Confirmative, Re – organized or
Unorganized
Stephen Davies
INDIAN DENTAL ACADEMY
Leader in continuing dental education
www...
INtroduction
• Most restorative dentistry has the potential
to cause a change in the patients
occlusion. Denstists should ...
Examination
How to examine occlusion
www.indiandentalacademy.com
• Articulating paper –
• Red – 009
• Blue 010
• Thickness – not more than 40 microns
www.indiandentalacademy.com
Sequence of using articuating
paper
• Dynamic occlusion
• Static occlusion
• First mark the dynamic occlusion using
the re...
Why record the dynamic followed
by static
• If static occlusion marks are made first,
when the dynamic occlusion marks are...
Reasons to carry out examination
before restortive procedures
• Can restorations be given within the
Confirmative approach...
Confirmatory approach
• The conformative approach is defined as
the provision of restorations ‘in harmony
with the existin...
Re – organized approach
• When pretreatment occlusal examination
indicates that a sufficient number of occlusal
contacts a...
• The tooth level
An ideal occlusion will provide:
• Multiple simultaneous contacts
• No cuspal incline contacts
• Occlusa...
• The articulatory system level
An ideal occlusion will provide:
• Centric Occlusion occurring in Centric
Relation
• Freed...
www.indiandentalacademy.com
• The essential difference between the
examination of the patient who is going to
be restored to the re – organized
approa...
Restoring a patient to re –
organized approach
• Examination
– Examine all the elements of the articulatory
system. To dia...
Records
www.indiandentalacademy.com
Schottlander occlusal sketch
www.indiandentalacademy.com
Steps to restoring to the re-
organized approach
• To find centric relation ( stabilization splint or
lucia’s jig)
• Equil...
Re – organizing occlusion
• EDEC principle
E – examine the preoperative occlusion
( examination phase)
D – design the rest...
Good occlusal practice in
advanced restorative dentistry
BRITISH DENTAL JOURNAL, VOLUME 191, NO. 8,
OCTOBER 27 2001
www.in...
When confirmatory approach is not
needed
• An increase in vertical height is wanted or
indicated
• A tooth or teeth is/are...
Planning the restoration
www.indiandentalacademy.com
www.indiandentalacademy.com
www.indiandentalacademy.com
www.indiandentalacademy.com
www.indiandentalacademy.com
Custom incisal guidance
www.indiandentalacademy.com
The examination and recording
of the occlusion: why and how
BRITISH DENTAL JOURNAL,
VOLUME 191, NO. 6,
SEPTEMBER 22 2001
w...
Recording cr
www.indiandentalacademy.com
www.indiandentalacademy.com
www.indiandentalacademy.com
Checking anterior guidance
www.indiandentalacademy.com
www.indiandentalacademy.com
www.indiandentalacademy.com
Thank you
For more details please visit
www.indiandentalacademy.com
www.indiandentalacademy.com
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Confirmative, re – organized or unorganized/ dental continuing education courses

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Indian Dental Academy: will be one of the most relevant and exciting

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for dental professionals who wish to advance in their dental

practice,Offers certified courses in Dental

implants,Orthodontics,Endodontics,Cosmetic Dentistry, Prosthetic

Dentistry, Periodontics and General Dentistry.

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Confirmative, re – organized or unorganized/ dental continuing education courses

