Occlusion: Diagnosing Types of Occlusal Risk

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What should be done if a sore crown or restoration persists after placement, especially on a molar?

Check the occlusion in centric relation (CR) (correct)

Refer the patient to an oral surgeon

Prescribe pain medication

Replace the crown or restoration immediately

Why is it essential to mount immediate dentures in centric relation?

To ensure accurate occlusion (correct)

To reduce the risk of temporomandibular joint disorders

To shorten the treatment time

To increase the durability of the dentures

In constricted chewing cases, which device is recommended for finding centric relation?

Lucia jig (correct)

Leaf gauge

Periodontal probe

Dental mirror

What happens to the condyle when the vertical is opened in centric relation?

It rotates initially Signup and view all the answers

Why is it crucial to record the first contact in centric relation?

To ensure accurate dental restorations Signup and view all the answers

What should be done when dealing with extreme neurologic disorders or TMD cases?

Refer the patient to a TMJ specialist and/or prosthodontist Signup and view all the answers

If a patient has a lot of posterior attrition wear and little or no anterior wear, what is likely happening?

They are grinding in centric relation Signup and view all the answers

Why would you mount models in CR and equilibrate them?

To understand where you will end up after treatment Signup and view all the answers

What is a key to success in wear cases?

Picking the proper patient and understanding what they want Signup and view all the answers

What should you try to reduce in treatment?

Risk factors Signup and view all the answers

Why would you test drive esthetics and occlusion before final restorations?

To ensure the patient likes the final result Signup and view all the answers

What is important to consider when evaluating a patient's airway?

The patient's airway issue Signup and view all the answers

What is the primary concern in a patient with constricted chewing pattern, also known as pathway wear?

Occlusion being too tight in the front Signup and view all the answers

What is the primary objective of using a Lucia Jig?

To get the RCL and find a solid MIP Signup and view all the answers

What is the characteristic feature of a patient with occlusal dysfunction?

The feeling of having more than one bite Signup and view all the answers

What is the appropriate treatment approach for a patient with acceptable function?

Restore in MIP Signup and view all the answers

What is the key difference between a patient with acceptable function and one with occlusal dysfunction?

The presence of a solid MIP Signup and view all the answers

What is the primary reason to avoid using a Leaf Gauge in patients with constricted chewing pattern?

It is not suitable for anterior deprogramming Signup and view all the answers

What is the primary concern of Paul, the patient, when he presents to the office?

He wants to fix the gaps between his teeth Signup and view all the answers

What is the recommended minimum distance between an implant and a natural tooth?

1.5-2.0mm Signup and view all the answers

How long did the Orthodontic treatment take in this case?

18 months Signup and view all the answers

What was the purpose of the provisionals in this case?

To see if any problems would arise Signup and view all the answers

What was used to lengthen the Md incisors in this case?

Composite Signup and view all the answers

What is the final outcome of this treatment?

Orthodontics, 1 Implant, 4 Mx anterior crowns, 4 Md anterior incisal edge composites, and a protective Nightguard Signup and view all the answers