Diagnosis, treatment planning, and comprehensive restoration of a patient with Costello syndrome: rationale and application of indirect composite resin onlays.

Patients with a complex problem set involving multiple levels of altered structure challenge the clinician to develop an individualized, appropriate treatment plan. Dentofacial deficiency, occlusal problems, and loss of tooth structure require intervention to establish stability and regain function, speech, esthetics, and masticatory muscle comfort. The comprehensive examination must quantify each problem to specify the diagnosis for realistic treatment planning.

Clinical protocol for occlusal adjustment: Rationale and application.

Background: Occlusal adjustment can optimize the result of orthodontics, orthognathic surgery, and comprehensive restoration, and resolve adverse forces to the dentition that affect the entire masticatory system. Mounted diagnostic casts and computerized occlusal analysis offer complementary advantages for evaluating occlusal problems. Predictable occlusal adjustment is facilitated by precise, measured documentation of occlusal force by computerized occlusal analysis.

Quantified diagnostic work-up casts: applications for interdisciplinary treatment planning.

Diagnostic casts that accurately replicate a patient's occlusion are essential for planning comprehensive care and interdisciplinary treatment. These casts can reveal the actual problem in the spatial relationship between the maxilla and the mandible, which may not be apparent on intraoral examination. Duplicate casts can be altered and measured to quantify the extent of the correction necessary for a predictable result.

The dental literature on occlusion and myogenous orofacial pain: application of critical thinking.

Objective: To enhance the reader's critical thinking when reading the dental literature on the relationship of occlusion and myogenous orofacial pain (MOP).

Methods: Representative journal articles and systematic reviews from the dental literature confirming and denying a relationship of occlusion to MOP were analyzed and reviewed.

Results: Studies using computerized occlusal analysis (COA) consistently find a relationship of the occlusion to MOP.

Channel retention for fixed implant superstructures: A clinical report.

This clinical report describes the treatment of a patient with anatomic and biomechanical problems that made retrievability of an implant-supported prosthesis a design priority. During treatment, the patient was found to be intolerant of local anesthesia, prompting an alternative retrievable design from the screw-retained interim restoration. A channel retention technique for fixed implant superstructures is presented.