The Dawson Academy Blog

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

Why am I experiencing clinical failure?

If we've been practicing for any length of time at all, we're going to see some clinical failures. I think sometimes the perception is if we're faculty at The Dawson Academy, that it never happens, and you should know that we all see clinical failures. We just want to limit them as much as possible, and so there's really going to be two reasons that something fails.

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Why the uppermost position is physiologically correct

Why is the physiologically correct position in centric relation the most superior position in the joint space itself?

Now, if you're like me and you went through dental school earlier, maybe 20 years ago, you were probably taught that centric relation was actually a distalized position of the condyles.

It was a very frustrating experience not only for the dentist, but also for the patients because you're trying to put the mandible and the condyle into a very unnatural position.

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Test Your TMD Knowledge

 
 
How about what type of splint therapy is appropriate for each scenario?
 
Test your skills in our short TMD Quiz and find out!

Example Question:

A 32-year-old male patient with good oral hygiene presents for a consultation after having the 6th filling at the gum line placed in 2 years by another dental office, and losing confidence in their skills of diagnosing what has been occurring.
 
Exam reveals negative load testing, muscle tenderness of deep masseters and pterygoids bilaterally, multiple NCCLs (non-carious cervical lesions, several having been restored with composite resin), group function occlusion with balancing interferences and tension headaches in the morning.
 
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