The UK has an increasingly ageing population, many of whom are retaining more of their own teeth. This has led to an increase in the prevalence of tooth wear and the need to replace pre-existing failing restorations. In many cases this will be achieved by fixed prosthodontics. This paper provides a brief overview of important occlusal concepts that should be considered when providing non-implant fixed prosthodontics using either a conformative or reorganised approach. The aim is to give general dental practitioners the confidence to provide these types of restorations in primary care. Clinical cases demonstrate how the occlusion can be controlled to optimise clinical outcomes.
SteeleJG, NohlFS, WassellRW.Crowns and other extra-coronal restorations: Occlusal considerations and articulator selection. Br Dent J.2002;192(7):377–387.
4.
DaviesS, GrayR.A Clinical Guide to Occlusion. London: British Dental Association; 2002.
PosseltU.Studies in the Mobility of the Human Mandible. Copenhagen: Acta Odontologica Scandinavica; 1952.
7.
AbudoJ, LyonsK.Clinical considerations for increasing occlusal vertical dimension: a review. Aust Dent J.2012;57(1):2–10.
8.
MehtaS, BanerjiS.The Application of occlusion in Clinical Practice Part 1: Essential Concepts in Clinical Occlusion. Dent Update.2019;45(11):1003–1015.
9.
PatelM, AlaniA.Clinical issues in occlusion - Part II. Singapore Dent J.2015;36:2–11.
10.
PoyserNJ, PorterR W J, BriggsPF A, ChanaH S, KelleherM G D.The Dahl Concept: past, present and future. Br Dent J.2005;198(11):669–76.
11.
DaviesS.Conformative, Reorganized or Unorganized. Dent Update.2004;31(6):334–345.
12.
DaviesS, GrayR M J.The examination and recording of the occlusion: why and how. Br Dent J.2001;19196):291–302.
13.
KeshvadA, WinstanleyR B.An appraisal of the literature on centric relation. Part III. J Oral Rehab.2000;28(1):55–63.
14.
WiseMD.Occlusion and the Restorative Dentistry for the General Practitioner. London: BDJ Books; 1986.
15.
StuartC, StallardH.Concepts of occlusion. Dent Clin North Am.1963;7:577–590.
16.
BeckerCM, KaiserDA.Evolution of occlusion and occlusal instruments. J Prosthodont.1993;2(1):33–43.
17.
MilosevicA.Occlusion: 2. Occlusal splints, analysis and adjustment. Dent Update.2003;30(8):416–423.
DaviesSJ, GrayRJM, SmithPW.Good occlusal practice in simple restorative dentistry. Br Dent J.2001;191:265–281
24.
DaviesS, GrayR, WhiteheadS.Good practice in advanced restorative dentistry. Br Dent J.2001;191:421–434.
25.
WassellR, SteeleJ, WelshG.Considerations when planning occlusal rehabilitation: a review of the literature. Int Dent J.1998;48(6):571–581.
26.
MehtaS, BenerjiS.The Application of Occlusion in Clinical Practice Part 3: Practical Application of the Essential Concepts in Clinical Occlusion. Dent Update.2019;46(2):100–112.
27.
DawsonPE.Temporomandibular joint pain dysfunction problems can be solved. J Prosthet Dent.1973;29:100–112.
28.
LuciaVO.Technique for recording centric relation. J Pros Dent.1964;14:492–505.
29.
KantorM E, SilvermannSI, GarfinkelL.Centric relation recording techniques: a comparative investigation. J Prosthet Dent.1972;28(6):593–600.
30.
WilsonPHR, BanerjeeA.Recording the retruded contact position: a review of clinical techniques. Br Dent J2004;196(7):395–402.
31.
HowatAP, CappN J, BarrettNVJ.A colour atlas of occlusion and malocclusion. London: Wolfe Publishing; 1991.
