View more from Listerine
Switch to Dark theme

References

The Glossary of Prosthodontic Terms. J Prosthet Dent. 2017; 117:e1-e105
Milosevic A. Occlusion: 1. Terms, mandibular movement and the factors of occlusion. Dent Update. 2003; 30:359-361
Rosenstiel SF, Land MF, Fujimoto J., 5th edn. Oxford: Elsevier; 2016
Davies S, Gray R. What is occlusion?. Br Dent J. 2001; 191:235-245
Koyano K, Tsukiyama Y, Kuwatsuru R. Rehabilitation of occlusion – science or art?. J Oral Rehab. 2012; 39:513-521
Hadden A., 3rd edn. UK: FGDP; 2016
Patel M, Alani A. Clinical issues in occlusion – Part II. Singapore Dent J. 2015; 36:2-11
Maglad A, Wassell R, Barclay S, Walls A. Risk management in clinical practice. Part 3. Crowns and bridges. Br Dent J. 2010; 209:115-122
Mehta SB, Banerji S, Millar B, Saures-Fieto JM. Current concepts on the management of tooth wear: Part 1. Assessment, treatment planning and strategies for the prevention and passive management of tooth wear. Br Dent J. 2012; 212:17-27
Gray R, Al-Ani Z. Risk management in clinical practice. Part 8. Temporomandibular disorders. Br Dent J. 2010; 209:433-449
Abudo J, Lyons K. Clinical considerations for increasing occlusal vertical dimension : a review. Aust Dent J. 2012; 57:2-10
Rivera-Morales W, Mohl N. Restoration of the vertical dimension of the occlusion in the severely worn dentition. Dent Clin North Am. 1993; 36:651-663
Wassell R, Naru A, Steele J, Nohl F., 2nd edn. London: Quintessence Publishing; 2008
Davies S, Gray R, Whitehead S. Good occlusal practice in advanced restorative dentistry. Br Dent J. 2001; 191:421-434
Wilson P, Banerjee A. Recording the retruded contact position: a review of the clinical techniques. Br Dent J. 2004; 196:395-402
Posselt U. Studies in the mobility of the human mandible. Acta Odontol Scand. 1952; 10
Mehta SB, Banerji S, Millar BJ, Saures-Fieto JM. Current concepts on the management of tooth wear: part 3. Active restorative care 2: the management of generalised tooth wear. Br Dent J. 2012; 212:121-127
Dawson PE. Temporomandibular joint pain dysfunction problems can be solved. J Prosthet Dent. 1973; 29:100-112
Davies S, Gray R. The examination and recording of the occlusion: why and how. Br Dent J. 2001; 191:291-302
Stuart C, Stallard H. Concepts of occlusion. Dent Clin North Am. 1963; 7:577-590
Milosevic A. Occlusion: 2. Occlusal splints, analysis and adjustment. Dent Update. 2003; 30:416-423
Eliyas S, Martin N. The management of anterior tooth wear using gold palatal veneers in canine guidance. Br Dent J. 2013; 214:291-297

The application of occlusion in clinical practice part 1: Essential concepts in clinical occlusion

From Volume 45, Issue 11, December 2018 | Pages 1003-1015

Authors

Shamir Mehta

Deputy Programme Director MSc Aesthetic Dentistry, King's College London

Articles by Shamir Mehta

Subir Banerji

BDS, MClinDent (Prostho), PhD FDSRCPS(Glasg) FCGDent, FDTFEd, BDS, MClinDent (Prostho), PhD, FDSRCPS(Glasg), FCGDent

Articles by Subir Banerji

Email Subir Banerji

Abstract

Abstract: The first of this three-part series will focus on the occlusal assessment and the proposed features of the ‘ideal occlusal scheme’. The examination of the static and dynamic relationship of the dentition is outlined, including the extra- and intra-oral examination. The terminology associated with the intra-occlusal positions and relationships are described and a template for a comprehensive occlusal examination is presented. Part 1 also aims to explore some of the essential concepts in clinical occlusion.

CPD/Clinical Relevance: Understanding the static and dynamic relationships of the natural and restored dentition are important steps in the successful and long-term rehabilitation of missing and broken-down teeth. Development of familiarity and fluency with various terms associated with the examination and relationships of the dentition in function are critical aspects when attempting to form an appreciation of the subject of clinical occlusion.

Article

According to The Glossary of Prosthodontic Terms 9th edn, the term ‘occlusion’ has been defined as: ‘1. the act or process of closure or of being closed or shut off; 2. the static relationship between the incising or masticating surfaces of the maxillary or mandibular teeth or tooth analogues.’1 However, given that the masticatory system includes anatomical components beyond the occluding surfaces, an alternative definition has been proposed that describes occlusion as ‘an integral (but not necessarily central) part within the stomato-gnathic system (SGS) that relates teeth, not only to other teeth but, importantly, to the other components of the SGS during normal function, parafunction and dysfunction’.2 Accordingly, the SGS includes the temporomandibular joints, muscles of mastication, the periodontium along with the mandibular and maxillary teeth. Indeed, it is common to refer to the articulation of the teeth as the anterior determinants of mandibular movement and the temporomandibular joints and associated structures as the posterior determinants.3

Register now to continue reading

Thank you for visiting Dental Update and reading some of our resources. To read more, please register today. You’ll enjoy the following great benefits:

What's included

  • Up to 2 free articles per month
  • New content available

Already have an account? Sign in here