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PubMed · 12192950

Canine risers: indications and techniques for their use.

M C Murray·P A Brunton·K Osborne-Smith·N H Wilson
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Abstract

Tooth wear leads to alterations in both static and functional occlusal contacts and may contribute to temporomandibular joint disorders and dysfunction. Treatment of tooth wear may be time consuming, expensive and destructive of remaining tooth tissues. Bruxism has been associated with the recording of abnormally high clenching forces. This paper describes a technique for the provision of the canine riser restoration, which deliberately alters the cuspal incline in canine teeth to provide a canine guided occlusion. These restorations may help to control excessive loading of teeth, limit further tooth wear and assist in the management of temporomandibular disorders and dysfunction.

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BruxismCuspidDental OcclusionDental Occlusion, TraumaticDental Restoration, PermanentHumansOcclusal SplintsPatient SelectionTooth AbrasionTooth PreparationVertical DimensionJournal Article

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M C Murray, P A Brunton, K Osborne-Smith, N H Wilson. Canine risers: indications and techniques for their use.. https://pubmed.ncbi.nlm.nih.gov/12192950/

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Is the wear of dental composites still a clinical concern? Is there still a need for in vitro wear simulating devices?

While once considered a major concern for posterior restorations, wear of dental composites has been substantially reduced by changes in formulation and is considered today by many to be a solved problem. However, minimal evidence exists in the literature to support this conclusion for large restorations, especially those involving the replacement of functional cusps, despite the fact that these restorations are routinely performed. Evidence shows that wear may be of minimal importance for restorations of small to moderate size. However, the literature does suggest that failure rates are higher for larger restorations, and that wear may still be a significant mode of failure for patients with bruxing and clenching habits. In this light, the wear of composites continues to be studied by many researchers, and it is justifiable to seek well-defined and reproducible in vitro methods for predicting this multifactorial phenomenon.

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