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Have you ever prepared the last molar for a crown? And just when you check the occlusal reduction, the patient bites down and as if by magic, the reduction has all DISAPPEARED?! It is the phenomenon that we call ‘The Last Tooth in the Arch Syndrome’
This episode with Dr. Mahmoud Ibrahim will give you more confidence in recognizing, screening, and managing such complications in practice. But like I say in the main episode, optimistically, this phenomenon will never happen to you AGAIN if you follow these protocols for screening.
Protrusive Dental Pearl: Watch out for the patient with quite flat teeth as they are more susceptible to the last tooth in the arch syndrome / bite change. They do not have good posterior coupling/stability and therefore more likely to ‘forget’ their bite as the cuspal inclines do not guide the mandible back in to maximum intercuspation.
Highlights of this episode:
- 2:41 Protrusive Dental Pearl
- 6:09 Introduction to Dr. Mahmoud Ibrahim
- 9:34 What is Centric relation?
- 10:45 Last tooth in the arch syndrome
- 13:14 Risk assessment for Last Tooth in the Arch Syndrome
- 15:52 Screening patient’s CRCP and the degree of slide
- 17:33 Leaf Gauge protocol for screening CRCP
- 30:23 Communication with High-risk patients
- 34:35 Case Discussion
- 44:36 Management of space loss after preparation
- 46:24 Dr. Mahmoud’s top tips to prevent the ‘Last Tooth in the Arch Syndrome
- 58:47 Occlusion Basics and Beyond
Dr. Mahmoud Ibrahim and I are currently working on a huge project called OBAB, Occlusion Basics and Beyond – it will be the best occlusion resource in the Milky Way…and that’s our mission! We want to finally demystify Occlusion and make it Tangible AF!
Join the waiting list HERE!
If you loved this episode, you will like If You are Not In Centric Relation, You Will Die
