A Comprehensive Overview: The Evolutionary Journey of Occlusion in Dentistry
Occlusion, the manner in which the upper and lower teeth come together, has long been a complex and debated topic in dentistry. Its understanding has advanced largely due to removable prosthetics. Unlike tooth-borne dentistry, where treatments are performed a tooth or two at a time without a long-term occlusal plan, removable prosthetic cases often involve full mouth rehabilitations, bringing forth novel insights into occlusion.
A century ago, dentists struggled with cross-arch stability in complete denture cases. To address this, flat plane occlusion was introduced, where teeth connect on both sides uniformly. This concept, known as bilateral balanced occlusion, was an essential step, but it did not encompass the entire complexity of occlusion.
In the 1930s, the notions now associated with gnathology emerged, acknowledging the vital role of the teeth's contours. This understanding led to innovations like PK Thomas waxups and the integration of natural morphology into occlusal schemes. While these advances contributed to improved comfort and efficiency, they still fell short of unraveling the complete mystery of occlusion.
Two decades later, the focus shifted from teeth to the relationship of the jaw. Although the concept of Centric Relation facilitated repeatable record-taking, it was not a one-size-fits-all solution. Over the years, the definition underwent multiple revisions, without ever truly satisfying the complex requirements of individual patients. What was lacking was a recognition that the patients treated were more than mere anatomical structures.
In the early 1970s, groundbreaking research led to the utilization of technologies like Ultra Low Frequency TENS (ULF-TENS) to analyze the muscles of mastication. Dental pioneers such as Dr. Barney Jankelson and John Radke recognized that focusing on muscles might lead to more successful outcomes. This approach, focusing on the muscles' neutral state, laid the foundation for a new era in occlusion.
Historically, occlusion concentrated on micro-occlusion or individual tooth relationships. The introduction of Centric Relation expanded this view to include jaw relationships, but it still fell short of a holistic understanding. The Physiologic approach, however, represents a significant leap forward. By incorporating not only teeth but also bones, muscles, and soft tissues, it enables a comprehensive and sophisticated evaluation.
The Physiologic dentist, such as Dr. Dmitry Gorbatov at Gorbatov Dentistry, considers both micro and macro-occlusion, treating the jaw-to-jaw relationship as a crucial part of patient diagnosis. This state-of-the-art method surpasses traditional approaches, allowing for the effective treatment of previously untreatable conditions, including common ailments such as migraines and headaches.
If you're seeking a nuanced and world-class dental experience, look no further than our elegant dental facility located on Ocean Drive, oceanfront in Hollywood. We are committed to offering top-tier dental care, focused on your well-being and comfort. Feel free to schedule an appointment, and let us guide you toward a healthier, more vibrant smile at Gorbatov Dentistry.
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Wonderful dental office and staff. Dr. Gorbatov is one of the best in the industry, very knowledgeable and patient. Highly recommend.
Eugenia Mize
I finally found a great dentist who does its all, root canals, caps, and implants. I needed major work on my mouth all at once, although it was expensive because...
Diane O’Brocki (Loxahatchee, FL)
S u p e r b ...Immaculate dentistry! I was impressed with a GREAT attention to details! His work is truly an ART and priceless! Everyone in the office is...
Gordana Skracic (Aventura, FL)
FIVE STARS! I left my pre you’d Hollywood dentist because she refused to do a simple noninvasive ADA recommended preventive treatment, and insisted I needed an implant. In addition her...
therese costa
The best dentist! I recommend. The crown that was placed in another country fell out, everything was done in a second, it is more convenient than it was before. thanks...
Алёна Давыденко
I have been with the dentist for a few years now and love the care I receive. You are taken care of from the front desk person, through your visit!...
Juan Rodriguez (Greenacres, FL)
Amazing service! The team is in top of what they are doing. I had two emergency root canals needed retreatment and Dr. Gorbatov and his team meticulously saved my teeth...
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Fantastico me atendieron como en ninguna parte. Excelent Servicio . Atentencion y profesionales' los recomiendo ampliamente. Dr. Gorbatov es un Sol . Su asistente un Amor, y todo su equipo....
Mery Sanchez
I absolutely LOVE the attentive and friendly customer service and quality of work they provide here at Dr.Gorbatov’s office!! I would highly recommend them to anyone looking for a touch...
Serena Morrisey
Absolutely the best doctor and staff. I was afraid of any and all oral procedure. Dr Gorbatov did all my oral surgery without any pain involved. I do not even...