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The Glossary of Prosthodontic Terms. J Prosthet Dent. 2017; 117:e1-e105
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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
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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

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