Un article de Sabine von Sinner
A pioneer in dental research and teaching, Prof. Gerber is particularly interested in prosthetic stability and the degree of physiological freedom in static and functional occlusion.
He proposed that the posterior teeth should be positioned in such a way that they are slightly inclined lingually. The lingual positioning helps to improve the maintenance of the complete prosthesis by creating a better adaptation allowing greater stability during function. To achieve this, it revises the profile of the posterior teeth in order to optimize the relationship between the cuspid and the "Pilon Mortier" fossa.
Cette technique recommande un positionnement des dents face à face plus communément appelée relation 1 pour 1.
Thanks to an enregistrement de la relation centrée, the central position of the condyle in the cavity without compression of the disc is determined and transmitted to the largest mastication unit, thus avoiding displacements of the prosthesis and reducing the stress on the soft tissues.
Prof. Gerber's philosophy is completed by an articulator that integrates the principles of the reverse cône and allows the human body to perform all the movements inherent to natural movements freely and analogously to nature.
It is essential to carry out a minute clinical evaluation before implementing this type of assembly, taking into account the morphology of the dental arches and the functional requirements of each patient.
Conclusion
The lingual assembly of postoperative dentures proposed by Professor Gerber is an approach that seeks to optimize the function, aesthetics and stability of complete dental prostheses by adopting a flexible positioning of the dentures. For a precise and personalized implementation, it is recommended to consult a qualified dental professional who can adapt these concepts to the specific needs of the patient.
In which cases do you choose this type of assembly? You choose this assembly in cases where you want to prioritize the stability of the prosthesis. This assembly incorporates all the important aspects favoring optimal maintenance.
If you would like to improve your knowledge of assembly according to GERBER or have a complete overview of this technique, we offer various courses as part of our ongoing training at the SSOP. Each course offers a theoretical part, interesting application examples and a part where the assembly is put into practice in the laboratory.