Occlusal (Bite) Adjustment


Occlusal (Bite) Adjustment

This procedure makes corrections to the bite associated with loose, shifting teeth or teeth that are biting too hard. Balancing and evenly distributing the biting and chewing forces on a tooth reduces the looseness and relieves excessive pressures on the supporting gum and bone structures.

This painless procedure makes corrections to the bite by means of a dental drill using a fine stone, not at all like the one for drilling out cavities

Procedure:  we have you bite and hold with keeping bite registration strip between upper and lower jaw teeth, bite and slide left, bite and slide right

and finally bite and slide your teeth forward right. 


A fine red/blue mylar film is usually placed between the teeth to mark where the teeth are touching; the incorrect markings are then ground off by a fine finishing bur and repolishing with rubber points with impregnated diamond paste.



What are some of the SIGNS that may justify an occlusal adjustment? :

  • Loose or shifting teeth: sometimes one sign is increased spacing between the upper front teeth. Occasionally, you may feel that your teeth do not hit correctly.
  • Grinding or clenching of your teeth: this habit (usually stress -related) can cause an unevenly distributed and excessive biting force on several of your teeth and subsequently on the bone support which holds the teeth in your jaw.
  • Headache may sometimes accompany the grinding or clenching of your teeth. The headache in most of these cases will occur in the temporal regions of your head (lateral to the eyes.
  • PAIN: One or more teeth may hurt upon eating or biting down normally. This is usually caused by the eruption of a tooth beyond the normal plane of the bite, such that only one or two teeth contact prematurely.
  • Sensitivity to temperature (sometimes hot, but mostly cold). Again this is due to the premature contact between one or more teeth. With the knowledge that one can bite with a force of up to 200 pounds per square inch, the nerve within the tooth gets irritated and hypersensitive.


What are some additional modes of therapy along with an occlusal adjustment? :


  • Splinting: If one or more teeth are very loose such that functioning (chewing) becomes difficult, the loose teeth can be "tied" to the adjacent stronger teeth by means of a splint. A material called Ribbond (which is a Kevlar material) is placed just underneath the surfaces of the teeth that are to be splinted and subsequently sealed with a composite filling material. This technique is not considered permanent in that over time it can detach, but it is often cost-effective until an alternate solution can be found.


  • Occlusal Guard: If A dental night guard or Occlusal guard is designed to help persons suffering from Temporomandibular Joint (TMJ) disorders. The TMJ night guard is used by people that clench and grind their teeth, especially at night. The dental night guard helps to align the joints of the jaw and keeps the muscles working smoothly during the day. The device allows the jaw to find the desired position by preventing the teeth from locking. Use of the device will decrease the number of muscle spasms, wear on the teeth and reduce the number of cracked teeth. In addition, the dental night guard can help the wearer break the habit of clenching their teeth and reduce the amount of pain in the joint.


  • Medication: Muscle relaxers or anti-inflammatory medications can be used if the jaw muscles are tight, esp. during the night or when wakening up from sleep. 



PURPOSE: Teeth and jaws do not occlude (come together) in an acceptable position for many reasons. Some of them are fillings or bridges that have been placed over a period of years, orthodontics, developmental defects, oral surgery, trauma, malocclusion (poor bite), bruxism, and clenching.

Occlusal equilibration is the mechanical adjustment of your teeth, dentures, bridges, fillings, or other oral appliances to a position that allows your lower jaw to function in a natural hinge in relation to your jaw without improper influence from teeth.

OCCLUSAL EQUILIBRATION - IS IT HARMFUL?: Your mouth is being equilibrated because some problem exists: pain, abnormal wear, breaking of restorations, or other situations. The problem is usually present because teeth and/or restorations do not meet in harmony with your lower jaw at the proper position. The teeth and fillings have not "worn in" properly. Occlusal equilibration "wears" some areas mechanically and allows the teeth to meet harmoniously. It is not harmful but is beneficial.

THE FUTURE: A simple occlusal equilibration can be accomplished in a short time. only slight future changes in your occlusion (bite) occur over a period of time because of small movements of teeth in the jaw bones. more complex equilibrations may require several appointments, and the teeth may shift more between appointments. When your symptoms are gone and your occlusion is relatively stable, your equilibration will be finished. Placement of any new fillings in your mouth will change the way the teeth contact. The dentist accomplishing this treatment should be advised of your past occlusion problem.

HOW YOUR TEETH FEEL: After occlusal equilibration, your occlusion (bite) will feel different to you. This is to be expected. You will gradually accept this location as your new chewing position, and it will feel very good.


Patient Testimonials: