04/10/2025
Ready for that action! No more gap, no more headaches, no more broken teeth.
This was a tough one, but one of Dr. Kerst's proudest moments in radically changing a bite by thinking comprehensively.
For the dentists in the room: this gentleman had spent years breaking anterior patch jobs, with fillings coming off every few months - to the point he just gave up.
Insert Bite records ÷ Trial Equilibration.
4 crowns, composite bonding on #6 & #11, and equilibration on molars gave us this. After establishing TM joint health, we created stability in provisionals, bonded to the incisal surfaces to establish canine guidance, and equilibrated posterior teeth to remove second molar guidance in laterotrusive movements.
Now, when he moves left and right, muscle activity decreases significantly (D. Fitins, A. Sheikholeslam. Swed. Dent. Journal 1993. Vol. 17) and headaches have subsided.
Thanks for the best education on occlusion for dentists!
