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Digitally guided occlusal adjustment for reestablishing equilibrium
Wenhui Lyu1, Ruyi Li2, Lei Li3
1Doctoral student, State Key Laboratory of Oral Diseases, National Center for Stomatology, National Clinical Research Center for Oral Diseases, Department of Prosthodontics, West China Hospital of Stomatology, Sichuan University, Chengdu 610041, Sichuan, PR China.
The Journal of Prosthetic Dentistry
|December 31, 2025
Summary
Digital dentistry offers precise occlusal adjustment for open bite cases. Using 3D printed guides for grinding achieves efficient occlusal equilibration, improving dental treatment outcomes.
Area of Science:
- Dentistry
- Digital Dentistry
- Occlusal Adjustment
Background:
- Traditional occlusal adjustment often lacks precision due to empirical methods.
- Identifying and addressing occlusal interferences is crucial for effective treatment.
Purpose of the Study:
- To outline a digital workflow for precise occlusal adjustment.
- To demonstrate the use of 3D printed guides in managing complex occlusal relationships.
Main Methods:
- A digital workflow was employed for occlusal adjustment.
- Three-dimensional (3D) printed guides were utilized to facilitate extensive grinding.
- The workflow was applied to a patient with an open occlusal relationship and premature contacts.
Main Results:
- The digital workflow enabled precise mapping of occlusal interferences.
- 3D printed guides facilitated efficient and accurate grinding procedures.
- Successful occlusal equilibration was achieved with enhanced precision.
Conclusions:
- A digital workflow incorporating 3D printed guides offers a precise and efficient method for occlusal adjustment.
- This approach is particularly beneficial for patients with open occlusal relationships and premature contacts.
- Digital tools enhance the predictability and outcomes of occlusal equilibration.

