Skip to main content
SpringerLink
Log in

Electronic central bearing point as registration method in individuals with and without temporomandibular disorders

  • Original Article
  • Published:
Clinical Oral Investigations Aims and scope Submit manuscript

Abstract

Objectives

The aim of this study was to examine different central bearing point methods in patients with and without temporomandibular disorders (TMD) by an experienced and unexperienced examiner.

Material and methods

The 20 fully dentulous subjects were screened for TMD based on the Research Diagnostic Criteria for TMD and distinguished into functional impaired and functional healthy groups. The mandibular relationship was recorded by an electronic central bearing tracing device (IPR-System, IPR GmbH, Oldenburg, Germany) with an integrated pressure sensor. Three bite registration methods were performed using this device: initial neuromuscular position, final neuromuscular position after dynamic sequences with the intraoral pin (=neuromuscular deprogramming), and centric relation guided manually by an experienced and an unexperienced examiner.

Results

The neuromuscular positions before and after neuromuscular deprogramming were not significantly different (paired t test as a group comparison test: transverse: p = 0.369; sagittal: p = 0.486). Both positions were significantly anterior in comparison to the manually guided centric relation (paired t test as a group comparison test: p < 0.0001). The neuromuscular positions before and after deprogramming tend to have high scattering values.

Conclusion

By means of the central bearing point method, the manually guided centric relation is the one which is sufficiently reproducible. It seems doubtful to take the significant anterior neuromuscular position for a definite reconstruction.

Clinical relevance

Using the central bearing point method, the manually guided centric relation should be preferred, whereas the neuromuscular position should not be used for definite reconstructions.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Log in via an institution

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Institutional subscriptions

Fig. 1
Fig. 2
Fig. 3
Fig. 4
Fig. 5
Fig. 6
Fig. 7

Similar content being viewed by others

References

  1. Ash MM, JR (1995) Philosophy of occlusion: past and present. Dent Clin N Am 39:233–255

  2. Hanau RL (1929) Occlusal changes in centric relation. J Am Dent Assoc 16:1903–1911

    Google Scholar 

  3. Linsen SS, Stark H, Samai A (2012) The influence of different registration techniques on condyle displacement and electromyographic activity in stomatognathically healthy subjects: a prospective study. J Prosthet Dent 107:47–54

    Article  PubMed  Google Scholar 

  4. Shafagh I, Amirloo R (1979) Replicability of chinpoint-guidance and anterior programmer for recording centric relation. J Prosthet Dent 42:402–404

    Article  PubMed  Google Scholar 

  5. Gysi A (1910) The problem of articulation. Dental Cosmos 52:1–19

    Google Scholar 

  6. Wood GN (1988) Centric relation and the treatment position in rehabilitation occlusions: a physiologic approach. Part 2: the treatment position. J Prosthet Dent 60:15–18

    Article  PubMed  Google Scholar 

  7. Denen HE (1938) Movements and positional relations of the mandible. J Am Dent Assoc 25:548–556

    Google Scholar 

  8. Lucia VO (1960) Centric relation—theory and practice. J Prosthet Dent 10:849–856

    Article  Google Scholar 

  9. Boos R (1959) Centric relation and functional areas. J Prosthet Dent 9:191–196

    Article  Google Scholar 

  10. Helkimo M, Ingervall B, Carlsson G (1971) Variation of retruded and muscular position of mandible under different recording conditions. Acta Odontol Scand 29:423–437

    Article  PubMed  Google Scholar 

  11. Trage R (1977) Untersuchung zur position des unterkiefers beim vollbezahnten. Dtsch Zahnärztl Z 32:108–110

    PubMed  Google Scholar 

  12. Linsen SS, Stark H, Klitzschmüller M (2013) Reproducibility of condyle position and influence of splint therapy on different registration techniques in asymptomatic volunteers. Cranio 31:32–39

