Curve Of Spee Curve Of Wilson Curve Of Monson Axial Position Prosthetics Vilnius University 4th Semester Paula Engels, Anne Schlickenrieder, Jule Schönewolf,Yannick Lecavelle Samstag, 18. März 17 Outline Curve of Spee • HISTORY • DEFINITION • FUNCTIONAL IMPORTANCE • CORRECTION • AGE CHANGES • CONCLUSION Samstag, 18. März 17 History • Samstag, 18. März 17 FERDINAND VON GRAF SPEE, embryologist, German, used skull with abraded teeth to define aline of occlusion to describe first the curve of Spee in 1890. He was the first to describe the anatomic relations of human teeth in sagittal plane. Definition Samstag, 18. März 17 • defined as: the curvature of the mandibular occlusal plane beginning at the tip of the lower incisors and following the buccal cusps of the posterior teeth, continuing to the terminal molar. • two dimensional and curves upward from anterior to posterior • The center of the ,circle‘ is located at hight near the Orbita (radius 65-70mm) Samstag, 18. März 17 Samstag, 18. März 17 Samstag, 18. März 17 Functional Importance Samstag, 18. März 17 • The pull of the main muscle of mastication, the masseter, is at a perpendicular angle with the curve of Spee to adapt for favorable loading of force on the teeth. • the bending of the curve of spee enables the masticatory muscels to adapt functions of adduction, as well as protraction, retraction, and lateral tensile components. - A straightening of the chewing curve ( orthodontic reasons), which will cause a straight curve, would totally destroy the masticatory system, functional equilibrium and image design/shaping Samstag, 18. März 17 • It is of importance to orthodontists as it may contribute to an increased overbite • A flat or mild curve of Spee was essential to an ideal occlusion Correction • Correction of exaggerated curve of Spee can be achieved by the following tooth movements: • • • Samstag, 18. März 17 Extrusion of molars Intrusion of incisors Combination of both movements Age Changes Samstag, 18. März 17 • • may get altered physiologically with age • if the curve of Spee is not maintained in these dentitions during full mouth rehabilitation, it may lead to interferences along the mandibular movements significant change in the curve of Spee and decrease in posterior disclusion during mandibular protrusion. Conclusion • Samstag, 18. März 17 CURVE OF SPEE is important for • • • Efficient masticatory system Have ideal occlusion In orthodontics diagnostic and treatment plan Outline Curve of Wilson • HISTORY • DEFINITION • FUNCTIONAL IMPORTANCE Samstag, 18. März 17 History • Samstag, 18. März 17 Named after Dr. George H. Wilson, who first described the curve in 1911 Definition • Samstag, 18. März 17 The curve, viewed from the front, that contacts the buccal and lingual cusps of the molars, being lower in the middle due to the lingual inclination of the long axes of the mandibular molars. • Crowns of mandibular posterior teeth must incline to lingual, while crowns of maxillary posterior teeth must incline toward buccal • Curve becomes deeper posteriorly, so that molars inclination is greater than that of premolars ➔ because of this curve & associated tooth inclinations, buccal cusps of mandibular molars & lingual cusps of maxillary molars usually appear to be longer Samstag, 18. März 17 Functional Importance • Samstag, 18. März 17 Purpose of this arc in occlusal curvature is to complement paths of condyles during movements of mandible • Samstag, 18. März 17 Curve of wilson helps in two ways • a. Teeth are aligned parallel to the direction of medial pterygoid for optimum resistance to masticatory forces. • b. The elevated buccal cusps prevent food from going past the occlusal table. • Samstag, 18. März 17 The curve of Monson is obtained by extending the curve of Spee & Curve of wilson to all cusps & incisal edges. Outline Sphere Of Monson • HISTORY • DEFINITION • FUNCTIONAL IMPORTANCE Samstag, 18. März 17 History • Samstag, 18. März 17 Proposed by Dr. George S. Monson in 1920. Definition • Samstag, 18. März 17 An ideal curve of occlusion in which each cusp and incisal edge touches the surface of an imaginary sphere 8 inches in diameter. Samstag, 18. März 17 • • Compensating Occlusal Curvature • This curvature is in form of a portion of a ball, or sphere • This curvature is concave for mandibular arch & convex for the maxillary arch Three dimensional curvature of the occlusal plane, which is the combination of the Curve of Spee and the Curve of Wilson AXIAL POSITION Samstag, 18. März 17 • • Inclination of a tooth from a vertical axis • These inclinations are necessary for propper occlusal & incisal function of teeth • As these axial positions are described, it should be of value to relate them to individual tooth‘s functions, as well as its inclination relative to Curves of Spee and Wilson Normally described in mesio-distal & facio-lingual directions COMPARISON • What is the difference between Curve of Spee and the Curve of Wilson? Samstag, 18. März 17 • Curve of Spee: Anteroposterior curvature of the incisal&occlusal surface • Curve of Wilson: Bucco-Lingual Curvature. For mastication. Clinically, it relates to the anterior overbite: the deeper the curve, the deeper the overbite Samstag, 18. März 17 Questions ?? Samstag, 18. März 17 Sources • • Samstag, 18. März 17 picture Wilson: http://www.ptcdental.com/dentaldictionary/c/curve-of-wilson/ picture Spee:http://www.ptcdental.com/de/dentaldictionary/c/curve-of-spee/