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Article: Volume 45 Number 11 Page 1003 - December 2018

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  Dent Update 2018; 45: 1003-1015

Restorative dentistry:  The Application of Occlusion in Clinical Practice Part 1: Essential Concepts in Clinical Occlusion

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Abstract: The first of this three-part series will focus on the occlusal assessment and the proposed features of the ‘ideal occlusal scheme’. The examination of the static and dynamic relationship of the dentition is outlined, including the extra- and intra-oral examination. The terminology associated with the intra-occlusal positions and relationships are described and a template for a comprehensive occlusal examination is presented. Part 1 also aims to explore some of the essential concepts in clinical occlusion.

Clinical relevance: Understanding the static and dynamic relationships of the natural and restored dentition are important steps in the successful and long-term rehabilitation of missing and broken-down teeth. Development of familiarity and fluency with various terms associated with the examination and relationships of the dentition in function are critical aspects when attempting to form an appreciation of the subject of clinical occlusion.

Author notes: Shamir Mehta, BDS, BSc, MClinDent(Prostho), MFGDP(UK), FICD, Senior Clinical Teacher, Deputy Programme Director MSc in Aesthetic Dentistry, Faculty of Dentistry Oral & Craniofacial Studies, King's College London (FoDOCS), Conservative & MI Dentistry, Unit of Distance Learning, Floor 18, Tower Wing, Guy’s Campus, St Thomas’s Street, London SE1 9RT and Subir Banerji, BDS, MClinDent(Prostho), PhD, MFGDP(UK), FICD, Programme Director MSc in Aesthetic Dentistry, (FoDOCS); Private Practice, Ealing, London, UK.

Objective: To understand the static and dynamic relationships of the natural and restored dentition to achieve successful and long-term rehabilitation of missing and broken-down teeth.

GSK