Dentaltown April 2013 - (Page 60)

prosthodontics feature rd owa MD by H olen, D s Cha Few topics in dentistry evoke emotion or create confusion like occlusal-related topics. Concepts for making bite records for crown and bridge reconstruction are no different and can be oversimplified or overcomplicated depending on the clinical scenario. Treatment involving a single crown requires less sophistication in bite recording and is generally made using a conformative or existing intercuspal recording (MIP). Recording a bite for preparations in a free end quadrant can be more complicated because there are no occlusal stops in the quadrant being restored. However, there are generally enough existing intercuspating teeth to enable a bite record that does not require assignment of a new vertical dimension or a condylar position. When a full arch has been prepared and there are no longer any occlusal anatomical landmarks present, it may be challenging to arbitrarily assign a vertical dimension and condylar position and accurately record it. 60 APRIL 2013 » Before one can make any bite record, they must have a goal in mind. In the case of the single tooth crown, the goal is generally to restore the crown in harmony with the established occlusal scheme. This means allowing the existing intercuspal position to dictate the occlusion without making any alterations to the vertical dimension or the condylar position. In the case of the free end or distal extension quadrant, the goal is generally no alteration of the vertical dimension or condylar position either. However, when a full arch is being restored at one time, we have the opportunity to establish any vertical dimension or condylar position we desire. This topic alone could generate many hours of discussion. I would like to assume in this article the vertical dimension has been established in the new provisional and approved by the patient. Therefore, the provisional restoration maintains the vertical dimension for the bite record.

Table of Contents for the Digital Edition of Dentaltown April 2013 Highlights
Howard Speaks: What Winners Do and Losers Don’t
Professional Courtesy: Three Cheers for IT
Continuing Education Update
Dentaltown Research: Lasers
“Funny Feeling” on Lower Right Jaw
Missing Laterals, Bonded Maryland Bridges, Ribbond or Something Else?
Corporate Profile: Henry Schein
New Products
Office Visit: A Giant in Dentistry
Do-it-Yourself Finance, Part V: Insurance
Two Techniques to Make a Bite Record for a Full-arch Case
Team Strength: What Drives Your Team to Do More?
Living by the Golden Dozen
Diagnosing Aesthetic Disharmonies
Cosmetic Case Presentation
Using Tetric EvoCeram Bulk Fill to Easily and Predictably Place Direct Posterior Restorations
Continuing Education: Utilizing Laser Procedures for Restorative Access
Product Profile: Imaging Sciences International’s i-CAT FLX
In This Issue: Preparing for the Future
Perio Reports
Ad Index
Profile in Oral Health: The RDH’s Approach to Periodontal Therapy: Past, Present and Future
Perio Maintenance
Dentally Incorrect
Dentaltown Special Supplement
Product Profile: Zimmer Dental
Full Lower – Converted to Immediate Load
Immediate Placement #19 and 20 with BSB
American Academy of Implant Dentistry 62nd Annual Meeting Preview
Raising Your Denture Patient to a Higher Standard
Back to the Future – Extractions and Small Diameter Implants for Overdentures
Continuing Education: Top Implantology Breakthroughs for the GP: Part 2

Dentaltown April 2013