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Can any genius out there tell us how we can be absolutely sure that the condyles and the disc are in their physiologically normal superior anterior position clinically? If no one can answer this then there is no way we can be certain that the patient is in CR or CO or MIP. Unless we do a scan.
another author would suggest to detect the first contact, then add more leafs so we get a posterior dissocclusion of 2-3mm and then only record the bite. as that would be the CR
Nope its not ideal one..... Ideally First Contact point is known as RCP (Retruded Contact Position) which is really Centric Occlusion (CO)... 90% of the cases can be done at First Point Of Contact ... only some cases require to open VD or Increase VD ...!
@@danielradu2878 The purpose is so that the patient will find her Centric Relation position. When she shifts the mandible back, the idea is that she will naturally stop at a position where the condyle is most posterior-superior within the glenoid fossa, also known as the Centric Relation position. This position is considered healthy and what we seek when restoring someone's bite. That was also why he had the patient wear a guard for a week to "deprogram" the muscles. Some people have a pathologic bite where their chewing muscles have unhealthily adapted to a position that is not in Centric Relation. He wanted to have the muscles be relaxed for some time so hopefully they stop interfering with the patient finding their Centric Relation position.
Excellent advise Eric! I especially like the end, Sending back the 2 new intra oral cameras that arrived today and taking that $10K and investing in a few more Digital SLRs at probably a third to half the cost. Thanks
Great tips, and so true the power of digital photography to convey to the patient their oral health needs. This to me is more the foundation of co-diagnosis than even radiographic evidence.
