Podcast
Questions and Answers
What two types of casts are mentioned for observing intra-oral findings?
What two types of casts are mentioned for observing intra-oral findings?
Diagnostic study casts and working models.
How does steepened canine guidance affect posterior teeth during lateral movements?
How does steepened canine guidance affect posterior teeth during lateral movements?
It improves separation of posterior teeth on right lateral movement.
What are the two main types of examinations included in the occlusal examination stage?
What are the two main types of examinations included in the occlusal examination stage?
Extra-oral examination and intra-oral examination.
What materials can be used for making palatal backings in dental restorations?
What materials can be used for making palatal backings in dental restorations?
What materials are used to create diagnostic study casts?
What materials are used to create diagnostic study casts?
What role does acrylic resin play in the provisional restoration process?
What role does acrylic resin play in the provisional restoration process?
Name one type of articulator mentioned in the cast articulation and verification process.
Name one type of articulator mentioned in the cast articulation and verification process.
What is the purpose of making a silicone impression?
What is the purpose of making a silicone impression?
What are some clinical presentations associated with tooth surface loss?
What are some clinical presentations associated with tooth surface loss?
What method is used to verify occlusive relationships during the dental procedure?
What method is used to verify occlusive relationships during the dental procedure?
Name two management strategies for restoration of teeth with limited interocclusal space.
Name two management strategies for restoration of teeth with limited interocclusal space.
What is the purpose of the facebow record transfer in the cast articulation stage?
What is the purpose of the facebow record transfer in the cast articulation stage?
What does the term 'MIP' stand for in dental terminology?
What does the term 'MIP' stand for in dental terminology?
What type of restoration is often used for teeth with large restorations or those affected by decay?
What type of restoration is often used for teeth with large restorations or those affected by decay?
What registration technique is mentioned for obtaining a centric relation record?
What registration technique is mentioned for obtaining a centric relation record?
How can occlusal trauma exacerbate periodontal disease?
How can occlusal trauma exacerbate periodontal disease?
What can be seen highlighted in the diagnostic study casts related to centric slide?
What can be seen highlighted in the diagnostic study casts related to centric slide?
What is one advantage of using vacuum mixed Type III Gypsum for diagnostic casts?
What is one advantage of using vacuum mixed Type III Gypsum for diagnostic casts?
What technique is described for obtaining impressions in stock trays?
What technique is described for obtaining impressions in stock trays?
What management option can be provided to protect non-vital teeth during endodontic therapy?
What management option can be provided to protect non-vital teeth during endodontic therapy?
What is a common consequence of tooth surface loss on patient sensitivity?
What is a common consequence of tooth surface loss on patient sensitivity?
Which instrument is employed in collecting the centric relation record alongside the Lucia jig?
Which instrument is employed in collecting the centric relation record alongside the Lucia jig?
Which management option can be employed to address occlusal trauma?
Which management option can be employed to address occlusal trauma?
What is one invasive management technique for tooth surface loss?
What is one invasive management technique for tooth surface loss?
What is the purpose of examining articulated study casts in dentistry?
What is the purpose of examining articulated study casts in dentistry?
How should the anterior ramp be designed concerning posterior teeth?
How should the anterior ramp be designed concerning posterior teeth?
What method can be used to verify occlusal markings on articulated casts?
What method can be used to verify occlusal markings on articulated casts?
What is the significance of using Shimstock bite foil when checking occlusal contacts?
What is the significance of using Shimstock bite foil when checking occlusal contacts?
What is the role of occlusal factors in temporomandibular disorders according to the literature?
What is the role of occlusal factors in temporomandibular disorders according to the literature?
How does occlusal trauma affect periodontal health based on animal studies?
How does occlusal trauma affect periodontal health based on animal studies?
What should be the minimum thickness of a splint at the closest point of contact in the CR?
What should be the minimum thickness of a splint at the closest point of contact in the CR?
What assumption should a clinician make if the findings from mounted casts do not match intra-oral findings?
