There are a variety of ways I capture bite records for diagnostic models that will be mounted in a seated condylar position. One way to capture these records is with bite registration silicone and either a leaf gauge or a lucia jig. These techniques are fantastic for patients where we need to release muscles or who tighten their muscles as a response to our procedures. One challenge they pose is trimming the records and mounting them to get an accurate representation. Another is that some patients will posture forward during the record. Having multiple techniques in your arsenal will allow you to use the one that is most appropriate and will yield the most accurate results for each individual patient. Continue reading »
There are things in practice that can make my day, or set it on end. The occlusal adjustment required when seating final restorations is one of these things. I absolutely love it when the restoration goes to place and needs almost no adjustment to the occlusion. On the other hand when I am trying in the restoration and ask the patient to first close, and can instantly tell it needs a large amount of adjustment, my attitude changes and frustration is the word of the day. Over the years I have worked towards predictably eliminating these frustrating situations and knowing that the majority of the time the occlusion will be extremely close at try-in. There are a lot of pieces to this puzzle, but a key is how the information about the occlusion is sent to the lab. Continue reading »
