Spear Education: Occlusion in Clinical Practice

Aug 19-21, 2015

Hands-on exercises in observation of joint sounds and movements combined with evaluation of the muscles of mastication help you connect what you see and hear to what the patient does. Mounting casts with a facebow and bite records taken with your partners puts what the patient does in three dimensions and in your hands for detailed analysis. Fabricating and adjusting an anterior bite plane removes the interaction of teeth and illustrates the contribution of occlusion to what the patient experiences. Finally, exercises in trial equilibration bring the concepts to reality and prepare you to take it to the mouth. These exercises, coupled with discussions on all the above AND what appliance to use and when, let you take occlusion home and apply it.


  • The examination continued, joint sounds clarified
  • Facebows and CR bite records
  • Mounting casts accurately
  • Customizing the articulator settings for your patient
  • Choosing the appropriate appliance for your patient
  • Fabricating the anterior bite plane appliance
  • Evaluating occlusion on mounted casts
  • Trial equilibration and occlusal planning
  • Occlusal records for restorative dentistry


  • How to add depth in observation and understanding to your clinical examination of joints, muscles, and teeth
  • How to relate the maxillary arch to the patient’s hinge axis by gathering a facebow whenever you need to mount diagnostic or working casts
  • How to take CR bite records with confidence and efficiency
  • To be proficient in the use of the leaf gauge and the Lucia jig
  • To mount casts with confidence in their accuracy
  • How to create anterior bite planes quickly, predictably, and efficiently
  • How to differentiate records for analysis and diagnostics from those for restorative procedures.


Kevin Kwiecien
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Gary Dewood
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Greggory Kinzer
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