Bite control of total fixed prosthetics: a clinical case

Clinical Dentistry (Russia), 2026

Full text Open access: Gold Metadata (CSL-JSON)
DOI 10.37988/1811-153x_2026_1_72
Data confidence 70 medium
How this score is calculated

It is built from checkable properties of the record itself: whether the article has a DOI, how many independent sources confirmed its data, whether the required fields are filled in, and how recent the latest confirmation is. Disagreement between sources and a missing identifier lower it. A value of 80 or above means the record was published without further checking; 60 to 79 means it is published at reduced confidence, with a manual check advisable. A record verified by an editor by hand is never pushed below 90 by a recalculation. This scores our data about the article, not the article itself.

Abstract

Using the example of a clinical case, demonstrate the suitability of an occlusal guide for the central relation (CR) control during fixed total prosthetics. For a patient complaining on the inconvenience and uneven occlusal contacts, a virtual patient’s digital “twin” was created in Avantis3D software (Russia) using intraoral dental scans and CBCT. 3D digital TMJ and occlusal analysis were performed, the position of the LJ was adjusted, and an occlusal template was designed and manufactured using 3D printing. The use of an occlusal guide made it possible to identify supracontacts that cause LJ displacement from the CR position. Selective grinding of existing supracontacts using an occlusal guide made it possible to return LJ to the CR position, provide multiple occlusal contacts, and eliminate existing complaints. Conclusion. The occlusal guide can be a reliable tool for CR control in conditions where other means of such a control are not available.