Comparative Evaluation of Condylar Guidance Obtained by Digital Panoramic Radiographic Images Using Two Different Interocclusal Recording Material During Jaw Relation in Completely Edentulous Patients: An In Vivo Study

Objective To compare the condylar guidance value obtained during jaw relation by two different interocclusal recording materials to that obtained from OPG (Orthopantomogram). Materials and methods Two different interocclusal recording materials were used, namely bite registration wax (reinforced wax, by MAARC Dental Company) and bite registration paste (jet bite, coltene) for interocclusal records during jaw relations. An OPG is shot prior to the treatment, and horizontal condylar guidance (HCG) is traced joining the bony landmarks in a completely edentulous patient seeking complete denture treatment. All the conventional steps for complete denture fabrication up to jaw relation are performed. A facebow transfer is done on a Hanau H2 articulator, and height tracers (extra oral tracing devices) are attached. After satisfactory training, the tracing is performed by the patient, and the interocclusal records are obtained. The articulator is programmed to obtain the value of HCG using protrusive records, which are then compared to the value obtained from OPG. Statistics were carried out to determine angles. Followed by statistical analysis with Pearson correlation to analyze the results (α = 0.01). Results A substantial relationship was discovered between the horizontal condylar inclination between two interocclusal recording materials and the corresponding OPG for both the right (p = 0.0015) and left (p = 0.0007) sides. Conclusion The condylar guidance obtained with jet bite was closer than the condylar guidance value obtained with reinforced wax when compared with the horizontal condylar inclination obtained in OPG by tracing with a mean difference of 10° for polyvinyl siloxane and 20° for reinforced wax in seven subjects evaluated.