A single crown being fit in a Class I, canine guided occlusion is a piece of cake when it comes to the occlusion, but that same crown in a Class II Div 1 or AOB patient can result in occlusal errors. This episode is all about sharing a classic technique to prevent occlusal issues in ‘funky occlusions’.
Join us on this special episode as we delve into a game-changing technique – the functionally generated path technique – with the experienced and generous Dr. Tom Bereznicki. Having recently stepped into clinical retirement, Dr. Bereznicki remains a powerhouse in the education scene.
https://youtu.be/xHiLAxXUZ08
Watch PDP168 on Youtube
Protrusive Dental Pearl: Ensure you have an excellent relationship with your dental technician. - Working with a ‘big lab’ can sometimes have its issues. Try to visit your lab and become a familiar face so you have your specific technician that you can ask for whenever you send any indirect work. In that way, you can grow together - with that level of communication, the level of work you get back is so much better.
Need to Read it? Check out the Full Episode Transcript below!
Highlights of the episode:
00:00 Intro
2:06 Protrusive Dental Pearl:
4:06 Dr. Tom Bereznicki
10:16 Functionally Generated Path Technique
16:42 Lab Processes that might be beneficial using Functionally Generated Path Technique
19:47 Protocol for using the Functionally Generated Path Technique
32:48 Functionally Generated Path Technique VS Custom Incisal Guidance Table
34:31 Functionally Generated Path Technique on a single unit restoration
38:07 Final remarks
41:11 Outro
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If you liked this episode, you will also like Philosophy of Functional Occlusion with Riaz Yar – PDP066
Check out Dr Tom Bereznicki's website!
Click below for full episode transcript:
Jaz's Introduction: Have you ever got a crown or an onlay back from the lab and tried it in the mouth and thought, whoa, the occlusion is just way off.
Jaz’s Introduction:Either it's in infra occlusion, it's not even in the bite at all, or it's in supra occlusion. It's going to need a lot of time to adjust to get it happy, both in the static, the tap, tap, tap, and in the dynamic. i.e. the lateral excursions.
And sometimes it's a painstaking process where we try and get this crown perfect and happy in the patient's bite and then the patient's perception comes into it and there's other protocols that we talk about in other YouTube videos and episodes that I've done about checking the occlusion.
But this episode is about how can we prevent this scenario from happening. Well, you have to first think about when does this scenario often happen? Well, it's more likely to happen in funky occlusions. And guess what? Loads of our patients have funky occlusions. That's AOBs, cross bites, class 2 division 1s, and super, super deep bites, right?
These are classified as funky occlusions, but they're actually very common in the real world. And it's because these occlusions are not your standard class one, that the articulators that we have, whether analog or digital, they struggle to recreate the patient's jaw movement. So this is why the problem exists, and it's more often in these funny occlusions.
Well, Protruserati, my name is Jaz Gulati, and in this episode, we're going to talk about the Functionally Generated Path Technique, whereby we can use this little simple trick to get our indirect work happy in the occlusion even in the funkiest of occlusions. I'm joined by a really giving dentist who's recently clinically retired but so involved in the education scene.
His name is Dr. Tom Bereznicki. Those who go to King's Uni will know him very well. He's absolutely brilliant. I love everything he's about and I want to promote everything he's doing in education.
