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News Bulletin : ADA News Bulletin September 2010
26 SEPTEMBER 2010 no false advice Please contact Garry Pammer, Alison Lacey or Heath Stewart on: Telephone (02) 9264 1111 Fax (02) 9264 1344 email firstname.lastname@example.org website clarkjacobs.com.au Dental specialists for over 20 years aesthetic update After polishing the restorations, the patient was dismissed with a 20 minute recall appointment within the next two weeks. Some patients may complain initially about lack of occlusion in their lateral segments. However, the author is unaware of a patient who was unable to adjust to their new occlusion. RECALL Over the next two weeks the bite had time to settle in and fine tuning of the occlusion was carried out. As the composite resin continued to polymerize over this time, further polishing enabled a superior lustre of the restorations to be achieved (Fig 6). OCCLUSION WITHIN THE LATERAL SEGMENTS Clinical experience with this procedure for over 20 years has shown the development of a lateral occlusion occurs within the next 18 months. Not by over eruption of the teeth, but movements of the alveolar plates to bring the teeth back into occlusion. This is possibly due to stretching the muscles of mastication causing them to realign the bony skeleton into equilibrium again. CONCLUSIONS This relatively simple procedure creates a fixed occlusal splint which requires minimal tooth removal and is reversible within the first month or so. Apart from improving a patient's dental aesthetics and facial profile, this technique has been of assistance to people with chronic neck and TMJ pain. If there has been excessive wear on the upper incisors, direct laminates may be placed on these teeth as well. Annual maintenance visits to adjust the occlusion and prevent premature contacts occurring around the perimeter of the build- ups will reduce the chance of fracture and enable patients many years of improved aesthetics and oral comfort. DISCLAIMER The statements made in the above article are published on the authority of the author and have not been peer-reviewed. They do not necessarily reflect the views of the ADA and publishing them is not to be regarded as an endorsement of them by the ADA. "This relatively simple procedure creates a fixed occlusal splint which requires minimal tooth removal and is reversible within the first month or so." Fig 6.
ADA News Bulletin August 2010
ADA News Bulletin October 2010