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Compendium of Continuing Education in... Dec 1997This article exposes common myths supported by restorative dentists that serve to limit our potential for achieving more favorable results. The need to alter occlusal... (Review)
Review
This article exposes common myths supported by restorative dentists that serve to limit our potential for achieving more favorable results. The need to alter occlusal vertical dimension (OVD) signifies a number of concerns that include: bite force measurements, rest vertical dimension, effect on temporomandibular joint loading, effect on tooth loading, and neuromuscular adaptation/stability. There appears to be sufficient scientific support to conclude that alteration of OVD can provide a biologically compatible adjunct to treatment. These alterations can improve dentofacial esthetics, create improved visual proportions in facial height, and provide an important treatment modality for force management of the masticatory system.
Topics: Bite Force; Dental Stress Analysis; Humans; Mastication; Masticatory Muscles; Occlusal Adjustment; Temporomandibular Joint; Vertical Dimension
PubMed: 9656842
DOI: No ID Found -
The Journal of Prosthetic Dentistry Sep 2023This technique report presents a novel method of digitally replicating a treatment denture and converting it into a definitive denture. The procedure accurately...
This technique report presents a novel method of digitally replicating a treatment denture and converting it into a definitive denture. The procedure accurately duplicates the appearance of the mucosal surface and border of the treatment dentures, mounts the jaw relation on a virtual articulator to arrange artificial teeth, and optimizes the occlusion based on recorded mandibular motion tracks. This technique uses personalized jaw relation transfer and dynamic occlusal adjustment to establish balanced occlusion, which accomplishes the digital duplication of the treatment denture with high accuracy and minimal effort.
Topics: Denture, Complete; Occlusal Adjustment; Workflow; Denture Design; Dental Occlusion; Dental Articulators; Jaw Relation Record
PubMed: 34887077
DOI: 10.1016/j.prosdent.2021.09.014 -
Journal of Medical and Dental Sciences Dec 2004The purpose of this study was to investigate occlusal pressure patterns of complete denture wearers to evaluate progress of occlusal adjustment of dentures. Thirty three...
The purpose of this study was to investigate occlusal pressure patterns of complete denture wearers to evaluate progress of occlusal adjustment of dentures. Thirty three edentulous subjects volunteered to participate in this study. A computer-based device was used to measure occlusal pressure sequence while tapping with their new dentures. The following variables obtained from each occlusal pressure pattern were assessed: Peak Time; Duration from the onset of pressure to the maximum pressure, Unloading Time; Duration from the maximum pressure to the end of pressure, Contacting Duration; Duration from the onset of pressure to the end of pressure, Tapping Cycle; Duration from the onset of pressure to the next onset, Peak Ratio; ratio of Peak Time to Unloading Time. Recordings were performed after the occlusal adjustment at each appointment and continued until denture adjustments were completed. Variables were analyzed using ANOVA and Bonferroni. A significant decrease was seen in Peak Ratio as the occlusal adjustments progressed (p<0.05). Its coefficient of variation was constantly the lowest among variables. The coefficient of variation of Peak Ratio was significantly lower than others at the completion of the adjustment (p<0.05). It was suggested that Peak Ratio was useful for evaluation of occlusal adjustment.
Topics: Aged; Analysis of Variance; Dental Occlusion, Centric; Dental Occlusion, Traumatic; Dental Stress Analysis; Denture, Complete; Diagnosis, Computer-Assisted; Female; Humans; Jaw Relation Record; Male; Occlusal Adjustment; Percussion; Pressure; Vertical Dimension
PubMed: 15704656
DOI: No ID Found -
American Journal of Orthodontics and... Jul 2010In this study, we aimed to evaluate the long-term stability of anterior open-bite treatment with occlusal adjustment and the dentinal sensitivity caused by this...
INTRODUCTION
In this study, we aimed to evaluate the long-term stability of anterior open-bite treatment with occlusal adjustment and the dentinal sensitivity caused by this procedure in the long term.
METHODS
The sample comprised 17 open-bite patients who experienced relapse of the negative vertical overbite after orthodontic treatment and were retreated with occlusal adjustment. The cephalometric changes were evaluated on lateral cephalograms obtained before and after the occlusal adjustment and in the long term (mean, 3.4 years after occlusal adjustment). Dentinal sensitivity was also evaluated before the occlusal adjustment, and 1.35 months, 4.61 months, and 3.4 years later. The cephalometric statuses between the 3 evaluations were compared with analysis of variance (ANOVA) and Tukey tests. The percentages of clinically significant relapse were calculated. To compare dentinal sensitivity at the several stages, nonparametric Friedman and Wilcoxon tests were performed.
RESULTS
Statistically significant relapse of anterior open bite occurred in 33.3% of the patients. Those who had the procedure before 21 years of age were most likely to experience relapse. Dentinal sensitivity remained within the normal range in the long term.
CONCLUSIONS
Despite the statistically significant relapse of anterior open bite, clinically significant stability was found in 66.7% of the patients.
