Protrusive Dental Podcast podkast

A Little Trick to Solve Anterior Open Bites after Occlusal Appliances – AJ003

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I will reveal a little 'trick' that might 'recapture the bite' on a patient who develops an anterior open bite (AOB) after wearing a nightguard/splint/occlusal appliance. There is a degree of risk and uncertainty when we prescribe occusal appliances as it hinges on patient compliance and factors that are out of our control. There are certain risks that come with treatment that we should consent for, and this includes bite changes. Occlusal appliances are not an exact science - the evidence base is not high quality. That does not mean they do not work, it just means that we need more data! We don't even know the mechanism of HOW occlusal splints work as that is yet to be proven. Hello Protruserati! Welcome back to the third episode of #AskJaz where I answered three main questions from our Protrusive Dental Community - 1) developing anterior open bite after an occlusal appliance, 2) how to scan/bite register at a desired OVD, and 3) what should the occlusion look like on composite veneers or edge bonding? https://youtu.be/Li2W-ysYRIE Check out this full episode on YouTube Download Protrusive App on iOS and Android and Claim your Verifiable CPD/CE by answering a few questions + You can get EARLY ACCESS to the episode + EXCLUSIVE content Dr. Mahmoud Ibrahim and I are currently working on a huge project called OBAB, Occlusion Basics, and Beyond – it will be the best occlusion resource in the Milky Way…and that’s our mission! We want to finally demystify Occlusion and make it Tangible AF! Join the waiting list HERE! Highlights of this episode: 1:51 Risk of having AOB after an Occlusal Appliance15:48 Trick to recover an AOB that has developed26:49 Bite Records for Stabilisation Splints30:25 Checking the Occlusion after Composite Veneers37:02 Occlusion Basics and Beyond Do join our Protrusive Dental Community Facebook Group. It has so many great gems and pearls shared in our little community - ONLY FOR LICENSED DENTAL PROFESSIONALS. If you enjoyed this episode, check out this episode with Dr. Barry Glassman - Do AMPSAs cause AOBs? Click below for full episode transcript: Jaz's Introduction: Occlusal appliances can be scary things. When we are given to our patients, we're at the mercy of their compliance. We don't really know if they're going to get along with it or not. [Jaz]We don't really know if it'll help their pain. If pain is the reason that we are prescribing in occlusal appliance, and a lot of times we are taking on a bit of risk because there are certain bite changes that can happen after occlusal appliances. And despite what you think, you know, you might think, oh yes, anterior only appliances, they're the big culprits here. They're the ones, those shifty devices, they're the ones causing all the bite changes. But actually, you can get a bite changer. A patient can get a bite change from any type of occlusal appliance. So, I see this quite frequently on the Facebook groups from dentists and also lots of dentists message me and share some of the cases where they've had some bite change. They're trying to get their head around what exactly happened. So, in this Ask Jaz episode, I'm going to cover three main themes. The main, the big one. The first one is, a patient who develops an anterior open bite after an occlusal appliance, and I'm going to teach you a trick that you can use if this happened to your patient to recover their bite. Okay? So that's number one. Number two and three, a shorter one. The second one is how to scan or record using silicon bite registration paste, the patient's centric relation record at the desired vertical dimension for something like a Michigan splint, for example, and the third one. What should the occlusion look like on composite veneers? These are three questions, or the last two are questions that were sent in by you guys. The first one's something I promised Professor Paul Tipton, that I would do,

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