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Thank you for an informative article on restoring a bruxism patient with veneer. I want to restore them but I don't know how to get them into proper occlusion. My occlusion knowledge is limited to what they taught in dental school from 1992-1996.
Views: 1361 Created: 10/14/2010 20:52 Last Updated: 10/14/2010 20:52


In the end you’ll discover that in most cases, simply providing for a canine-protected occlusion in lateral excursions, stable centric contact, and two tooth contacts in protrusive (that is two centrals touching in a protrusive excursion) will be all you need for the case to succeed. This means the lab should mount the case on a semi-adjustable articulator so that they can create this for you. You will fine tune it once the case has been luted in place.

In most maxillary 8-to-10-unit cases, you will simply be recording whatever their habitual bite is (CO or centric occlusion). You don’t usually have to be concerned about the CR until as all of the upper teeth have been prepped . . . as in full arch Rehabs.

I’m fairly convinced that most bruxism damage occurs during sleep . . . so needless to say, a night guard is the key component.