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Related Experiment Videos

Locating the centric relation prematurity with a computerized occlusal analysis system.

R B Kerstein1, D W Wilkerson

  • 1Tufts University, School of Dental Medicine, Department of Restorative Dentistry, Boston, Massachusetts, USA.

Compendium of Continuing Education in Dentistry (Jamesburg, N.J. : 1995)
|March 27, 2002
PubMed
Summary

Accurately locating the first tooth contact interfering with jaw movement is key in occlusal therapy. This study presents a method using computerized analysis to precisely identify this initial contact, bypassing subjective patient feedback for improved diagnostic accuracy.

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Area of Science:

  • Dentistry
  • Occlusal analysis
  • Biomedical engineering

Background:

  • Diagnosing occlusal interferences, specifically centric relation prematurity, is a primary goal in occlusal therapies.
  • Traditional methods rely on operator-guided jaw positioning and subjective patient feedback for identifying initial tooth contacts.
  • Bimanual manipulation is a recognized technique for determining centric relation, but precision can be limited.

Observation:

  • The study explores an alternative procedure combining bimanual manipulation with computerized occlusal analysis.
  • This integrated approach simultaneously records the sequence of tooth contacts during mandibular movement.
  • The focus is on objectively identifying the first occlusal contact without patient subjective input.

Findings:

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  • A novel method accurately identifies the first tooth contact influencing mandibular movement.
  • Computerized occlusal analysis significantly enhances the precision of locating centric relation prematurities.
  • This technique removes reliance on the patient's perception of the initial occlusal feel.

    • Implications:

    • This objective method offers improved diagnostic accuracy in occlusal therapy.
    • It provides a more reliable way to identify interferences affecting jaw function and freedom of movement.
    • The findings can lead to more precise treatment planning and better patient outcomes in restorative and functional dentistry.