A consideration of centric relation

Abstract

The establishment of the constants under load should take precedence over any other factor of occlusion. All techniques must respond to the same idea, and they must serve as the basis for evaluating various techniques. Only to those who have had sufficient experience in removing all the occlusal surfaces of the natural teeth for a patient and, then, have been compelled to orient the lower jaw in relation to the upper jaw does the problem of centric relation become most meaningful and appreciated. The corollary to that statement relegates the concept of quadrant dentistry to a secondary role if the goal is maximum oral health in which function plays its part. This procedure only perpetuates a jaw relationship which, in the majority of patients, is incorrect. Dentistry must acknowledge the dominance of temporomandibular joints over the character of the functioning surfaces of the teeth in order to cope with the traumatic factors of occlusion.