How to Take a Protrusive Bite Record [Ed.] (2024)

Techniques & Materials

By Gary DeWood on August 14, 2013 | 5 comments Print

    [This article, originally published 11/15/12, is one of our most widely read descriptions of a clinical technique.]

    How to Take a Protrusive Bite Record [Ed.] (1)A protrusive bite record is taken with Master wax with the mandible pushed forward into a protrusive movement so that the condyle has moved down the eminence.

    Out of the box, this wax has a little bit of give and needs to be made more malleable by warming it with a dental torch. It's advisable to hold the wax in the center and only heat the areas that will come in direct contact with the teeth.

    By keeping the center area stiff, you will lower your chances of producing a distorted record when you remove it from the patient's mouth. It's important to note that this wax warms a bit more quickly compared to the blue Delar wax and produces a shine almost instantaneously. How to Take a Protrusive Bite Record [Ed.] (2)

    Once the wax is warmed, take it to the patient's mouth and cover the edge of the upper incisor teeth. Instruct your patient to push their mandible forward, hold it forward, and bite down. The patient's lower teeth are now ahead of their upper teeth – otherwise known as a protrusive position. Observe that wax is filling the space between the posterior teeth; ask the patient to hold that position and then immediately chill with air.

    After verifying that you have indentations from both upper and lower teeth, drop the record into a cup of water so it doesn't distort.

    How to Take a Protrusive Bite Record [Ed.] (3) This process allows you to capture the maxillo-mandibular relationship in a forward position of the mandible. By using this record with models mounted on the articulator with a CR record it's possible to customize the set-up and mimic more precisely what the patient can do with mandibular movement.


    Comments

    How to Take a Protrusive Bite Record [Ed.] (4) Chris Mast
    August 15th, 2013

    why wax? seems overly complicated.

    How to Take a Protrusive Bite Record [Ed.] (5) Gary DeWood
    August 15th, 2013

    Lots of materials work - I like wax because there is no trimming. Say more about complicated - not sure I understand what you mean by that.

    How to Take a Protrusive Bite Record [Ed.] (6) Chris Mast
    August 15th, 2013

    heating too much, too little, distortion, etc. seems like just using a bite reg material would be easier?

    How to Take a Protrusive Bite Record [Ed.] (7) Gary DeWood
    August 15th, 2013

    Some people like to use silicone and it works fine - I find the time savings with the wax (no trimming) makes it easier for me. This registration does not need to be as accurate as a CR record so I can push the models into the wax without being concerned about distortion. Again - many of my friends use and prefer silicone so thanks for pointing that out Chris.

    How to Take a Protrusive Bite Record [Ed.] (8) Chris Mast
    August 16th, 2013

    thanks!!

    How to Take a Protrusive Bite Record [Ed.] (2024)

    FAQs

    How to Take a Protrusive Bite Record [Ed.]? ›

    A protrusive bite record is taken with Master wax with the mandible pushed forward into a protrusive movement so that the condyle has moved down the eminence. Out of the box, this wax has a little bit of give and needs to be made more malleable by warming it with a dental torch.

    What is the protrusive record relation? ›

    Protrusive interocclusal record is defined as registration of the mandible in relation to the maxillae when both condyles are advanced in the glenoid fossa.

    What is the protrusive jaw record? ›

    The protrusive record allows a clinician to extrapolate all mandibular movements: maximum intercuspal position (MIP), protrusive end to end, lateral excursive, and the pathways to them.

    How do you register a bite record? ›

    Bite Registration Procedure
    1. STEP 1 – Try both rims in the patient's mouth and check that they are comfortable and retentive. ...
    2. STEP 2 – Adjust The Upper Wax Rim. ...
    3. STEP 3 – Adjust The Lower Wax Rim. ...
    4. STEP 4 – Record the Retruded Jaw Relationship.

    What is a protrusive bite? ›

    Protrusion. Front teeth that stick out (“buck” teeth). Teeth may appear protrusive because the upper jaw is too far forward, the lower jaw is too far back, the teeth grew in at an angle, or a combination of these conditions. Sometimes people who have protrusive front teeth also have a deep bite.

