Applied Occlusion by Steele, Jimmy, Naru, Amar, Wassell, Robert, Nohl, Francis -- Read -- Imperial Library of Trantor

Index

Cover Title Page Copyright Page Table of Contents Contents of the DVD Foreword Introduction Acknowledgements Chapter 1: The Intercuspal Position and Dentistry

Aim Outcomes Introduction Physiology of ICP Development of ICP Is There an Ideal Occlusion? Providing Dental Treatment and ICP The High Restoration Occlusal Stability in Restorations Why Not Leave Restorations out of Contact? Conclusion Further Reading

Chapter 2: Normal Function and Avoiding Damage to Restored Teeth

Aim Outcome Introduction Guidance, Natural Teeth and Function Tracks of Movement across Posterior Teeth Guidance and Restored Teeth Consequences of Interfering with Guidance Conclusions Further Reading

Chapter 3: Deflective Contacts, Interferences and Parafunction

Aim Outcome Introduction Deflective Contacts and Excursive Interferences Centric Relation Retruded Contact Position RCP–ICP Slide Deflective Contact Anterior Thrust Excursive Interferences Pivoting Contacts Parafunction and Its Problems Aetiology of Bruxism Management of Bruxism Conclusions Further Reading

Chapter 4: Reorganising the Occlusion

Aim Outcome Introduction Why Bother? Example 1: The Complete Denture Example 2: Rebuilding the Aging Dentition Example 3: Protecting and Restoring a Worn Dentition Example 4: Reorganising a Traumatic Occlusion The Principles of Reorganising

Principle 1: Rebuild the New Occlusion around a Reproducible Position Principle 2: Decide on the Vertical Dimension Principle 3: Create Stability in ICP and Avoid Damage in Excursions – You Need an Occlusal Scheme

The New ICP Guidance Teeth and Protection from Damage The Practicalities of Reorganising

Diagnosis and Planning Recognising the Potentially Difficult Case Reorganising with Adhesively Retained Restorations Treatment Sequencing

Conclusions Further Reading

Chapter 5: Occlusion, the Periodontium and Soft Tissues

Aim Outcome Occlusal Trauma Related to the Periodontium Non-occlusally Related Causes for Tooth Hypermobility Occlusally Related Causes for Tooth Hypermobility The Relationship between Occlusion and Periodontal Disease Pathological Tooth Migration Direct Occlusal Damage to Soft Tissues Conclusions Further Reading

Chapter 6: Occlusion and Fixed Osseointegrated Implant Restorations

Aim Outcome Implants Compared with Natural Teeth Planning the Foundations of Implant Occlusion

Avoiding Non-axial Loading Cantilevered Restorations Linking Implants Linking Implants to Teeth

Idealised Occlusal Schemes

Partly Dentate Jaw Edentulous Jaw Trial by Temporary

Immediate and Early Loading Teamwork Maintenance Conclusions Reference Further Reading

Chapter 7: Occlusion and Temporomandibular Disorders

Aim Outcome Introduction TMD Background Diagnosis of TMDs Screening for TMD in Patients with Extensive Restorative Treatment Needs Occlusion as a Cause of TMDs Treatment of TMDs Occlusal Splints

Partial-coverage Splints Soft Splints Stabilisation Splints Anterior Positioning Splints

Occlusal Adjustment

Initial Adjustment Adjustment Following Splint Treatment

Conclusions Further Reading

Chapter 8: Occlusal Techniques

Introduction 8-1 Occlusal Examination

Do I Need to Do a Full Occlusal Examination? “Good” and “Bad” Contacts Screening for Parafunction Screening for Temporomandibular Disorders Performing the Examination

8-2 Accurate Alginate Impressions 8-3 Intercuspal Registration

ICP or Centric Relation Registration? Mounting Casts in ICP Materials for ICP Records Checking the Registration

8-4 Centric Relation Registration

Why Choose CR? What Techniques Are Available? What About Patients Who Are Difficult to Manipulate? How Can You Check a CR Registration?

8-5 FACEBOW RECORD

What Does a Facebow Do? What Are the Main Components? What Reference Points Do Facebows Use? How Accurate Are Facebows? Do I Need to Buy a Facebow?

8-6 Articulator Selection

What Is Most Important in Articulator Accuracy? Semi-adjustable and Average Value Articulators How Do I Set a Semi-adjustable Articulator? Is a Fully Adjustable Articulator Ever Needed?

8-7 Occlusal Adjustment/Equilibration

Why Are Dentists Cautious about Adjusting Occlusions? Adjustment and Equilibration – What is the Difference? What Are the Indications for Simple Occlusal Adjustment? What Are the Indications for More Complex Adjustment? What Are the Aims of Occlusal Adjustment/Equilibration? Planning Occlusal Adjustments/Equilibration Procedure on Casts What Do I Tell the Patient?

8-8 Diagnostic Waxing And Related Techniques

Uses of Diagnostic Wax-ups Requirements, Materials and Techniques for Producing Wax-ups Sisters of the Wax-up Intraoral Composite Trial Virtual Implant Placement

8-9 Copying Anterior Guidance

The Crown-about Method The Custom Incisal Guide Table

8-10 Stabilisation Splints

Impressions and Jaw Registration Laboratory Procedure Splint Fitting Prescribing Splint Wear

8-11 Space Creation For Restorations

Dahl Appliance Increasing Vertical Dimension Distalisation

8-12 Adjusting New Restorations

Finishing and Polishing Follow-up