Occlusal Files

Sequencing a Full-Mouth Rehab: Anterior or Posteriors First?

Sequencing a Full-Mouth Rehab: Anterior or Posteriors First?

April 26, 2024 |

The correct sequence to begin a full-mouth rehab is tobegin with the anterior teeth first, particularly the…

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woman suffering from TMD pain

Navigating TMD: Exploring Practice Transformation

April 19, 2024 |

How Studying and Treating TMDTransformed One Dentist’s Practice for the Better By: Michelle Lee, DDS When Dr….

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patients who have more pain after wearing a b-splint

Q&A with Dr. Hess: Patients Who Have More Pain After Wearing a B-Splint

April 12, 2024 |

By: Dr. Leonard A. Hess, DDSClinical Director, The Dawson AcademyThe Article Originally Appeared on TheDawsonAcademy.com Question: What…

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occlusal muscle

How to Discover Occlusal Muscle Disorders

March 29, 2024 |

By: Dr. Leonard A. Hess, DDSClinical Director, The Dawson AcademyThe Article Originally Appeared on TheDawsonAcademy.comLearn about Occlusion…

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Fixed-Implant-Bridge

Considerations of Treatment Planning a Maxillary Implant Prosthesis

March 15, 2024 |

By: Dr. Leonard A. Hess, DDSClinical Director, The Dawson AcademyThe Article Originally Appeared on TheDawsonAcademy.comLearn about Occlusion…

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stabilize the joints

How to Stabilize the Joints

March 8, 2024 |

By: Dr. Leonard A. Hess, DDSClinical Director, The Dawson AcademyThe Article Originally Appeared on TheDawsonAcademy.comLearn about Occlusion…

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centric relation

How Do You Know If You Achieved Centric Relation?

March 1, 2024 |

By: Dr. Leonard A. Hess, DDSClinical Director, The Dawson AcademyThe Article Originally Appeared on TheDawsonAcademy.comLearn about Occlusion…

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load test tmjs

Dentists: Why Should You Load Test the TMJs?

February 23, 2024 |

By: Dr. Leonard A. Hess, DDSClinical Director, The Dawson AcademyThe Article Originally Appeared on TheDawsonAcademy.com Properly loading…

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changing vertical dimension

Changing Vertical Dimension: When is it Safe?

February 16, 2024 |

By: Dr. Leonard A. Hess, DDSClinical Director, The Dawson AcademyThe Article Originally Appeared on TheDawsonAcademy.com If you…

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How Does the Occlusal Plane Relate to the Anterior Teeth? By: Dr. Leonard A. Hess, DDS Clinical Director, The Dawson Academy The Article Originally Appeared on TheDawsonAcademy.com One of the most common mistakes I see in occlusal restorations is also the easiest mistake to observe. It is interference of the posterior teeth with the anterior guidance. A perfected occlusion allows the anterior teeth to contact in centric relation simultaneously and with equal intensity with the posterior teeth. This harmony of contacts occurs with complete seating of the condyles at their most superior position, which is bone braced. This means that there is an ideal distribution of compressive contact starting at the TMJs, and continuing all the way through front tooth contact. This is the contact distribution that we want for centric relation. When the jaw moves from centric relation, in a perfected occlusion only the anterior teeth contact. All posterior teeth distal to the cuspids should immediately separate. This is called “posterior disclusion”. Separation of the posterior teeth should occur, whether the jaw moves forward, left, or right from centric relation. The reason that posterior disclusion is such a desired effect is that the moment the posterior teeth separate, almost all of the elevator muscles shut off. This reduces the horizontal forces against the anterior teeth which are carrying all the forces in protrusive or lateral movements of the mandible. it also reduces the loading forces on the TMJ’s. But even more importantly, it is impossible to wear or overload the posterior teeth if they cannot rub. Keep Reading: How to Use Splints in Your Treatment Plan

How Does the Occlusal Plane Relate to the Anterior Teeth?

February 9, 2024 |

By: Dr. Leonard A. Hess, DDSClinical Director, The Dawson AcademyThe Article Originally Appeared on TheDawsonAcademy.com One of…

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