Occlusion in Restorative

Teeth
SUPERVISOR :DR. MOHSEN ALHAMZY
DONE BY : DR. SAMAH ISKANDER
 While placing a restoration a dentist must make an effort
to create an occlusion that best suits with oral environment.
How it is achieve?
By good occlusion
 Good occlusion is that which is comfortably adapted by
the patient.
 Restorationsis designed in a manner that it does not
produce any disturbance in the normal condylar path.
 It should not cause any deviation in the mandible while
closure.
While developing a restoration care is taken that:

Occlusal morphology is reproduced in such a manner

that when a mouth is closed there is a maximum stability of
the mandible and minimum amount of force placed on each
tooth in function.
Important of occlusal + incisal morphology :

The magnitude and direction of load on tooth get

influenced by occlusal anatomy.

Here it comes the important of carving

classes
Direction of forces influenced by occlusal morphology:
Morphology we want to achieve:
Undesirable occlusion:
 POSTERIOR
RESTORATIONS
Restoration of posterior tooth/teeth:

Restoration should be in a harmony with favorable load

distribution .
Restoration of posterior tooth/teeth:

 The process of directing occlusal surface through the long

axis of the tooth is known as axial loading.
 It can be achieved by :
1- Cusp tip to fossa contact.
2- Surface to surface contact.
3- Tripod contacts.
Restoration of posterior tooth/teeth:
Improper force can cause:
 ANTERIOR
RESTORATIONS
Restoring anterior teeth:

5 important goals in occlusal treatment depend on correct

lower incisal edges :
 1.Esthetics: During speaking, the most visible part of the
dentition is the incisal half of the lower anterior teeth.
Also, correct positioning of the upper anterior teeth
depends on correct lower incisal edge placement.
Restoring anterior teeth:

 2.Phonetics: The relationship between the lower incisal

edges and the opposing tooth surfaces are critical to the
formation of various sound patterns.

 3. The occlusal plane: The lower incisal plane is the

starting point in front for the occlusal plane.
Restoring anterior teeth:

 4. The anterior guidance: The lingual surfaces of the

upper anterior teeth are determined by how the
mandible, in function, moves the lower incisal edges.

 5. Stability: Long-term stability depends on harmony

between the teeth and the structures that relate to them
in function.
Restoring anterior teeth:

 Restore their normal shape and contour. On mouth

closing no heavy contacts should be present between the
upper and lower anterior teeth.
 In buccal, lingual or anteroposterior movements, the
upper and lower teeth should bypass their opponents
without contact.
 Unfavorable distribution of load may cause pain, mobility
and drifting. That’s why its important to conform to this
outline.
Two main complications in restoring tooth/teeth:

High restoration

Low restoration
Effects of high restorations?

 Pain in individual tooth.

 Repeated failure.
 Opposing tooth wearing.
 Difficulty in chewing .
 In sever cases , pain associated with muscles and TMJ.
 Facial pain.
Low restoration

Low amalgam restoration

low composite filling
 Mouth being the best articulator for any deficiency in
occlusal morphology.
 It should be corrected by adequate occlusal
adjustment.
Occlusal adjustment:

 It is made by selective reshaping and grinding.

 To achieve this, it is necessary to evaluate the occlusion
first.
Evaluation of occlusion:

 After completeing amalgam , composite restorations or

delivering an inlay/onlay or crown, occlusal evaluation
should be performed to ensure that the inter cuspal
contact are stable.
Patient position:

 Upright
 Frankfort line horizontal to floor
 Unsupported head
Use of Gnathosonics

 It is the use of sound to assess occlusal contacts.

 Patient asked to tap his teeth together slowly and then
forcefully in intercuspal position.
 Good occlusion: sound of tooth contact will be sharp,
reproducible and solid.
 Poor occlusion: sound of tooth contact will be dull , soft
with sliding sound.
Use of tooth marking

 Articulating paper.
 Articulating ribbons.
 Waxes.
 Sprays and paints.
What should we see:
 Thetooth markings should be appropriate cusp –
fossa contacts or cusp- marginal ridge contacts.
 The contacts should be multiple and bilaterally
distributed.
What should’t we see:
Absence of contacts on the restored tooth/teeth.
Excessive contact on restored tooth/teeth.
References:
Thank you