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What should the occlusion look like when you are restoring or replacing a Class IV restoration? This question is so basic yet so complex which is often not talked about enough. We go on all these composite courses and talk about the layering, but we don't talk enough about how to put the principles of occlusion into action.
In this episode, Dr. Ibrahim will be talking about how Class IV Restorations can be optimised to get a long term predictable result. We also shared the two mechanical failures in dentistry and the step-by-step process of a Class IV restoration with occlusion in mind.
https://youtu.be/JgbO6PDjSOg
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The Protrusive Dental Pearl: Occlusion Whisperer – Ask your patient to bite together and listen – in a “good” occlusion you should hear lots of tooth-to-tooth contact, whereas a thud indicates an issue. Use this in addition to more traditional methods of assessing the occlusion, and make sure you are satisfied with the occlusion before asking the patient “how does that feel?”
Are you ready to learn Occlusion in a way that makes sense, in your own time, with first class support and career boosting confidence to deliver Restorative Dentistry to the highest standard?
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Need to Read it? Check out the Full Episode Transcript below!
Highlights of this episode:
00:49 The Protrusive Dental Pearl02:23 Dr. Mahmoud Ibrahim03:07 Class IV Lesions07:21 Mechanical Failure09:28 The “Envelope of Function” and “Chewing Space”13:50 Dealing with Limited Chewing Space17:49 Mock-Ups19:35 Dots and Lines21:14 The Process
If you enjoyed this episode, check this another episode by Dr. Mahmoud Ibrahim, Next Level Occlusion (Basics Part 2).
Click below for full episode transcript:
Jaz's Introduction: What should the occlusion look like when you're restoring or replacing a Class IV Restoration? It's a really interesting question actually. Like it's so basic, yet so complex.
Jaz's Introduction:So we're going to make this topic, which is often not talked about enough, and like we've got all these composite courses and they talk about the layering. But we don't talk enough about how to put the PRINCIPLES of OCCLUSION into action on your Class IV Restorations to actually get a long-term predictable result.
Hello, Protruserati. I'm Jaz Gulati, and welcome back to PDP150. We've got over 200 episodes of Protrusive now with you, include the Interference Cast, and all the other branches of the podcast that we do. Thank you so much for joining me time and time again. If you're new to the podcast, welcome. You picked a really interesting and fun topic to join us on today.
Protrusive Dental Pearl:Now every episode I give you a Protrusive Dental Pearl. And of course it's going to have to be an occlusion one. Okay, so this is something I learned in my time at GUYS Hospital when I was at DCT.
This was like nine years ago now. And it is when you're checking the bite, do you listen to the bite? Now it sounds really funny, but we check tactile, we check with the shim stock foil or the articulating paper. We check visually because we see the ink marks on the teeth. We could check with our fingers.
When you bite together, you feel some pressure, feel some vibrations on the teeth. These are all methods of checking. The occlusion is something proud, is it not? But sometimes a really good thing that I like to do routinely after restorations is just listening to the bite. I tell my patients, I'm the occlusion whisperer.
Okay? So I come up by their teeth and I say, 'can you tap your teeth together like this?' And that's what a good occlusion sounds like. Okay. Lots of teeth hitting together at once. If there's a thud,
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