Wassell R, Naru A, Steele J, Nohl F. Applied Occlusion, 2nd edn. London: Quintessence; 2015
McCullock AJ. Making occlusion work: 1. Terminology, occlusal assessment and recording. Dent Update. 2003; 30:150-157
Davies S, Gray R. A Clinical Guide to Occlusion.London: British Dental Association; 2002
Posselt U. Studies in the Mobility of the Human Mandible.Copenhagen: Acta Odontologica Scandinavica; 1952
Steele J, Nohl F, Wassell R. Crowns and other extra-coronal restorations: occlusal considerations and articulator selection. Br Dent J. 2002; 192:377-387
Wilson P, Banerjee A. Recording the retruded contact position: a review of clinical techniques. Br Dent J. 2004; 196:395-402
Ferrario V, Sforza C, Serrao G, Schmitz J. Three-dimensional assessment of the reliability of a postural face-bow transfer. J Prosthet Dent. 2002; 87:210-215
Wise MD, Laurie A. Failure in the Restored Dentition: Management and Treatment.London: Quintessence; 1996
Nohl F, Steele J, Wassell R. Crowns and other extra-coronal restorations: aesthetic control. Br Dent J. 2002; 192:443-450
Tiu J, Al-Amleh B, Waddell J, Duncan W. Reporting numeric values of complete crowns. Part 2: Retention and resistance theories. J Prosthet Dent. 2015; 114:75-80
Dahl BL. Dentine/pulp reactions to full crown preparation procedures. J Oral Rehabil. 1977; 4:247-254
Blair F, Wassell R, Steele J. Crowns and other extra-coronal restorations: preparations for full veneer crowns. Br Dent J. 2002; 192:561-571
Poyser N, Porter R, Briggs P, Chana H, Kelleher M. The Dahl Concept: past, present and future. Br Dent J. 2005; 198:669-676
Occlusally challenging scenarios can arise during the restoration of teeth involved in the patient's Retruded Contact Position (RCP). During preparation of a tooth that provides the RCP, practitioners may encounter problems whereby they lose occlusal clearance to place an occlusal coverage restoration over the tooth in question. This may come as a shock to the practitioner, often resulting in further excessive and unplanned tooth preparation, or reduction of the opposing tooth to create occlusal clearance. This paper aims to provide a guide on how to recognize and avoid the potential pitfalls of restoring retruded contact position, through the use of proper planning and by employing appropriate management techniques.
CPD/Clinical Relevance: Understanding of the relevant occlusal considerations will allow the practitioner to restore teeth involved with RCP predictably and conservatively.
Article
Many practitioners will be able to relate to the clinical situation where a posterior tooth, often the last standing tooth, is treatment planned and prepared for a full or partial coverage restoration. During occlusal preparation, adhering to the depth requirements of the intended restoration, an assessment of occlusal space for the restoration is made and it is surprising to see that the preparation is still in contact with its antagonist. The first question asked is how this has arisen, and then how, clinically, the situation can be overcome. This paper aims to give a guide to dentists on how to avoid this situation and how, through careful planning and execution, it can be managed.1 A number of descriptive occlusion terms will be employed, which are commonly interchangeable with other referenced nomenclature. These terms are outlined in Table 1.2, 3
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