Various methods in achieving anterior guidance

Replacement of Missing Anterior Teeth in a Patient with Temporomandibular Disorder

The loss of anterior teeth leads to extreme psychological trauma, along with functional and esthetic debilitations. Healthy anterior teeth play an important role of protecting the posterior teeth during excursive mandibular movement. Loss of anterior teeth induces posterior interference with extended disocclusion time. Posterior disocclusion is critical to remove the harmful force on the teeth temporomandibular joint and eliminate muscle hypertonicity. Occlusal interference is considered as contributing factor to temporomandibular disorder (TMD) symptoms. Prosthesis design should eliminate deleterious tooth contacts. Establishing optimum anterior guidance is a key to establishing harmonious functional occlusion in addition to the correction of the esthetic and phonetic disabilities. This case report explains the steps involved in the rehabilitation of the TMD patient with loss of maxillary anterior teeth.

A combined orthodontic/restorative clinic. Rationale, evolution, and experience

The rationale for running combined clinics between orthodontics and restorative dentistry is given, together with the history of the development and experience of such a clinic at the Dental School and Hospital in Cardiff. Brief details of the organization of the combined clinic and possible future developments are also given.

Diagnosis and mode of treatment for 'pseudo'-Class III patients and its effects on masticatory movements

This paper describes the treatment and functional analysis of 18 'pseudo'-class III patients. Clinical examination revealed IC-RC discrepancies, aesthetic aberrations and functional disturbances. The improvement of these parameters upon treatment was followed by sirognathographic recordings.