Occlusion and restorative dentistry: Part II

When planning treatment for major reconstruction of a dentition, occlusal factors which can affect the comfortable functioning of the masticatory system are a prime consideration. Anterior guidance and posterior support contribute significantly to the comfortable functioning of the masticatory system. Aesthetic factors are also significant for, in providing anterior guidance, the alignment, lengths, and proportions of incisors are as critical as their shape, colour and surface texture. Finally, treatment does not end with the insertion of the fixed and removable prostheses. Continual maintenance over the years can be as challenging as the reconstruction.