I'd like to take a moment and talk with you about what we should be thinking when we see patients that have wear.
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.
A lot of people have the question, "What centric relation is?"
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.
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.
The key to success in restoring anterior teeth is the precise location of the incisal edges; where those incisal edges are will determine many things regarding the anterior restoration (including long-term success). It’s important to understand that there is no norm that works for every patient. In fact, the anterior guidance on each case will differ notably.
In this video, we asked Dawson Faculty, "What are the signs of Occlusal Disease?" Here were their answers:
Occlusal harmony is a concept that sometimes gets forgotten. Sometimes, students get so involved with the process of complete dentistry that they forget the reason why they're doing this in the first place. So let's talk about occlusal harmony.
People always ask me about classifications of TMJ disorders and where I find somebody can be treated and where they cannot be treated, when we have to consider splint therapy and other avenues of treatment of the joint.
I'm going to talk about QuickSplint. It's the easy quick way to make a temporary custom fit bite guard in five minutes, chair-side.
I use it when I need to provide immediate pain relief for muscle related facial pain, especially when you have a limited opening and can't fit in an impression tray.
One of the biggest struggles that our students have, as we go through this curriculum, is how to find centric relation, and certainly when I was training, I had that struggle too.