    Article  PubMed  Google Scholar 

  13. Remien J, Ash M (1974) Myo-monitor centric: an evaluation. J Prosthet Dent 31:137–145

    Article  PubMed  Google Scholar 

  14. Azarbal M (1977) Comparison of Myo-monitor centric position to centric relation and centric occlusion. J Prosthet Dent 38:331–337

    Article  PubMed  Google Scholar 

  15. Rieder CE (1978) The prevalence and magnitude of mandibular displacement in a survey population. J Prosthet Dent 39:324–329

    Article  PubMed  Google Scholar 

  16. Weffort SY, de Fantini SM (2010) Condylar displacement between centric relation and maximum intercuspidation in symptomatic and asymptomatic individuals. Angle Orthod 80:835–842

    Article  PubMed  Google Scholar 

  17. Abraham AP, Veeravalli PT (2012) A positional analyzer for measuring centric slide. J Indian Prosthodont Soc 12:216–221

    Article  PubMed  PubMed Central  Google Scholar 

  18. Hellmann D, Becker D, Giannakopoulos NN, Eberhard L, Fingerhut C, Rammelsberg P, Schindler H (2014) Precision of jaw-closing movements for different jaw gaps. Eur J Oral Sci 122:49–56

    Article  PubMed  Google Scholar 

  19. Hupfauf L (1971) Vergleichende untersuchungen verschiedener registrierverfahren. Dtsch Zahnärtzl Z 26:158–162

    Google Scholar 

  20. Woda A, Pionchon P, Palla S (2001) Regulation of mandibular postures: mechanisms and clinical implication. Crit Rev Oral Biol Med 12:166–178

    Article  PubMed  Google Scholar 

  21. Kinderknecht KE, Wong GK, Billy EJ, Li SH (1992) The effect of a deprogrammer on the position of the terminal transverse horizontal axis of the mandible. J Prosthet Dent 68:123–131

    Article  PubMed  Google Scholar 

  22. Piehslinger E, Celar A, Celar R, Jaeger W, Slavicek R (1993) Reproducibility of the condylar reference position. Journal of Orofacial Pain 7:68

    PubMed  Google Scholar 

  23. Celenza FV (1973) The centric position: replacement and character. J Prosthet Dent 30:591–598

    PubMed  Google Scholar 

  24. Utz K-H, Müller F, Lückerath W, Fuß E, Koeck B (2002) Accuracy of check-bite registration and centric condylar position. J Oral Rehabil 29:458–466

    Article  PubMed  Google Scholar 

Download references

Acknowledgments

We thank Mr. Jonas (Denal laboratory Bernau, Germany) for the construction of the intraoral templates of the central bearing system and to deliver us the OrthaS®-Chair.

Author information

Authors and Affiliations

  1. Charité – Universitätsmedizin Berlin, CC3, Department of Prosthodontics, Gerodontology and Craniomandibular Disorders, Aßmannshauserstraße 4-6, 14197, Berlin, Germany

    Antje Zorn & Ingrid Peroz

Authors
  1. Antje Zorn
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Ingrid Peroz
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Ingrid Peroz.

Ethics declarations

All procedures in the study were in accordance with the ethical standards of the institutional committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards (Ethical approval number: (EA4/025/09)).

Conflict of interest

The authors declare that they have no competing interests.

Funding

The author 2 received research grants from Company: IPR-Systeme GmbH, Bremer Heerstr. 291, 26135 Oldenburg (grant number: 20090299).

Informed consent

All participants gave their informed consents.

Additional information

Posterpresentations at the annual German Dentist Day (2010) and at the meeting of the Society of Oral Physiology (Store Kro, 2013).

Rights and permissions

Reprints and permissions

About this article

Check for updates. Verify currency and authenticity via CrossMark

Cite this article

Zorn, A., Peroz, I. Electronic central bearing point as registration method in individuals with and without temporomandibular disorders. Clin Oral Invest 20, 2421–2427 (2016). https://doi.org/10.1007/s00784-016-1735-1

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s00784-016-1735-1

Keywords

Search

Navigation