The Dawson Academy Blog

Dental Articles on Occlusion, Centric Relation, Restorative Dentistry & More

Implementing a Complete Exam Out of a Hygiene Visit

So one of the problems that I face in my practice is how do I talk about all these things, the signs of instability and the requirements of a stable occlusion, in a hygiene visit? And I used to try. And I would watch my patient's eyes kind of glaze over and I was feeling the pressure from my hygienist. She's like, "Hey, hurry up. We've got to stay on time."

And I realized I have to do something different here because they weren't accepting to come back to do their bite analysis or their smile analysis. Most people would get up there and be like, "No, I'll just see you again for the next hygiene."

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Proper Techniques When Load Testing

Load testing is a crucial part of our complete examinations. I approach my patients the way that Dr. Dawson taught us.

Romance the mandible.

So to get to be able to romance the mandible, I relax my patient. I have them lean back. I talk in a very soft voice and I ask them to pretend like they're falling asleep, watching TV, with their mouth open. This gets me half of the way there.

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The Benefits of Using Doppler Auscultation

 

Hi. My name is Dr. Leonard Hess. I would like to spend a few moments with you talking about the benefits of using doppler auscultation.

Doppler auscultation is really simple.

The temporomandibular joint, if it is healthy and intact, should have a condyle and a disc sitting on top of it, and it should be encapsulated in a fibrous capsule, bathed in synovial fluid. Synovial fluid is the slipperiest substance in the human body.

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How to Know If Your Models are Mounted Correctly in Centric Relation

So one of the first things that is helpful is, of course, we want to check the point of initial contact in the mouth when we do our complete exam. And you might even want to go as far as, when you mark your point of initial contact with articulating paper to take an intraoral photo of it. And then when you have mounted your models, you want to go back to your models and the point of initial contact on the models should match the point of initial contact in the mouth.

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