Occlusal Considerations Following Orthodontic Treatment
Objectives: Orthodontic correction of malocclusion essentially is realignment of the teeth with an outcome of long term stability of occlusion without causing damage to the supportive periodontium and associated masticatory system. Paper analyses the new defined position of teeth likely to result in prematurities and desired minimum invasive therapy for their elimination.
Methods: Occlusal analyses is detailed articulation of opposing occlusal surfaces to make possible recovery of a dental unit or group of teeth to preserve the functional stability of the masticatory apparatus. Initial clinical observation is related malformations of existing and missing teeth, determining curve of spee, long axis orientation of the crowns, tooth mobility, occlusal trauma facets of wear and restorations. Articulators are useful when it is necessary to plan extensive occlusal rehabilitation procedures. It is easy to analyze a single quadrant at a time, using articulating paper or thin wax.
Result: Adjustment in the centric position comprises repeated evaluations and grinding to provide occlusal stability. Every time an adjustment is completed, new prematurities will appear and must be progressively eliminated. It gets difficult defining maxillomandibular relations properly in order to mount the articulators, a period of symptomatic relief is recommended. Bite planes serve the purpose and are very efficient in promoting muscle relaxation in a relatively short period of time.
Conclusion: Occlusion settlement following orthodontic treatment requires an observational phase, inrospection on cephalometrics and orientation of basal bones. Teeth are less firm in their sockets when orthodontic appliances are removed, could be envisaged for self correction of occlusal prematurities.