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Independence Dental Associates, LLC | Occlusal Adjustment in Hackettstown

Independence  Dental  Associates,  L.L.C.

Richard J. Cleave,

General Dentistry, Implants,
 IV Sedation, Oral Surgery,
 Moderate IV Sedation Permit # 034

  Dr. Tiffany P. Chen
New Jersey Speciality Permit #06777

915 County Road 517 # 23 
Hackettstown, NJ 07840
(908) 852-2215

[email protected]

We Are A Comprehensive Full
Service Dental Facility.
Call Us For An Appointment Today.
You Will Be Happy You Did!

Occlusal Adjustment


Occlusal adjustments are required due to trauma on particular teeth that don't have equal masticatory pressure on them.  These teeth will have excessive trauma which creates pain to loose teeth.  When you bite down you will notice that your bite does not hit uniformly, but hits in one or two areas and then slides to a position of near equilibrium.

Mal-occlusions are corrected orthodontically for these reason in younger patients.  Patients that do not undergo orthodontic treatment and have mal-aligned teeth will require an occlusal adjustment to allow there bite to hit comfortably without restriction.  The trauma that occurs when your bite is not equilibrated is broken down into two types.  Primary occlusal trauma describes trauma without periodontal disease factors.  Secondar occlusal trauma is secondary to periodontal disease.   Periodontal disease loosens teeth which causes them to hit inappropriately.  In this later case one must have the peridontal condition and the occlusal trauma treated so that both conditions can be brought to a satisfactory conclusion.

Some patients suffer from "Myofacial Pain Dysfunction" also called "TemporoMandibular Dysfunction."  Part of this problem involves malocclusion and that must be taken into consideration and corrected.  These patients also often have stress related issues in their lives which can exacerbate the problem.  These cases often include bruxism and the patients may require flexible night guards, hard acrylic appliances to be used during the day, and muscle relaxant drug therapy for acute flare ups involving their muscles and temporomandibular joints. 

An occlusal adjustment corrects the alignment of the bite, that is a result of loose, shifting, crowded, or missing teeth. The result is an evenly distributed bite that eliminates irregular pressure on one side of the mouth.  Once your bite is adjusted, your teeth will meet properly. Occlusal adjustment causes minimal pain, and only a little discomfort. The adjustment is made by using a dental drill using a fine filing stone. In addition, as discussed above, to the actual adjustment, removable mouthpieces are also utilized, to protect the tooth surface, and relax the jaw muscles once the adjustment is completed.  

Who is a good candidate for an occlusal adjustment?  Patients with loose or shifting teeth will many times not meet correctly. Patients, who grind or clench their teeth, will have an uneven bite and pressure distribution in the mouth, which is also corrected through an occlusal adjustment. Sometimes tooth sensitivity can be corrected through an occlusal adjustment as the treatment reduces pressure on the sensitive tooth.

If you suspect that you may need an occlusal adjustment, schedule an appointment.