Modern Occlusal Adjustment Procedure

A Case Study Featured in Compendium

This case report demonstrates that physiologic lessening of chronic masticatory muscular hyperactivity in a patient with MPDS can be accomplished with a modern occlusal adjustment procedure that is an alternative to occlusal equilibration. ICAGD is a measurement-driven enameloplasty, such that the performed occlusal changes precisely optimize force and time occlusal endpoints. When properly performed, its clinical effect minimizes periodontal ligament compression time so that the reduced duration of compressions does not add extra muscle activity to the functional baseline. This result translates into a rapid time to muscle shutdown of the bilateral massetter and working temporalis during excursive movements. Since 1990, ICAGD has been shown in research studies and clinical reports to have a positive therapeutic effect on masticatory muscle physiology.

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