Articulating Casts and Waxing

Question 1

What must be considered when placing restorations?
Failure to consider this causes what?

Answer 1

• occlusion
• trauma or damage to TMJ, restored teeth/tooth or opposing teeth

Question 2

Occlusal contacts should be noted where?

Answer 2

• open
• closing position
• excursive movements

Question 3

What are the consequences of a restoration being too high?

Answer 3

• occlusal disharmony
• potential further damage

Question 4

Consequence of restoratiobs being too low

Answer 4

• no contact of teeth

Question 5

Role of an articulator

Answer 5

• in indirect or complex treatment (multiple crowns or occlusal reorganisation)
• articulator may be used
• considers patients occlusion remotely so adequate planning and consideration given when restoring

Question 6

Types of articulator

Answer 6

• hadn articulation
• simple hinge
• average value
• semi-adjustable

Question 7

When placing direct fillings, how can patient help with articulation?

Answer 7

• can check occlusal contacts with them prior to treatment and after for occlusal harmony
• shimstock foil and articulating paper can be put in the mouth to check static and dynamic occlusal contacts before during and after treatment
• interferances can be adjusted during restoration until harmony restored

Question 8

How to check accuracy of articulating casts?

Answer 8

• shimstock and articulating paper
• can feel and observe occlusal contacts

Question 9

How to simulate interferances with articulating casts?

Answer 9

• remove contacting cusp and incisal edge
• restore with wax
• occlude casts and the wax should break and shear off in movement