This book uses an interdisciplinary approach to explain the origin of and possible solutions to many different occlusal problems. Dr. Peter E. Dawson guides the reader along the way providing balanced explanations of theory and technique. He also debunks many popular misconceptions through practical discussion of their origins and the deficiencies of the arguments behind them. Different sides of many philosophies are presented while guiding the reader to the most functional and esthetic solution to various occlusal situations. Hundreds of full-color photographs, illustrations, and diagrams show aspects of the masticatory system, the epidemiology of occlusal problems, and procedures for finding the ideal occlusion. Whether the reader is a general dentist, a specialist, or a technician they will find this book applicable to their treatment methods and philosophies.

This website discusses some of the principles and will continue to add content that will cover every important aspect of smile design as it relates to neuromuscular function. We should remember that this website is for patients and laymen. I will therefore attempt to remain very simple when outlining the correlation between aesthetics and function that you, the potential patient, need to understand. Sounds good?


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For the interested professional, we will add references of publications in peer-revied journals, which will allow them to study this subject in more detail. I will discuss the functional elements of smile design, such as functional pathways, anterior guidance, lingual contours, vertical dimension of occlusion, functional matrix, and much more on the static pages of this website. Stay put!

Clinical considerations:  Various techniques and therapies have been proposed for establishing, determining, and restoring ideal centric relation (CR) and vertical dimension of occlusion (VDO) in patients who require restorations and/or full-mouth rehabilitation. An interim prosthesis phase can help establish and stabilize an enhanced esthetics and/or functional outcome for a limited period of time before the definitive dental restorations are placed. Transitional direct composite bonding and its additive nature have provided clinicians and patients with advantages when establishing a physiologic CR and VDO in interim restorations. However, it is time consuming, tedious, and challenging chairside. The author has been using additive CAD/CAM designed and milled restorations for over 10 years to make transitional bonding more efficient, manageable, and predictable.

Conclusion:  Transitional bonded prostheses are significantly important to providing patients with an interim therapy to determine if the proposed esthetic outcome and occlusal scheme will function as expected, or if adjustments are needed prior to the delivery of the definitive long-term restorations. CR and VDO are essential for establishing a functional and healthy occlusion, ideal restoration proportions and smile design, and treatment planning esthetic and prosthodontic restorations for long-term durability.

The esthetic harmony and effectiveness of occlusal function are integrated and are in constant movement in the search for balance. This book, written by a top expert in the field, is about the preservation and enhancement of smile esthetics. The richly illustrated content aims to enhance the clinician\u2019s understanding of the static and dynamic principles that act on a patient\u2019s stomatognathic system.\n\nThe main themes of the book \u2013 treatment planning and occlusion \u2013 are inseparable factors for the success of every restorative treatment. It is only from a complete understanding of the varied and complex relationships between these aspects that the clinician can diagnose and treat a patient with a pragmatic and effective long-term approach.\n\nIn a clear and uncomplicated manner, the book presents protocols containing all the relevant aspects related to the topic so that excellent results can be obtained with consistency and predictability. The content is based on an extensive literature review and contains the best-quality scientific evidence available at the time of publication, accompanied by the author\u2019s valuable commentary and notes.\n\nContents\nPart 1. The Treatment Planning Process\nChapter 01. Anamnesis\nChapter 02. Clinical Examination\nChapter 03. interdisciplinary Treatment Planning\nChapter 04. Selection of Restorative Material\nChapter 05. Treatment Plan Presentation\nChapter 06. Control and Maintanance\n\nPart 2. Esthetics and Function\nChapter 07. Introduction to Functional Occlusion\nChapter 08. Mounting on a Semi-Adjustable Articulator\nChapter 09. Maxilomandibular Relationship\nChapter 10. Functional Guidance\nChapter 11. Vertical Dimension of Occlusion\nChapter 12. Occlusal Plane\nChapter 13. Occlusal Adjustment\nChapter 14. Stabilizing Interocclusal Splint\n\nCoauthors\nAlexandre Carvalho Teixeira \u2022 Christian Coachman \u2022 Eduardo Fregnani \u2022 Felipe Miguel Pinto Saliba \u2022 Guilherme Cabral \u2022 Jos\u00e9 Roberto Santana de Moura Junior \u2022 Wanessa Miranda-Silva\n\n \n\n \n","offers":[{"@type":"Offer","price":"$278.00","priceCurrency":"EUR","url":"https:\/\/www.quintessence-publishing.com\/usa\/en\/product\/esthetics-in-function","availability":"InStock"}],"datePublished":"2023-09-27","inLanguage":"English","publisher":"QP Deutschland","keywords":"occlusion, restorative treatment, restorative material selection, restorative materials, function, functional occlusion, splint, interocclusal splint","author":[{"@type":"Person","name":"Marcelo A. Calamita"}],"bookEdition":"1st Edition 2023","bookFormat":"Hardcover","numberOfPages":648,"isbn":"978-1-78698-134-9","category":["General Dentistry","Esthetic Dentistry","Functional Therapy","Restorative Dentistry","Prosthodontics"],"isRelatedTo":["https:\/\/www.quintessence-publishing.com\/usa\/en\/product\/tooth-wear","https:\/\/www.quintessence-publishing.com\/usa\/en\/product\/tooth-wear_1","https:\/\/www.quintessence-publishing.com\/usa\/en\/product\/fixed-restorations","https:\/\/www.quintessence-publishing.com\/usa\/en\/product\/the-science-and-art-of-occlusion-and-oral-rehabilitation","https:\/\/www.quintessence-publishing.com\/usa\/en\/product\/challenging-nature","https:\/\/www.quintessence-publishing.com\/usa\/en\/journal\/international-journal-of-esthetic-dentistry-en","https:\/\/www.quintessence-publishing.com\/usa\/en\/journal\/international-journal-of-periodontics-restorative-dentistry"],"image":"https:\/\/www.quintessence-publishing.com\/quintessenz\/products\/cover\/image-thumb__3322067__compress\/cover_calamita_esthetics_in_function_650pix.png","alternateName":"Integrating Occlusal Principles into Smile Design","productID":"BG161"}We use cookies to enable the functions required for this website, such as login or a shopping cart. You can find more information in our privacy policy.

With inLab CAD Software, you can design and produce custom surgical guides in your laboratory. It is part of the integrated implant planning with the 3D X-ray systems from Dentsply Sirona, the CEREC Guide is the basis for planning the surgical procedure.

If the patient brings a night guard to the exam appointment, I do a T-scan occlusal analysis with the night guard in place. The situation then starts to come into focus: a design and occlusion that are simply wrong.

Excessive occlusal wear can result in pulpal injury, occlusal disharmony, impaired function and aesthetic deformity. Loss of anterior guidance can result from severe wear of anterior teeth, which protects the posterior teeth during excursive movement. The collapse of posterior teeth also results in the loss of normal occlusal plane and the reduction of the vertical dimension. This clinical report describes the use of the Hobo twin-stage procedure for rehabilitation of a patient with severe tooth wear, resulting in reduced vertical dimension of occlusion. ff782bc1db

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