It seems as though occlusion is having its second…third or even fourth renaissance. Key Topics in Restorative Dentistry is one of many platforms that have provided teaching or lecturing on the somewhat expansive subject. One aspect of ‘occlusal theory’ is that pathology can stem from the presence of less than ideal static or dynamic contacts and that the aim of ‘occlusal treatment’ would be to manage occlusal contacts in such a way to prevent  periodontal disease or indeed TMD.

This process of occlusal diagnosis through the utilization of clinical and laboratory based examination followed by selective management or modification of contacts is otherwise known as ‘occlusal adjustment’. There are still advocates of this technique   (I don’t happen to be one of them) despite this I think it would be interesting for you to see these three digital sources I have found.

The first paper by McHorris provides an excellent synopsis of the mechanics of the temperomandibular joint with beautiful diagrams despite being quite dated. The second ,Clark & Adler, evaluates the ethos behind occlusal adjustment and gives a comprehensive overview of the literature associated. The last link, and the most modern of the resources, is to a prose from University of Toronto in the provision of occlusal adjustment with a video for your perusal.

Probably the best thing to ask yourself as a clinician is, would I have this done to myself !

AA

Occlusal Adjustment by selective grinding by McHorris

A critical evaluation of occlusal therapy: Occlusal adjustment by Clark & Adler

The rationale for occlusal adjustment by Ghilzon