Clinical importance of median mandibular flexure in oral rehabilitation: a review

Karthik, S and Chopra, Aditi and Venkatesh, SB (2016) Clinical importance of median mandibular flexure in oral rehabilitation: a review. Journal of Oral Rehabilitation, 43 (3). pp. 215-225. ISSN 0305-182X

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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.

Item Type: Article
Uncontrolled Keywords: Mandibular flexure; muscles of mastication; mandible; mandibular jaw movements; cross-arch prosthesis; implants.
Subjects: Dentistry > MCODS Manipal > Prosthodontics
Depositing User: KMC Library
Date Deposited: 17 Aug 2016 14:53
Last Modified: 17 Aug 2016 14:53

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