, Mastication unilatérale alternée : oui / non ? Rapports incisifs ? Surplomb horizontal : normal/ augmenté / diminué ? mm négatif ? ? Recouvrement vertical : normal/supraclusie/bout à bout/ béance ?mm négatif ? ? Décalage des milieux inter-incisifs/freins ? oui/non ? Rapports secteurs latéraux ? Droite, ? La position dans laquelle vous fermez vos dents vous paraît-elle confortable ? oui / non ?
? Classe canine : ?.droite / ?.gauche ? Classe molaire : ?.droite / ?.gauche ? Interférence(s) en latéralité droite : ? Interférence(s) en latéralité gauche : ? Interférence(s) en propulsion ,
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Signature : Vu, la Directrice de l'UFR des Sciences Odontologiques ,