Scribd Logo
Upload

Welcome to Scribd!

  • 1K views

    Cusp Fossa Relationship

    Uploaded by

    russchallenger
    This document discusses the concept of cusp-fossa relationships in occlusion. It notes that cusp-fossa relationships are found in only 5% of the population and result in idealized occlusion with forces concentrated at the center of each tooth. It describes how functional cusps on one tooth contact opposing teeth at three points for stability and minimal tooth wear. Terminology used to describe supporting cusps, guiding cusps, guiding inclines, and the functional outer aspect is provided. The benefits of disclusion, which results from cusp-fossa relationships, are outlined as protecting teeth from attrition during normal function. Laboratory procedures for recreating cusp-fossa relationships in wax are described in detail.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd

    Cusp Fossa Relationship

    Uploaded by

    russchallenger
    1K views40 pages
    This document discusses the concept of cusp-fossa relationships in occlusion. It notes that cusp-fossa relationships are found in only 5% of the population and result in idealized occlusion with forces concentrated at the center of each tooth. It describes how functional cusps on one tooth contact opposing teeth at three points for stability and minimal tooth wear. Terminology used to describe supporting cusps, guiding cusps, guiding inclines, and the functional outer aspect is provided. The benefits of disclusion, which results from cusp-fossa relationships, are outlined as protecting teeth from attrition during normal function. Laboratory procedures for recreating cusp-fossa relationships in wax are described in detail.

    Original Description:

    Cusp to fossa interdental relationship

    Copyright

    © © All Rights Reserved

    Available Formats

    PPTX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    This document discusses the concept of cusp-fossa relationships in occlusion. It notes that cusp-fossa relationships are found in only 5% of the population and result in idealized occlusion with forces concentrated at the center of each tooth. It describes how functional cusps on one tooth contact opposing teeth at three points for stability and minimal tooth wear. Terminology used to describe supporting cusps, guiding cusps, guiding inclines, and the functional outer aspect is provided. The benefits of disclusion, which results from cusp-fossa relationships, are outlined as protecting teeth from attrition during normal function. Laboratory procedures for recreating cusp-fossa relationships in wax are described in detail.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    1K views40 pages

    Cusp Fossa Relationship

    Uploaded by

    russchallenger
    This document discusses the concept of cusp-fossa relationships in occlusion. It notes that cusp-fossa relationships are found in only 5% of the population and result in idealized occlusion with forces concentrated at the center of each tooth. It describes how functional cusps on one tooth contact opposing teeth at three points for stability and minimal tooth wear. Terminology used to describe supporting cusps, guiding cusps, guiding inclines, and the functional outer aspect is provided. The benefits of disclusion, which results from cusp-fossa relationships, are outlined as protecting teeth from attrition during normal function. Laboratory procedures for recreating cusp-fossa relationships in wax are described in detail.

    Copyright:

    © All Rights Reserved
    Download as PPTX, PDF, TXT or read online from Scribd
    Download as pptx, pdf, or txt
    of 40

    Introduction to Occlusion:

    Cusp Cryptoprocta ferox


    Relationship

    Brian B. Nov, DDS

    Cusp Fossa Relationship

    Found in only 5% of the population


    Idealized occlusion
    Full mouth cases
    Occlusal forces concentrated near the center of
    each tooth
    Less food impaction
    Tooth-to-tooth relationship
    The concept is easy to teach and learn

    Cusp Fossa Relationship


    Functional cusp contacts
    opposing tooth at three points
    Very stable
    Results in minimal tooth wear

    Nov Nugget:
    Maxillary Mesial
    manDibular Distal

    Terminology
    Functional Cusps
    Lingual of maxillary teeth
    Facial of mandibular teeth

    Non-Functional Cusps
    Facial of maxillary teeth
    Lingual of mandibular teeth

    National Board Terminology

    Supporting cusps
    Guiding cusps
    Guiding inclines
    Functional Outer Aspect
    (FOA)

