Determining Canine guidance

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Posted on By brian mills In Occlusion

Determining canine guidance in difficult restorative cases


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Very clear, concise and easy to incorporate into clinical practice. Thanks Dr. Salama


Hi Maurice;
The real question is one of relevance. In a perfect world with perfect humans with a perfect dentition...Cuspid guidance is present and functioning...In real life...very questionable.

Even Frank Spear eliminated teaching the dogma of cuspid guidance and took a much more pragmatic approach...If you can get cuspid guidance fine and if not, then group function.

Just ask yourself: Do we want cuspid guidance with bilateral posterior disclusion on an implant support cuspid crown?


it is a good point and I do agree with you about Group function, that we generally look for if implant is on cuspid.
Question is: are we predictable in terms of contact occlusal accuracy?
Or, rather, we are afraid of overocclusion and prefer a basically non contact area?, expecially on cuspid?


Hi Armondo;
I am a little confused...Does your question refer to implant or restored natural teeth?