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 Occlusal Bite Adjustment  
Dentist NC Charlotte North Carolina

 Charlotte Dentist Occlusal Bite Adjustment Occlusion North Carolina NC 

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In my opinion a comprehensive occlusal (bite) adjustment or occlusal equilibration is one of the best services we can provide our Charlotte NC area patients. Done properly, along with other bite balancing procedures, this procedure will eliminate all the problems of occlusal (bite) disease. The official ADA term of a comprehensive occlusal adjustment is Occlusal Adjustment , Complete. In my Charlotte North Carolina office this procedure is completed on a patient only after an Occlusal (Bite) Analysis, Mounted Case is completed. As part of this analysis, the models of the teeth are adjusted before adjusting or equilibrating the teeth for the patient. 

Mounted models from an Occlusal Analysis (top).Adjustment are made on the models before adjusting the teeth (bottom). 

Close up of unbalanced and traumatic contacts on teeth. 

Ideal contacts on teeth at initial closing. 

Contacts on teeth after an occlusal adjustment 

The following pictures shows a unbalanced contact (red spot) of a tooth being adjusted or equilibrated with a dental handpiece. This type of adjustment done delicately and does not damage the tooth:

Miscellaneous statements from text and research sources: 

"occlusal adjustment, the intentional mechanical grinding of selected biting surfaces of teeth to improve the contact of or relationship between opposing tooth surfaces, their supporting structures, the muscles of mastication, and the temporomandibular joints."

"equilibration: Reshaping of the occlusal surfaces of teeth to create harmonious contact relationships between the upper and lower teeth; also known as occlusal adjustment." 

"Properly diagnosing an occlusal interference and correcting it with proper equilibration is one of the most valuable treatments you can perform for your patients." 

"Occlusal adjustment, complete (D9952): Occlusal adjustment may require several appointments of varying length, and sedation may be necessary to attain adequate relaxation of the musculature. Study casts mounted on an articulating instrument may be utilized for analysis of occlusal disharmony. It is designed to achieve functional relationships and masticatory efficiency in conjunction with restorative treatment, orthodontics, orthognathic surgery, or jaw trauma when indicated. Occlusal adjustment enhances the healing potential of tissues affected by the lesions of occlusal trauma." 

"Failure to detect and treat occlusal disharmony leads to an array of problem. A stitch in time saves nine. Occlusal equilibration is an excellent example to justify this proverb and for better understanding this concept it is very essential to know in detail about the development, gross anatomy and histology of temperomandibular joint. Together with the basic Knowledge of TMJ this book gives an in detail practical approach of occlusal equilibration of natural dentition." 

"Temporomandibular dysfunction has been considered to have a multifactorial etiology, which seems to be related to: genetic, physiologic, traumatic, pathologic, environmental, and behavioral factors. Nonworking side contacts, slides between RP-IP, increased vertical or horizontal overlap and lost of occlusal stability due to missing posterior teeth are all occlusal factors related to signs and symptoms of TMD. Although some authors state that many individuals are capable to adapt to occlusal discrepancies within tolerable limits, without the presence of signs and/or symptoms or TMD, the clinical practice shows that it is not possible to predict whether the patient will adapt or not, and to establish the tolerance limits of each patient. Thus, the professional should always try to establish an harmonic occlusal relationship, avoiding the presence of prematurities and/or interferences that might possible cause any type of dysfunction. In the presence of muscular tenderness an occlusal cause should be suspected. Occlusal adjustment must be employed only when an occlusal disarrangement is noted because it should be considered preventive treatment and not a prophylactic one. Since TMD etiology is multifactorial a multidisciplinary treatment must be considered in other to better treat the patients, gathering the following areas: Dentistry, Physiotherapy, Psychology, and Medicine."