    Supporting Cusps
    The working or functional
    cusp
    Mandibular facial
    Maxillary lingual
    Responsible for
    supporting the forces
    of occlusion

    Guiding Cusps
    Non-functional cusps
    Mandibular lingual
    Maxillary facial
    Cusp is not in function

    Guiding Inclines
    Inclines of the guiding
    cusps from the cusp tip
    toward the center of the
    tooth
    Lingual incline of facial
    cusp of maxillary teeth
    Facial incline of lingual
    cusp of mandibular
    teeth

    Functional Outer Aspect (FOA)


    The outside 1-2 mm of the
    supporting cusp which
    makes contact with the
    guiding inclines of the
    guiding cusps of the
    opposing dentition when in
    occlusion

    Cusp Fossa Relationship


    ABC Contacts
    Use a sagittal view
    A & C contacts
    Between functional
    and non-functional
    cusps
    B contacts
    Between both
    functional cusps

    ABC Contacts

    Dr. Nov, why


    do we have to
    know this?
    Because, if you create cusp-fossa
    relationships in your restorations, you
    create/allow a phenomenon called,
    DISCLUSION.

    Dr. Nov
    what is
    disclusion?

    Disclusion
    Teeth are arranged such that
    the overlap of the anterior
    teeth prevent the posterior
    teeth from making any
    contact on during working or
    non-working excursive
    movements.

    This protects teeth from being


    worn down during normal
    function (aka attrition).

    Laboratory Project
    Remove the occlusal half
    of contacting teeth
    Re-create a cusp-fossa
    relationship for those two
    teeth using wax
    This requires very specific
    models designed by a
    world famous dentist
    named Peter K. Thomas.

    Laboratory Procedure
    Step one:
    Determine cusp placement
    In line with adjacent cusps
    Same height as adjacent cusps
    Functional cusps in fossa of
    opposing tooth
    No interferences in excursive
    movements

    Laboratory Procedure
    Step two: Mark the location of cusps and fossas

    Waxing Procedure
    Step three:
    Create wax cones
    Upper facial cusps
    Upper lingual cusps
    Lower facial cusps
    Lower lingual cusps

    Waxing Procedure
    Be sure to check
    excursive movements
    after each step

    .or you will wish you


    had later on!

    Waxing Procedure
    Step four:
    Create various ridges
    Cusp ridges
    Marginal ridges
    Triangular ridges
    Fish mouth concept

    Waxing Procedure
    Cusp marginal ridge
    placement
    Upper ridges
    Lower ridges
    Thomas notch

    Note the Thomas Notches!

    Waxing Procedure
    In creating the axial
    contour dont forget
    that teeth have
    corners (line angles
    and point angles)

    Waxing Procedure
    Triangular ridges
    Upper triangular ridges
    establish A contact
    with lower tooth
    Lower triangular ridges
    establish C contact
    with upper tooth
    Establish B contact
    with opposing B
    contact

    Waxing Procedure
    Fossas and grooves
    Tripodization
    Developmental grooves
    Supplemental grooves

    Waxing Procedure
    Finishing
    Careful polishing
    Microbrushes work well
    in grooves
    Light flaming
    Re-check contacts with
    zinc stearate

    Where are the dots supposed to be?

    12

    13

    14

    15
    16

    17

    32

    18

    31

    19

    30
    29
    28

    20
    21

    12

    13

    14

    15
    16

    17

    32

    18

    31

    19

    30
    29
    28

    20
    21

    12

    13

    14

    15
    16

    17

    32

    18

    31

    19

    30
    29
    28

    20
    21

    12

    13

    14

    15
    16

    17

    32

    18

    31

    19

    30
    29
    28

    20
    21

    Everything should be
    made as simple
    as possible.

    Everything should be
    made as simple
    as possible,
    but not simpler.
    -Albert
    Einstein

    Peace be with you

    and also with the fossa.

    You might also like