Читать книгу Fundamentals of Fixed Prosthodontics - James C. Kessler - Страница 36

Bilateral balanced occlusion is based on the work of von Spee⁴⁰ and Monson.⁴¹ It is a concept that is not used as frequently today as it has been in the past. It is largely a prosthodontics concept that dictates that a maximum number of teeth should contact in all excursive positions of the mandible. This is particularly useful in complete denture construction, in which contact on the nonworking side is important to prevent tipping of the denture.⁴¹ Subsequently, the concept was applied to natural teeth in complete occlusal rehabilitation. An attempt was made to reduce the load on individual teeth by sharing the stress among as many teeth as possible.⁴² It was soon discovered, however, that this was a very difficult type of arrangement to achieve. As a result of the multiple tooth contacts that occurred as the mandible moved through its various excursions, there was excessive frictional wear on the teeth.⁴³