The relationship between esthetics and occlusion:
The development of an esthetic anterior guidance and its transfer to the definitive restoration

Part 1: The concepts

Part 2: Clinical examples to be treatment planned by the group

(Part 1 is a prerequisite)

When performing an occlusal rehabilitation, the development of an effective anterior guidance is a key element in the functional success of the treatment. This course will address the esthetic and functional parameters that should guide the clinician in creating an anterior guidance that separates the posterior teeth during all excursive movements while enhancing the smile of the patient.

The following are some of the topics that will be discussed:

• How do changes in overbite and overjet influence the effectiveness of anterior guidance?
• Can the vertical dimension of occlusion be varied? If so, what are the implications of such a change?
• How is anterior guidance developed clinically and how is it verified?
• When should maximum intercuspation be recorded and when centric relation?
• How are CR and MI recorded? Is it better to use auto-induced or operator-assisted techniques?
• When should the models of the patient be mounted on an articulator?
• Which instruments should be used?

The illustration of several clinical cases with extensive rehabilitations and an interactive discussion with the audience will help focus the important issues and thought processes to be applied when planning a rehabilitation from an occlusal and esthetic point of view.