration of physiological vertical occlusal dimension and the re-establishment of a normal occlusal plane is necessary. This case report presents a full-mouth rehabilitation case involving a patient with overall teeth wear, showing decreased vertical occlusal dimension which results in discomfort in the temporomandibular joint and aesthetic dissatisfaction. The report highlights the successful outcome achieved through the use of occlusal stabilization splint for temporomandibular joint stability and Gothic arch tracing devices for the re-establishment of intermaxillary relationships. Also, through adjustments and adaptation assessment using provisional prostheses, favorable outcomes were achieved both functionally and aesthetically.