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The Dawson Classification of Occlusion: Class 2 and Class 2A

This video is an excerpt from the April 2015 Dawson Faculty Office Hours with Drs. Leonard Hess and Rajeev Upadya. To watch the full office hours and to sign up for future office hours, visit the Videos and Webinars page

The following is a transcription of this video excerpt. 

Dawson Classification of OcclusionQuestion: Is it possible to have a patient with Dawson class 2 to NOT be in centric relation and have NO discomfort on loading?

Dr. Hess: I'm assuming you are asking about the Dawson Classification of Occlusion and what that means as far as the occlusion in reference to the joint. A Class 2 Occlusion is someone who has to displace from Centric Relation and leave Centric Relation to go into maximual intercuspation. A Dawson Class 2A is somebody that would have an adapted Centric Posture, like a lateral pole displacement, and then they also have to go out of that adapted Centric Posture to go into maximal intercuspation; it means they have a hit and slide. So that's what is a Dawson Class 2 Classification of Occlusion.

So can you have someone who has no discomfort when loading? Absolutely. That is the reality of probably 90% of the patients you will encounter in your practice that have hit and slides. The vast majority of the patients are already in an adapted Centric Posture Position or they're in Centric Relation and have a hit and slide. It is not uncommon at all for people to have no discomfort at all in that situation.

Dr. Upadya: We see that all the time. It's actually the classic occlusal muscle issue. Most of their issues are muscular in nature. Often the joint has either already adapted and is loadable or the joint itself has not suffered any deformity.

That's one of the beautiful situations where you can tell the patient, "Hey I can correct you with occlusal therapy, and we don't necessarily have a joint we need to worry about directly at this point." 

Dr. Hess: Those are the great patients - the patients that have nice healthy joints that have an occlusal muscle type of discrepency. Those are the slam-dunk, kind of bulls-eye patients you can get in there and help. Here's to having more of those types of patients.

Dr. Leonard A. Hess maintains a comprehensive-focused private practice in Monroe, North Carolina. Growing up in the mid-west, Dr. Hess attended Indiana University for his undergraduate education. His doctor of Dental Surgery degree was obtained from Northwestern University Dental School in Chicago, IL. Dr. Hess is a member of the American Academy of Cosmetic Dentistry, American Equilibration Society, ADA, AGD, NCDS, and CDS. Locally, Dr. Hess has served on the peer-review board for his ADA district. He has also served on the Board of Directors of SPCC College in Union Co. As a senior faculty member of the Dawson Academy, Dr. Hess has demonstrated a passion for learning and teaching from the very start of his career. In the past six years Dr. Hess has taught hundreds of hours of hands-on continuing education throughout the country. From study clubs to the AACD national meeting, Dr. Hess has helped thousands of his peers incorporate functional esthetic care into their practices. Dr. Hess currently evaluates and tests new products for manufacturers such as Whip-Mix, Septodont, Heraeus, Kerr, and Dentsply. In addition, Dr. Hess is a frequently featured author in Advanced Esthetics and Interdisciplinary Dentistry, Inside Dentistry, Contemporary Esthetics and Restorative Dentistry, and Vistas. Dr. Hess resides with his wife and son in Weddington, NC. Outside of dentistry he enjoys spending time with his family, golf, aviation, traveling, skiing, and auto racing.