    How do you take a protrusive record? ›

    A protrusive bite record is taken with Master wax with the mandible pushed forward into a protrusive movement so that the condyle has moved down the eminence. Out of the box, this wax has a little bit of give and needs to be made more malleable by warming it with a dental torch.

    How do you measure maximum protrusion? ›

    The measurement can be made with commercially available paper rulers, metal autoclavable rulers or any number of gauges designed for measuring protrusive capacity such as the George gauge. Begin by measuring the degree of overjet present in millimeters.

    What is the range of motion for jaw protrusion? ›

    A normal opening for an adult is 53 mm to 57 mm.

    Along with opening movement, an individual should be able to slide their jaw to the left and to the right at least 25 percent of their total mouth opening in a symmetrical fashion.

    Which teeth touch in the ideal protrusive movement? ›

    Protrusive movement

    This is the forward sliding of the mandible to come to an edge to edge incisal relationship. Ideally, the palatal surfaces of the anterior teeth provide the guidance and at the point of protrusion, all of the posterior teeth should disclude, protecting the posterior teeth from wear and fracture.

    What is the normal protrusive movement of the mandible? ›

    Protrusive movements were straight forward, dividing the angle evenly between left and right laterotrusion. Laterotrusive movements were of equal length and similar to the length of protrusion. Twenty-six patients with muscle pain, in many instances, demonstrated asymmetry in the length of laterotrusive movements.

    What is the purpose of a bite registration? ›

    The main purpose of the bite registration is to relate the fiducial markers to the teeth, but it is also used to maintain the mandible in centric relation (CR) during scanning. For this purpose, a special bite fork has been designed that is placed buccally to the teeth.

    What materials are used for bite registration? ›

    Various materials can be used for bite registration, including: plaster of Paris (impression plaster), model compounds, waxes, zinc oxide eugenol pastes, acrylic resins and elastomers.

    What is a protrusive in orthodontics? ›

    Protrusion of the upper front teeth, also called excessive overjet, is characterized by an excessive overlap of the top teeth over the bottom teeth. Both types of protrusion can be caused by the misalignment of the jaw or of the teeth, which can arise due to trauma to the mouth, tooth fracture, or a skeletal condition.

    What is protrusive guidance? ›

    Protrusive guidance should immediately separate posterior teeth and in lateral movement the working guidance should immediately disclude teeth on the non-working side. The steepness of anterior guidance directly influences the angle of the cuspal inclines.

    What is a protrusion in dentistry? ›

    Protrusion is the excessive horizontal overlap between top and bottom front teeth, and is typically caused by the upper front teeth or upper jaw being too far forward or the lower front teeth or lower jaw being too far back, or both.

    What is the VDR jaw relationship? ›

    VDR or physiologic rest position of the mandible is the position when the elevator and depressor muscles are in a state of equilibrium or balance. this position most commonly results in a separation of the maxillary and mandibular teeth of about 3mm at the first premolar region.

    What is the purpose of the jaw relation record? ›

    Jaw relation records, or interocclusal records, have the following functions: (1) They provide the stability or support that the casts of the remaining dentition lack, (2) they reduce chair time for the delivery of the restoration, (3) they reduce the likelihood of making restorations in hyperocclusion or with- out ...

    Top Articles
    Latest Posts
    Article information

    Author: Fredrick Kertzmann

    Last Updated:

    Views: 6046

    Rating: 4.6 / 5 (66 voted)

    Reviews: 89% of readers found this page helpful

    Author information

    Name: Fredrick Kertzmann

    Birthday: 2000-04-29

    Address: Apt. 203 613 Huels Gateway, Ralphtown, LA 40204

    Phone: +2135150832870

    Job: Regional Design Producer

    Hobby: Nordic skating, Lacemaking, Mountain biking, Rowing, Gardening, Water sports, role-playing games

    Introduction: My name is Fredrick Kertzmann, I am a gleaming, encouraging, inexpensive, thankful, tender, quaint, precious person who loves writing and wants to share my knowledge and understanding with you.