References

Bereznicki T, Patel R, Clark M. Revisiting the functionally generated path technique: is this an aid to predictable digital occlusal design? Part 1: introduction and background. Dent Update. 2022; 49:371-378
Meyer FS. A new, simple and accurate technique for obtaining balanced and functional occlusion. J Am Dent Assoc. 1934; 21:195-203
Meyer FS. The generated path technique in reconstruction dentistry: part I. Complete dentures. J Prosthet Dent. 1959; 9:354-366
Meyer FS. The generated path technique in reconstruction dentistry: part II. Fixed partial dentures. J Prosthet Dent. 1959; 9:432-440
Dawson PE. Evaluation, Diagnosis and Treatment of Occlusal Problems, 2nd edn. St Louis, MO, USA: CV Mosby; 1989
Shillingburg HT, Hobo S, Whitsett LD Fundamentals of Fixed Prosthodontics, 3rd edn. Chicago, IL, USA: Quintessence; 1997
Saafi J, Debbabi I, Alremthi HA A modified functionally generated path technique (FGP) for making posterior unit metal-ceramic crown: a case report. J Oral Dent Sci. 2018; 2
Dawood A, Marti BM, Tanner S. Peri-implantitis and the prosthodontist. Br Dent J. 2017; 223:325-332 https://doi.org/10.1038/sj.bdj.2017.755
Zarone F, Di Mauro MI, Ausiello P Current status on lithium disilicate and zirconia: a narrative review. BMC Oral Health. 2019; 19 https://doi.org/10.1186/s12903-019-0838-x
Upadhyay SR, Singh SV, Bhalla G Modified functionally generated path technique for single complete denture against non-modified natural dentition. J Oral Biol Craniofac Res. 2012; 2:67-71 https://doi.org/10.1016/S2212-4268(12)60016-5
Prashanti E, Sajjan S, Reddy JM. Fabrication of fixed partial dentures using functionally generated path technique and double casting. Indian J Dent Res. 2009; 20:492-495 https://doi.org/10.4103/0970-9290.59453

Revisiting the functionally generated path technique: is this an aid to predictable digital occlusal design? Part 2. The technique

From Volume 49, Issue 6, June 2022 | Pages 462-470

Authors

Tom Bereznicki

BDS(Edin), MFDTEd, MFDSEng, MCGDent

Visiting Clinical Specialist Teacher, Department of Primary Dental Care, King's College London; Private Practice, Dawood & Tanner, Wimpole Street, London

Articles by Tom Bereznicki

Email Tom Bereznicki

Rohit Patel

BDS, MFDS RCS Ed

Clinical Tutor, Department of Restorative Dentistry, Queen Mary, University of London; General Practice, Brickfields Dental, Chelmsford

Articles by Rohit Patel

Megan Clark

BDS(Hons), BSc(Hons) AKC

Oral Surgery, Speciality Trainee, Newcastle

Articles by Megan Clark

Abstract

The precision of the occlusal scheme is paramount to the production of a successful fixed restoration(s) and its long-term success. The provision of the correct occlusal scheme is one of the requirements when working conformatively, whether in analogue or digital format. Part 1 highlighted occlusal schemes that provide difficulties using established techniques in arriving at a predictable restoration requiring minimal occlusal adjustments chairside. Part 2 introduces the theory of the functionally generated path (FGP) technique. Two cases involving implant-retained restorations are used to highlight the benefit of adopting this technique into the digital workflow in the provision of occlusally precise restorations.

CPD/Clinical Relevance: This article describes the value of the functionally generated path technique, when working digitally, for recording the occlusion for implant-retained restorations.

Article

The authors show how marrying an old established technique with digital dentistry can provide an accurate occlusal scheme in cases where digital design alone may prove difficult, if not impossible. Many examples of these difficult occlusions and cases were outlined in Part 1 of this series.1 Although many of the steps here are shown in analogue form for clarity of presentation, most can also be delivered digitally: namely, scanning to give the definitive digital working model, design and fabrication of the milled titanium or zirconia abutment, printing the acrylic coping and scanning the final design of the analogue functionally generated stent to mill the final restoration. Once mastered, the technique is very quick clinically, and its predictability more than makes up for the additional visit required to carry out the recordings, as the fit appointment becomes routine, and the frustration of occlusal adjustments is reduced.

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