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Techniques to Make a Bite Record for a Full-arch Case

5/5/2013

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Few topics in dentistry evoke emotion or create confusion like occlusal-related topics. Concepts for making bite records for crown and bridge reconstruction are no different and can be oversimplified or overcomplicated depending on the clinical scenario. Treatment involving a single crown requires less sophistication in bite recording and is generally made using a conformative or existing intercuspal recording (MIP). Recording a bite for preparations in a free end quadrant can be more complicated because there are no occlusal stops in the quadrant being restored. However, there are generally enough existing intercuspating teeth to enable a bite record that does not require assignment of a new vertical dimension or a condylar position. When a full arch has been prepared and there are no longer any occlusal anatomical landmarks present, it may be challenging to arbitrarily assign a vertical dimension and condylar position and accurately record it. 
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