Occlusal Therapy Flashcards
Symptom/Indications for occlusal trauma? (6)
- Excessive Tooth Mobility ***
- Widened PDL
- Angular Bone Loss***
- Furcation Involvement
- Tooth Migration
- PAIN***
When are occlusal adjustments done? (which phase)
During Phase I therapy
Primary Occlusal Trauma-Def’n
Damage when excessive force on normal support
Secondary Occlusal Trauma-Def’n
Damage when normal forces placed on diminished support
Treatment Planning:
What is taken care of first before occlusal adjustments are done?
Inflammation reduction. Because reduction of inflammation may move teeth.
Treatment Planning:
What can be done after occlusal adjustments have been made and why?
Surgery can be done after occlusal adjustments.
-Increases chances of post-surgery healing since teeth are less mobile
Best type of occlusal guidance?
Canine protection. (less occlusal force and periodontal destruction)
Occlusal Therapy:
- What type of contacts adjusted first?
- Where on the cusps are they adjusted first?
- Balancing supracontacts
- Inclines of centric teeth are removed first
ex: Buccal incline of lingual cusps=Maxillary
ex: Lingual incline of buccal cusps=mandibular
Can we alter VDO during occlusal adjustments?
Nope. Angry patients
Which cusp is normally a plunger cusp?
Palatal cusp of maxillary 1st molar
What is fremitus?
flexion of teeth you occlude them together.
Should you occlusally treat both side of the mouth at a time or just one side?
Just one side at a time.
What can reduce the occlusal table?
Bruxism
Is a wide or narrow occlusal table desired?
Narrow
Two ways to fix wide occlusal table?
- Reshape the tooth (enameloplasty)
2. Do a crown
