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Bausch Articulating Papers - Janouch Dental

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Occlusion and the potential effects of<br />

occlusal interferences on patients<br />

The occlusion (any contact between maxillary teeth and mandibular teeth) is exposed to constant<br />

change. Every restoration, extraction (teeth migration), prosthetic care and oral surgery always<br />

implies a change in occlusal proportions. Constant monitoring of the latter and an understanding<br />

of all related factors provide the basis for good dentistry.<br />

The peculiar stress of a tooth in the periodontal ligament is<br />

Alveolar bone<br />

about 20 microns at vertical pressure. In the case of fixed<br />

Alveolarknochen<br />

Collagen fibers in<br />

denture cementation, the adjacent teeth move about 20<br />

Kollagene the periodontal Faserbündel<br />

im Desmodont<br />

micrometers, returning to their initial position at the end of<br />

wirken ligament wie Puffer act as a<br />

buffer<br />

treatment. An occlusal interference of only 15 microns can<br />

maximale Eigenbeweglichkeit<br />

trigger severe irritation. In order to avoid any unpleasant<br />

des Zahnes im Desmodont<br />

ca.20<br />

is about<br />

μ<br />

20 microns<br />

sensation, the patient will probably not bite on the new<br />

dental bridge but rather move his lower jaw into a<br />

Frühkontakt<br />

High spot<br />

physiologically unsound position. This new bite of<br />

convenience causes irregular muscle activity which can<br />

eventually lead to temporomandibular joint pain and<br />

myalgia. Frequent headaches as well as bruxism and<br />

grinding may ensue. If the symptoms persist long-term, it<br />

becomes increasingly difficult to diagnose the condition.<br />

The source of the problem, i.e. the incorrect adjustment of the inserted bridge, may even be<br />

masked. Ultimately, the dysfunction can be traced back to the dentist.<br />

The particular maximum<br />

movement of a tooth in<br />

the periodontal ligament<br />

Accurate detection of High Spots<br />

Only ultra-thin test films, such as those available in our product range, are frequently used to test<br />

the occlusion. It is generally believed that grinding should only be carried out with ultra-thin test<br />

films which, in theory, can be recommended, but in practice is extremely difficult and timeconsuming.<br />

Occlusal contacts are very often no bigger than the size of a needle point and<br />

therefore should be represented with precise test materials which leave a clearly delineated color<br />

transfer. For example, on an articulator model, clear reflection using a test film on dry occlusal<br />

surfaces poses no problem. But as soon as the occlusal surfaces are moistened with saliva, the<br />

reflection of films, especially on ceramics or polished metal masticatory surfaces, can hardly be<br />

seen. This explains why many dentists assume that there are no high spots since nothing is visible.<br />

The color transfer of articulating films on moist surfaces is inadequate on chemical and physical<br />

grounds. The color coating of all articulating test films and even of some of the articulating papers<br />

consists of wax, oil and pigment, a hydrophobic mixture which repels saliva (hydrophilic)<br />

consisting mainly of water.<br />

...we make Occlusion visible ®<br />

7

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