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Building on from Basics of Occlusion Part 1, I am joined Dr Mahmoud Ibrahim who takes us on his journey from hating Dentistry to eventually loving occlusion and aesthetic Dentistry. We geek out over occlusal contacts, the occlusal examination and freedom in centric!
Protrusive Dental Pearl: When you’re checking occlusion after placing your restoration, check on the contralateral side with the articulating paper (19 microns, for example) to see if it is ‘passing through’. If it does pass through, double up the articulating paper (now 38 microns). You can keep doubling-up if you need to, until the paper holds. How does this help? You’ll know right away if you need to adjust anything, and if so, you’ll get a better idea of how much adjustment is likely.
“Keep everything nice and smooth, the patient has nothing to grab hold of and push against. That’s probably going to make sure your restorations last a lot longer.” – Dr. Mahmoud Ibrahim
Jaz Edit to the above quote: By ‘Smooth’ we don’t mean highly polished or glazed. We refer to the movements of the mandible being smooth, rather than jerky or abrupt.
3-minute Occlusal Examination PDF – Click here
In this episode, we talked about:
- 7:59 Mahmoud’s journey in Falling in love back to Dentistry
- 13:16 Tripodized Contacts
- 19:55 How to maximize cusp to fossa
- 26:54 Bonus little trick on avoiding high restorations
- 28:40 What do we check in a basic occlusal examination?
- 38:15 Freedom from Centric/Freedom in Centric
- 49:11 Relevance of the Centric Relation Contact Point
- 56:41 Disadvantages of doing MIP vs Centric Relation Contact Point
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If you loved this, be sure to watch the Part One of the Basics of Occlusion!
[…] If you enjoyed this episode, check this another episode by Dr. Mahmoud Ibrahim, Next Level Occlusion (Basics Part 2). […]