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What is Adapted Centric Posture?

When we consider the temporomandibular joint, ideally, what we would like to have if we are talking about centric relation is a joint which is unaltered, which means that the condyle disc assembly is in its proper position, fully seated into the glenoid fossa.

Now, we all know that many times patients are suffering from occlusal disease. And one of the things that suffers during this process of the disease is the joint itself. And if we start to encounter patients where the disc is out of position and it is not going back into proper position, or reducing, we simply can not call that centric relation any longer because centric relation is the condyle disc assembly being in its proper position on the head of the condyle.

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So when we encounter patients that have lateral pole issues or have medial pole issues, even though we may encounter situations where the joint has stabilized to the point to where we can do restorative dentistry, we can not call that centric relation anymore. And for those patients, we are going to refer to their joints and the condition of their joints as an adapted-centric posture.

How to determine Anterior Guidance

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.