Techniques for Identifying and Eliminating High Points in Dental Restorations

Introduction: In the realm of dental practice, ensuring that dental restorations fit properly and do not cause discomfort or other issues is crucial. One of the key steps in achieving this is identifying and eliminating any high points on a dental restoration after a procedure such as a crown, bridge, or filling. High points can be detected and managed effectively using articulating paper and proper manipulation techniques. This article aims to guide dental professionals through the process of identifying and addressing these points, ensuring a comfortable and functional result for the patient.

Understanding High Points

What are High Points? High points in dental restorations refer to any elevated areas on the restoration that do not align well with the opposing teeth or the surrounding teeth. These points can cause pain, discomfort, or even damage to the teeth and gums over time. High points are often the result of misaligned jaw movements during the procedure or the incorrect biting pattern post-restoration.

Using Articulating Paper for Identification

What is Articulating Paper? Articulating paper is a specialized sheet that is used to mark the high points on a dental restoration. It is made of a material that changes color when pressed against the restoration, making the high points visible. This paper is particularly useful in detecting subtle areas that might not be noticeable by the naked eye.

Procedure for Using Articulating Paper:

Bite Registration: Have the patient bite down into the articulating paper using both centric and eccentric movements. This allows you to mark the high points on the restoration in both forward and backward jaw movements.

Verifying Marks: Once you have recorded the high points, carefully remove the paper and examine the marks made. These marks will indicate where the restoration is misaligned or does not fit properly.

Marking the Restoration: Use a stylus or another instrument to transfer the marks from the articulating paper onto the restoration. This can be done by gently rubbing the stylus along the areas where the marks are located, marking the teeth for adjustment.

Addressing High Points in Dentistry

Reduction Techniques: Once the high points are identified and marked on the restoration, the next step is to reduce them. This can be done in a few different ways, depending on the situation.

Using Composite Resin: For minor high points, you can use a composite resin to smooth out the surface. This is a quick and effective method that can be done in a single visit.

Milling or Grinding: For more significant high points, you may need to use a dental milling machine or hand instruments to grind down the excess material. This process should be done with precision to ensure the restoration fits well and is comfortable for the patient.

Crown Repairs: If a high point is present on a crown, you might need to reseat the crown or, in some cases, remake it. This involves removing the old crown, making any necessary changes, and then fitting a new crown.

Conclusion

Identifying and addressing high points in dental restorations is essential for ensuring patient comfort and overall dental health. By using articulating paper for precise identification and employing appropriate reduction techniques, dental professionals can provide high-quality care that meets the needs of their patients. Regular check-ups and the use of effective diagnostic tools such as articulating paper can help prevent long-term issues and ensure a satisfied and healthy dental experience for everyone.

Keywords: articulating paper, high points, dental restorations, identification, reduction techniques