What assumption should a clinician make if the findings from mounted casts do not match intra-oral findings?
What alternative treatment is suggested for cases with advanced localized attrition?
What alternative treatment is suggested for cases with advanced localized attrition?
What technique can be used to highlight occlusal markings on a splint?
What technique can be used to highlight occlusal markings on a splint?
In the context of treatment for periodontitis, what is the significance of occlusal adjustment?
In the context of treatment for periodontitis, what is the significance of occlusal adjustment?
What findings were reported in the clinical evaluation of composite Dahl restorations?
What findings were reported in the clinical evaluation of composite Dahl restorations?
Why is it important for clinicians to understand the thickness of occlusion indicating paper?
Why is it important for clinicians to understand the thickness of occlusion indicating paper?
What digital assessment method was mentioned for evaluating occlusal wear patterns?
What digital assessment method was mentioned for evaluating occlusal wear patterns?
What is the relationship between sodium hypochlorite and ethylenediaminetetraacetic acid irrigation in endodontics?
What is the relationship between sodium hypochlorite and ethylenediaminetetraacetic acid irrigation in endodontics?
How were occlusal interventions evaluated for their effectiveness in adults with periodontitis?
How were occlusal interventions evaluated for their effectiveness in adults with periodontitis?
What benefit does full occlusal coverage provide regarding the proposed abutment tooth?
What benefit does full occlusal coverage provide regarding the proposed abutment tooth?
What is the advised occlusal scheme when designing a restoration?
What is the advised occlusal scheme when designing a restoration?
How long does the author suggest the adjustment period for occlusal compensation may last?
How long does the author suggest the adjustment period for occlusal compensation may last?
What should be assessed if no occlusal compensation occurs after 6 months?
What should be assessed if no occlusal compensation occurs after 6 months?
What is the role of the occlusal splint mentioned in the text?
What is the role of the occlusal splint mentioned in the text?
What factor significantly influences the success of occlusal compensation?
What factor significantly influences the success of occlusal compensation?
How does the RBP restoration aid in occlusal adaptation?
How does the RBP restoration aid in occlusal adaptation?
What must always be anticipated and included in treatment planning according to the article?
What must always be anticipated and included in treatment planning according to the article?
Flashcards
Tooth Surface Loss
Tooth Surface Loss
When tooth surfaces wear down, leading to shorter teeth, wear faceting, dentine sensitivity, and pain.
Dahl Technique
Dahl Technique
A technique used to restore teeth with limited space, involving reshaping the tooth to create more space for a restoration.
Surgical Crown Lengthening
Surgical Crown Lengthening
A procedure where the gum line is surgically lowered to expose more tooth structure, often done to create more space for a crown.
Preventive Management
Preventive Management
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Orthodontic Intrusion
Orthodontic Intrusion
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Splint Therapy
Splint Therapy
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Cuspal Coverage Restoration
Cuspal Coverage Restoration
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Copper or Orthodontic Band
Copper or Orthodontic Band
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Occlusal Examination
Occlusal Examination
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Impressions and Diagnostic Study Casts
Impressions and Diagnostic Study Casts
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Cast Articulation and Verification
Cast Articulation and Verification
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Centric Relation Record
Centric Relation Record
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Temporomandibular Disorders (TMD)
Temporomandibular Disorders (TMD)
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Occlusal Wear
Occlusal Wear
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Occlusal Stabilization Splint
Occlusal Stabilization Splint
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Occlusion
Occlusion
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Sodium Hypochlorite
Sodium Hypochlorite
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Ethylenediaminetetraacetic Acid (EDTA)
Ethylenediaminetetraacetic Acid (EDTA)
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Periodontitis
Periodontitis
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Attachment Loss
Attachment Loss
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Anterior Ramp
Anterior Ramp
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Diagnostic Cast Mounting
Diagnostic Cast Mounting
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Centric Slide
Centric Slide
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Acrylic Bud Trimming Bur
Acrylic Bud Trimming Bur
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Diagnostic Waxing
