Functional Occlusion: From TMJ to Smile Design First by Peter E. Dawson DDS

By Peter E. Dawson DDS

This e-book makes use of an interdisciplinary method of clarify the foundation of and attainable options to many various occlusal difficulties. Dr. Peter E. Dawson courses the reader alongside the best way offering balanced motives of thought and strategy. He additionally debunks many renowned misconceptions via functional dialogue in their origins and the deficiencies of the arguments at the back of them. diversified facets of many philosophies are offered whereas guiding the reader to the main sensible and esthetic approach to a variety of occlusal occasions. hundreds and hundreds of full-color pictures, illustrations, and diagrams express features of the masticatory method, the epidemiology of occlusal difficulties, and techniques for locating the best occlusion. even if the reader is a basic dentist or a expert, they'll locate this publication appropriate to their remedy tools and philosophies.OUTSTANDING FEATURESSpecial atlas sections holiday down complicated details followed via descriptive diagrams and images to additional clarify resources of occlusal issues and comparable pain.Hundreds of full-color photos and illustrations convey difficulties and procedures.Procedure bins supply step by step causes of particular procedures.Important concerns containers within the therapy chapters define remedies and describe what's to be accomplished.Programmed therapy making plans, a selected method that courses a clinician via each step for fixing even the main complicated restorative or esthetic challenge.The position of TMJs and occlusion in "everyday" dentistry.The position of occlusion in orofacial discomfort and TMD, and in anterior esthetics.Simplified occlusal equilibration and the way to provide an explanation for this technique to patients.The sensible matrix thought for extraordinary, foolproof smile design.The 5 recommendations for occlusal correction and the way to use them to practice.Use and abuse of occlusal sprints.Coordinating occlusal therapy with experts for an absolutely interdisciplinary approach.Specific standards for achievement and the way to check for every.

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Extra info for Functional Occlusion: From TMJ to Smile Design First Edition-2007

Example text

The articular eminence forms the anterior part of the articular fossa. Because of the slightly forward pull of the elevator muscles, the condyles are always held firmly against the eminence (with the disk interposed). Of great importance is the strongly convex contour of the eminence. Since the anterior aspect of the condyle is also convex, one can see the purpose and the importance of the biconcave articular disk that fits between the two convex surfaces. Because of its position between the condyle and the temporal bones, the disk divides the joint into an upper and a lower compartment.

This means that the lateral poles of the condyles must translate, even if the medial poles are rotating around a fixed axis (as occurs in centric relation). FIGURE 5-3 The condyle-disk assemblies are braced at the midmost, uppermost position by compression of the medial third of the condyle-disk assembly against the medial apex of each triangular fossa. To resist the inward, upward pressure from the internal pterygoid muscles, the fossae are heavily buttressed with bone in line with the direction of load.

This erroneous depiction of the TMJs represents one of the most prevalent causes for confusion. Everything about the design of the TMJs points to a capacity to accept compressive loading as the fulcrum for the mandibular lever. All of the load-bearing structures of the TMJ are built to accept the loading forces as long as the condyle and disk are properly aligned for the forces to be directed through their loadbearing zone. Sieber' described the character of these tissues as anatomic and histologic evidence that the TMJs were made to be load bearing.

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