The Role of Periodontal Ligament in Tooth Protection
This chapter discusses how the periodontal ligament acts as a shock absorber for teeth, widening in response to increased load to protect the tooth. It also explores the concept that a bit of tooth mobility can be beneficial for restorative dentistry. The chapter mentions the weakest link theory, suggesting that different individuals may have different weak links in their occlusion, leading to different manifestations of occlusal overload.
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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
