Occlusal high points left unadjusted
What it is
Delivering a crown/bridge with premature occlusal contacts ("high spots") or occlusal interferences in centric and/or excursions that are not adjusted to a stable, harmonious occlusion. This concentrates forces on the restoration/tooth and can trigger symptoms or biologic/technical complications.
Why it happens
• Inadequate occlusal verification at try-in (only checking MIP lightly, not checking excursions or comparing to pre-op contacts) • Changes in occlusal contacts after cementation (cement thickness/film, seating dynamics) can alter contact pattern compared with the try-in • Articulating paper misuse (too thick/wet, not drying the crown, relying only on "dark marks" instead of contact pattern + patient feedback) • Ignoring the biologic effect of excessive forces: excessive occlusal forces/trauma can affect the periodontium and supporting structures
The full clinical mistake entry includes
- How to avoid it — the prevention protocol
- The clinical tip experienced clinicians use
- The documented reference behind the mistake
More clinical mistakes
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