A Little Trick to Solve Anterior Open Bites after Occlusal Appliances – AJ003

I will reveal a little ‘trick’ that might ‘recapture the bite’ on a patient who develops an anterior open bite (AOB) after wearing a nightguard/splint/occlusal appliance.

There is a degree of risk and uncertainty when we prescribe occusal appliances as it hinges on patient compliance and factors that are out of our control. There are certain risks that come with treatment that we should consent for, and this includes bite changes.

Occlusal appliances are not an exact science – the evidence base is not high quality. That does not mean they do not work, it just means that we need more data! We don’t even know the mechanism of HOW occlusal splints work as that is yet to be proven.

Hello Protruserati! Welcome back to the third episode of #AskJaz where I answered three main questions from our Protrusive Dental Community – 1) developing anterior open bite after an occlusal appliance, 2) how to scan/bite register at a desired OVD, and 3) what should the occlusion look like on composite veneers or edge bonding?

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Dr. Mahmoud Ibrahim and I are currently working on a huge project called OBAB, Occlusion Basics, and Beyond – it will be the best occlusion resource in the Milky Way…and that’s our mission! We want to finally demystify Occlusion and make it Tangible AF!

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Highlights of this episode:

• 1:51 Risk of having AOB after an Occlusal Appliance
• 15:48 Trick to recover an AOB that has developed
• 26:49 Bite Records for Stabilisation Splints
• 30:25 Checking the Occlusion after Composite Veneers
• 37:02 Occlusion Basics and Beyond

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If you enjoyed this episode, check out this episode with Dr. Barry Glassman – Do AMPSAs cause AOBs?