References

Dawson PE.St Louis: Mosby; 2007
Jankelson B, Adib F. Effect of variation in manipulative force on the repetitiveness of centric relation registration: a computer-based study. J Am Dent Assoc. 1986; 113:(1)59-62
Graser GN, Rogoff GS. Verification of centric relation. Compendium. 1989; 10:(2)64-72
Long JH. Locating centric relation with a leaf gauge. J Prosthet Dent. 1973; 29:(6)608-610
Fleigel JD, Sutton AJ. Reliable and repeatable centric relation adjustment of the maxillary occlusal device. J Prosthodont. 2012; 1-4
Golsen LF, Shaw AF. Use of leaf gauge in occlusal diagnosis and therapy. Quintessence Int. 1984; 15:(6)611-621
Wise MD. Occlusion and restorative dentistry for the general practitioner: Part 5 ‘Jaw registration’. Br Dent J. 1982; 152:(8)277-287

A simplified method of recording centric relation contact position (CRCP) using the leaf gauge

From Volume 40, Issue 9, November 2013 | Page 780

Authors

Stuart Campbell

BDS, MSc, MFDS, PGCert

General Practitioner, Loanhead Dental Practice, 50 Fountain Place, Loanhead, Midlothian, EH20 9DU

Articles by Stuart Campbell

Article

Centric relation contact position (CRCP) is the relationship of the maxilla to the mandible when the condyles are in an anterior/superior position in their fossae and tooth contact has just occurred. Provided that the TMJ remains healthy, CRCP is constant and reproducible throughout life and appears to be functionally comfortable. Accordingly, CRCP records serve as a useful reference from which restorative and prosthodontic treatment can be planned.

One frequently reported method of recording CRCP is the bimanual manipulation technique, first described by Dawson.1 This is where the operator supports the patient's mandible during the retruded arc of closure until the first tooth contact (CRCP) is felt by the patient. This process is repeated while the assistant marks CRCP using articulating paper. Some clinicians believe this technique is prone to operator error and that it is difficult to be certain when the mandible is in CRCP using this method.2,3

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