Principles of Occlusal Equilibration Flashcards

1
Q

Define occlusal equilibration.

A

The correction of stressful occlusal contacts through selective grinding

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2
Q

T/F. Doing a poor job on malocclusion is far worse than on equilibration.

A

False. Doing a poor job of equilibration is far worse than leaving the malocclusion.

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3
Q

What are the two goals of occlusal equilibration?

A
  1. improve functional and esthetic relationships between maxillary and mandibular teeth.
  2. eliminate TMD
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4
Q

What is the order of treatment planning for occlusal therapy?

A
  1. selective grinding
  2. fixed prostodontics
  3. orthodontic therapy
  4. orthognathic surgery
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5
Q

T/F. Because of esthetics, one should avoid changing the buccal and change the lingual.

A

True.

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6
Q

When the condyles are in CR and the opposing centric cusp tip contacts the inner third incline, then ___ ___ is most appropriate.

A

Selective Grinding

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7
Q

According to the rule of thirds, if the middle third contact then what treatment should be used? outer third?

A

fixed prosthodontics

orthodontic treatment

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8
Q

What procedure alters the occlusal surfaces of teeth to improve the overall contact pattern?

A

selective grinding. All corrections should be made within the enamel structure.

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9
Q

The ___ (shorter/longer) the slide, the more likely it is that selective grinding can be accomplished within the confines of the enamel.

A

shorter

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10
Q

Primary interferences that deviate the condyle forward produce a(n) ____ slide.

A

anterior

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11
Q

What is the basic contact rule to correct an anterior slide?

A

MUDL

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12
Q

what is MUDL?

A

grind the mesial inclines of upper teeth or the distal inclines of lower teeth

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13
Q

What type of interference cause the mandible to deviate to the right or left from the initial contact point (CO) to MI?

A

line of closure interferences

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14
Q

If the interference causes the mandible to deviate toward the cheek, what is the grinding rule?

A

BULL

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15
Q

What is BULL?

A

grind the buccal inclines of upper teeth or the lingual inclines of lower teeth

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16
Q

If the interfering incline causes the mandible to deviate toward the tongue, what is the grinding rule?

A

LUBL

17
Q

What is LUBL?

A

grind the lingual incline of upper teeth or the buccal incline of lower teeth

18
Q

What grinding rule is used with non-working interference?

A

BULL

19
Q

T/F. Patients with horizontal overlap (crossbite) will benefit more from a group function in working side excursions.

A

True.

20
Q

What is the basic rule for equilibrating working side contacts?

A

LUBL

21
Q

What are the only teeth that should touch during protrusive excursions?

A

anterior teeth

22
Q

What is the rule for eliminating protrusive contacts?

A

DUML

23
Q

During protrusion, posterior disclusion is accomplished by both the ___ guidance and the ____ movement of the protrusive condyles.

A

anterior; downward

24
Q

With steep anterior guidance, correction of protrusive interference is extensive.

A

False. Correction is minimal. A flat anterior guidance relies more on condyles for disclusion and corrections are more extensive.