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<blockquote data-quote="kcdt" data-source="post: 259810" data-attributes="member: 349"><p>The thing about acquired bites is they are tolerated because they are functionally derived.</p><p> </p><p>CR is mostly a matter a restorative convenience. It's a repeatable position.</p><p>There's a lot of good reasons to get there; functional in terms of bite force. Acquired bites don't always have complete envelope of function; cosmetics in that you are buttressed in the joint, so if you have the hinge axis( facebow),then dialing in VDO is simpler.</p><p>There are those that mention the whole TMJ rabbit hole, but I've never seen it supported in peer review. </p><p>Can you change it? Yes. But not with the denture. It's too much to ask. I'd go with a branching temp to dial in the bite. Let the muscles reprogram, get a sense of VDO, address aesthetic needs. </p><p></p><p>If time or cooperation are at issue, I'd leave the acquired bite alone, unless there's something really egregious</p></blockquote><p></p>
[QUOTE="kcdt, post: 259810, member: 349"] The thing about acquired bites is they are tolerated because they are functionally derived. CR is mostly a matter a restorative convenience. It's a repeatable position. There's a lot of good reasons to get there; functional in terms of bite force. Acquired bites don't always have complete envelope of function; cosmetics in that you are buttressed in the joint, so if you have the hinge axis( facebow),then dialing in VDO is simpler. There are those that mention the whole TMJ rabbit hole, but I've never seen it supported in peer review. Can you change it? Yes. But not with the denture. It's too much to ask. I'd go with a branching temp to dial in the bite. Let the muscles reprogram, get a sense of VDO, address aesthetic needs. If time or cooperation are at issue, I'd leave the acquired bite alone, unless there's something really egregious [/QUOTE]
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