OCCLUSION: UNDERSTANDING OR MISUNDERSTANDING

Vesna Trpevska , Ivan Tanatarec , Daniela Srbinoska , Aneta Mijoska , Olga Kokoceva-Ivanovska
1 2 1 3 4

1
PHO University Dental Clinical Center „St. Panteleimon“, Department of Orthodontics, Skopje, Republic of North Macedonia
 2 PHO „DR. TANATAREC“, Bitola, Republic of North Macedonia
3
Faculty of Dentistry, Department of Prosthodontics, Skopje, Republic of North Macedonia
4
Faculty of Dentistry, Clinic of Pediatric and preventive dentistry, Skopje, Republic of North Macedonia

INTRODUCTION AIM

The definition of an ideal functional occlusion is not The aim of our case reports is to determine the dynamic occlusal parameters and to
completely clear. To achieve this ideal occlusion during the understand the occlusion by detailed computerized occlusal analysis in orthodontic
finishing stage, it is important to have an ideal occlusal patients with and without TMJ problems in order to make proper diagnosis and
force distribution and maximum amount of normal occlusal treatment plan.
contacts during maximum intercuspation.

MATERIAL AND METHOD Figure 1. Comparison between conventional and computerized

Figure 2. T-Scan III hardware and occlusogram.
methods in the assessment of an occlusal scheme.

Patients with malocclusion Angle Class II with and without TMJ problems were presented. Besides analyses of CO-CR difference and anterior guidance, presence of premature contacts, Center of occlusal force-COF, time of occlusion and time of disclusion were analyzed with T-Scan III System.
Case 1 Case 2

Figure 3. a)Intraoral view of patients occlusion before treatment, b) patients occlusogram before treatment. Figure 4. a)Intraoral view of patients occlusion, b) splint therapy and c) occlusion after 12 months splint therapy.

RESULTS Centric slide more than 2 mm, presence of occlusal interferences, high values for occlusion and disclusion time respectively were evaluated in both patients. The in-depht occlusal analysis determined non balanced occlusion.
Case 1 Case 2

Figure 5. a) Final results and occlusogram of patient case 1. Figure 6. a) Final results and occlusogram of patient case 2.

Authors declare that there is no

CONCLUSION After the orthodontic adjustments, a new balanced oral system with functional occlusion was accomplished with the aid of T-Scan software which presents a valuable method for clinical evaluation and understanding of the occlusal conflict of interest
problems.