Diagnostic Waxing
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Shimstock Bite Foil
Shimstock Bite Foil
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Articulated Study Cast Examination
Articulated Study Cast Examination
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Canine Guidance
Canine Guidance
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Occlusal Markings
Occlusal Markings
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Shell Provisional Restoration
Shell Provisional Restoration
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Bitefork Recording
Bitefork Recording
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Centric Relation (CR)
Centric Relation (CR)
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Relining
Relining
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Working Model
Working Model
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Alumina Blasting
Alumina Blasting
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Fabrication of Fixed Dental Prosthesis
Fabrication of Fixed Dental Prosthesis
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Benefit of full occlusal coverage
Benefit of full occlusal coverage
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Occlusal splint as a diagnostic aid
Occlusal splint as a diagnostic aid
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Alternative treatment plans
Alternative treatment plans
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Success of occlusal compensation
Success of occlusal compensation
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RBP restoration design
RBP restoration design
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Adjusting the RBP restoration
Adjusting the RBP restoration
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Anticipating bite adjustments
Anticipating bite adjustments
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Periodic bite check
Periodic bite check
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Study Notes
Clinical Issues in Occlusion - Part I & II
- Occlusion: Defined as the static relationship between the incising or masticating surfaces of the maxillary or mandibular teeth or tooth analogues. It encompasses dynamic relationships between the components of the masticatory system.
Introduction
- Occlusion and Tooth Surface Loss (TSL): Attrition (wear from tooth-to-tooth contact) is a natural process. Pathological wear, exceeding physiological rates, is a concern due to accelerated tooth loss, pulp health risks, and potential difficulties in future restorative work.
- Occlusion and Restoring/Increasing Occlusal Vertical Dimension (OVD): Severely worn teeth may appear shorter, but often compensatory adjustments in the jaw have occurred. Procedures like Dahl technique (using composite resin restorations) can address cases of OVD loss.
- Occlusion and Mechanical Failure of Teeth: Cracks or fractures are a growing concern, particularly in older patients and posterior teeth. Overuse, parafunction, large restorations compromise structural integrity.
- Protection of Non-Vital Teeth: Non-vital teeth have lower resistance to occlusal forces compared to vital teeth. Compromised structural integrity needs careful consideration in treatment planning.
- Occlusion and Periodontium: Occlusal trauma can exacerbate periodontal inflammation. However, definitive causal evidence for this is not strong. Conservative approaches like patient education and muscle exercises are recommended first, over occlusal adjustments.
- Occlusion and Temporomandibular Joint Dysfunction (TMJD): The connection between occlusion and TMJD is debated. No occlusal scheme is consistently linked to TMJD.
- Occlusion and Ageing Patients: Patient's adaptive capacity to changes decreases with age. This can affect their ability to tolerate occlusal adjustments or new prosthetic appliances. Planning for increased needs is important.
Occlusal Examination
- CO to MIP Relationship: The relationship between Centric Occlusion (CO) and Maximal Intercuspation (MIP) is often noted as different. This difference, or "centric slide" can be clinically evaluated.
- Impressions and Diagnostic Study Casts: Alginate or silicone impressions are conventional methods for creating study casts used for model mounting on an articulator.
- Cast Articulation and Verification: Mounting on an articulator (e.g., Arcon) is essential to allow for dynamic mandibular movements to be analyzed accurately.
- Centric Relation Record: This entails recording the mandible's position when the condylar elements are in the most superior anterior position within their fossae without any tooth contact.
Occlusal Splints
- Purpose: Splints can be used for diagnostic and therapeutic purposes involving stabilization or management of occlusal disharmony or for cases of bruxism.
- Designs: Different splint designs (e.g., Michigan splint, Tanner splint) can be tailored for specific patient needs.
Case Report
- Demonstrates clinically relevant occlusal examination and diagnostic procedures. Discusses a case that required restorative care for failing dental prosthesis.
Planning Restorations
- Restoration designs need to accommodate occlusal assessments. Considerations include patient demands and preferences.
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