I’ve spent a good deal of time this summer preparing for a hands on occlusion workshop I will be teaching with Mary Osborne and Dr. Mark Kleive in January of next year. The course includes access to a protected webpage that will host hours of video content available 3 months before we meet in Glendale at my office. A key diagnostic record for analyzing a patient’s occlusion is a set of mounted models in centric relation. There are multiple ways to help a patient find centric relation, one of which is bimanual guidance (bilateral manipulation). There are also a number of materials that we can use to capture a centric relation bite record. The wax record demonstrated can be more challenging to acquire, but is more accurate and easier when mounting the models. The following is a short excerpt from a video on wax platform centric relation records.
For more videos on diagnostic records visit Restorative Nation.
What is the best way you have found for marking the CR initial contact in the mouth and judging the character of the slide.? Have you any tips if using Bimanual manipulation – I find it hard to judge if the patient is on their first contact or not with the artic paper inserted. Many thanks – Chris
Chris,
I ask the patient to raise their hand on the side where they feel the first light contact. I then mark it with madam butterfly silk. I record overbite, overjet and midline position (upper to lower) at intercuspal position. Then I record overbite, overjet and midline at first point of contact. The difference is the magnitude and direction of the slide.
Lee
Thank you very much indeed.