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The application of occlusion in clinical practice part 2: the taking of occlusal records

From Volume 46, Issue 1, January 2019 | Pages 30-41

Authors

Shamir Mehta

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

Articles by Shamir Mehta

Subir Banerji

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

Articles by Subir Banerji

Email Subir Banerji

Abstract

The second part of this series of three articles aims to consider the clinical steps when taking intra-occlusal records. It will also address the subsequent transfer of the outcomes onto an appropriate form of articulator.

CPD/Clinical Relevance: The clinical steps to record the various intra-occlusal positions and their rationale are important to appreciate when undertaking rehabilitation or study of the stomatognathic system (SGS).

Article

Having carried out and recorded the outcomes of the clinical occlusal examination (as described in Part 1), there may be an indication to take dental impressions so as to fabricate a set of accurate dental casts which may then be mounted onto a chosen type of dental articulator. The availability of a set of suitably mounted casts will be beneficial, not only for the purpose of undertaking further diagnostic assessments of the features of the patient's occlusal scheme (notably in the absence of any soft tissue/muscular interferences and any protective neuromuscular reflexes),1 but also to assist with the process of facilitating communication (with the patient, other clinicians involved in the treatment and the dental laboratory). Additionally, a set of accurate diagnostic casts may prove to be invaluable, by allowing for the planning of restorative dental care without the need for the physical presence of the patient, as well as in helping to establish an appropriate design of any dental restorations/any prostheses that may be required.

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