Stop Blaming Bruxism! How to Spot Frictional and Constricted Chewing Patterns (CCP) – PDP141

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Do you blame bruxism for every time you observe attrition? As you know, I’m no stranger to occlusal appliances, but often they may be inappropriate for the patient who is causing their wear during FUNCTION and not so much during parafunction.

Maybe it’s time for us to start looking at different aetiologies of attrition and this is what the wonderful Dr. Sandra Hulac breaks down for us in this banger of an episode.

We also discussed the differences between frictional and constricted chewing patterns, which are often confused with each other. We share some case examples and discuss how to correctly diagnose these types of chewing patterns.

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The Protrusive Dental Pearl: Acknowledge, understand, and believe the fact that often our patient’s centric relation (CR) is NOT more distal/posterior to their maximum intercuspation (MIP) – it can actually be anterior to their MIP!

Highlights of this episode:

• 2:43 The Protrusive Dental Pearl
• 6:01 Dr. Sandra Hulac’s Career Journey and Inspirations 
• 18:22 What is a Constricted Chewing Patterns (CCP)?
• 25:43 How to spot for CCP (Constricted Chewing Pattern)?
• 30:12 Frictional envelope vs constricted envelope
• 37:31 Case Discussion

Dr. Mahmoud and I are also excited to share the occlusion that we learned over the years –  in a way that you have never seen before!

Occlusion: Basics and Beyond is the most tangible, real-world, and comprehensive occlusion training on the planet.

LIMITED DELEGATE SPOTS DUE TO STARTER KIT STOCK – AVOID DISAPPOINTMENT! Occlusion Online Course

If you enjoyed this episode, check out How to use Injectable Composites to Treat Toothwear

Continuing Education Information

This activity may be eligible for continuing education credit through Protrusive Guidance. Participants must complete the associated quiz inside Protrusive Guidance to obtain CPD certification.

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