No More High Restorations - 9 Point Checklist to Zero Occlusal Adjustment

Stop wasting time building up your fissure anatomy, only to drill it all away again!
My 9 point checklist Occlusal Adjustment - No More High Restorations . Hope it helps!
Never have a patient come back because 'the bite feels off'
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[@protrusive]

2023 Updated version: kzbin.info/www/bejne/aYKvk6xoisSKaac&ab_channel=JazGulati-ProtrusiveDentalPodcast

[@mda99das]

Another really good tip for those that use the metal omnimatrix or toffleymyar, is that once you have seated it, get u bur and remove the excess metal so that you are flush with the marginal ridge of the adjacent tooth. you get better contacts, waste less material, and less adjusting on the occlusion. I figured this out for myself and decided to share it.

[@protrusive]

excellent tip to control the height of the matrix as a guide - also can do this for sectionals! thanks for contributing!

[@H982FKL-TG]

Thank you for deciding to share

[@acash93]

A good tip I've learned is that when the numbed up patient is unsure whether it's high or not, between left and right hand side, that's the sign to stop cutting your filling down

[@subhicshas7553]

I carved the anatomy really well today on my first composite case but ended up ruining it in reducing the high points

[@protrusive]

This is the problem you see - most textbook anatomy belongs only in textbooks. In the real world with worn/damaged teeth, we must respect the opposing tooth contours :)

[@mamta9368]

Hello! Huge fan of your content. Can you please describe what does"holding shim" means? Or direct me to a source for explanation. TIA.

[@protrusive]

Hi Mamta! So, shimstock foil is like an articulating paper/foil that is just 8 microns thin. It does not ink the tooth. When the patient bites together and you have the foil between the teeth, if it's a TRUE contact, that's called holding shim. If, however, you are able to pull the shim stock through, it means the teeth were not touching / not holding shim (although with thicker articulating paper it will give you the illusion that they were contacting due to the ink) Hope that helps!

[@acash93]

Hey Jaz, got any good amalgam carving tips? It's no longer used widespread, but it would be great if you can archive a great amalgam artist and their tips before the knowledge is truly lost. :D

[@lesterhung7467]

the number of dentists that doesn't even know this scares me....

[@attheendofthedayx2933]

Or maybe use the GABS rule when adjusting occlusion, that is, grind all the blue spot. Just kidding! Love your vids!

[@protrusive]

lol - plant it low, let it grow ;)

[@nawandeepkalra4319]

Hi jaz please advise hands on surgical extractions course . Please help. Thanks

[@protrusive]

Hiya! A few in the UK but I have not done them personally but they are all run by reputable clinicians eg Chris Waith, Dr TT OS and many others.

[@shok4056]

Hey bro I got a filling RC on tooth 41 dead tooth for 25 years 1st temporary filling went back same endodontist 2nd final filling .. feels like some thing off not sure . Top tooth bitting on it . The Rc tooth Touches the top tooth 1st comparing to left one some times the other tooth to right touches 1st to relax the jaws is that natural. When I have have a power in pushing chewing down seems 41 tooth is pressured down more . More pressuring down wards on 41 tooth when resting. Chewing noticed bitting down more on ..maybe bitting more on it when chewing. Even chewing from the sides that tooth is provided more pressure chewing down. Even coming down slightly to chew that tooth bitting down like a pressure first. Seems like a force touch Any idea on your experience would be appreciated?

[@protrusive]

Hi - thanks for commenting. As you know, this channel is for Dentists. However, the advice I can give is that if you are feeling this in yourself that one tooth is proud, you should get this checked out. Overloading a dead tooth may lead to fracture/weakening over time.

[@shok4056]

@@protrusive how do I know it's over loaded ?

[@protrusive]

@@shok4056 well - you kind of described it in your scenario! Get checked out :)

[@shok4056]

@@protrusive don't understand you at all. 3mm how can this be reduced with proper teeth communication?

[@indianyoutuber9271]

I have a question .. Why do we have occlusal facets in young adults?

[@protrusive]

Hiya! Bruxism in young people is highly prevalent (latest theories include Airway related issues and the usual stress/coping strategy) plus our modern diets are highly erosive - wear facets are the consequence!

[@socialmediag5485]

Haaa after like 10-20 yrs of complaining to dr’s my new dr sent me to a specialist and in 10 seconds got diagnosed with deviated septum and after I told my doctor and dentist I’m sure that’s what’s causing my grinding cause of obstruction in my breathing they thought I was nuts Can’t trust anyone