We use the evaluation of the "F" and "V" position to determine the ideal position of the upper incisal edge. Listening to the patients say their "F's" and "V's" can determine if we have the vertical just right.
So one thing I have been doing a lot in my office lately is utilizing composite resin. It is a great way to stabilize the occlusion and get the function right in a patient, especially when patients are not ready to proceed with more definitive restorations or they just do not have the finances to.
Centric Relation is defined as the most anterior superior position of the condyle disc assembly within the glenoid fossa.
And one thing to remember about centric relation is it's irrespective of where the teeth are. If the teeth weren't present, the muscles of mastication would guide the condyle and pull that joint up into centric relation.
One device that I really love to use in my practice is a leaf gauge.
A leaf gauge is basically a piece of plastic that has multiple thin layers that you can easily use to put in between the front teeth and have the patient kind of move back and forth in a protrusive manner.
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My quick tip today is on general versus specialty patients.
A general patient is defined as...
a patient where the size, contour, and position of the teeth are working for the patient. There's no instability, no signs of wear, no discomfort.
A specialty patient is...
a patient where the size, contour, and position of the teeth are not working for the patient. They have worn teeth, muscle pain, joint pain, and just general discomfort - headaches, things like that.