Practical Procedures in Dental Occlusion

Cover
Title Page
	Copyright Page
Contents
Acknowledgements
About the Companion Website
About the Book
	Chapter 1 Terminology
	References
	Chapter 2 Neuroanatomy – Why is It Important?
	Introduction
	Neuroanatomy
	Mastication
		What is the Goal of Mastication?
		Sensory and Motor Feedbacks
	Deglutition (Swallowing)
		Phonetics
	Cognitive Trap
	Conclusion
	Chapter 3 What’s of Use to Me in Practice? Armamentarium, Equipment and Techniques
	The Occlusal Examination Tray
	Shimstock Foil
		Function, Features, and Practical Tips
	Articulating Papers
		Function, Features, and Practical Tips
	Miller’s Forceps
		Function, Features, and Practical Tips
	Registration Media and Techniques
	Polyvinyl Siloxane Syringable Materials
	Centric Relation Record
	Facebow Registration
		Function, Features, and Practical Tips
		Using the Facebow: Step by Step
	Articulators
		Function, Features, and Practical Tips
	How to Make a Stabilisation Splint (SS)
		Practical Steps of Making an SS
	Further Reading
	Chapter 4 I Don’t Know What I Am Recording. Where Are the True Contacts?
	Scenario
	Rationale
		Occlusal Morphology
	Procedure
		Survey (Visual)
		Fremitus (Touch)
		Observe (Listen)
		Patient Feedback
	Conclusion
	Chapter 5 The Crown is High
	Scenario
	Rationale
		Tooth Level
		Muscle Level
		Joint Level
		Short-Term Risks
		Medium- and Long-Term Risks
	Procedure
		Treatment Planning Stage
		Preparation Stage
		Laboratory Stage
		Articulator
		Cementation Stage
	References
	Chapter 6 My Bite Feels Different
	What was the Most Likely Cause of the Patient’s Complaint?
	How Can This Conformative Approach Be Adopted Practically?
	Can the Dentist Adjust the Teeth Opposing the Bridge to Improve the Occlusion and Hopefully Reduce the Patient’s Discomfort? No!
	Further Reading
	Chapter 7 ‘My Front Tooth Filling Keeps Fracturing’
	Scenario
	Rationale
	Procedure
		Static Assessment
		Dynamic Assessment
		Cause of Wear
	Summary
	References
	Chapter 8 TMD and Occlusion – Is There a Link?
	Is There Any Evidence to Support the Use of Occlusal Adjustment as an Initial Therapy in TMD Management?
	Occlusal Adjustment for Treating TMD Patients
	Further Reading
	Chapter 9 How Would I Adjust a High Occlusal Contact?
	Scenario
	Rationale
	Equipment
		Burs
		Articulating Paper
		Polishing Kits
	Procedure
		How Do We Use This Equipment?
		Location
		What is the Outcome of Introducing a New Contact?
		Principles of Adjustment
	References
	Chapter 10 How Would I Ensure a Good Occlusion on Posterior Composite Restorations?
	Static Occlusion
	Occlusal Surface Morphology and Anterior Guidance
	Further Reading
	Chapter 11 My Front Teeth Feel Loose and Are Moving
	Retruded Contact Position Can Be Associated with Occlusal Problems
	Conforming to Existing Guidance When Restoring Anterior Teeth: Copying Anterior Guidance
	Clinical Case
	Further Reading
	Chapter 12 Canine Guidance or Group Function?
	Canine Guided Occlusion
	Introduction
		How To Establish Canine Guidance
		What Happens If the Canines are Compromised?
	Group Function Occlusion
		Introduction
		How to Establish GFO
	Mastication
		Masticatory Cycle or The Envelope of Function
	Chapter 13 Replacing Missing Teeth – Abutment is Involved with Guidance
	Chapter 14 The Space is Lost! Loss of Occlusal SpaceFollowing Crown Prep
	Dealing with This Problem Clinically
		Technique 1
		Technique 2
	Further Reading
	Chapter 15 My Front Teeth are Worn
	Scenario
	Rationale
		Types of Tooth Surface Loss
		How Does Saliva Play a Role in Tooth Surface Loss?
		Dentoalveolar Compensation
		Constricted Chewing Pattern (CCP)
		Test
	Procedure
		Options
		Management of Tooth Surface Loss
		Objectives of Treatment
		Facial Analysis
		Horizontal Reference Lines
		Vertical Reference Lines
		Aesthetic Analysis
		Dental Analysis
		Functional Analysis
		Dahl Concept
		Laboratory Prescription
	Chapter 16 All My Teeth Are Restored But Don’t Meet Like They Did Before
	Scenario
	Rationale
		So What is Occlusal Dysthesia?
	Procedure
		Temporomandibular Joint
		Muscle Tenderness
		Treatment Plan
	Chapter 17 I Am Breaking My Teeth and Veneers and Lost a Tooth Due to Grinding
	Scenario
	Rationale
		Digital Occlusion
	Occlusal Vertical Dimension
		Rationale for Changing OVD
		Determining the Amount of OVD Required (Figures 17.2 and 17.3)
		Is It Safe to Increase the OVD?
		Conclusion Regarding OVD
	Procedure
		Aesthetic Analysis
		Functional Analysis
		Digital Scanning
	Chapter 18 Occlusion on Implants. Any Difference?
	Good Occlusal Practice in Implantology
	Implant-Protected Occlusion (IPO): The Ten General Principles
		Principle 1: Axial Loading is Required
		Principle 2: Avoid Overloading Factors
		Principle 3: Implant Positioning
		Principle 4: Decrease Offset Loads
		Principle 5: Maintain a Narrow Posterior Occlusal Table
		Principle 6: Freedom in Centric Concept Must Be Adopted
		Principle 7: Fine Tuning of the Occlusion
		Principle 8: Increase Proximal Contact Area
		Principle 9: Mutually Protected Articulation
		Principle 10: Protection of Implants in Bruxists and Regular Evaluation and Maintenance
	Suggested Clinical Protocols
		Single Implant-Supported Crown
	Further Reading
Glossary of Terms
Short Answer Questions
Index
EULA