4/2/2024 0 Comments Signs of occlusal trauma2021-22 Dawson Academy Texas Mini-Residency.2021 Live Stream Courses at The Dawson Academy.2021 Centrically Related Online Study Club. ![]() 2019-2020 NE Ohio (Cleveland) Study Club.2019-2020 Country Mouse Virtual Study Club.So in this case, there are no good vibrations! During and after treatment, when evaluating the success in stabilizing the occlusion, remember that a negative fremitus test is an absolute must. Obtain accurate and complete records in order to systematically treatment plan the best option for stabilizing the occlusion. Note: if fremitus is present with active inflammation, the periodontium must be treated as well as occlusal adjustments alone will not solve this problem. Without treatment, fremitus can progress to hypermobility, excessive wear, and/or shifting of anterior teeth. Occlusal trauma is defined as trauma to the periodontium from functional or parafunctional forces causing damage to the attachment apparatus of the periodontium by exceeding its adaptive and reparative capacities.ĭiscovering fremitus requires further investigation, not a wait and see approach.Fremitus = occlusal trauma = occlusal instability. It is important to check for fremitus both with the patient reclined and with the patient sitting up. If you feel ANY movement or vibration? fremitus is present. Identifying fremitus only requires placing the fingernail/tip of our index finger lightly on the facial surfaces of the teeth and asking patient to tap-tap, gently and firmly, then grind around. Failure to provide for long centric on anterior teeth postural freedom from centric relation.An envelope of function that has been restricted in some way? think iatrogenic.A deflective posterior incline contacts that drives the mandible forward.It is a clinical sign that is often overlooked during both the examination and the restorative process. The main sources of fremitus are: ![]()
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