Topics: Adolescent; Adult; Age Factors; Analysis of Variance; Cephalometry; Dentin Sensitivity; Female; Humans; Male; Molar; Occlusal Adjustment; Open Bite; Recurrence; Retreatment; Retrospective Studies; Statistics, Nonparametric; Young Adult
PubMed: 20620828
DOI: 10.1016/j.ajodo.2010.01.023 -
Zhonghua Kou Qiang Yi Xue Za Zhi =... Jan 2023To investigate the influence of light and heavy bite force on the mandibular movement trajectories, and the influence of bite force on virtual occlusal pre-adjustment...
To investigate the influence of light and heavy bite force on the mandibular movement trajectories, and the influence of bite force on virtual occlusal pre-adjustment of digital full crown. From October 2021 to March 2022, 10 postgraduate volunteers (3 males and 7 females, aged 22-26 years) were recruited from Peking University School and Hospital of Stomatology. Maxillary and mandibular digital models of the participants were obtained by intraoral scanning. Jaw relations were digitally transferred under heavy bite force and mandibular movement trajectories under light and heavy bite force were recorded by jaw motion analyser. Three mandibular markers were chosen, namely the mesial proximal contact point of the central incisor (incisal point) and the mesial buccal cusp tips of the bilateral first molars. The three-dimensional displacements of the markers under two kinds of bite force in the intercuspal position (ICP), the sagittal projection of the three-dimensional displacements in the protrusive edge-to-edge position, and the coronal projection of the three-dimensional displacements in the lateral edge-to-edge position of upper and lower posterior teeth were measured. Single-sample -test was used to compare the three-dimensional displacements and the corresponding sagittal projection and coronal projection with 0, respectively. The left maxillary central incisor and left mandibular first molar were virtually prepared by the reverse engineering software. Then dental design software was used to design digital full crown using the copy method. The mandibular movement trajectories under light and heavy bite force were separately used to guide virtual occlusal pre-adjustment. The three-dimensional deviations (mean deviations and root mean square) between the lingual surface of the left maxillary central incisor or the occlusal surface of the left mandibular first molar and that of the natural tooth before preparation were calculated (light bite force group and heavy bite force group), and the differences between the two groups were compared by the paired -test. Under the two kinds of bite force, the three-dimensional displacements of the markers in the ICP were (0.217±0.135), (0.210±0.133) and (0.237±0.101) mm, respectively; the sagittal projection of the three-dimensional displacements of the markers in the protrusive edge-to-edge position were (0.204±0.133), (0.288±0.148) and (0.292±0.136) mm, respectively; the coronal projection of the three-dimensional displacements of the mesial buccal cusp tips of the bilateral first molars in the lateral edge-to-edge position were (0.254±0.140) and (0.295±0.190) mm, respectively. The differences between the above displacements and 0 were statistically significant (<0.05). The results of occlusal pre-adjustment showed that the mean deviations of the lingual surface of the left maxillary central incisor in the light and heavy bite force groups were (0.215±0.036) and (0.195±0.041) mm (=3.95, =0.004), respectively. The mean deviations of the occlusal surface of the left mandibular first molar were (0.144±0.084) and (0.100±0.096) mm (=0.84, =0.036), respectively. Both the light and heavy bite force have an influence on the mandibular movement trajectories. Virtual occlusal pre-adjustment of prostheses with mandibular movement trajectories under heavy bite force can obtain morphology of lingual or occlusal surfaces closer to the natural teeth before preparation.
Topics: Male; Female; Humans; Bite Force; Tooth; Mandible; Molar; Occlusal Adjustment
PubMed: 36642452
DOI: 10.3760/cma.j.cn112144-20220507-00243 -
Dental Digest May 1947
Topics: Humans; Malocclusion; Occlusal Adjustment; Tooth
PubMed: 20242407
DOI: No ID Found -
Journal of Orofacial Pain 2004Critical evaluation of treatment methods has become an important part of health care and will certainly have a major influence on decisions about acceptable treatment... (Review)
Review
Critical evaluation of treatment methods has become an important part of health care and will certainly have a major influence on decisions about acceptable treatment methods in the future. Evidence-based medicine (EBM) means the systematic, explicit, and judicious implementation of the best evidence in patient care. The most reliable sources of evidence are high-quality systematic reviews and randomized controlled trials (RCTs). A systematic EBM approach could be particularly useful in the treatment of temporomandibular disorders (TMD), where controversial and conflicting ideas about management are common. In this field, concerns about the lack of evidence are often expressed. This article aims to elucidate and discuss the application of EBM to the treatment of TMD, using the most controversial treatments (i.e., occlusal treatments) as an example. By applying the principles of EBM to TMD treatments, we wish to highlight some of the important issues that form the basis for high-quality care in this field. A systematic review of occlusal treatments (occlusal splints and occlusal adjustment) updated to January 2003 revealed 16 RCTs of occlusal splints and 4 of occlusal adjustment. The overall quality of the trials was fairly low. Recently, however, some high-quality RCTs of occlusal splints have been published. The most obvious methodologic shortcomings in published trials included problems in defining the patient population, inadequacies in performing randomization and blinding, problems in defining the therapies or appropriate control treatments, short follow-ups, and problems in monitoring patient compliance. Occlusal splint studies yielded equivocal results. Even in the most studied area, stabilization splints for myofascial face pain, the results do not justify definite conclusions about the efficacy of splint therapy. Their clinical effectiveness to relieve pain also seems modest when compared with pain treatment methods in general. None of the occlusal adjustment studies provided evidence supporting the use of this treatment method. The clinical implications of the findings and future perspectives are discussed.
