The stipulation of occlusion
There is no more controversial subject in all of dentistry than “occlusion.” There is no better way to start a brawl in a room full of dentists than to suggest one or more of the following:
1. “Occlusion doesn’t cause TMD”
2. “Occlusion doesn’t matter, unless they are occluding.”
3. "You don’t need to mount your models in centric relation in order to do a good treatment plan.”
4. “An articulator has nothing to do with how a mandible moves.”
5. “Interferences don’t cause lateral pterygoid spasms.”
6. “Placing a patient in CR will not in itself resolve his/her orofacial pain”
7. “Patients with internal derangements don’t usually have altered occlusions as a result of their joint status.”
8. “You should NEVER ask patients if they grind or clench their teeth.”
9. “If a patient tells you that his/her bite is ‘uncomfortable’ you should NOT check his/her occlusion with articulating paper.”
10. “You should NEVER ask patients ‘How does that feel?’ when checking their occlusion after a restorative procedure.”
Enjoyed the read? Join us for one, or both, of Barry Glassman’s “Splint Therapy & Occlusion - myth busting occlusion for the GDP” in 2018. Dates, and more information, can be found at s4sdental.com/cpd.
Want to get involved in Bruxism Awareness Week 2017? Visit us at s4sdental.com/ bruxismawarenessweek2017 to request your free practice pack.