Adjusting Opposing Teeth - 'Robin Hood Dentistry' Explained
11 months ago
Conservative Dentistry & Endodontics
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.
0:24 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