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The application of occlusion in clinical practice part 3: practical application of the essential concepts in clinical occlusion

From Volume 46, Issue 2, February 2019 | Pages 100-112

Authors

Subir Banerji

BDS, MClinDent (Prostho), PhD FDSRCPS(Glasg) FCGDent, FDTFEd, BDS, MClinDent (Prostho), PhD, FDSRCPS(Glasg), FCGDent

Articles by Subir Banerji

Email Subir Banerji

Shamir Mehta

Deputy Programme Director MSc Aesthetic Dentistry, King's College London

Articles by Shamir Mehta

Abstract

Abstract: Parts 1 and 2 of this series of articles addressed the clinical assessment of a patient's occlusal scheme and, where indicated, noted the appropriate occlusal records required to permit further evaluations to take place. This article will focus on the clinical application of the principles discussed previously.

CPD/Clinical Relevance: Following the assessment and recording of the static and dynamic intra-occlusal relationships, the application of the outcomes to achieve a long-term functional result is necessary to appreciate the relevance in clinical scenarios of the determinants, and their interaction is described.

Article

Having carried out a clinical assessment of a patient's occlusal scheme and, where indicated, attained the appropriate occlusal records to permit further evaluations to take place (as discussed in Parts 1 and 2), the next stage would logically involve the application of any information gathered to attain a desirable functional (as well as aesthetic) outcome with the proposed treatment plan.

A firm understating of the basic concepts in clinical occlusion (largely based on the guidelines for good occlusal practice)1 inclusive of the concept of the ‘ideal occlusal scheme’,2, 3 as well as acquiring the skills to attain the relevant occlusal records and use of associated apparatus, is important to achieve an optimal outcome during the occlusal rehabilitation of the patient.

Part 3 of this series will aim to appraise the circumstances when it may be appropriate to conform to the patient's existing occlusal scheme as well to consider when a re-organizational approach towards occlusal rehabilitation may be more suitable.

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