The speaker discusses the importance of avoiding fremitus or excessive tooth contact during dental restorations, particularly on the upper and canine teeth. They highlight a case example of a producer experiencing mobility and sensitivity due to resin monobridge design. They emphasize the potential risks of occlusal overload and the importance of patient adaptation.
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Episode notes
Ever heard of fremitus? Wondering what it really means for your patient’s occlusion? In this episode we’re joined again by Dr. Mahmoud Ibrahim, by popular demand, for an insightful discussion on dental fremitus. We understand that this topic can be a bit perplexing, so we’re here to break it down step by step.
We share how we seamlessly integrate a fremitus check into an occlusal assessment, discussing the crucial aspects of when and how to intervene effectively, all while preserving your patient’s chewing space.
Check out our upcoming webinar “Unchippable” to learn about how to prevent chips and breaks on your lovely anterior composite restorations – protrusive.co.uk/unchippable
Highlights of the episode: 00:00 Intro 00:39 The Protrusive Dental Pearl 04:17 Dr. Mahmoud Ibrahim 05:17 Mobility vs fremitus 08:26 What is fremitus? 09:52 The PDL 12:54 The weakest link theory 16:21 Checking for fremitus 17:19 Class 1 fremitus 21:57 Class 2 and 3 fremitus 23:03 Treatment 27:24 Envelope of function 29:21 Orthodontic treatment 36:34 Final remarks 39:44 Outro