Full mouth rehabilitation

Occlusal Disease Evaluation and Treatment

“Dental Occlusion” is the way the teeth of both the jaws (upper maxillary and lower mandibular) come together in functional contact during activity of the mandible.

“Occlusal Disease” refers to the abnormality in this functional contact that impairs the normal physiological functions of the mouth like Mastication (chewing),Speech and Esthetics.

7 Signs and symptoms of Occlusal Disease:

  1. Pathological tooth wear, chipping or fractures
  2. Tooth hypersensitivity
  3. Tooth Hypermobility
  4. Fremitus
  5. Abfractions
  6. Severe localized bone destruction (secondary to periodontal disease)
  7. Muscle pain and TMJ pain

Stages in Occlusal Disease Evaluation and treatment::

Stage 1: Initial Occlusal and TMJ Evaluation (for all patients)

Stage 2: Record Taking Visit (for patients with Occlusal Disease)-Allows to gather necessary information for final diagnosis. This has 2 components-the occlusal portion (function) and the esthetic portion

Stage 3: Treatment as discussed with the patient-Occlusal disease can’t be cured but only successfully managed by restorative options and regular use of  Nightguard  or Splint as determined by the Doctor after full mouth Rehabilitation using very conservative approaches.

Stage 4: Post-operative maintenance visits.

“There can only be one correct diagnoses, but there can be many treatments for that diagnosis”- Hippocrates

So based on Patients goals we come up with a treatment plan where form of the teeth (esthetics) follows the function (good occlusion based on the 3 Golden rules-Bilateral even contacts, Posterior Disclusion  ie anterior and canine rise, Unobstructed envelop of function) for predictable and successful treatment outcomes which are very fulfilling for both the patients and the practice.