Creating an Organized Occlusion That Reduces Functional Risk

Through clinical research and experience gained through patient care, the author of this article determined a system of steps for designing an optimal occlusion. The totality of steps cover equilibration on mounted models, treatment planning based on three occlusal relationships, condylar position, designing contacts with the cusp-to-fossa approach, management of postural shift, and ideal armamentarium. The author concludes that the principles of reducing and distributing muscle force in edge-to-edge positions, maximum intercuspal position, and excursive movements should be followed during occlusal adjustment.

LEARNING OBJECTIVES:

• Discuss the factors that contribute to a patient presenting with high occlusal risk and how this risk can be mitigated.

• Describe the steps required for organizing a balanced, esthetic occlusion.

• Delineate the thought process behind choosing from a variety of procedural options during equilibrium and other processes.

About the Author

Lee Ann Brady, DMD, Private Practice, Glendale, Arizona