  1. 1. Confirmative, Re – organized or Unorganized Stephen Davies INDIAN DENTAL ACADEMY Leader in continuing dental education www.indiandentalacademy.com www.indiandentalacademy.com
  2. 2. INtroduction • Most restorative dentistry has the potential to cause a change in the patients occlusion. Denstists should avoid unplanned occlusal change, because it may lead to iatrogenic problems or restorative failure. www.indiandentalacademy.com
  3. 3. Examination How to examine occlusion www.indiandentalacademy.com
  4. 4. • Articulating paper – • Red – 009 • Blue 010 • Thickness – not more than 40 microns www.indiandentalacademy.com
  5. 5. Sequence of using articuating paper • Dynamic occlusion • Static occlusion • First mark the dynamic occlusion using the red articulating paper. • Next mark the static occlusion by using the blue articulating paper. www.indiandentalacademy.com
  6. 6. Why record the dynamic followed by static • If static occlusion marks are made first, when the dynamic occlusion marks are made it will rub off the static occlusion marks during excursive movements www.indiandentalacademy.com
  7. 7. Reasons to carry out examination before restortive procedures • Can restorations be given within the Confirmative approach, or the re – organized approach. www.indiandentalacademy.com
  8. 8. Confirmatory approach • The conformative approach is defined as the provision of restorations ‘in harmony with the existing jaw relationships’. In practice this means that the occlusion of the new restoration is provided in such a way that the occlusal contacts of the other teeth remain unaltered. www.indiandentalacademy.com
  9. 9. Re – organized approach • When pretreatment occlusal examination indicates that a sufficient number of occlusal contacts are going to be destroyed or changed, it may be impossible to keep the same occlusion; i.e we cannot comfirm. • The objective for re –organized approach is to provide an occlusion that is more ideal www.indiandentalacademy.com
  10. 10. • The tooth level An ideal occlusion will provide: • Multiple simultaneous contacts • No cuspal incline contacts • Occlusal contacts that are in line with the long axis of the tooth • Smooth and, wherever possible, shallow guidance contacts www.indiandentalacademy.com
  11. 11. • The articulatory system level An ideal occlusion will provide: • Centric Occlusion occurring in Centric Relation • Freedom in Centric Occlusion • No posterior interferences (anterior guidance at the front of the mouth). www.indiandentalacademy.com
  12. 12. www.indiandentalacademy.com
  13. 13. • The essential difference between the examination of the patient who is going to be restored to the re – organized approach and one to be restored to the confirmative approach is in ‘ Jaw Realtionship’. www.indiandentalacademy.com
  14. 14. Restoring a patient to re – organized approach • Examination – Examine all the elements of the articulatory system. To diagnose any preexisting TMD. – To determine the CR position www.indiandentalacademy.com
  15. 15. Records www.indiandentalacademy.com
  16. 16. Schottlander occlusal sketch www.indiandentalacademy.com
  17. 17. Steps to restoring to the re- organized approach • To find centric relation ( stabilization splint or lucia’s jig) • Equilibration of standing teeth • Diagnostic wax up • Preparation of teeth and construction of provisional restorations • Provisional restorations • Definitive restorations • The post operative stabilization splint www.indiandentalacademy.com
  18. 18. Re – organizing occlusion • EDEC principle E – examine the preoperative occlusion ( examination phase) D – design the restoration ( planning phase) E – execute the design (The pre-definitive restoration treatment phase) C – check the restoration ( the definitive treatment phase) www.indiandentalacademy.com
  19. 19. Good occlusal practice in advanced restorative dentistry BRITISH DENTAL JOURNAL, VOLUME 191, NO. 8, OCTOBER 27 2001 www.indiandentalacademy.com
  20. 20. When confirmatory approach is not needed • An increase in vertical height is wanted or indicated • A tooth or teeth is/are significantly out of position (ie overerupted, tilted or rotated) • A significant change in appearance is wanted • There is a history of occlusally related failure or fracture of existing restorations • Reccurence of a temporomandibular disorder that has relapsed after a period of successful splint therapy www.indiandentalacademy.com
  21. 21. Planning the restoration www.indiandentalacademy.com
  22. 22. www.indiandentalacademy.com
  23. 23. www.indiandentalacademy.com
  24. 24. www.indiandentalacademy.com
  25. 25. www.indiandentalacademy.com
  26. 26. Custom incisal guidance www.indiandentalacademy.com
  27. 27. The examination and recording of the occlusion: why and how BRITISH DENTAL JOURNAL, VOLUME 191, NO. 6, SEPTEMBER 22 2001 www.indiandentalacademy.com
  28. 28. Recording cr www.indiandentalacademy.com
  29. 29. www.indiandentalacademy.com
  30. 30. www.indiandentalacademy.com
  31. 31. Checking anterior guidance www.indiandentalacademy.com
  32. 32. www.indiandentalacademy.com
  33. 33. www.indiandentalacademy.com
  34. 34. Thank you For more details please visit www.indiandentalacademy.com www.indiandentalacademy.com

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