Die Bedeutung der richtigen Kieferrelation und des freien interokklusalen Raumes

Protetska rekonstrukcija žvačne funkcije mora uključivati određivanje ispravnog odnosa gornje i donje čeljusti. Pri tome je veoma važno u kojem vertikalnom i anteroposteriornom odnosu će se izvršiti rekonstrukcija. Posebnu pažnju treba pokloniti veličini slobodnog interokluzijskog prostora, za koji je često teško ustanoviti kolik je prvobitno bio. Dijagnostička pomagala (provizorne proteze i mostovi) korisna su klinička provjera tolerancije, prije definitivne protetske terapije. Problemi okluzije ispravno se rješavaju jedino primjenom bioloških principa i uspostavom takvih odnosa gornje i donje čeljusti, koji će biti tolerantni za svakog pacijenta pojedinačno.Prosthetic reconstruction of the mastication must include determination of the correct relationship between the upper and the lower, jaw. It is very important to decide in which vertical and antero-posterior relation the reconstruction is to be made. Special attention should be devoted to the proportions of the free interocclusion space äs it is often difficult to establish their initial extent. Diagnostical aids (temporary prostheses and bridge- work) are a useful way of clinically checking tolerance prior to definitive prosthetic treatment. The problems of occlusion are correctly solved only by application of biological principles and restoration of such relations between the upper and the lower jaw which will be tolerable for each.Für die prothetische Rekonstruktion der Kaufunktion ist die Bestimmung der richtigen Kieferrelation in der vertikalen und anteroposterioren Lagen von entscheidender Bedeutung. Die Grösse des primären interokklusalen Raumes ist nicht immer einfach zu ermessen, darum sind Provisorien vor der definitiven prothetischen Versorgung nützliche Hilfsmittel. Bei der Lösung des Problems der Okklusion muss die individuelle Toleranzgrenze beachtet werden