Topics: Dentistry; Evidence-Based Medicine; Facial Pain; Humans; Occlusal Adjustment; Occlusal Splints; Randomized Controlled Trials as Topic; Review Literature as Topic; Temporomandibular Joint Disorders
PubMed: 15022533
DOI: No ID Found -
BioMed Research International 2021The function of the masticatory apparatus is complete when the dentition is intact with contact between the individual teeth and proper occlusion with the antagonists....
INTRODUCTION
The function of the masticatory apparatus is complete when the dentition is intact with contact between the individual teeth and proper occlusion with the antagonists. For years, occlusal contacts have been studied to determine their exact location and describing various materials and methods for their registration such as paper foil, silk, and Shimstock foil. For years, occlusal contacts have been studied to determine their exact location and describe various materials and methods for their registration such as paper foil, silk, shim stock foil, the T-Scan system, and more recently the OccluSense system. The primary aim of the study was at evaluating which of the occlusal indicators is the most commonly used in practice, and the secondary aim was whether dentists are willing to use digital methods to examine occlusion.
MATERIALS AND METHODS
The main primary information of the survey was collected by sending electronically anonymous questionnaires to 2014 dentists, randomly selected from all regions of the country. 228 questionnaires were filled in and returned. To achieve the goal of the study, the self-developed questionnaire was created and tested to survey the opinion about the use of occlusal indicators in dental practice. Each questionnaire contains questions about the sociodemographic and professional status of the people in the group and their opinion about the positives and negatives and the effectiveness of occlusal indicators.
RESULTS
The obtained results confirm the statement that the most frequently used occlusal indicator in dental practice is the articulation paper. Articulation foil and silk are used less frequently than articulation paper. Of the listed quality indicators, Shimstock foil is rarely used in practice. Of the indicated quantitative indicators, the T-Scan system is more used than the OccluSense system. In the era of rapid technology development, the opinion and desire of dentists to increasingly want to introduce in their clinical practice quantitative methods are the digital diagnosis of occlusion.
CONCLUSION
In any dental practice, if technically possible, digital methods would be used, giving more accurate and reliable data on the registered occlusal contacts.
Topics: Adult; Aged; Attitude; Bulgaria; Dental Occlusion; Dentistry; Dentists; Diagnostic Tests, Routine; Female; Humans; Indicators and Reagents; Jaw Relation Record; Male; Malocclusion; Middle Aged; Motivation; Occlusal Adjustment; Surveys and Questionnaires
PubMed: 34778449
DOI: 10.1155/2021/2177385 -
Journal of Biological Regulators and... 2018The presence of periodontal disease can be ascertained by clinical examination (redness, edema and probe depth, bleeding-on-probing). Occlusal adjustment can lead to a...
The presence of periodontal disease can be ascertained by clinical examination (redness, edema and probe depth, bleeding-on-probing). Occlusal adjustment can lead to a marked, stable improvement in periodontal health in terms of bacterial profile and clinical appearance, presumably by obviating tissue distress caused by occlusal dysfunction, thereby providing unfavorable conditions for bacterial growth. Therefore, occlusal trauma can be an essential indicator of the periodontal disease and, if not corrected, could lead to a relapse.
Topics: Chronic Disease; Dental Occlusion, Traumatic; Humans; Occlusal Adjustment; Periodontal Diseases; Recurrence
PubMed: 29460515
DOI: No ID Found -
Zhonghua Kou Qiang Yi Xue Za Zhi =... Oct 2023Rehabilitation of complete edentulism is naturally related to temporomandibular joint (TMJ) since the proper functioning of complete denture depends on the normal... (Review)
Review
Rehabilitation of complete edentulism is naturally related to temporomandibular joint (TMJ) since the proper functioning of complete denture depends on the normal movement of TMJ. This review briefly introduced the design of occlusion in complete denture, characteristic of different occlusal patterns, and key points in registration of maxillomandibular relationship and occlusal adjustment. This review emphasized the significance of complete denture restoration to the health of TMJ.
Topics: Humans; Temporomandibular Joint; Temporomandibular Joint Disorders; Dental Occlusion; Occlusal Adjustment; Denture, Complete; Tooth Loss
PubMed: 37818531
DOI: 10.3760/cma.j.cn112144-20230730-00048