The Value of Occlusion in Dentistry: A Clinical Report Showing the Correction of an Anterior Reverse Articulation with Selective Occlusal Adjustment

Abstract

The subject of occlusion has been deemphasized by academia over the last 30 years. This marginalization in turn has negatively impacted recent graduates who are largely unfamiliar with the use of occlusal adjustment by selective reshaping as a treatment modality. Use of proper occlusal therapy enables clinicians to more effectively help patients recover from parafunctional wear of the anterior and posterior teeth. In addition, familiarity with this field enhances the correction of progressive posterior and anterior reverse articulations. This article aims to highlight the importance of occlusal principles in treatment planning. In addition, we illustrate the benefits of occlusal adjustment by using a conservative technique, selective reshaping, as an option to correct anterior reverse articulation in a 20-year-old patient. The knowledge of occlusal principles enhances diagnosis of malocclusion in the development of a treatment plan. When properly employed, the technique of occlusal adjustment by selective reshaping may be used to correct an adaptive anterior reverse articulation with a high degree of predictability for select patients.

Relationship between Occlusal Factors, Oral Parafunctions and Temporomandibular Disorders: A Case Control Study

“…In addition, a future study could investigate the role of iatrogenic malocclusions in the development of TMD, compared to natural malocclusions. Some authors have highlighted the efficiency of treatments such as selective grinding in the correction of occlusal problems and TMDs [19,20]. However, the American Association of Dental Research advises first a non-invasive and reversible treatment [21].…”