I learned a lesson again this week that I have learned over and over in twenty plus years of practicing, limited occlusal equilibrations are a journey into uncharted waters. There are many pieces Read More
Capturing a Centric Bite with a Lucia Jig
[/caption] There are many techniques for capturing a centric relation bite record. I have spent time becoming comfortable with all of them because in different clinical situations, each may be the Read More
Medial or Lateral Pole?
I'm not sure of the exact percentage of patients that have a "pop" or "click", but joint noise is a common finding. When working with a patient that has joint noise my primary concern is to assess the Read More
Video: Fabricating a Lucia Jig
[/caption] This video demonstrates relining and creating a lucia jig so it can be used for diagnosis, taking centric relation bite records, or as a transient Read More
Esthetic Stick Bite
I learned again today why I make an esthetic stick bite as one of my records for diagnostic wax-ups and fabrication of restorations. I sat down today to complete a diagnostic workup for a patient I Read More
Third Molars or Muscle Pain-Lucia Jig Diagnosis
Last week I had an 18 year old female patient come in on an emergency visit. She was clear that she had a toothache on the lower left side, pulling back her cheek and pointing to her lower second Read More
Drying Teeth Before Marking the Occlusion
Often I need the occlusal surfaces of the teeth to be dry, and I mean completely dry. Over the years we have dried them with the air/water syringe, or tried to wipe them off with a two by two. Blowing Read More
Accufilm Assistance
I use several different types of articulating paper in my office, including Accufilm. It's 24 micron thickness and resilience in the mouth make it preferable when finalizing the occlusion on upper Read More
Using a Leaf Gauge to Adjust an Occlusal Appliance
One of the goals of an occlusal appliance can be to release the Lateral Pterygoid muscles, seat the condyles in Centric relation and establish intercuspal position at this point. Over the years I have Read More
Dental Impressions for Patients with Lingual Tori
Today in the office I had a new patient with lingual tori that almost touched at the midline. She was in the office for a TMD evaluation, our recommendation was to begin with a bite appliance. This Read More
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