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The Significance of Anterior Guidance in Obtaining a Stable Result

Importance of Anterior GuidanceWe believe that the primary goal of an occlusal scheme is first to make sure that we have good stability on closure so that the vertical loading of teeth is balanced all the way around the arch.

We also believe that the patient does not have the ability to rub on posterior teeth.

Rubbing on posterior teeth will increase muscle activity and will almost always lead to some kind of breakdown whether it’s:

  • Wear
  • Mobility
  • Migration
  • Sore musculature

This can lead to headaches and maybe even potentially damage to the joint. If the back teeth aren’t going to rub, then anterior guidance is only second to centric relation for making sure we have a stable seated joint.

We believe in making sure that those lingual contours are steep enough to disclude the back teeth but still be in harmony without how the lower jaw moves or be in harmony with the envelope of function.

If you ask a Dawson person about anterior guidance, we spend a lot of time in customizing each anterior guidance with each of our patients. And we believe it’s hugely important. 

Photo Credit: Rob Watling via Compfight cc

Is Anterior Guidance Important?


John C. Cranham, DDS has an esthetic oriented practice in Chesapeake, Virginia. An honors graduate of the Medical College of Virginia in 1988, Dr. Cranham maintains a strong relationship with his alma mater as an Associate Clinical Professor. He is an internationally recognized speaker on the Esthetic Principles of Dentistry, Contemporary Occlusal Concepts, Treatment Planning, Restoration Selection, Digital Photography, Laboratory Communication, and Happiness and Fulfillment in dentistry. As a published author, Dr. Cranham has a strong commitment to developing sound educational programs that exceed the needs of today’s dental professional. He is an active member of numerous professional organizations including the American Dental Association, The American Academy of Cosmetic Dentistry, The American Academy of Fixed Prosthodontics, and The American Equilibration Society. Dr. Cranham is co-chair of Advanstar Dental Media’s CE Advisory Board (Advanstar is the publisher of Dental Products Report). Dr. Cranham is the Clinical Director of The Dawson Academy where he is involved with many of the lecture and hands-on courses within the curriculum. As an active educator, he has provided over 650 days of continuing education for dental professionals throughout the world.