Clinical importance of median mandibular flexure in oral rehabilitation

A review

K. Sivaraman, A. Chopra, S. B. Venkatesh

Research output: Contribution to journalReview article

6 Citations (Scopus)

Abstract

The mandible has a property to flex inwards around the mandibular symphysis with change in shape and decrease in mandibular arch width during opening and protrusion of the mandible. The mandibular deformation may range from a few micrometres to more than 1 mm. The movement occurs because of the contraction of lateral pterygoid muscles that pulls mandibular condyles medially and causes a sagittal movement of the posterior segments. This movement of mandible can have a profound influence on prognosis and treatment outcome for various restorative, endodontics, fixed, removable and implant-related prosthesis. The review unfolds the causes, importance and clinical implications of median mandibular flexure in oral rehabilitation. This review also highlights the appropriate preventive measures and techniques that should be adopted by clinicians to minimise the effect of flexural movement of the jaw during oral rehabilitation. This would not only help clinicians to achieve a good prosthesis with accurate fit and longevity but also maintain the health of the surrounding periodontal or periimplant gingival tissues and bone.

Original languageEnglish
Pages (from-to)215-225
Number of pages11
JournalJournal of Oral Rehabilitation
Volume43
Issue number3
DOIs
Publication statusPublished - 01-03-2016

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Mouth Rehabilitation
Mandible
Prostheses and Implants
Pterygoid Muscles
Mandibular Condyle
Endodontics
Jaw
Bone and Bones
Health

All Science Journal Classification (ASJC) codes

  • Dentistry(all)

Cite this

Sivaraman, K. ; Chopra, A. ; Venkatesh, S. B. / Clinical importance of median mandibular flexure in oral rehabilitation : A review. In: Journal of Oral Rehabilitation. 2016 ; Vol. 43, No. 3. pp. 215-225.
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Clinical importance of median mandibular flexure in oral rehabilitation : A review. / Sivaraman, K.; Chopra, A.; Venkatesh, S. B.

In: Journal of Oral Rehabilitation, Vol. 43, No. 3, 01.03.2016, p. 215-225.

Research output: Contribution to journalReview article

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AB - The mandible has a property to flex inwards around the mandibular symphysis with change in shape and decrease in mandibular arch width during opening and protrusion of the mandible. The mandibular deformation may range from a few micrometres to more than 1 mm. The movement occurs because of the contraction of lateral pterygoid muscles that pulls mandibular condyles medially and causes a sagittal movement of the posterior segments. This movement of mandible can have a profound influence on prognosis and treatment outcome for various restorative, endodontics, fixed, removable and implant-related prosthesis. The review unfolds the causes, importance and clinical implications of median mandibular flexure in oral rehabilitation. This review also highlights the appropriate preventive measures and techniques that should be adopted by clinicians to minimise the effect of flexural movement of the jaw during oral rehabilitation. This would not only help clinicians to achieve a good prosthesis with accurate fit and longevity but also maintain the health of the surrounding periodontal or periimplant gingival tissues and bone.

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