Dentistry is said in the end to be occlusion, which is based upon centric relation. As is often the case, more than 90% of adults have some occlusal problems.
Centric prematurity and occlusal interferences will result in occlusal disorders when the adaptability of the living body deteriorates because of various stresses. It is easily supposed that the mortalityrate will get higher and higher in such stressful and technologically developed times as today.
Since January of 1975, we obtained 705 cases of symptoms of occlusal disorders as main complaints. There were many who turned out to have been suffering from occlusal disorders after occlusal analysis in centric relation had been done by dentists. Even though these patients had no initial complaints a closer inspection revealed a number of occlusal disorders.
Examining with a study cast mounted on an articulator in centric relation, we can find prematurity and occlusal interference thus revealing occlusal disorders. As a result, the patient learns that usage of an articulator makes it possible for certain restorations. This draws from the patient reliability in the dentist and recognition of the value of the restoration.
It is feared that restorations made in intercuspal occlusal position might be adjusted to the cavity of occlusal dispositions. In case the previously mounted restoration has an occlusal disorder, even the newly made restoration, so far as it is copied from the previous one, might also cause further occlusal disorders.
In order to obtain real trust from the patients, every restoration must be prepared in centric relation. Through the initial diagnosis and the subsequent treatment, we should explain to the patients the necessity of physiologically appropriate occlusion.
Occlusal diagnosis and treatment is the very best starting point for every dentist.
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