Auburn Periodontics and Implantology

Joseph M. Haynes, DDS

Occlusal Adjustment

Occlusal, or bite, adjustment is a procedure performed to help keep teeth come together properly by removing interferences.  These interferences can prevent the jaw from closing in its anatomically correct position. Interferences can develop as teeth develop, can occur following an accident, or they can accumulate over time with wear.  Dental work such as fillings, crowns, bridges, and extractions can also cause interferences.

Interferences often prevent the jaw from fully sliding into correct position because the jaw and neck are never able to fully relax.  This may result in severe headaches and neck aches. Many people may begin to grind their teeth as their jaw seeks its natural position.  Teeth grinding can cause bone loss, tooth loss, and receding gums. Overtime, patients may develop tempromandibular joint issues, or TMJ, if untreated.

During your examination, Dr. Haynes will examine your jaw closely and may notice symptoms that your bite may be off.  Some symptoms include if the jaw does not open evenly on both sides, if the jaw makes a clicking noise as it opens, if the enamel has been ground away in certain areas, or if there are fractured teeth.  Chronic symptoms of teeth grinding, headaches or neck aches, are also clues that the bite may be off.

Before the procedure begins, Dr. Haynes will have you bite on a thin piece of special paper.  The paper transfers color to the areas where contact occurs. The doctor will then smooth the area where the marks have been left removing just enough of the tooth or restoration to eliminate the interference.  This process will be done on all areas where the mylar paper left color on the tooth until the jaw is able to get into its normal position.