Equilibration Technique

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Posted on By brian mills In Occlusion

This is a very efficient and accurate equilibration technique. Once you've completed the initial procedure take new mounted models and evaluate and refine as needed then do final refinement intra orally.

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8 Comments

Nicely explained. Thanks for sharing Dr.Salama


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Maurice Thanks for your comment and watching the video. Look forward to seeing you in Las Vegas. Take care Brian


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Hi Brian;
My approach to equilibrating the models is similar to yours.The reason I equilibrate the models is to make sure that the modifications won't extend into the dentin which then requires a restoration and some explaining to the patient.
What happens if your mounting is not accurate and you end up removing tooth structure based on misinformation.
I think it is more accurate to test the accuracy of your mounting in the mouth using a leaf gauge. Yes it takes me longer to do this in the mouth but that is not a standard of excellence.
The mounting indicates that a patient may NEED an equilibration but the leaf gauge provides a much more accurate albeit time consuming approach to actually locating the discrepancy in the occlusion.
Regards,
gerald


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Gerald, Thanks for your comments. I agree with you about always being mindful about the accuracy of your mounting. That is why I only complete about 70-80 % then finish with a shim/gauge. In these short videos it is difficult at times to demonstrate the entire procedure.
That being said I do less and less negative coronal plasty these days and more additive coronal plasty to try and maintain as much enamel as possible.
Also I find that it helps facilitate either maintaining cuspal form or adding and improving it.
Take care Brian


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Brian;
I could not agree with you more about adding rather than removing tooth structure. The destruction of a dentition for the fabrication of crowns borders on criminal..The overwhelming majority of teeth that have crowns could have been maintained with direct resin using an acceptable protocol under rubber dam...But I am teaching to the choir.
Nice work....as always. I have watched your other videos on YouTube.
gerald


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Thanks for watching. I feel that knowledge is not proprietary and that it should be shared to improve what we can all do for our patients. Take care Brian


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Very nice video.
Can someone explain the etiology of the condition when equilibration is used as a treatment modality?


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Anton, Hope all is well.
I think you can think about the etiology of occ disfunction/disharmony in several categories.
There is growth and development.
Iatrogenic such as restorative tx or orthodontic tx.
Metabolic/physiologic causes ie. PCR/DJD secondary to ethinyl estrodiol based BCP or RA for example.
Trauma.
These are the big picture categories I look at when dgn a case to determine the etiology of what may have contributed to the pt's occ disfunction/disharmony.
From here possible solutions may include equilibration/negative coronalplasty as part of the treatment plan.
As always we need to determine the what and why before we can determine how to proceed with treatment.
I hope this was helpful. Take care Brian


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Salvin
Augma Bio