Adjusting Opposing Teeth - 'Robin Hood Dentistry' Explained

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added:
3 months ago

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382

specialty:
Conservative Dentistry & Endodontics

Case description

Adjusting Opposing Teeth *shock horror* 'Robin Hood Dentistry'

Sometimes we need to use 'reshaping' to create space.

When Adjusting opposing teeth, here are the simple rules I follow:

A. Communication - Tell your patient ahead of time that teeth fit together like a lock and key. If you change the lock, you also may need to change the key. A change in one arch may need a change in the upper arch for things to fit well.

- Tell the patient you will smooth and reshape a corner of the opposing tooth - it will be quick and nowhere near the nerve

B. Execution - Enamel is King. Can you take something off from the restoration itself to reduce how much enamel you need to remove?

- DON’T just flatten cusps and gouge in to fossae/cingulums

- Instead, follow the existing contour of the tooth where it permits

- Go incremental with fine burs (like red) - when you get close to perfect, you can use a course soft flex disc or white stones

- Don’t expose dentine - consider another approach if you’re in danger of exposing dentine.

C. Does this need a rehearsal?

Are you adjusting the Centric Relation Contact Point and therefore may risk a bite change?

Or you're not sure if by adjusting the tooth you'll get enough space?

Then it's always better to rehearse on study models first.

0:00 Introduction

0:24 What is Robin Hood Dentistry?

2:25 Application of Robin Hood Dentistry

3:08 Application of Robin Hood Dentistry on Anterior teeth

3:30 Sensitivity issues during Robin Hood Dentistry

4:24 Robin Hood Dentistry and Occlusion

5:42 Learn more about Occlusion: Basics and Beyond

https://occlusion.online