Dr Chasolen often likes to start his course by sharing the very last case he saw prior to coming to teach the course.
Watch as he explains the challenging situation of this particular patient and how he handled it.
We share this to show you that Dr Chasolen spends 170+ days a year in the chair seeing actual patients so when he shares his experience and expertise, it's not some theory based off what was working a few years ago.
It's CURRENT, "this JUST happened" knowledge that he shares.
Too often, the opposing arch is ignored. I see this all the time.
This opposing occlusion is problematic for many reasons:
The lower right second molar is an unavoidable interference.
The existing wear on the lower teeth are concerns for not only the health of the teeth themselves, but the inability to couple the denture set up occlusion to the lower arch without creating occlusal instability.
The missing #18 and 19 make any attempt at balancing the occlusion impossible.
This is a great example of the use of Hanau’s Quint to understand the implications of the occlusion on stability.
Hanau discussed 5 factors that influence creating a balanced occlusion:
Orientation of the occlusal plane
Condylar inclination is not alterable. But the understanding of the interplay between the occlusal plane, compensating curve and the cusp of height position is critical to understand how the occlusion will behave during function.
And although the compensating curve is set with denture teeth and not necessarily applicable to this case with lower natural teeth, the point is that not treating this lower occlusion will make success with this upper denture very difficult if not impossible.
This may seem simple and intuitive, but it is amazing how often I see this. And no it’s not a scan, print, mill or implant and bone graft, it is a critical principle that affects the patient’s ability to function and eat normally.
Many years ago I learned from several of my mentors the importance of doing 'clean' dentistry, and this clip offers just a bit of insight into how I developed my approach to treatment and philosophy about effective restorative dentistry:
What's your approach to dentistry and treatment philosophy?
The Chasolen Education & Research Center, PA has been designated as an Approved PACE Program Provider by the Academy of General Dentistry. The formal continuing education programs of this program provider are accepted by the AGD for Fellowship/Mastership and membership maintenance credit. Approval does not imply acceptance by a state or provincial board of dentistry of AGD endorsement. The current term of approval extends from 3/1/2016-2/28/2020. Provider # 348758