The aim of this series of papers is to explore the role of occlusion in dental practice. The range of opinion in the dental profession as to the importance of occlusion is enormous. It is very important that the profession in general and practising dentists in particular have a balanced view of occlusion. This is more important than every patient having a balanced occlusion. The fact that the study of occlusion is characterised by extremes makes it confusing and possibly difficult for individual dentists to find a philosophy which is in line with contemporary good practice supported by evidence from practice-based research. (+info)
The examination and recording of the occlusion: why and how.
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Before presenting 'how' the examination and recording of the occlusion may be achieved, some attempt should be made to justify 'why' it is necessary. It may appear to be a strange way of justifying the need to examine the patient's occlusion, but this will initially involve a study of the influences of mandibular movements. (+info)
As treatment expectations of dental patients continue to escalate we, as restorative dentists, must provide an interdisciplinary treatment approach to ensure optimum results for our patients. In recent years the disciplines of periodontics, endodontics and oral surgery have continued to develop closer working relationships with the field of restorative dentistry. Unfortunately, this is not the common relationship that exists with the discipline of orthodontics. Most orthodontic therapy is directed at the treatment of malocclusion and is conducted with limited or no input from the restorative dentist. Orthodontics offers countless ways of assisting the restorative dentist in achieving treatment goals. Several of these orthodontic opportunities to enhance the restorative treatment plan are reviewed. (+info)
Occlusal stability in implant prosthodontics -- clinical factors to consider before implant placement.
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The success of any prosthetic design depends on proper management of the occlusion. The clinical variables influencing occlusal stability must be determined and considered in the design of the final prosthesis. This paper outlines some of these variables. (+info)
Good occlusal practice in simple restorative dentistry.
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Many theories and philosophies of occlusion have been developed. 1-12 The difficulty in scientifically validating the various approaches to providing an occlusion is that an 'occlusion' can only be judged against the reaction it may or may not produce in a tissue system (eg dental, alveolar, periodontal or articulatory). Because of this, the various theories and philosophies are essentially untested and so lack the scientific validity necessary to make them 'rules'. Often authors will present their own firmly held opinions as 'rules'. This does not mean that these approaches are to be ignored; they are, after all, the distillation of the clinical experience of many different operators over many years. But they are empirical. In developing these guidelines the authors have unashamedly drawn on this body of perceived wisdom, but we would also like to involve and challenge the reader by asking basic questions, and by applying a common sense approach to a subject that can be submerged under a sea of dictate and dogma. (+info)
Cephalometric norms in an Arabic population.
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AIM: To identify cephalometric norms for a Jordanian population. DESIGN: A cross sectional study using a sample selected on the basis of a balanced face and a Class I occlusion. MATERIALS AND METHODS: 65 subjects aged 14-17 years were selected from a larger sample on the basis of Class I incisors, a balanced profile and no previous orthodontic treatment. Lateral skull radiographs were digitised directly to produce values for SNA, SNB, ANB, UI/MX, LI/MN, UI/LI, MMPA and LI/A-Pog. RESULTS: SNA and SNB were very close to the Eastman Standards. MMPA was significantly lower in Jordanians whilst UI/MX and LI/MN were significantly higher. Lower incisors were 4.6 mm further forward in relation to A-Pog in Jordanians. (+info)
Good occlusal practice in removable prosthodontics.
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The loss of teeth may result in patients experiencing problems of a functional, aesthetic and psychological nature. This section addresses the very important subject of occlusal considerations for partial and complete dentures. The occlusion is particularly important given the bearing that occlusal factors have, especially on edentulous patients. (+info)
Good occlusal practice in children's dentistry.
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The difference between paediatric dentistry and most other branches of dentistry is that in the child the occlusion is changing. Consequently 'Good Occlusal Practice' in children is a matter of making the right clinical decisions for the future occlusion. The clinician needs to be able to predict the influence that different treatment options will have on the occlusion when the child's development is complete. (+info)